HomeMy WebLinkAboutKlopper, Murray „,,o��F °LAIC^
JUDITH T. TERRY C yL Town Hall, 53095 Main Road
TOWN CLERK
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P.O. Box 1179
REGISTRAR OF VITAL STATISTICS T Southold, New York 11971
MARRIAGE OFFICER y Fax (516) 765 1823
0 Off � Telephone (516) 765-1801
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 715 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : PECONIC CESSPOOL
Address 1 : P. O. BOX 972
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
ADDITION OF AN OVERFLOW CESSPOOL TO AN EXISTING SYSTEM.
APPROVED AS SUBMITTED. HOLD 12'0” DISTANCE BETWEEN POOLS AND CALL
FOR NECESSARY EXCAVATON INSPECTION.
Name Of Owner KLOPPER, MURRAY
Mailing Address 1 P. O. BOX 291
City St Zip CUTCHOGUE NY 11935
Property Address 1 DIGMANS ROAD
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 83.00 block 2 lot 6.004
Cross Street OREGON ROAD
Building Permit Number Cross Reference:
Issue Date: 5/21/91 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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• � t__- ,�f�� Town Hall, 53095 Main Road
P.O. Box 1 179
- � ►+ Southold, New York 11971
JUDITH T. TERRY ����ti���
TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
May 15, 1991 ! .
t,;\ MAY 151991
To: Southold Town Code Enforcement Officer !
From: Linda J. Cooper, Southold Town Clerk's Office
Transmitted herewith is a copy of application No. A734 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Cesspool for Murray Klopper
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: .4,# 1.1.1- 1.1/4 a4s 44--
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Signature
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Date
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' OFFICE OF THE TOWN CLERK ,,,,"""ry
Town of Southold of',,c.\\VOLA`'' _ 3
Judith T. Terry, Town Clerk ;'1 � 1l/ Application No. 7
Town Hall, 53095 Main Road ��_ Construction
P. O. Box 1179
Southold, New York 11971 � Alteration
Telephone '- '°!e Q�''� $10.00 - Residential c/
(516) 765-1801 -- 0.� 1%
��,, '. $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE q/S1 1
APPLICANT NAME: /..)2.-e-. .1,e_.4., Ced.47)-01- 6
APPLICANT ADDRESS: po , 7?/
SEPTIC CESSPOOL ✓
DESCRIP ' OF PROPOSED CONSTRUCTION OR ALTERATION
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR AL TION:
OWNER OF PROPERTY: AJ,
.."...e.A._
OWNER MAILING ADDRESS: /4
OWNER PROPERTY ADDRESS: c ... (Cet:L_
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section y3 Block 2 Lot 6, f
CROSS STREET: 604 ., -fx
BUILDING PERMIT NUMBER CROSS REFERENCE:.
1 44 A jiVi
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Signature o pplicant
�2��CEa QED B Y: ��
wn lerk's Office
DATE: l� j/
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