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Home My WebLink AboutBenko, Marie v 0•, .... • ELIZABETH A. NEVILLE y�; Town Hall, 53095 Main Road TOWN CLERK y ; P.O. Box 1179 �y, � % Southold, New York 11971 REGISTRAR OF VITAL STATISTICS Fax (631) 765-6145 MARRIAGE OFFICER :�1i � �1�, RECORDS MANAGEMENT OFFICER '/Ql �a�,i� 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. 2268 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : MORRIS CESSPOOL SERVICE Address 1 : 2760 YENNECOTT DRIVE City St Zip SOUTHOLD NY 11971 Descripton of Proposed Construction or Alteration ADDITION OF OVERFLOW TO EXISTING SYSTEM. APPLICATION APPROVED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES. EXCAVATION INSPECTION REQUIRED. Name Of Owner BENKO, MARIE Mailing Address 1 126 SOUTH STREET City St Zip GREENPORT NY 1191414 Property Address 1 530 TERRY LANE City St Zip SOUTHOLD NY 11971 Tax Map No. section 65.00 block 1 lot 9.000 Cross Street HOBART ROAD Building Permit Number Cross Reference: Issue Date: 3/21/00 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) • •',o\0gqFFOL�60 ELIZABETH A.NEVILLE tam►; Town Hall, 53095 Main Road TOWN CLERK ► o :� P.O. Box 1179 ► Ca Z Southold, New York 11971 REGISTRAR OF VITAL STATISTICS ; F MARRIAGE OFFICER ` Fax (516) 765-6145 hone (516) 765 1800 RECORDS MANAGEMENT OFFICER �;ti�JO a0-1 P FREEDOM OF INFORMATION OFFICER •I•"' ''III OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda Cooper, Southold Town Clerk's Office DATED: March 9, 2000 Transmitted herewith is a copy of application No. 2356 for an ALTERATION PERMIT for a cesspool or septic system submitted by Morris Cesspool for Marie Benko 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 applicatio and location map of the project listed above and make the followi recommendation: APPROVE - DISAPPROVE - COMMENTS: Maintain required setbacks from adjacent wells, buildings, property lines and water bodies. EXCAVATION INSPECTION REQUIRED. Signature Date (q//9.= �� OFFICE OF THE TOWN CLERK '• ��OC fi TOWN OF SOUTHOLD ; �1 Application No. oCL75� ELIZABETH A.NEVILLE,TOWN CLERK P.O.BOX 1179 Construction SOUTHOLD,NEW YORK 11971 Alteration Telephone $10.00 - Residential (516) 765-1801 ' 11 *7, se $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 / � OJ APPLICANT NAME: A144:4 � /,/ / c�L APPLICANT ADDRESS: . � O flt SEPTIC CESSPOOL-4 DESCRIPTION F PROPOSED CONSTRUCTION OR ALTERATION -trtJ LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OAR ALTERATION: OWNER OF PROPERTY: /17Agen ko OWNER MAILING ADDRESS: ( dV 7 T,"P% � �a(� 50 OK. 4- 55.76 Grp Noo OWNER PROPERTY ADDRESS: 52,0 leery La.s�.. TELEPHONE NUMBER OF CONTACT PERSON: 7 '( xi TAX MAP NO. : Section cS--- Block r Lot 9 CROSS STREET: BUILDING PERMIT NUMBER CROSS REFERENCE: EC el vet) Signature of Applicant RECEIVED" 44': 9 agg Town Clerk's Office DATE: �o�mo� town { • r e/ 1-57 I 6 1/ (17 r-- • { n )