HomeMy WebLinkAboutMcSherry, Joanne ',,,,,inn..
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r" Town Hall, 53095 Main Road
y0�, 40"' P.O. Box 1179
00' Southold, New York 11971
JUDITH T.TERRYFAX(516)765-1823
TELEPHONE(516) 765-5-
1801
TOWN CLERK
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. 626 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
ADDITION OF AN OVERFLOW CESSPOOL TO AN EXISTING SYSTEM.
APPROVED AS SUBMITTED. EXCAVATION INSPECTION REQUIRED. CALL 765-1802
FOR AN APPOINTMENT, INSPECTION MUST BE MADE PRIOR TO COVERING.
Name Of Owner MCSHERRY, JOANNE B.
Mailing Address 1 P. O. BOX 600
City St Zip CUTCHOGUE NY 11935
Property Address 1 660 BAYBERRY ROAD
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 118.00 block 1 lot 13.001
Cross Street BRIDGE LANE
Building Permit Number Cross Reference:
Issue Date: 7/20/90 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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"' ‘.. ��� Town Hall, 53095 Main Road
'- " �� ,', P.O. Box 1179
Ix r i Southold, New York 11971
JUDITH T. TERRY ''dile 1,10
TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
July 19, 1990L5 I ' IEC :
To: Southold Town Code Enforcement Officer 1
From: Linda J. Cooper, Southold Town Clerk's Office IIU
BLDG. DEPT
IHOLD
TOWN OF SOU
Transmitted herewith is a copy of application No. A644
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Cesspool for McSherry .
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 followin . recommendation:
APPROVE -
DISAPPROVE -
COMMENTS:
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Signature
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OFFICE`,OF THE TOWN CLERK ,,,'",,,,,
Town of Southold ,' ell.1(`'. = , 1
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Application No. CQ L
Judith T. Terry, Town Clerk ��O� y
Town Hall, 53095 Main Roadt. l Construction G'
P. 0. Box 1179 •
Southold, New York 11971 toJ'� r^, Alteration `
$10.00 - Residential 1/
Telephone '----.:41462
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(516) 765-1801 —t * 00'0' $25.00 - Non-Residential
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TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE 741u
APPLICANT NAME: /1../(-477f,ke, G
APPLICANT ADDRESS: ,4,00 ..e .,,,, % 72-
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATIO
OWNER OF PROPERTY: -74/ -74L. 5 ._,e1.4.,
OWNER MAILING ADDRESS: 4, 6O 4y ....6.44.4.7 /1�,
OWNER PROPERTY ADDRESS: ./10".--2•1-1....s..-
TELEPHONE NUMBER OF CONTACT PERSON: _4 - 96 $ V
TAX MAP NO. : Section 8se Block / Lot /3, /
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�CROSS STREET: �v ) S,� NA.{
BUILDING PERMIT NUMBER CROSS REFERENCE:
Zileif
Sig/
ure of Applicant
RECEIVED BY:
Town Clerk's Office
DATE:
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