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JUDITH T. TERRY . Town Hall, 53095 Main Road
TOWN CLERK : p rZ P.O. Box 1179
REGISTRAR OF VITAL STATISTICS %Cr) � Southold, New York 11971
MARRIAGE OFFICER � Q 0 •'� Fax (516) 765-1823
��� �� Tel (516) 765-1801
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1016 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : N. CHARLES DELUCA
Address 1 : 2401 HALYARD DRIVE
City St Zip MERRICK NY 11566
Descripton of Proposed Construction or Alteration
NEW SINGLE FAMILY DWELLING WITH CESSPOOL SYSTEM.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES.
Name Of Owner DELUCA, N. CHARLES
Mailing Address 1 2501 HALYARD DRIVE
City St Zip MERRICK NY 11566
Property Address 1 ROBINSON ROAD
City St Zip SOUTHOLD NY 11971
Tax Map No. section 81 .00 block 2 lot 15.006
Cross Street NORTH BAYVIEW ROAD
Building Permit Number Cross Reference:
Issue Date: 6/30/93 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T. TERRY Town Hall, 53095 Main Road
TOWN CLERK z O T P.O. Box 1 179
REGISTRAR OF VITAL STATISTICS �' Southold, New York 11971
�
765-13
MARRIAGE OFFICER =TA,. ��0�•'•• TelephoneFax (516)
(516) 7651801
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD D_ ' C
ai
N‘ IN
TO: Southold Town Building Department j 3 i 2 3
FROM: Linda J. Cooper, Southold Town Clerk's Office 'i.,s'm
DATED: June 22, 1993
Transmitted herewith is a copy of application No. 1045 for a Cesspool/
Septic Tank Construction Permit submitted by:
N. Charles Deluca .
Please review the application and location map and advise if the project
has received Suffolk County Health Department approval and if this office
may issue the permit.
Please complete the form below and return it to me.
Thank you.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following reco ndations:
APPROVE
DISAPPROVE
•
Comments: •
/
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Signature
. 1,1qt.,,t..."Le A ..3, 93D
•
OFFICE OF THE TOWN CLERK c.VCr�
Town of Southold
Judith T. Tew
rry, Ton Clerk
Vi
�'"� ✓y /
Town Hall, 53095 Main Road
i, Application No. IL� VS
P. O. Box 1179 Ft; - Construction•Southold, New York 11971
<6;0 b �t Alteration
Telephone 1 x 1 Residential
(516) 765- 1301 „.rftfl
Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
•
for
•
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
APPLICANT NAME:
APPLICANT ADDRESS: .. U
• s- * I.
SEPTIC CESSPOOL
DESCRIPTION{OF PROPOSED CONSTRUCTION OR ALTERATION
•
LOCATION MAP: Must be attached hereto before
permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTE ATION:
OWNER OF PROPERTY:
•
• OWNER MAILING ADDRESS:
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT, PERSON:5L _ al 3 U
TAX MAP NO. : Section �7 ,��
Block
CROSS STREET: r9`1 •
BUILDING PERMIT NUMBER CROSS REFERENCE:..
bIgnature '.f Applican `
RECEIVED BY:
Town Clerk's Office
•
DATE: R
JUN 22 1bn.)
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