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Home My WebLink AboutKraus, Robert (2) ,IIS/O�S�FF��nO ELIZABETH A.NEVILLE G'y�; Town Hall,53095 Main Road TOWN CLERK o P.O. Box 1179 H Z Southold New York 11971 REGISTRAR OF VITAL STATISTICS 1�� ' MARRIAGE OFFICER Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER y�Q IF.1, Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER ,�'� southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 4268-R Residential X Non-Residential Fee $ 10.00 New X Existing Name of Owner KRAUS, ROBERT E Mailing Address 1 95 KENILWORTH DRIVE WEST Mailing Address 2 City St Zip STAMFORD CT 06962-0000 Property Address 1 4200 YOUNGS AVENUE Property Address 2 City St Zip SOUTHOLD NY 11971-0000 Owner Telephone No. 203-324-4682 Tax Map No. section 55.00 block 2 lot 13.000 Cross Street Issue Date: 10/14/04 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) suFFOUr 0. . ELIZABETH A.NEVILLE Town Hall, 53095 Main Road TOWN CLERK ae ; P.O. Box 1179 REGISTRAR OF VITAL STATISTICS �O .�s, Southold, New York 11971 MARRIAGE OFFICER `WA #. �.I Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER 1 �►0.1 Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER ••.,,,,.�' southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION OPERATION PERMIT CESSPOOL or SEPTIC TANK Residential @ $10 /or Non-Residential @$25 Application No. tios:6 Permit No. Owner Name 0 6e n. F? Owner Mailing Address /5- )? 1 ) Luis n ti Z.I.n ( W z �� . o 6 - Owner Property Address `�9'2& a01.4-411, Owner Telephone No. c4 3 —132 — 9 e g Tax Map No: Section L .3 -- Block Z Lot /3f 6 6 d Cross Street Please check each that applies: New Construction Alteration to Existing System Residential ✓ Non-Residential NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. (Locate building and system; give north arrow and approximate distance in feet from system to building and closest road. New construction may submit copy of survey with SCHD approval.) 4 Tc,00, /6— — 0 -z/ S gna e of Applicant Date Received by: • " /001 ELIZABETH ELIZABETH A.NEVII.LE = G1 Town Hall,53095 Main Road TOWN CLERK o - P.O. Box 1179 H Southold,New York 11971 REGISTRAR,OF VITAL STATISTICS MARRIAGE OFFICER �� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER _W •Iv � Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER ,Ili �'� southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 3235 R Residential x Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : MORRIS CESSPOOL Address 1: 2760 YENNECOTT DRIVE City St Zip SOUTHOLD NY 11971 Descripton of Proposed Construction or Alteration ADDITION TO EXISTING SYSTEM. APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES. EXCAVATION INSPECTINO REQUIRED. Name Of Owner KRAUS, ROBERT Mailing Address 1 95 KENILWORTH DRIVE W City St Zip STANFORD CT 6902 Property Address 1 4200 YOUNGS AVENUE City St Zip SOUTHOLD NY 11971 Tax Map No. section 55.00 block 2 lot 13.000 Cross Street Building Permit Number Cross Reference: 7<y/a. qvgie ti Issue Date: 10/01/04 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL)