HomeMy WebLinkAboutLehmer, John JUDITH T. TERRY $ y< Town Hall, 53095 Main Road
Z • P.O. BOX 1 179
TOWN CLERK
REGISTRAR OF VITAL STATISTICS 11:7 rTt
Southold, New York 11971
MARRIAGE OFFICER ` y ��• Fax (516) 765-1823
; 444 Telephone (516) 765-1801
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 744 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : GARY TABOR
Address 1 : NAVY STREET
City St Zip ORIENT NY 11958
Descripton of Proposed Construction or Alteration
ADDITION OF AN 4 X 8 PRECAST CESSPOOL
APPROVED AS SUBMITTED. HOLD 22'0" FROM HOUSE AND CALL SOUTHOLD TOWN
BUILDING DEPARTMENT FOR AN EXCAVATION INSPECTION.
Name Of Owner LEHMER, JOHN
Mailing Address 1 625 LAKE DRIVE
City St Zip SOUTHOLD NY 11971
Property Address 1 625 LAKE DRIVE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 59.00 block 5 lot 20.000
Cross Street KENNYS ROAD
Building Permit Number Cross Reference:
Issue Date: 8/02/91 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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ling �--�,�,,! v,', � r, RESUBMITTED 8/1 /91
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j L WY ' -, ' �- , Town Hall, 53095 Main Road
•,,�r! '.1,00. �;,// P.O. Box 1 179
3 Southold, New York 11971
JUDITH T. TERRY N '�" TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE()RIME TOWN CLERK
TOWN OF SOUTHOLD \c '
_�
~ 11991
To: Southold Town Code Enforcement OfficerIL1__A
BBDO. DEFT--'
TOWN OF SOUTHOLD
From: Linda J. Cooper, Southold Town Clerk's Office
Transmitted herewith is a copy of application No. A756 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Gary Tabor for John Lehmer
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. •
4/)c-d-w
Linda J. Cooper
* * * * * * * * * * * * *
I have reviewed the application and location map of the project listed
above and make the following recommendation:
APPROVE - ><
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DISAPPROVE -
COMMENTS: .22-a T.4}-rvI
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Date
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®'FfirE OF THE TOWN CLERK OFOL.4-' - _
Town of Southold Application No. 2S6
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road Construction
P. O. Box 1179
Southold, New York 11971v� y Alteration
Tele hone 1 * OResidential
p
(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 $
DATE /7/K2?/
APPLICANT NAME: /51/" / 1/4 r•
APPLICANT ADDRESS: r)V., f/ S T•.
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SEPTIC CESSPOOL ✓
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
/12/ >4 tie e � S 7 ?-escd ' i
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: TO17fr)/ /`` C.�f I+•7
OWNER MAILING ADDRESS: lj p A.')rc
SoCTht /d , N y // • 7 /
OWNER PROPERTY ADDRESS: S `g '
TELEPHONE NUMBER OF CONTACT PERSON: ge,,,4 7
TAX MAP NO. : Section �j9. Block tSJ Lot P*0.
CROSS STREET: �i,,1% y S /Pc
BUILDING PERMIT NUMBER CROSS REFERENCE:
yWnature of Applicant
RECEIVED BY:
wn Clerk's ffice
DATE: lG ?/
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