HomeMy WebLinkAboutBrown, Kenneth r
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1*1r, ; Town Hall, 53095 Main Road
. IPW'`� P.O. Box 1179
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0 o Southold, New York 11971
JUDITH T.TERRY o1�/1 /` off TELEPHONE
TOWN CLERK (SIG) 765-1801
REGISTRAR Oh VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 381 R Residential X Non-Residential
Fee $ 10. 00 Septic Cesspool X
PERMIT ISSUED TO:
Name : MAGILL, RICHARD
Address 1: PECONIC CESSPOOL
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
ADDITION OF NEW OVERFLOW TO EXISTING SYSTEM.
APPROVED AS SUBMITTED.
Name Of Owner BROWN, KENNETH
Mailing Address 1 KING STREET
City St Zip ORIENT NY 11957
Property Address 1 KING STREET
City St Zip ORIENT NY 11957
Tax Map No. section 26.00 block 2 lot 14.000
Cross Street WILLOW TERRACE LANE
Building Permit Number Cross Reference:
Issue Date: 8/10/88 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
431/
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JUDITH T. TERRY ���..0� iiir
TELEPHONE
TOWN CLERK
(516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
August 9, 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. 38y for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Cesspool for Kenneth Brown
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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 - )C
DISAPPROVE -
COMMENTS:
\(:)t."91.. kJ
Signature
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Date
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OFFICE OF THE TOWN CLERK tc,�FFOL4'
Town of Southold per. G ��f
Judith"T. Terry, Town Clerk Application No.�
Town Hall, 53095 Main Road Construction
P. O. Box 1179 *.$ Alteration
Southold, New York 11971 .y` ��- ;,
TeleTelephone [ �� �� Residential
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(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 $
DATE 0/i '
APPLICANT NAME: /% ••—'c / - GG� 4.$ �a AE r
APPLICANT ADDRESS: to
SEPTIC CESSPOOLL"/
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: 1'e 2 1I/01X /5/Z171.0 A
OWNER MAILING ADDRESS: A'-, ,S'T
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON: 5S2 Z' od'
TAX MAP NO. : Section 2-Ce Block Z Lot /
CROSS STREET: A/did (v
BUILDING PERMIT NUMBER CROSS REFERENC rj
plicant
nature of
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RECEIVED BY: - caw C '
RECEIVED Town Cl rk's Offi e
DATE: /►!iG 09 7988
Town clerk Southold
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