HomeMy WebLinkAboutAraoz, Dorita %
S + Town Hall, 53095 Main Road
J�`, P.O. Box 1179
/Ol �a ��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
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 372110 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : PECONIC CESSPOOL
Address 1: P. O. BOX 972
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
ADDITION OF OVERFLOW POOL TO EXISTING SYSTEM.
APPROVED AS SUBMITTED. NEW POOL NOT TO EXCEED 15 ' 0" FORM OLD POOL.
Name Of Owner ARAOZ, DORITA
Mailing Address 1 5 SURREY LANE
City St Zip NEW HYDE PARK NY 11040
Property Address 1 WESTLAND & BIRCH
City St Zip SOUTHOLD NY 11971
Tax Map No. section 59.00 block 2 lot 27.000
Cross Street KENNYS ROAD
Building Permit Number Cross Reference:
Issue Date: 7/14/88 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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BLDG. DEPT. '�! $
TOWN OF SOUTHOLD `_%ke't3' P.O. Box 1 179
=''.1 :Is y�O���• Southold, New York 11971
.JUDITH T. TERRY 4""m•04' TELEPHONE
TOWN CLERK -
REGISTRAR OF VITAL STATISTICS (516)765-1801
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
July 11, 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. 376 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Cesspool for Dorita Araoz
•
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: pt;;,'^ ,t ) , _ato.uat AO- s h c . IU c-4,)
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Signature
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Date
OFFICE OF THE TOWN CLERK
Town of Southold �� Application No. 2j,.c.
Judith T. Terry, Town Clerk 1
Town Hall, 53095 Main Roadcr3 j Construction
P. O. Box 1179 v.
Southold, New York 11971 O `J Alteration
Ne" Residential
Telephone 0l [ ' ��,/ Residential z�
(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 $ f`
DATE 6 6i7/6-
APPLICANT
6-APPLICANT NAME: '25"C1/7/4--e,
APPLICANT ADDRESS: ,4 /Sr, 971-°
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SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTS AT ION:
OWNER OF PROPERTY: O''! 7n /7/64a Z
OWNER MAILING ADDRESS: Jr-- 50/t/C � 4 "t✓
/1/5-cil *de 'mu('
OWNER PROPERTY ADDRESS: 1/4-3 7,44We 6/./c c
-S'DaAo��
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section c :1 Block Z Lot 2 7
CROSS STREET: s' fl
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of App 'cant
RECEIVED BY: mak`,
Town Clerk's ffice
DATE: 7 - 6F-- eF-e?
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