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JUDITH T. TERRY : .G Town Hall, 53095 Main Road
TOWN CLERK : p T P.O. Box 1 179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER %V �- I Fax (516) 765-1823
4.4, 0 � Fax
(516) 765-1801
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 831 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : GARY TABOR
Address 1 : 680 NAVY STREET
City St Zip ORIENT NY 11957
Descripton of Proposed Construction or Alteration
REPLACE SEPTIC TANK.
APPROVED AS SUBMITTED. EXCAVATION INSPECTION REQUIRED.
Name Of Owner CALDON, WALTER
Mailing Address 1 BOX 442
City St Zip PECON I C NY 11958
Property Address 1 7825 SOUNDVIEW AVENUE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 59.00 block 6 lot 15.002
Cross Street KENNYS ROAD
Building Permit Number Cross Reference:
Issue Date: 5/07/92 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
i
JUDITH T. TERRY : ` ; Town Hall, 53095 Main Road
TOWN CLERK : p r� P.O. Box 1 179
Z.REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER yQ �- ��, Fax (516) 765 1823
�,��� ������ Telephone (516) 765-1801
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
May 1, 1992
To: Southold Town Code Enforcement Officer
From: Linda J. Cooper, Southold Town Clerk's Office
Transmitted herewith is a copy of application No. /3 855 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Gary Tabor for Walter Caldon ,
Please review the application and location map and advise if this office may
issue the permit.
Please complete the form below and return it to this office.
Thank you.
,_yam �c
Linda J. Cooper
* * * * * * * * * * * * *
I have reviewed the application and location map of the project listed
above and make the following recommendation:
APPROVE - x
DISAPPROVE - RECEIVED
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COMMENTS: 4,. -.�c cQ �-., cat&c c)� kTe . _ "' '
1V�c. .a.P �.tPws) ThIVII Clellr 50uthold
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°�®d`����yo Signature
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Date
OFFICE OF THE TOWN CLERK
Town of Southold g 4
Judith T. Terry, Town Clerk `����► OG Application No.
Town Hall, 53095 Main Road Construction
P. O. Box 1179 Alteration
Southold, New York 11971
$10.00 - Residential
Telephone ����
(516) 765-1801 � 1jig
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'� $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ /O /
DATE y / l "
APPLICANT NAME: (j 4 PI y: ), ,t 1 OlT
APPLICANT ADDRESS: b f`U /'j/01/,/ S 7
C2 ' s.".
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
�s i 41// / G '-c/o 7-; ice -7--."2 "4-.
C'/l cera/ e
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: 7.(.11,1/Ter
OWNER MAILING ADDRESS: �' � /3o/ y4/ .
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OWNER PROPERTY ADDRESS: 7r'v6--' cov•.✓d>.„',-„j i�
TELEPHONE NUMBER OF CONTACT PERSON: 3 24,7- p 7
TAX MAP NO. : Section Jr `� Block 6, Lot /
CROSS STREET: 1-ir i,/.,y y ) e ,/
BUILDING PERMIT NUMBER CROSS REFERENCE:
,81gnature of Applicant
RECEIVED BY:
Town CI k's Office •
DATE: 3-/— ,9L_-
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717.71.
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