HomeMy WebLinkAboutLatson, Edwin ,,�o� OLA-6; ':
JUDITH T. TERRY
y� Town Hall, 53095 Main Road
� � 'L
TOWN CLERK t rTt P.O. Box 1 179
REGISTRAR OF VITAL STATISTICS G �' Southold, New York 11971
MARRIAGE OFFICER �, Fax (516) 765-1823
‘*04.4, ������ 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. 913 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
REPLACE OLD SYSTEM WITH NEW TANK AND POOL IN NEW LOCATION.
APPROVE AS SUBMITTED. EXCAVATION INSPECTION REQUIRED. CALL FOR AN
APPOINTMENT.
Name Of Owner LATSON, EDWIN M.
Mailing Address 1 1495 ISLAND VIEW LANE EXT.
City St Zip GREENPORT NY 11944
Property Address 1 1495 ISLAND VIEW LANE EXT.
City St Zip GREENPORT NY 11944
Tax Map No. section 57.00 block 2 lot 12.000
Cross Street BAY SHORE ROAD
Building Permit Number Cross Reference:
Issue Date: 9/28/92 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
14
O
JUDITH T. TERRY Z .G; Town Hall, 53095 Main Road
TOWN CLERK :
C=3
r= P.O. Box 1 179
REGISTRAR OF VITAL STATISTICS �` Southold, New York 11971
MARRIAGE OFFICER ‘%0. •�� Fax (516) 765-1823
4yo ,�0 Telephone (516) 765-1801
00.
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
September 23, 1992
To: Southold Town Code Enforcement Officer
From: Linda J. Cooper, Southold Town Clerk's Office
Transmitted herewith is a copy of application No. A937 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Gary Tabor for Edwin M. Latson .
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 - p<
DISAPPROVE -
COMMENTS: q,4 ,t t&r p•,„ cat°,Sit L. 1 J
NC:a ite-LAA-S
Signature
gilAcN
Date
OFFICE OF THE TOWN CLERK S�FFU1 ' _
a-. Town of Southold 0�0COG =
Judith T. Terry, Town Clerk ' Application No. ��
Town Hall, 53095 Main Road • taz o Construction
P. O. Box 1179 Alteration
Southold, New York 11971 ��- •
Telephone
'�" Residential
�l � ��
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
• APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ l
DATE 7 / ✓'/
APPLICANT NAME: ef- ,9--)^.)/ J!- h° r
APPLICANT ADDRESS: & ,rc 77/0g- 5 l
car, / ;-
SEPTIC t-CESSPOOL L/
DESCRIPTION OF PRR `!p' CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: j¢/cv , 'y/ "11 , , 5 0'V-
OWNER MAILING ADDRESS: / V p,S ,X' /,4i'a/ //) 'c .� 'f�h'C t>4 I
OWNER PROPERTY ADDRESS: S f'St 4 �.
TELEPHONE NUMBER OF CONTACT PERSON: 7 ‘.7. Ze
TAX MAP NO. : Section /0 0 0 Block 0,5 7 Lot — 2 — )
CROSS STREET: ���� �; ' c„v 1i n
BUILDING PERMIT NUMBER CROSS REFERENCE:
Si ture of Applicant
RECEIVED BY: ce (2_42_("0.1._c_2
Towrf Clerk's Office
DATE: 19-- .23`!L
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