HomeMy WebLinkAboutRothman Department Store JUDITH T. TERRYTown Hall, 53095 Main Road
• z P.O. Box 1179
TOWN CLERK O T
REGISTRAR OF VITAL STATISTICS
cl'� �• Southold, New York 11971
MARRIAGE OFFICER yQ �" �� Fax (516) 765-1823
'//„ %�0 �� Telephone (516) 765 1801
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 36 N Residential Non-Residential X
Fee $ 25.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : MORRIS CESSPOOL SERVICE
Address 1 : 2760 YENNECOTT ROAD
City St Zip SOUTHOLD NY 11971
Descripton of Proposed Construction or Alteration
ADDITION OF AN OVERFLOW CESSPOOL TO AN EXISTING SYSTEM.
NOTE: REMOVE EXISTING POOL; DEPOSIT IT IN TOWN LANDFILL. PUT A
5'0" RING OF SAND AROUND OUTSIDE OF NEW POOL. EXCAVATION INSPECTION
REQUIRED. CALL 765-1802 FOR AN APPOINTMENT.
Name Of Owner ROTHMAN DEPARTMENT STORE
Mailing Address 1 MAIN ROAD
City St Zip SOUTHOLD NY 11971
Property Address 1 MAIN ROAD
City St Zip SOUTHOLD NY 11971
Tax Map No. section 61 .00 block 4 lot 20.000
Cross Street MECHANIC STREET
Building Permit Number Cross Reference:
Issue Date: 11/30/92 Judith T. Terry -
Southold Town Clerk
TOWN SEAL-
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JUDITH T. TERRY Z ; ; B7,..1,-.)G. DE a 1, 53095 •Main Road
TOWN CLERK , p rr t ; _TOWN OF SOUTHOLD P.O i Box 1179
REGISTRAR OF VITAL STATISTICS V' SbutlibTif,flew York 11971
MARRIAGE OFFICER y0 ��, Fax (516) 765 1823
=_'�O � 0 •� Telephone (516) 765-1801
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
November 20, 1992
To: Southold Town Code Enforcement Officer
From: Linda J. Cooper, Southold Town Clerk's Office
Transmitted herewith is a copy of application No. A 963 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Morris Cesspool for Rothman Department Store .
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: A� Sl. I�.�ik+� d j �" 1-Y--4-n. 1h.A1
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Signature
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Date
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OFFICE OF THE TOWN CLERK ,,,'",,",,,,,
Town of Southold �FFOLKc- 6_5
Town Clerk �� �G Application No. 9
Judith T. Terry, ft
,Town Hall, 53095 Main Road ; =41 Construction
P. O. Box 1179 ; = 'c ; �'
Southold, New York 11971 cels 4/ Alteration
Telephone _` A, 0-�' $10.00 - Residential
(516) 765-1801 11 jig Ilb,' /�
$25.00 -Non-Residential i
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TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
26/
/ . )z
DATE
APPLICANT NAME: / , 't5 Seat/ ,i-,ed,?„6
APPLICANT ADDRESS: 2??o 7, I� C/- ,,e.mac Ii /2-Y _
SEPTIC CESSPOOL Y
DESCRIPTION F PROPOSED CONSTRUCTION OR ALTERATION
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: /6T/4X-3,-c.----
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OWNER MAILING ADDRESS: / /
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OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section ‘/ Block G- Lot 2d
CROSS STREET: , lee:'
BUILDING PERMIT NUMBER CROSS REFERENCE:
- )02-e--,46/51/:,44
ignature of Applicant
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RECEIVED BY. _ C/ `
ow Clerk's Office
DATE: /( 0 ?2----
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