HomeMy WebLinkAboutJohnston, E BrownwellELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
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Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2190 R Residential X Non -Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : E. BROWNELL 8 KAREN JOHNSTON
Address 1: 3 COLDPORT DRIVE
City St Zip HUNTINGTON NY 11743
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. REF #R10-99-0189
Name Of Owner JOHNSTON, E. BROWNELL E KAREN
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Mailing Address 1 3 COLDPORT DRIVE
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City St Zip HUNTINGTON NY 11743
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Property Address 1 4001 WELLS ROAD
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City St Zip PECONIC NY 11958
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Tax Map No. section 86.00 block 1 lot 9.004
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Cross Street WELLS ROAD
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Building Permit Number Cross Reference:
Issue Date: 11/17/99
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Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)