HomeMy WebLinkAboutCrosser, Michael ,,,, ,,
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JUDITH T. TERRY % Z L
Town Hall, 53095 Main Road
P.O. Box 1179
TOWN CLERK O T
REGISTRAR OF VITAL STATISTICS ` it Southold, New York 11971
Fax (51 765-1823k11
MARRIAGE OFFICER �Q��O 1.4 Telephone (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. 795 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : PECON I C CESSPOOL
Address 1 : P. O. BOX 972
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
ADDITON OF AN OVERFLOW CESSPOOL TO AN EXISTING SYSTEM.
APPROVED AS SUBMITTED. HOLD 12'0 SEPARATION AND CALL FOR AN
EXCAVATION INSPECTION.
Name Of Owner CROSSER, MICHAEL
Mailing Address 1 1200 MAIN STREET
City St Zip GREENPORT NY 11944
Property Address 1 1200 MAIN STREET
City St Zip GREENPORT NY 11944
Tax Map No. section 34.00 block 2 lot 20.000
Cross Street ROUTE 48
Building Permit Number Cross Reference:
Issue Date: 1/07/92 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T. TERRY ��� yL Town Hall, 53095 Main Road
TOWN CLERK = Z P.O. Box 1179
REGISTRAR OF VITAL STATISTICS : G T i Southold, New York 11971
MARRIAGE OFFICER � � Fax (516) 765 1823
Q ° .1" Telephone (516) 765-1801
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD I
January 2, 1992 JAN - 2
To: Southold Town Code Enforcement Officer
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From: Linda J. Cooper, Southold Town Clerk's Office
Transmitted herewith is a copy of application No. r4816 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Cesspool for Michael Crosser
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.
ROM
Thank you.
�u« JAN 02 199
Linda J. Cooper Tan Clerk ilotittiokt
* * * * * * * * * * * * *
I have reviewed the application and location map of the project listed
above and make the following recommendation:
APPROVE - X
DISAPPROVE -
COMMENTS: 1301.0 a/ •ir- Ulf 3,44..L.
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OFFICE OF THE TOWN CLERK ,,,'",,,,"'
Town of Southold .''" VUL/(4 g
Judith T. Terry, Town Clerk , 'e s . Gy
Application No. l 6
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Town Hall, 53095 Main Road . Z L ; Construction
P. O. Box 1179 ; cr m ` f
Southold, New York 11971 %VI W
Alteration
Telephone ,,00f� �Ori� $10.00 - Residential ,/
(516) 765-1801 = 01 '� 2
„,,,,, $ 5.00 - 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: r-,• ---7/- de/-- -1-"").1-1
APPLICANT ADDRESS: a - 97 2-
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: CA_Ai--1.--‘2.-C--%-=
OWNER MAILING ADDRESS: f O'Z1 ..4(14.1.4.- 1. St
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OFCONTACTPERSON:
TAX MAP NO. : Section J (f Block Lot ap
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
44,-111N
SignatuApplicant
RECEIVED BY: '�� � " !I
Tow -rk' Office
DATE: //2" 7�'
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