HomeMy WebLinkAboutKoces, Cetina ,,II/iii
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Town Hall, 53095 Main Road
V,'44,1P.O. Box 1179
Southold, New York 11971
JUDITH T.TERRY FAX(516)765-1823
TOWN CLERK TELEPHONE(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. 524 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : RICHARD MAGILL
Address 1 : PECON I C CESSPOOL
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
REPLACE EXISTING CESSPOOL WITH NEW TYPE.
APPROVED AS SUBMITTED. THIS IS TO BE A REPLACEMENT IN PLACE AS SHOWN
ON SUBMITTED SKETCH. NOTE: EXCAVATION INSPECTION REQUIRED.
Name Of Owner KOCES, CETINA AND LOUIS
Mailing Address 1 P. O. BOX 1219
City St Zip MATTITUCK NY 11952
Property Address 1 CAMP MINEOLA ROAD
City St Zip MATTITUCK NY 11952
Tax Map No. section 125.00 block 5 lot 12.000
Cross Street REEVE AVENUE
Building Permit Number Cross Reference:
---Orgedge071°-.
Issue Date: 8/09/89 Judith T. Ter
Southold Town Clerk
(TOWN SEAL)
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Town Hall, 53095 Main Road
TOWN OF SOUTHOLD '',..‘1*‘ '', ., *.
401 ��41�•` P.O. Box 1 1179
_ sI Southold, New York 11971
JUDITH T. TERRY ,f��/ TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
August 4, 1989 /., .5 - '5--- /
To: Victor Lessard, Southold Town Building Department
From: Linda J. Cooper, Southold Town Clerk's Office
Transmitted herewith is a copy of application No. A537 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Cesspool for Cetina & Louis Koces
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. .7
Thank you. cettic
61)
Linda J. Cooper
* * * * * * * * * * * * *
I have reviewed the application and location map of the project listed
above and make the following recommendation:
APPROVE -
DISAPPROVE - n
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AoCli =I6 0719 Signature
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�+m ��,* Date
OFFICE 'OF THE TOWN CLERK cAlfFU(/�'
Town of Southold �'yQ� ''' (-EPG•
� Application
Judith T. Terry, Town Clerk
,4J7
Town Hall, 53095 Main Road • Construction
P. O. Box 1179
Southold, New York 11971 O,y� O� Alteration cis
Jp ", 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 $
DATE / 4J�
APPLICANT NAME:
APPLICANT ADDRESS: / � 97L.
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALT RATION:
OWNER OF PROPERTY: 22‘7/h/,¢ el/5- Ad [ 6S
OWNER MAILING ADDRESS: // , fy7 /L/f
10�2�2, 'ke /,
OWNER PROPERTY ADDRESS: 3 `��
TELEPHONE NUMBER OF CONTACT PERSON: air" 76,'5/
TAX MAP NO. : Section /1-5 - Block Lot `2/
CROSS STREET: .411: 45" 1 err'
BUILDING PERMIT NUMBER CROSS REFERENCE
Signature of Applicant
RIMED
RECEIVED BY:
ToownGC°1er1(4 Office
DATE:
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