HomeMy WebLinkAboutLongo, Albert N
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JUDITH T. TERRY : Town Hall, 53095 Main Road
TOWN CLERK Z p
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P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER °O O� � Fax (516) 765-1823
4,Afn4 1D ��� 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. 980 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : PECONIC CESSPOOL
Address 1 : P. O. BOX 972
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
REPLACE EXISTING CESSPOOL WITH NEW TYPE.
APPROVED AS SUBMITTED. EXCAVATION INSPECTION REQUIRED.
Name Of Owner LONGO, ALBERT
Mailing Address 1 1235 ALBO DRIVE
City St Zip LAUREL NY 11948
Property Address 1 1235 ALBO DRIVE
City St Zip LAUREL NY 11948
Tax Map No. section 126.00 block 13 lot '109- 3. 6'``:-)
Cross Street BRAY AVENUE
Building Permit Number Cross Reference:
Issue Date: 4/23/93 Judith T. Terry
Southold Town Clerk
(TOWN SEALI
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JUDITH T. TERRY Town Hall, 53095 Main Road
TOWN CLERK rZ , P.O. Box 1 179
REGISTRAR OF VITAL STATISTICS �.` Southold, New York 11971
MARRIAGE OFFICER ‘VA,
�' ,� Fax (516) 765-1823
jl 1a��� Telephone (516) 765-1801
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
12
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: April 9, 1993
Transmitted herewith is a copy of application No. 1005 for a Cesspool/
Septic Tank Construction Permit submitted by:
Peconic Cesspool a/c Albert Longo
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: y,� CoL � d•r,
54te°
41' SC% Signature
Dated
OFPICF OF THE TOWN CLERK �%Cj1FOU(`+D
flown of Southold �Q Application No. l0n_`��
Judith T. Terry, Town Clerk i
Town Hall, 53095 Main Road Construction
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P. 0. Box 1179
Southold, New York 11971 �0��`J Alteration
Telephone _0l , " Residential (/
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 7004-7,
Fee $ JQ, co
DATE Dr. 9, /99,3
APPLICANT NAME:
APPLICANT ADDRESS: / 4.424 9777
//9C2--
SEPTIC
/gniSEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTS ATION:
OWNER OF PROPERTY: /47//67c.-71-
OWNER MAILING ADDRESS: /2,44.- /4,
,L,44-'n / /t/4' /f2
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON: 3 it- 91 Sr
TAX MAP NO. : Section l21, Block/ 3 Lot A0 3
CROSS STREET: ,/fj `0
BUILDING PERMIT NUMBER CR SS REFERENCE:
/ Signature of Appli t
RECEIVED BY: A! A -OLS --(,
To n Clerk's Office
DATE: 2
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