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JUDITH T.TERRY = d Town Hall,53095 Main Road
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TOWN CLERK y Z P.O.Box 1179
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REGISTRAR OF VITAL STATISTICS ` , Southold,New York 11971
MARRIAGE OFFICER y� 0��le Fax(516)765-1823
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RECORDS MANAGEMENT OFFICER •- �.[ '�►��dTelephone(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. 1203 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : MORRIS CESSPOOL
Address 1 : 2760 YENNECOTT DRIVE
City St Zip SOUTHOLD NY 11971
Descripton of Proposed Construction or Alteration
ADDITION OF AN OVERFLOW CESSPOOL TO AN EXISTING SYSTEM.
APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT WELLS
BUILDINGS, PROPERTY LINES, AND WATER BODIES.
EXCAVATION INSPECTION REQUIRED.
Name Of Owner LOGAN, LAURA
Mailing Address 1 995 OAKWOOD DRIVE
City St Zip SOUTHOLD NY 11971
Property Address 1 995 OAKWOOD DRIVE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 70.00 block 13 lot 10.000
Cross Street OLD PASTURE LANE
Building Permit Number Cross Reference:
Issue Date: 9/15/94 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T. TERRY % •< :h. Town Hall, 53095 Main Road
TOWN CLERK : p rZ : P.O. Box 1179
VI • ,$ Southold, New York 11971
REGISTRAR OF VITAL STATISTICS = �0 �. �� Fax (516) 765-1823
MARRIAGE OFFICER = '' � ��� Telephone (516) 765-1801
RECORDS MANAGEMENT OFFICER -= 1 41 *6�l
FREEDOM OF INFORMATION OFFICER 0,,,,,,///�I
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda Cooper, Southold Town Clerk's Office
DATED: September 8, 1994
Transmitted herewith is a copy of application No. A1248 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Morris Cesspool for Laura Logan
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. WO" "S"13Mil
, 6 .- kce., REV")
Linda J. Cooper
* * * * * * * * * * * * *
I have reviewed the application and location map of the project listed
above and make the followin recommendation: ��C ___�
APPROVE E �� ��
REQUIRED
DISAPPROVE -
COMMENTS: .�, •�- _ . t✓
44...4.foo.z.oitila( 2.. t
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OFFICE OF THE TOWN CLERK ,,,,,, ,,,, •
Town of Southold ,,COM/re
Judith T. Terry, Town Clerk � OGS Application No. L- 7Y5
Town Hall, 53095 Main Road `c; Construction
P. O. Box 1179
Ali
Southold, New York 11971 c�h / Alteration
Telephone _04c �Q .;� $10.00 - Residential
(516) 765-1801 Ol 4 �, '� $25.00 - Non-Residential
•TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ •
DATE c____S��i
/ 9c-7
APPLICANT NAME: /e-4(
APPLICANT ADDRESS: 22 .6
5 n,�
SEPTIC CESSPOOL
DESCRIPTION OFP,ROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: 44,e/9 h)))6/7/7
OWNER MAILING ADDRESS: 995- n wJocP Dry
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON: /9r9e.e.-f 14
TAX MAP NO. : Section 76 Block a Lot
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Applicant
RECEIVED BY: ,
Town Clerk's 0 ice
DATE: 9l�/9' •
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