HomeMy WebLinkAboutEvans, Elizabeth ! •
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; *,`i Town Hall, 53095 Main Road
yO cfs •� P.O. Box 1 179
_ % �� Southold, New York 11971
JUDITH T.TERRY �l l � TELEPHONE
TOWN CLERK �-.'"�.id,/0°' (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. 432 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : PECON I C CESSPOOL
Address 1 : P. O. BOX 972
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
ADDITION OF AN OVERFLOW POOL TO EXISTING SYSTEM.
APPROVED AS SHOWN ON SUBMITTED SKETCH. DO NOT EXCEED 12'0" BETWEEN
POOLS.
Name Of Owner EVANS, ELIZABETH
Mailing Address 1 MOORES LANE
City St Zip CUTCHOGUE NY 11935
Property Address 1 MOORES LANE
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 109.00 block 4 lot 2.000
Cross Street MAIN ROAD
Building Permit Number Cross Reference:
Issue Date: 12/05/88 Judith T. Terry
Southold Town Clerk
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Town Hall, 53095 Main Road
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.�IO �Q�►',� P.O. Box 1179
'OI 1�,• Southold, New York 11971
JUDITH T. TERRY "��� ���� TELEPHONE
TOWN CLERK
(516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLDE ` (C
December 1, 1988 10 " II' I 11119
To: Victor Lessard, Southold Town Building Department BLDG. DEPT.
TOWN OF SOUTHOLD
From: Linda J. Cooper, Southold Town Clerk's Office
Transmitted herewith is a copy of application No. 439 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Cesspool for Elizabeth Evans
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 - nn ^ I_ -a
COMMENTS: cam �,. && , M c eA Ct/ ICS lc�Y,
'Tho tx 1 u ,1 s
RECEIVED Signature
DEC 0 519x8 ► z� ��,$.�
Date
¶CNrn Clerk Nit
OFFICE OF. THE TOWN CLERK COM/re:-0
Judith T. Terry, Town Clerk Town of Southold #e I-437Application No. �7
Town Hall, 53095 Main Road Construction
P. O. Box 1179 O*-��J Alteration
Southold, New York 11971
�[*el �� •$ Residential
Telephone
(516) 765-1801
Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ to
DATE / /
APPLICANT NAME: ,.ari!'JI.vL,
APPLICANT ADDRESS: /d d , / j/ 2-
i�YLr
SEPTIC CESSPOOL L/
DESCRIPTION OF PROPOSED-CONSTRUCTION OR ALTERATION
/ / ^ / - <2ea)LaXerl.1.1
/2
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: i l/,L .
OWNER MAILING ADDRESS: elVh 7� -a- - Gr
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON: 9-'j`G 5O
TAX MAP NO. : Section /d 7 Block IZ Lot
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
"1/4"-.ee"L",---1-11, 141
/;;--61'
Signature of Applicai
RECEIVED BY:
RECIIVEr Clerk's Office
DATE: DEC 01 1998
?own Clork SOW
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