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Home My WebLink AboutClauss, John OFFICE OF THE TOWN CLERK c.0FOLkc- Town of Southold Judith T. Terry, Town Clerk . ' Town Hall, 53095 Main Road ;c� � P. O. Box 1179 Southold, New York 11971 OTyf �O�•'� Telephone alt ,, (516) 765-1801 ' TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. A312 Residential X Fee $ 10.00 Non-Residential Septic Cesspool X PERMIT ISSUED TO: NAME: Peconic Cesspool ADDRESS: P.O. Box 972 Mattituck, New York 11952 DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION Addition of new overflow cesspool to existing system. APPROVED as submitted. LOCATION OF PROPOSED CONSTRUCTION or ALTERATION: OWNER OF PROPERTY: John Clauss OWNER MAILING ADDRESS: Wickham Avenue Mattituck, New York 11952 OWNER PROPERTY ADDRESS: Wickham Avenue Mattituck, New York 11952 TAX MAP NO. : Section 107 Block 10 Lot q CROSS STREET: Mary Road BUILDING PERMIT NUMBER CROSS REFERENCE: r. ez Judith T. Tel; Southold Town Clerk DATE : March 17, 1988 (TOWN SEAL) . -s D1©co:0 .° ,�rFOLi- 111 ,‘ t=3 f'''''%; 710;' ,t-:::' -7"—= f) 3(-2-----' "f t �,- �" .if' ` `.: i j2`tsvV, Town Hall 53095 Main Road TOvvi; OF ,..�. %.,Q\;1 •c ,� �_ `'' a � . �' •' P.O. Box 1 179 , . ... 'a •y�0�0 =�_/ L r 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 • March 15, 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. A316 for an ALTERATION PERMIT for a cesspool or septic system submitted by Peconic. Cesspool for John Clauss . 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 - DISAPPROVE - COMMENTS: szL,- j.,,,„ rid , a.L cat a cue i . \C„.....yt,... Z.,....a Signature 3\11a\1i i Date o 'OFFICE OF THE TOWN CLERK %C��FFOUI- :- Town of Southold ff, _' ; Cly' Application No, `J��, Judith T. Terry, Town Clerk . f Town Hall, 53095 Main Road ` o <. ... Construction P. O. Box 1179 cl w Southold, New York 11971 ��, Alteration Telephone 0/ 1' 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: Ze-C.,-07z--t..--6 APPLICANT ADDRESS: /ITfZ- SEPTIC CESSPOOL DESCRIPTION OF RROPOSED CONSTRUCTION OR ALTERATION LOCATION MAP: Must be attached hereto before permit may be issued. • LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: 61a.0 a L OWNER MAILING ADDRESS: OWNER PROPERTY ADDRESS: TELEPHONE NUMBER OF CONTACT PERSON: �,y- y6y TAX MAP NO. : Section / v 7 Block / v Lot CROSS STREET: -7/ BUILDING PERMIT NUMBER CROSS REFERENCE: ge-Chs Signature of Appli t RECEIVED BY: Town Clerk's Office DATE: . i'll P 11' . • 1 i it,,,,. ,.... It:* 1 it .,,,..„......,„ ,..., e:\t,.7 • , . 'Ay ', ...V ' , 1 Iri - i. , ' ..) S N iNAPY' , -... ! i , 3 _ I I , E i . ,..12 -I - jk - : / CI C.