HomeMy WebLinkAboutCassimatis, George #0,//u/f,,,,',
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Town Hall, 53095 Main Road
%le `� P.O. Box 1179
'_' j►01 •�airoo� Southold, New York 11971
JUDITH T.TERRY �� ir��� TELEPHONE
TOWN CLERK (516) 765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 322 R Residential X Non-Residential
Fee $ 10. 00 Septic Cesspool X
PERMIT ISSUED TO:
Name : MAGILL, RICHARD D/B/A
Address 1: PECONIC CESSPOOL
P.O. BOX 972
City St Zip MATTITUCK NY 11952-0000
Descripton of Proposed Construction or Alteration
INSTALL ADDITIONAL CESSPOOL OVERFLOW TO EXISTING SYSTEM
APPROVED AS SUBMITTED
Name Of Owner CASSIMATIS, GEORGE
Mailing Address 1 5320 STILLWATER AVENUE
City St Zip CUTCHOGUE NY 11935-0000
Property Address 1 5320 STILLWATER AVENUE
City St Zip CUTCHOGUE NY 11935-0000
Tax Map No. section 137. 00 block 7 lot 15. 000
Cross Street PEQUASH AVENUE
Building Permit Number Cross Reference:
Issue Date: 4/08/88 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
sr '11 1? 104
APR �FF�G "
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Town Hall, 53095 Main Road-
49,9 .��' •' P.O. Box 1179
.1441 Southold,i i� ,�� Southold, New York 11971
JUDITH T. TERRY �-.•.,••" TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
April 5, 1988
To: Victor Lessard, Southold Town Building Department
From: Linda J. Cooper, Southold Town Clerk's Office
Transmitted herewith is a copy of application No. A326 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Richard Magill for George Cassimatis .
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.
Linda J. Cooper
* * * * * * * * * * * * *
I have reviewed the application and location map of the project listed
above and make the following recommendation:
APPROVE - X
DISAPPROVE -
COMMENTS: _ dit.ca-tro M Cabe CALL ten
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Signature
Date
it
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OFFICE OF THE TOWN CLERK COFDLA-
Town of Southold
Judith T. Terry, Town Clerk CSG Application N� 02
Town Hall, 53095 Main Road a ` Construction
P. O. Box 1179 " $ Alteration
Southold, New York 11971
Telephone of t ' �' Residential -
/
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE
APPLICANT NAME: 7611,47-A./41 -Pee
APPLICANT ADDRESS: /O c72
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION /. e_
/✓ _57/4W/CCa�//d,//, e Cl s/o7 lar72,4
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: �� a'�/� f 7� ( ,, 7/7
OWNER MAILING ADDRESS: 5-3 2- c7 �) � �✓ T` d—
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OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON: .%1—%6igr
TAX MAP NO. : Section / 37 Block 7 Lot /5
CROSS STREET: 8 �}'- � "
BUILDING PERMIT NUMB R CROSS REFERENCE:
Signature of App ant
RECEIVED BY: GCt/kE( �g.�y�Q�—�--�
RECEIVQJn Cl k's Off cX e
DATE: D D5 1988
Town Clerk Southold
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