HomeMy WebLinkAboutBreen, William FF u( -
JUDITH T. TERRY .G ". Town Hall, 53095 Main Road
TOWN CLERK : p rZ P.O. Box 1 179
REGISTRAR OF VITAL STATISTICS %CP W 1 Southold, New York 11971
MARRIAGE OFFICER 23
V4.2_ ksr.et Tel ph ne (516)
Fax 16) 5765-1801
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 815 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : MORRIS CESSPOOL SERVICE
Address 1 : 2760 YENNECOTT DRIVE
City St Zip SOUTHOLD NY 11971
Descripton of Proposed Construction or Alteration
REPLACE EXISTING CESSPOOL WITH LARGER POOL IN SAME LOCATION.
APPROVED AS SUBMITTED. EXCAVATION INSPECTION REQUIRED. CALL BUILDING
DEPARTMENT (765-1802) FOR AN APPOINTMENT.
Name Of Owner BREEN, WILLIAM
Mailing Address 1 MASON DRIVE
City St Zip CUTCHOGUE NY 11935
Property Address 1 MASON DRIVE
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 104.00 block 6 lot 18.000
Cross Street OAK
Building Permit Number Cross Reference:
Issue Date: 3/31/92 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T. TERRY % Z Town Hall, 53095 Main Road
TOWN CLERK : p T P.O. Box 1179
REGISTRAR OF VITAL STATISTICS . Lin Southold, New York 11971
MARRIAGE OFFICER :,y0 c- 1 Fax (516) 765-1823
=_-r4t.01 lit ��� 0 Telephone (516) 765-1801
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' 3 FILE OF THE TOWN CLERK
TOWN OF SOUTHOLD
March 24, 1992
To: Southold Town Code Enforcement Officer
From: Linda J. Cooper, Southold Town Clerk's Office
Transmitted herewith is a copy of application No. A838 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Morris Cesspool for William Breen .
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.
-t.----). a
Linda J. Cooper
* * * * * * * * * * * * *
I have reviewed the application and location map of the project listed
above and make the following recommendation:
APPROVE - X
DISAPPROVE - pp nn
COMMENTS: 'to .Jt A.e a-p- A/vf Na..,,cx '�y et cA. nn
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\\ . - Signature
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Date
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OFFICE, ,�
OF THE TOWN CLERK ,,,'",,"
Town of Southold 1"c511CUCK`',l/
Judith T. Terry, Town Clerk �' � Application No.
Town Hall, 53095 Main Road :4 % Construction
P. 0. Box 1179
Southold, New York 11971 •tts n' Alteration
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Telephone O �� $10.00 - Residential
(516) 765-1801 _ 1
•� $25.00 - Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $C
DATE / 1/, 71.Z
APPLICANT NAME: /76/e49/3 J v cic
APPLICANT ADDRESS: .2 7' cc' / £ ':)t T Oce
S tef /Z(/ (75'2
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
/4.499 . kA.01.VoJ /5 /rO s'/he,
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY:W,'
OWNER MAILING ADDRESS: *4.s'oot
(tete, ‘ofwit A- V.
OWNER PROPERTY ADDRESS: s' /1i-e
TELEPHONE NUMBER OF CONTACT PERSON: jr" 33 6
TAX MAP NO. : Section /0c/ Block Lot if
CROSS STREET: (-1(
BUILDING PERMIT NUMBER CROSS REFERENCE:
15fe:11
44 / 17/1;
ignature of Applicant
RECEIVED BY: Cl���
Town erk's Office
DATE: 3� (-{75s L_
°/� 6/04-"e ty
Gc) 11
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