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JUDITH T. TERRY L : Town Hall, 53095 Main Road
TOWN CLERK r T P.O. BOX 1 179
REGISTRAR OF VITAL STATISTICS il'S �� Southold, New York 11971
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MARRIAGE OFFICER VA.•
O�' Fax (516) 765-1823
•thn 1a l���` Telephone (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. 997 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : MORRIS CESSPOOL SERVICE
Address 1 : 2760 YENNECOTT DRIVE
City St Zip SOUTHOLD NY 11971
Descripton of Proposed Construction or Alteration
ADDITION OF AN OVERFLOW CESSPOOL TO AN EXISTING SYSTEM.
APPROVED AS SUBMITTED PROVIDED POOLS ARE KEPT AT LEAST 10' APART.
EXCAVATION INSPECTION REQUIRED.
Name Of Owner ESSLINGER, CHARLES A.
Mailing Address 1 1705 ARSHAMOMAQUE AVENUE
City St Zip SOUTHOLD NY 11971
Property Address 1 1705 ARSHAMOMAQUE AVENUE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 66.00 block 3 lot 11 .000
Cross Street ROUTE 25
Building Permit Number Cross Reference:
Issue Date: 5/13/93 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)_
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JUDITH T. TERRY �+ Town Hall, 53095 Main Road
TOWN CLERK p T P.O. Box 1 179
REGISTRAR OF VITAL STATISTICS � Southold, New York 11971
MARRIAGE OFFICER yQ �' ��, Fax (516) 765-1823
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Telephone��� Telephone (516) 765-1801
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda Cooper, Southold Town Clerk's Office
DATED: May 12, 1993
/002 5—
Transmitted herewith is a copy of application No. A14}-211 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Morris Cesspool for Charles A. Esslinger
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 ecommendation:
APPROVE -
DISAPPROVE -
COMMENTS:
ignatuALore
401
REWIRED _37/01,/
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OFFICE OF THE TOWN CLERK ,.,'"""
Town of Southold � � �FFD(K
Judith T. Terry, Town Clerk ��,'�OJ Gy Application No. /O /
Town Hall, 53095 Main Road Z L= Construction
P. O. Box 1179
Southold, New York 11971 c�J3rn Alteration
Telephone 'o.
0�, Q , $10.00 - Residential
(516) 765-1801 ' �l l $25.00 - Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $/0
DATE /2 t v2Ger1
APPLICANT NAME: ____.S,is y�� fie)0)(25- 5.-5, 9..1�
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APPLICANT ADDRESS: l i ,• --- % •
SEPTIC CESSPOOL
DESCRIPTION OF PR POSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION; OR ALTERATION:
OWNER OF PROPERTY: (') /C /CS , :f15/4p`-le
OWNER MAILING ADDRESS:
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT/ PERSON:
TAX MAP NO. : Section e6 C Block ? Lot //
CROSS STREET: 7
BUILDING PERMIT NUMBER CROSS REFERENCE:
ignature of Applicant
RECEIVED BY:b5et—
Town Clerk's Office
DATE: _> / 2.3
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