HomeMy WebLinkAboutLowery, Gloria '/I � o�^O,
Town Hall, 53095 Main Road
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ya ��� P.O. Box 1179
.`a" Southold, New York 11971
JUDITH T.TERRY '�� ,,,, ' FAX(516)765-1823
TOWN CLERK TELEPHONE(516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 508 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 POOL WITH NEW TYPE PRECAST.
APPROVED AS INDICATED ON SUBMITTED SKETCH.
*** NOTE: EXCAVATION INSPECTION REQUIRED. CONTACT THE SOUTHOLD
BUILDING DEPARTMENT (765-1802) TO ARRANGE INSPECTION.
Name Of Owner LOWERY, GLORIA
Mailing Address 1 234 GIANT AVENUE
City St Zip ISLIP NY 11751
Property Address 1 650 OAK AVENUE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 77.00 block 1 lot 2.000
Cross Street CEDAR AVENUE
Building Permit Number Cross Reference:
Issue Date: 6/27/89 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T. TERRY -,-,...,
TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
June 20, 1989
To: Victor Lessard, Southold Town Building Department
From: Linda J. Cooper, Southold Town Clerk's Office
Transmitted herewith is a copy of application No. A 521 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Cesspool for Gloria Lowery •
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 - tie
DISAPPROVE -
COMMENTS: 0,0 .10v..CQZ Ca4L , cltn Ott a.9, Iutc_z
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Signature
C 0\`0 Date
tees .
OFFICE OF THE TOWN CLERK Oc0FQ
Town of Southold 0\.
Judith T. Terry, Town Clerk ' Application No. .5-02-I
Town Hall, 53095 Main Road ` a Construction
P. O. Box 1179
Southold, New York 11971 Alteration
Telephone el t *6 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.
Fee $ , .
DATE (6/Jmoo
APPLICANT NAME -e-er7j
APPLICANT ADDRESS: A0 , / y 97 -.-
SEPTIC CESSPOOL ,r----
DESCRIP ION OF PROPOSED CONSTRUCTION OR ALTERATION
A..,/"} "......T57-7----Ae- a, e
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: C 6—a/C/'4 IL U 1-r/GT-X,f,.
OWNER MAILING ADDRESS: 4/ 6/r7 v7 `y C/ -
A/. ) //2 S/
OWNER PROPERTY ADDRESS: 6, 5>j 0s1-* zJ&-
" . i7'ho/d 765-- 7-6Sy
TELEPHONE NUMBER OF CONTACT PERSON: -25f; Yap 5r'
TAX MAP NO. : Section 77 Block / Lot 2
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Ap?icant
RECEIVED BY: RectivED
�jwn Clerk's Office
DATE:
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