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JUDITH T. TERRY : Z Town Hall, 53095 Main Road
TOWN CLERK : C:;/ T P.O. Box 1 179
REGISTRAR OF VITAL STATISTICS 1 Southold, New York 11971
MARRIAGE OFFICER ‘V4.4. ,, Fax (516) 765-1823
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(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. 919 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : MORRIS CESSPOOL SERVICE
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. CALL FOR EXCAVATION INSPECTION.
Name Of Owner LOWRY, THOMAS
Mailing Address 1 JACKSON STREET
City St Zip NEW SUFFOLK NY 11956
Property Address 1 JACKSON STREET
City St Zip NEW SUFFOLK NY 11956
Tax Map No. section 117.00 block 9 lot 25.000
Cross Street 2ND STREET
Building Permit Number Cross Reference:
Issue Date: 10/14/92 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T. TERRY •
•
Town Hall, 53095 Main Road
TOWN CLERK t p FT • P.O. Box 1 179
REGISTRAR OF VITAL STATISTICS .U' Southold, New York 11971
MARRIAGE OFFICER yd �- i Fax (516) 765-1823
=_�/i0 ��� �� Telephone (516) 765 1801
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department OCT
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: October 1, 1992
Transmitted herewith is a copy of application No. 943 for a Cesspool/
Septic Tank Construction Permit submitted by:
Morris Cesspool Service a/c Thomas Lowry - --
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 X
DISAPPROVE
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Dated Town Clerk Southold
OFFICE OF THE TOWN CLERK ,„",,,
Town of Southold .''��C.��FFOL/(C'.O
Judith T. Terry, Town Clerk ,����._ G� Application No. 7 7-
Town Hall, 53095 Main Road Z r . ;
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