HomeMy WebLinkAboutMcElroy, Anne I
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OFFICE OF THE TOWN CLERK OFe(/t`+D
Town of Southold ;
Judith T. Terry, Town Clerk • <
Town Hall, 53095 Main Road 8 •
P. 0. Box 1179 �` —
Southold, New York 11971
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Telephone
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 71 Residential X
Non-Residential
Fee $ 10.00
Septic Cesspool X
PERMIT ISSUED TO:
t4AME: Winds Way Building Corp.
ADDRESS: 1020 Glen Road
Southold, New York 11971
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION
New Single Family Dwelling
LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
OWNER OF PROPERTY: Kevin and Anne McElroy
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OWNER MAILING ADDRESS: 354 Hillside Drive S.
New Hyde Park, New York 11040
OWNER PROPERTY ADDRESS : N/S Maple Lane
East Marion, New YOrk
TAX MAP NO. : Section 35 Block 8 Lot 1
CROSS STREET: Wiggins Lane
BUILDING PERMIT NUMBER CROSS REFERENCE: Pendingaooee4;eeao;...„eoe„.„..e
Judith T. Terry
Southold Town Clerk
DATE : November 17, 1986
(TOWN SEAL)
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A "� 1'.' �� Southold, New York 11971
JUDITII T.TERRY TELEPHONE
TOWN CLI RK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
November 5, 1986
To: Victor Lessard, Southold Town Building Department
From: Judith T. Terry, Southold Town Clerk
Transmitted herewith is a copy of application No. 71 for a
CONSTRUCTION or ALTERATION Permit for a cesspool or septic system
submitted by Winds Way Building Corp for Kevin and Anne McElroy
Please review the application and location map and advise if the
project has received Suffolk County Health Department approval
and if we may issue the permit.
Please complete the form below and return it to my office.
Thank you.
Judith T. Terry
Southold Town Clerk
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• I have reviewed the application and location map of the project
cited above and make the following recommendation:
APPROVE - ,C
DISAPPROVE -
COMMENTS: — M ago e,t u f�, c.0.44441t♦ixAm ck f p.otxet��
8(o— So - 1Vo r
REt"FiVFD
NOV 131986 \ Aak..442-4A-019--.
Signature
Town Clerk Southold
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Date
OFFICE OF THE TOWN CLERK
Town of Southold '
Application No.;y;_
Judith. T. Terry, Town Clerk
Town Hall, 53095 Main Road Construction _ -
P. 0. Box 1179 Alteration
Southold, New York 11971
Telephone 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 /4/3//1 G
APPLICANT NAME: 4✓4/X / 7 d•,49.44/
APPLICANT ADDRESS: /t)300 Arlta/ Aja. f06440d/l/A/p ,
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SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED ONSTRUC ION OR //A�.LTERAT ION
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LOCATION MAP: Must he attached hereto before permit may be issued.
LOCATION OF PROPOSED CONST UCTION OR ALTERATION:
OWNER OF PROPERTY : ii/d /&r t...,4'/Ai,
OWNER MAILING ADDRESS: 3 )-V // d '44, A X.
*h/ 14 Ave / (yr, //9V 42
OWNER PROPERTY ADDRESS: /1/f 109/e, igoidr e, fk,q.,t....,.
TELEPHONE NUMBER OF CONTACT PERSON: 7 'i ' — 7 L CV
TAX MAP NO. : Section 6 3 �i Block f Lot l . • O
CROSS STREET: /Jft; 1.,/ 146/1r
BUILDING PERMIT NUMBER CROSS REFERENCE:
/0°7 ✓� ,j
Signature of Applicant
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RECEIVED BY:
Town Clerk's Office
DATE:
.41
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SUFFOLK CO.HE 11AL
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