HomeMy WebLinkAboutShine, John '
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OFFOUr
ELIZABETH A.NEVILLE 064:1
�y Town Hall, 53095 Main Road
TOWN CLERK p P.O..�4 Box 1179
REGISTRAR OF VITAL STATISTICS v, �471, Southold, New York 11971
MARRIAGE OFFICER Fax(516) 765-6145
RECORDS MANAGEMENT OFFICERy�o a0���� Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER 1
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2184 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
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 CESSPOOL TO AN EXISTING SYSTEM.
APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM WELLS,
BUILDINGS, PROPERTY LINES AND WATER BODIES. EXCAVATION INSPECTION
REQUIRED.
Name Of Owner SHINE, JOHN AND SHARON
Mailing Address 1 300 HIPPODROME DRIVE
City St Zip SOUTHOLD NY 11971
Property Address 1 300 HIPPODROME DRIVE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 66.00 block 2 lot 24.000
Cross Street
Building Permit Number Cross Reference:
Issue Date: 10/25/99 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A. NEVILLE •�i'••• 64A`�` Town Hall, 53095 Main Road
TOWN CLERK o ' P.O. Box 1179
Cl) x Southold, New York 11971
REGISTRAR OF VITAL STATISTICS rry
Fax(516) 765-6145
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER �7;ffQ %aO�l1�� Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER �'� * ,'��
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda Cooper, Southold Town Clerk's Office
DATED: October 19, 1999
Transmitted herewith is a copy of application No. 2267 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Morris Cesspool for Sharon Shine
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 followi recommendation:
APPROVE -
DISAPPROVE -
COMMENTS: Maintain required setbacks from adjacent wells,
buildings, property lines and water bodies. EXCAVATION INSPECTION
REQUIRED.
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Date
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,...._ _ OFFICE OF THE TOWN CLERK �' �`�`•c'•C••••••.,n�
TOWN OF SOUTHOLD �'� ��l{ 0��/�j. Application No. 07,11, 7
ELIZABETH A.NEVILLE,TOWN CLERK : 4 4 vv.� ,
P.O.BOX 1179 Z < Construction •
SOUTHOLD,NEW YORK 11971 o T t
Alteration z/-
Telephone O,T►, '� �ir/ $10.00 -Residential v
(516) 765-1801 = 1 * ,,0'I $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 $
DATE6 ri /l, ( 9
APPLICANT NAME:
APPLICANT ADDRESS: 2, i y�/tJ,9lfrc�rr
SEPTIC CESSPOOL
DESCRIPTION F PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY:
OWNER MAILING ADDRESS: JL S1sz
Ja?) h/��vd ed.7,.e /2,<
OWNER PROPERTY ADDRESS: .Yb"-/-11,
TELEPHONE NUMBER OF CONTACT PERSON:7I "--Y
TAX MAP NO. : Section C‘ Block a Lot 2 7
/
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
ilCd-el/Signature of Applicant
RECEIVED BY:
Town Clerk's Office
DATE:
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