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Home My WebLink AboutLanghans, Elizabeth 00c)1F Wire" JUDITH T. TERRY ; �► Town Hall, 53095 Main Road TOWN CLERK T ; P.O. Box 1 179 REGISTRAR OF VITAL STATISTICS �� Southold, New York 11971 MARRIAGE OFFICER ‘‘`.40A, O�' ��, Fax (516) 765-1823 ',�1 .1) Telephone (516) 765-1801 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 973 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : GARY TABOR Address 1 : 680 NAVY STREET City St Zip ORIENT NY 11957 Descripton of Proposed Construction or Alteration INSTALLATION OF 900 GALLON SEPTIC TANK AND 4' X 8' LEACHING POOL. APPROVED AS SUBMITTED. EXCAVATION INSPECTION REQUIRED. Name Of Owner LANGHANS, ELIZABETH Mailing Address 1 630 FLEETWOOD ROAD City St Zip CUTCHOGUE NY 11935 Property Address 1 630 FLEETWOOD ROAD City St Zip CUTCHOGUE NY 11935 Tax Map No. section 137.00 block 5 lot 3.000 Cross Street FLEET NECK ROAD Building Permit Number Cross Reference: Issue Date: 14/15/93 Judith T. Terry Southold Town Clerk [TOWN SFAI • • - ,,//Inti,,, 1 FOIK(OG 73 JUDITH T. TERRY : Town Hall, 53095 Main Road P.O. Box 1179 TOWN CLERK O T , REGISTRAR OF VITAL STATISTICS jy0 Southold, New York 11971 MARRIAGE OFFICER �' •l, Fax (516) 765-1823 / 1 t Telephone (516) 765-1801 / OFFICE OF THE TOWN CLERK '` ` TOWN OF SOUTHOLD APR 5 1993 TO: Southold Town Building Department 7G� FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: April 5, 1993 Transmitted herewith is a copy of application No. A1000 for a Cesspool/ Septic Tank Construction Permit submitted by: Gary Tabor on behalf of Elizabeth Langhans Please review the application and location map and advise if the project has received Suffolk County Health Department approval and if this office may issue the permit. Please complete the form below and return it to me. Thank you. Linda J. Cooper * * * * * * * • * I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE DISAPPROVE ? -,L (110 Comments: quo .tA..�.c Q a�a�. cul ai cl.a oll�.l c,Q , 904. telSk* 9 2.124602.04011 ...L•t#‘10d47=yi/Z # 041* \let otk OctsQ {"lb, Signature Dated OFFICE OF THE TOWN CLERK ",,"""'- Town of Southold .' Cj��F0Lk' OApplication No.,4 1000 Judith T. Terry, Town Clerk 0 Town Hall, 53095 Main Road Z !�; Construction Ivy P. O. Box 1179 ; � � 6= Southold, New York 11971 Vs ye ; Alteration Telephone .j' �..�' $10.00 - Residential p � , (516) 765-1801 =�01 �;, �' $25.00 - Non-Residential •TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION •r CONSTRUCTION or ALTERATION PERMI SEPTIC T • • K or CESSPOOL Permit No. Fee $ DATE A// / APPLICANT NAME: /41 / ! 71-'52' A i— APPLICANT ADDRESS: 6' $ 5 SEPTIC V CESSPOOL cr DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION r``�i's %/0// 9'd d/"47/ s c_//7 �,ri 'C' -7),57,/Ir A/ 'X ' A r !?, ' � p c'c LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: , /j / . - �/5",!7%,,9"r OWNER MAILING ADDRESS: 3c2 c- c,-) r o c/ C� 73y- OWNER PROPERTY ADDRESS: L 3 © , /e TGc/cc. d/ e 0 7,s. `r7/ - "iv 2/ TELEPHONE NUMBER OF CONTACT PERSON: 3 - PG c 1 TAX MAP NO. : Section /37 Block S Lot , CROSS STREET: BUILDING PERMIT NUMBER CROSS REFERENCE: S' nature of Applicant RECEIVED BY: - 4rk'sOffice DATE: - 0/7-3 C) I v)00 5 ,•, (3 0 11 ; \,,6jyet✓ cc,n 0,0 id tc HouSC �% )1.