HomeMy WebLinkAboutKontothawassis, George f
OFFICE OF THE TOWN CLERK COFUL,
Town of Southold �j
Judith T. Terry, Town Clerk .`1
Town Hall, 53095 Main Road
P. O. Box 1179 (
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Southold, New York 11971 ' O' i O '`
Telephone - "�l t �# ;,
(516► 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit lo. 80 Residential X
Non-Residential
Fee L 10.00
Septic Cesspool X
PERMIT ISSUED TO:
N ME: Gardiners Bay Construction Co.
A DRESS: 81 Gardiners Bay Drive, P.O. Box 604
Shelter Island, New York 11965
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION
Nejuv Single Family Dwelling
LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
OVrER OF PROPERTY: George and Mary Kontothawassis
OVI'NER MAILING ADDRESS: 115 Kathleen Drive
Syosset, New York 11791
OWNER PROPERTY ADDRESS : The Long Way
East Marion, New York
T4X MAP NO. : Section 30 Block 2 Lot 112
CROSS STREET: The Cross Way
BOILDING PERMIT NUMBER CROSS REFERENCE: Pending
Judith T. Terr
Southold Town C erk
DATE: December 4, 1986
(TOWN SEAL)
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OFFICE Of THE TOWN CLERK
Town of Southold
Application No. pL/
Judith T. Terry, Town Clerk PP 0 T
Town Hall, 53095 Main Road Construction
P. O. Box 1179 Alteration
Southold, New York 11971
Telephone Residential
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
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for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 3'C
Fee $
DATE / LJ 3/ e 1 ---
APPLICANT NAME: GlA149(14...0O7•U Co
APPLICANT ADDRESS: G'142Acr.S Gel , _ $A 'UUCr- Istet-s
SEPTIC CESSPOOL
DESCRIPTION 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 ALTERATION:
OWNER OF PROPERTY:Cy•co rq-�. .� 44 OYI \<() )111111 it,
OWNER MAILING ADDRESS: //S_ ke- hr.
S OSS My_ .
OWNER PROPERTY ADDRESS: L0* 6 IL Lc) Lk) lt3261 f3e44
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TELEPHONE NUMBER OF CONTACT PERSON: 1b rI Idq d (e4 Z..
TAX MAP NO. : Section 03n [3Iock a Lot 4,
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE: -;x--rt �_
Signature o pplicant
RECEIVED BY: t zta = F_'.ts-fb
RECEIVED Town Gerk's ffice
DATE: DEC 04 1986
Town Clerk Southold
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