HomeMy WebLinkAboutLaskos, Lazaros + 111/•it,OFFOL1(
JUDITH T.TERRY 1 o `� Town Hall, 53095 Main Road
TOWN CLERK t co Z P.O.Box 1179
REGISTRAR OF VITAL STATISTICS • ,�1 Southold,New York 11971
MARRIAGE OFFICER y� O! 11 Fax(516)765-1823
RECORDS MANAGEMENT OFFICER �.� * `14 oill Telephone(516)765-1800
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1316 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : STANLEY F. SKREZEC
Address 1 : 50 GULL POND LANE
City St Zip GREENPORT NY 11944
Descripton of Proposed Construction or Alteration
REPLACE WASHED OUT SYSTEM IN NEW LOCATION.
APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT
WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES. EXCAVATION
INSPECTION REQUIRED.
Name Of Owner LASKOS, LAZAROS E.
Mailing Address 1 63 NORTH ROAD
City St Zip SOUTHOLD NY 11971
Property Address 1 63 NORTH ROAD
City St Zip SOUTHOLD NY 11971
Tax Map No. section 44.00 block 1 lot 17.000
Cross Street ALBERTSON LANE
Building Permit Number Cross Reference:
Issue Date: 4/17/95 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T. TERRY L Town Hall, 53095 Main Road
TOWN CLERK : v IT P.O. Box 1179
WI W � Southold, New York 11971
REGISTRAR OF VITAL STATISTICS 7 VO �. �� Fax (516) 765-1823
MARRIAGE OFFICER _ �/� .aO ��� Fax
(516) 765-1801
RECORDS MANAGEMENT OFFICER '��'R/,/ 4 �0'
FREEDOM OF INFORMATION OFFICER 0��,I�ii���
OFFICE OF THE TOWN CLERKII
TOWN OF SOUTHOLD
TO: Southold Town Building Department101
FROM: Linda Cooper, Southold Town Clerk's Office
DATED: April 11, 1995
Transmitted herewith is a copy of application No. A1365 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Stanley F. Skrezec for Lazaros E. Laskos .
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 - Z-----
DISAPPROVE
/DISAPPROVE -
COMMENTS: Maintain required setbacks from adjacent wells,
buildings, property lines and water bodies. EXCAVATION INSPECTION
REQUIRED.
/� Ank
Signa ure / .
Date
OFFICE OF THE TOWN CLERK „ ,,'”
Town of Southold �'� C�FF �K`' = Application No 3�
Judith T. Terry, Town Clerk ,' �� Gy
Town Hall, 53095 Main Road ; Construction
P. O. Box 1179 o rn Alteration c/
Southold, New York 11971
Tele hone =406 it $10.00 - Residential
p '
(516) 765-1801 = l �, '� $25.00 - Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCT ION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE (k L H) )cf 95
APPLICANT NAME: i Ska12Ee_
APPLICANT ADDRESS: L._A
1J
SEPTIC JC CESSPOOL )(
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION e,s--s.spo„AL.
.Sy Malik W iA-1. Li
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/4,44) truer r1-01\433t. w(S ►,J ova So.-1 ��►(-4,z4c:' - CcN`r►za„r O "plop I
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: 1., A-2.440-0S e.LASkc s
OWNER MAILING ADDRESS: G 3 d/2_1- t7 '71
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON: S-k(g ' ") - ( 8Lz-
TAX MAP NO. : Section 1-/ 171 Block / Lot / 7
CROSS STREET: A-1.._ (31,1-ScM `./-"e
BUILDING PERMIT NUMBER CROSS REFERENCE:
a"..--125
Si nature of pp ' ant
RECEIVED BY:
n Clerk's Office
DATE: 4//l/�r,
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