HomeMy WebLinkAboutTasker, Susan ��S11FFQL j' =
ELIZABETH A. NEVILLE ,', # ; Town Hall, 53095 Main Road
TOWN CLERK o • P.O. Box 1179
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REGISTRAR OF VITAL STATISTICS ,� Southold, New York 11971
MARRIAGE OFFICER :� �� � Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER �0 #92... Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ������,�
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2353 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : PANAGIS GEORGOPOULOS
Address 1 : 21 IOWA ROAD
City St Zip GREAT NECK NY 11020
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 #R10-00-190
Name Of Owner TASKER, SUSAN
Mailing Address 1 202 SIXTH STREET
City St Zip GREENPORT NY 11944
Property Address 1 59235 COUNTY ROAD 48
City St Zip GREENPORT NY 11944
Tax Map No. section 44.00 block 2 lot 11 .000
Cross Street
Building Permit Number Cross Reference:
Issue Date: 6/28/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A. NEVILLE tl ya Town Hall, 53095 Main Road
TOWN CLERK ` C - P.O. Box 1179
CA Z
v, T �� Southold, New York 11971
REGISTRAR OF VITAL STATISTICS �� Fax (631) 765-6145
MARRIAGE OFFICER :. -. �1
RECORDS MANAGEMENT OFFICER �,_ ei #00 Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER '''•- :`„,••01
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: June 23, 2000
Transmitted herewith is a copy of application No. 2441 for a Cesspool/
Septic Tank Construction Permit submitted by:
Panagis Georgopoulos for Susan Tasker
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.
46,....x_c_tw
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE ✓
DISAPPROVE
Comments:
ign. 2ature
Dated
: LEIJ I N I CKLES,LTD. PHONE NO. : 5167E53417 Jun. 22 2000 02: 14PM Fl
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Uf•'F'k :e)F ll(L'IOWN t'LF.:1tK s.° M/f/�
TOW".oF'soL'17IULll �� 40 + „
�. Application No.2_q_ (
:?0 BOX 11?',' . = onstruction
Iteration
lk Telephone �
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$10.00 Residential
( 516) 765-1801 .. ./
,'� $25.0 -Non-Residential
-
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Perr.)it No.
Pec $
DATE b-.2 -00 - - -
APPLICANT NAME Panagis Georgopoulos
APPLICANT ADDRESS: 21 Iowa Rd. Great Neck, NY 11020
SEPTIC__CESSPOOL x
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
_New one family dwelling.
LOCAT ION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY :_susan Tasker
OWNER MAILING ADDRESS: ' th st. Green rt, NY 11944
OWNER PROPERTY ADDRESS: 59235 Country Rd. 48 Greenport, NY
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TELEPHONE NUMBER OF CONTACT PERSON : (516)437-2223
TAX MAR NO. : Section D44_nn Block 02-00 Lot 011-000
CROSS STREET :
BUILDING PERMIT NUMB " vriA . ' • • ERENCE:
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RECEIVED BY : �� .4
Town Clerkts i.-------
DATE: --DATE:
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