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Biggs, Theresa
t/, ��FFOIKCDi JUDITH T. TERRY �� yL Town Hall, 53095 Main Road P.O. Box 1179 TOWN CLERK Z • REGISTRAR OF VITAL STATISTICS G T Southold, New York 11971 MARRIAGE OFFICER •y ���• Fax (516) 765 1823 ��'�• Telephone (516) 765-1801 •,1 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 704 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 ONE OVERFLOW CESSPOOL TO AN EXISTING SYSTEM. APPROVED AS SUBMITTED. EXCAVATION INSPECTION REQUIRED. Name Of Owner BIGGS, THERESA Mailing Address 1 208 KNAPP PLACE City St Zip GREENPORT NY 11944 Property Address 1 208 KNAPP PLACE City St Zip GREENPORT NY 11944 Tax Map No. section 34.00 block 2 lot 9.000 Cross Street MAIN STREET Building Permit Number Cross Reference: Issue Date: 5/08/91 Judith T. Terry Southold Town Clerk (TOWN SEAL) • LI 1 91991 c;'1-FDt,rr© 1OV.'' leg' Town Hall, 53095 Main Road '14 �, P.O. Box 1 179 i\N5 0. Southold, New York 11971 JUDITH T. TERRY .1."AIrl S TELEPHONE TOWN CLERK (516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD April 22, 1991 To: Southold Town Code Enforcement Officer From: Linda J. Cooper, Southold Town Clerk's Office Transmitted herewith is a copy of application No. A723 for an ALTERATION PERMIT for a cesspool or septic system submitted by Peconic Cesspool for Theresa Biggs 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 - be DISAPPROVE - COMMENTS: 0,, �,� a .L0. � tr." att.%&Lek sZ Ck . 4‘\‘' \O- REcem, \Cquiont_ ci)1P e,10 va - Signature MAY0819�1 14/ .1.il tMIS own owDate OFFICE OF THE TOWN CLERK ,.,,",,,,, Town of Southold �,•'OC��FFOLKe�G Application No. -� Judith T. Terry, Town Clerk �, Town Hall, 53095 Main Road ; ° Construction P. O. Box 1179 ; Southold, New York 11971 IP Alteration Tele hone -_ Qr;: $10.00 - Residential C/ p65-1801 - ..� NW - ��,, �� (516) $25.00 -Non-Residential •TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICAT ION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. /2„.,S oC) Fee $ , DATE ' q/f i APPLICANT NAME: /A2e..-zi-17.-g... , APPLICANT ADDRESS: Ad 6 972...- SEPTIC 71-SEPTIC CESSPOOL L- DESCRIP ICON OF PROPOSED CONSTRUCTION OR ALTERATION 41_ 1F.F' r LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: ' 'f e/L, g-57. 4;775 OWNER MAILING ADDRESS:,2-0Yn p resc' v10a nT OWNER PROPERTY ADDRESS: • TELEPHONE NUMBER OF CONTACT PERSON: Q'[e.–{65? TAX MAP NO. : Section 3 Block - Lot q CROSS STREET: BUILDING PERMIT NUMBER CROSS REFERENCE:. LL ( %t1Signature ,(�_ ,{` g ature of A licant 42ECE4VED BY: N ' Town Clerk's ffice DATE: V//.9A' arifizc,,i4fil P''1'i. 7O ( / (A.4 A p I or r674- ..; 'i... 41111,- r--t& ,..s., ......._ ,..:, r - / ; / e,„1,z19/ c--,VIA ,/4( . kli, ' ---- ,