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ELIZABETH A.NEVILLE _ �: Town Hall, 53095 Main Road
TOWN CLERK ; y P.O. Box 1179
V44 °
Southold, New York 11971
REGISTRAR,OF VITAL STATISTICS G
MARRIAGE OFFICERO! �aO��,,, TelephoFaxne (63 31) 65-6145
765- 1800
RECORDS MANAGEMENT OFFICER 4 it
FREEDOM OF INFORMATION OFFICER .0°�
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2455 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : MORRIS CESSPOOL
Address 1 : 2760 YENNECOTT DRIVE
City St Zip SOUTHOLD NY 11971
Descripton of Proposed Construction or Alteration
ADDITION OF OVERFLOW TO EXISTING SYSTEM.NG.
APPLICATION APPROVED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT
WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES.
EXCAVATION INSPECTION REQUIRED.
Name Of Owner SUTTON, ALEX & TRACY
Mailing Address 1 PO BOX 70
City St Zip SOUTHOLD NY 11971
Property Address 1 325 HORTON LANE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 63.00 block 5 lot 17.000
Cross Street
Building Permit Number Cross Reference:
Issue Date: 11/20/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
40
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ELIZABETH A. NEVILLE �te_ ?4: Town Hall, 53095 Main Road
TOWN CLERKy 2 P.O. Box 1179
REGISTRAR OF VITAL STATISTICS $ Southold, New York 11971
MARRIAGE OFFICER : ifi !. I Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER _7491 **0. Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER .4.4t ��11411
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: November 2, 2000
Transmitted herewith is a copy of application No. 2543 for a Cesspool/Septic Tank ALTERATION
Permit submitted by:
Morris Cesspool for Alexander Sutton
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.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and loc 'on map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
Comments: Maintain required setbacks from adjacent wells,buildings, property lines and water
Bodies. EXCAVATION INSPECTION REQUIRED.
ignature 411
0! 1, b0
Dated
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD ;'O� Application No.4 5' 5J
ELIZABETH A.NEVIT7.F,TOWN CLERK . t
P.O.BOX 1179 t Construction
SOUTHOLD,NEW YORK 11971 CJ T
to Alteration G�
Telephone $10.00 - Residential
(631) 765-1800 -- 4 ,d'' $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee .$
DATE 2� o
APPLICANT NAME: -/72,0,e.S eeivf,e -e-to
APPLICANT ADDRESS: 2 740 �;6///viico r r Y�(
xPe
SEPTIC CESSPOON
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 ALTERATION:
• OWNER OF PROPERTY: )41/k TO)c7 / I
OWNER MAILING ADDRESS: ' T ) L/ 2"
O C.. F���rll
OWNER PROPERTY ADDRESS: -7 O
Soe,��
TELEPHONE NUMBER OF CONTACT PERSON: ��r--Y.f
TAX MAP NO. : Section to Block f Lot ( /
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
•
Signature of Applicant
RECEIVED BY: AI /
Town Jerk's fice
DATE: 7/0/02 0
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