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JUDITH T. TERRY • •` ; Town Hall, 53095 Main Road
TOWN CLERK : o T •: P.O. Box 1179
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS = �� Fax (516) 765-1823
RECORDS MANAGEMENT OFFICERMARRIAGE OFFICER _= ''�1 41y1�,,��' Telephone (516) 765-1801
FREEDOM OF INFORMATION OFFICER „i,��
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1281 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : MORRIS CESSPOOL SERVICE
Address 1 : 2760 YENNECOTT DRIVE
City St Zip SOUTHOLD NY 11971
Descripton of Proposed Construction or Alteration
ADDITION OF AN OVERFLOW TO AN EXISTING SYSTEM.
APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT
WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES. EXCAVATION
INSPECTION REQUIRED.
Name Of Owner LANGAN, DONALD
Mailing Address 1 255 BEEBE DRIVE
City St Zip CUTCHOGUE NY 11935
Property Address 1 255 BEEBE DRIVE
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 97.00 block 7 lot 24.000
Cross Street EUGENE ROAD
Building Permit Number Cross Reference:
Issue Date: 1/30/95 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T.TERRY 'I C d l Town Hall,53095 Main Road
TOWN CLERK - c/) Z % P.O.Box 1179
REGISTRAR OF VITAL STATISTICS ‘ 0 Southold,New York 11971
MARRIAGE OFFICER :-i, Q`' ��� Fax(516)765-1823
RECORDS MANAGEMENT OFFICER i e.( �a•�I� Telephone(516)765-1800
FREEDOM OF INFORMATION OFFICER '—.,SII °'4�
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda Cooper, Southold Town Clerk's Office
DATED: January 27, 1995
Transmitted herewith is a copy of application No. 1328 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Morris Cesspool for Donald Langan
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 r commendation:
APPROVE -
DISAPPROVE -
COMMENTS: Maintain required setbacks from adjacent wells,
buildings, property lines and water bodies. EXCAVATION INSPECTION
REQUIRED.
JAN 3 0 1995 Signatu '-
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Date
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OFFICE OF THE TOWN CLERK ,, "'-
Town of Southold ''''c'J�Ff0[K
� CD Application No. �`�
Judith T. Terry, Town Clerk �� �� l/y �
Town Hall, 53095 Main Road ; Construction
P. 0. Box 1179
Southold, New York 11971 :
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