HomeMy WebLinkAboutCutolo, Louis 4 ,,,Ill.,-.�
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JUDITH T. TERRY Town Hall, 53095 Main Road
TOWN CLERK t T P.O. Box 1 179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER "yQ O� •'� Fax (516) 765 1823
=_'/b .1� �� 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. 1094 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : LISO CONSTRUCTION CORP.
Address 1 : P. O. BOX 439
City St Zip JAMESPORT NY 11947
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR NEW SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. SCHD REF #93-SO-63
Name Of Owner CUTOLO, LOUIS AND ANNE
Mailing Address 1 46 BRENTWOOD PARKWAY
City St Zip BRENTWOOD NY 11717
Property Address 1 CROWN LAND LANE
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 109.00 block 2 lot 12.00w AZ O 07
Cross Street MAIN ROAD
Building Permit Number Cross Reference:
Issue Date: 3/10/94 Judith T. Terry
Southold Town Clerk
_LTOWN_ SEALI
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JUDITH T. TERRY : ; Town Hall, 53095 Main Road
TOWN CLERK o rZ P.O. Box 1179
cls �� Southold, New York 11971
REGISTRAR OF VITAL STATISTICS •= VO �. Fax (516) 765-1823
MARRIAGE OFFICER =_ //'rn 400.°
." Telephone (516) 765-1801
RECORDS MANAGEMENT OFFICER �
FREEDOM OF INFORMATION OFFICER ,,,,,r��
OFFICE OF THE TOWN CLERK 18
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: February 17, 1994
Transmitted herewith is a copy of application No. 1130 for a Cesspool/
Septic Tank Construction Permit submitted by:
Liso Construction Corp. for Louis and Anne Cutolo
Please review the application and location map and advise if the project
has received Suffolk County Health Department approval and if this office
may issue the permit.
Please complete the form below and return it to me.
Thank you.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE
DISAPPROVE
Comments: cJ! d /1
RECEIVE'
_ 4, •
tiM",R 91994 Signature
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bald Town Cie* Dated
OFFICE OF THE TOWN CLERK ,,,'",,,"''--
Town of Southold '�0"cA FDIKCO il " ss Application No. // 3�
Judith T. Terry, Town Clerk �, G
Town Hall, 53095 Main Road ;
`I ` _.Y" M.OO.HEALTH DEPT.APPROVAL. I H.S. NO.
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TOWN OF JOUTHOLO> N.Y. _ fLAND
LIC.LANESURVEYOR!-ORavou.�� .Y. _ .
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.$c alk CO. Tata Mal, oeaighafow; O(of'.(00015e t h,I09,BJock Z,Lot' (Z. i
herr MOLE surf.CO.DEPT!OP HEALTH SERVICES STATEMENT OF INTENT
USO CONSTRUCTION CORP.o, , HerriCkS
FOR APPROVAL OF CONSTRUCTION ONLY
P.O.•
Box 439
(no ' T
p H E
TeEWAG
ref'g) DATE: JUL 2 S 1993 DISPOSAL SYSTEMS FOR THIS RE$I-
• DEN CIE WILL CONFOI*M TO The
H.S. REF. top* 13 5b - 63 STANDARDS OF SUFFOLK CO. DEPT. •:
•
OF HEALTH. SERVICES.
APPROVED. - -w/'1r—.19111r/ ,
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