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l401cOVOUr f*: "P:;A" a Town Hall, 53095 Main Road vtroa �� P.O. Box 1179 � �.' Southold, New York 11971 JUDITH T.TERRY '�����zziii�,i 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. 609 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : DAVID MCCABE Address 1 : P. O. BOX 68 City St Zip NEW SUFFOLK NY 11956 Descripton of Proposed Construction or Alteration ADDITION OF NEW CESSPOOL TO AN EXISTING SYSTEM. (WORK COMPLETED) APPROVED AS SUBMITTED. Name Of Owner MCCABE, DAVID Mailing Address 1 P. O. BOX 68 City St Zip NEW SUFFOLK NY 11956 Property Address 1 TUTH I LL ROAD City St Zip NEW SUFFOLK NY 11956 Tax Map No. section 117.00 block 2 lot 8.000 Cross Street NEW SUFFOLK LANE Building Permit Number Cross Reference: .÷e"j".09 % ll-rd0" Issue Date: 5/14/90 Juditth�T. Terry Southold Town Clerk (TOWN SEAL) IFlar // p�-/ l l • C0FO i t=1 .xs w . rimy ,�. Kr=. �� Town Hall, 53095 Main Road ��4�® H' ����•'� P.O. Box 1179 1 ' y Southold, New York 11971 JUDITH T. TERRY �'"'������� TELEPHONE TOWN CLERK (516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD May rl 7, 1990 n F.��., -"- , �_ �" a Nii, MAY - 7 1990 To: Southold Town Code Enforcement 'Officer ,1_.__ From: Linda J. Cooper, Southold Town Clerk's Office __!'��V°`�!d CF.,SOUTHOLD 602,7 Transmitted herewith is a copy of application No. A623 for an ALTERATION PERMIT for a cesspool or septic system submitted by David McCabe (Note: Work was completed last year, I. learned about the alteration when applicant came in fur an Operation Pe it) 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 - DISAPPROVE - • COMMENTS: 0.„ .t,,,..eQ,,s'c,.,t,,A. oti, caV0,4/1 , 5,6. 1% .. \p','/(" 1 71:".... .,„....:, I Signature - SI1d/9b MAY 11 19U Date • tzt OFFICE OF THE TOWN CLERK ' ' c0FU Town of Southold 1 . OHO ro Judith T. Terry, Town "ClerlC� <' Application No. Town Hall, 53095 Main Road : x '. , Construction P. O. Box 1179 •, ® Southold, New York 11971 -ci �3 Alteration 01 ' Residential Telephone (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 $ (0 • DATE c ( 71 ,,D APPLICANT NAME: J VAS Coc) APPLICANT ADDRESS: ( J`t-cl.i R SEPTIC CESSPOOL `" DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION -L`O•D l eQ �� LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: TCS /[2) MCCp-p( OWNER MAILING ADDRESSq,Q , Qpm 44-1,1 OWNER PROPERTY ADDRESS: ( J 29 TELEPHONE NUMBER OF CONTACT PERSON: TAX MAP NO. : Section 17 Block Lot CROSS STREET: 6/LCc �� �r� — _- 0i_ C r BUILDING PERMIT NUMBER CROSS REFERENCE: ,„ OMA-- J„ /, 1 Signature o Applicant RECEIVED BY: Town Clerk's Office DATE: T.)- -7( y,y !•';''''''':- ,. Rs<y .+ .. ,s•, t, .st �a`T.At ';n. Ft ,r:s--a /yt„ i?'-•+•mT-' ,,,, `+ ,��G s„' - „ , ,";• a • - 'i'tt''�.S"3T> y 'r.i,ti � .J s° Y �ty : tr,r „'yc L. �`: 4 ' ...4. I� i^, -Diy-`�- o - s,1 ..., _ ,.,, ..... 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