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HomeMy WebLinkAboutLa Gazelle Restaurant ,0 04 ` � Town Hall, 53095 Main Road P.O. Box 1179 '�, -w„e� Southold, New York 11971 JUDITH T.TERRY � FAX(516)765-1823 TOWN CLERK TELEPHONE(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. 17 N Residential Non-Residential X Fee $ 25.00 Septic X Cesspool PERMIT ISSUED TO: Name : PECON I C CESSPOOL Address 1 : P. O. BOX 872 City St Zip MATTITUCK NY 11952 Descripton of Proposed Construction or Alteration REPLACE EXISTING TRAP WITH NEW TYPE OF SEPTIC TANK. APPROVED AS SUBMITTED. Name Of Owner LA GAZELLE RESTAURANT 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 63.00 block 3 lot 21 .005 Cross Street TOWN HARBOR ROAD Building Permit Number Cross Reference: Issue Date: 1/30/89 Judith T. Terry Southold Town Clerk (TOWN SEAL) Eg. MO7 •OOOOOOO MI %- BLDG. DEPT. Z ` TOWN OF SOUTHOLD • N`��� Town Hall, 53095 Main Road : �jl� ,Q%�•' P.O. Box 1179 1 * ‘tk , Southold, New York 11971 JUDITH T. TERRY TELEPHONE TOWN CLERK REGISTRAR OF VITAL STATISTICS (516)765-1801 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD January 13, 1989 To: Victor Lessard, Southold Town Building Department From: Linda J. Cooper, Southold Town Clerk's Office Transmitted herewith is a copy of application No. 1465 for an ALTERATION PERMIT for a cesspool or septic system submitted by Peconic Cesspool for La Gazelle Restaurant 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. cct 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: G?.o � Dh oak cn� itcafia RECEIVED tet. Signature JAN 3 01989 I let ,ton Date rti OFFICE OF.THE TOWN CLERK OCj�FFOU `+D Town of Southold � Application No Judith T. Terry, Town Clerk .t ; Town Hall, 53095 Main Road . g , Construction ' P. O. Box 1179 0 **/ Alteration Southold, New York 11971 .4 O� ' Telephone 'Z * ' Residentia TelePl (516) 765-1801 Non-Residential Y� TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $ DATE ©,0//7-A7 APPLICANT NAME: 49/44A "/A` 6 ' �1 C s' l���a�td. �: �aaL: APPLICANT ADDRESS: PUS / erY SEPTIC k CESSPOOL ioori- DESCR TION OF PROPOSED CONSTRUCTION OR ALTERATION i 132 LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRIXTION OR ALTERATION: OWNER OF PROPERTY: " G4zd7/e5' it 7 4.1/2 4A-17 OWNER MAILING ADDRESS: riM/•/ii g /VI< /i OWNER PROPERTY ADDRESS: ,tel,-► by TELEPHONE NUMBER OF CONTACT PERSON: 5-V - TAX MAP NO. : Section G3' Block 3 Lot ? ii 0 v 5- CROSS CROSS STREET: 7-014d-A. / -��ti(n✓L. j � BUILDING PERMIT NUMBER CROSS REFERENCE: Signature of Applicant RECEIVED d t • own Clerk'! Office DATE: ;.'' I Town Clerk Southold .91414;4/ , M l I S --1 :-vlrv--------------------:/34-i r---P "r- 1 a 4 /a' �.j/o/ c �p .J