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HomeMy WebLinkAboutLekich, Ivo • ,,,,,,/,iii, ,0,,o�FFOIKCOG JUDITH T. TERRY �� ` Town Hall, 53095 Main Road TOWN CLERK _ P.O. Box 1 179 REGISTRAR OF VITAL STATISTICS T Southold, New York 11971 MARRIAGE OFFICER y '�` Fax (516) 765-1823 O�",� 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. 686 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : WARD ASSOCIATES, P.C. Address 1 : 1500 LAKELAND AVENUE City St Zip BOHEMIA NY 11716 Descripton of Proposed Construction or Alteration NEW SINGLE FAMILY DWELLING WITH CESSPOOL SYSTEM. APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES ON 12/7/90. Name Of Owner LEKICH, IVO AND ROSA Mailing Address 1 CLIPPER LANE City St Zip SOUTHOLD NY 11971 Property Address 1 CLIPPER LANE City St Zip SOUTHOLD NY 11971 Tax Map No. section 79.00 block 4 lot 17.004 Cross Street ANCHOR LANE Building Permit Number Cross Reference: Issue Date: 12/21/90 Judith T. Terry Southold Town Clerk (TOWN SEAL) ilik ���U�fOU(�D O 1 t B it i ts, , Town Hall, 53095 Main Road p ' �-S�` P.O. Box 1179 __ Ol �����` Southold, New York 11971 JUDITH T.TERRY —..�.,,, 00°. TELEPHONE TOWN CLERK (516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD To: Southold Town Code Enforcement Officer From: Linda Cooper, Southold Town Clerk's Office Dated: December 12, 1990 Transmitted herewith is a copy of application No. 686 for a Cesspool/ Septic Tank Construction Permit submitted by: Ward Associates for Ivo and Rosa Lekich • 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 Comments: _ I - = .. � ` JAM\-- Citt#11mAlnAkra 1/44.%Ok * , 4Lite aelL ite 01N-% i 7r1, 1IN 0 \C•a,"4, (--- a...65 01.411..... Signature I 16.-\ N "Atko Dated OFFICE OF THE TOWN CLERK ",,,,, Town of Southold oi"c1, FD�K`►O = Application No. (q Judith T. Terry, Town Clerk G Town Hall, 53095 Main RoadConstruction P. O. Box 1179Alteration Southold, New York 11971 �� �;' ll Telephone VA. Qro' $10.00 -Residential (516) 765-1801 01 46%) �� $25.00 -Non-Residential •TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICAT ION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 401D Fee $ t DATE Dec -z,•b•..1" 1 , APPLICANT NAME: IVO ec)SA_1 1 CAA-- APPLICANT - APPLICANT ADDRESS: bo- ._ ) ct.it,c) cl SEPTIC CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: VJO 4. 'A• L.E OWNER MAILING ADDRESS: 6`© 1-/UCL `( .& * S Pc, OWNER PROPERTY ADDRESS: cat .O c—�L t N\k ' \ •Ce1r� TELEPHONE NUMBER OF CONTACT PERSON: Th VV�rci(5)(p) 5(6)3 -1-i-8oQ TAX MAP NO. : Section C)1 cJ Block 4- Lot I r7 j 4- CROSS STREET: Y1G ©1r' � � 77') BUILDING PERMIT NUMBER CROSS REFERENCE: 1 Signature of ApplicantaQ1.t7 `1 RECEIVED BY: Town Clerk's Office = - DATE: .._. I V ',I' . I L ,., ,......... i '41 112 I 651 °:-.I 5,SE3.33 •-. .1 L'' —--- --— : /AT tip • I cki .../(..)t)T f-iQL ... ) or c...-;-)u-7-; ;•-)!..:.',; . • , i 0i 0 t.., 1 . i \------ 2,. \ W . I 11....kiLs • • i ii,-- ,. • 1 1 0 \\\\\ 4'1::; •- - . OD ! / •1 - .., \ u., \ 4- . \ 1\ ,' 1.,.:),.,,ri... .5E1=-1-IC T.- &I . ; n.J. .• i f,, '.''.%/S.:.A t''-•:-7'' . -, to _ ...,,. 1,F CxZik.C... 1 rt A i,"liI Ittil li S t iit int3 ' .77•.- • ,.., . -A. -, --, Pt ,- \ -t . II ,. 1 31,..-/\L — ,..., ',.•:.:. ',-: • r" I LU ': ....,:.)-, ..— a. .• _ --• —...___ s.: . ,.. -••1/4--ri i:"..":„ki. '•-• ' - .' tr-- 0(11 ( -...• •- • c....,4 i -•1.. - N- ‘1.''',0 _ . i al : (•:'-'• ' . • c.. --"-"' 1 Z . I I „ ....---, . . ....._. \ V.....16. 7 ' 1 I I . r.c.2. "..'4.ut,) '44, , i-1- 71 •-•'-' \ . q e, . \ 7 090 -- .‘.,.- .,.. DEc 0 1 ._._ __,-,., , , .... / i . / : ! 40F. , . 1 \ ------so-----1 ,------_ i •.. • . -.r T','.i:,; "I,'i,.'' ' ' , _t.1 l• ;i,1•-• . _ THE 1LQT NO 3. R.L.F.L.;-:: -1721 MAP' OE i-it-,i,',.ii,Ci.: :_.1.::;,i-,rts E.,-.;-rArthz, -5L-c.: r, f:',";/,...,12 ________ ..,........._ _.....______......._______.--.... _________......... rite!, tis4 THE.sUFF:CO cLetzscs QFFICE As mAk Nr.).7703. __._ . ....... _. .. ___. RODER ICK 1 ...." ....... ‘/ lk..ft A r.1 , ^ogir., . . ..•...k,... ,..'"."!P"., •