HomeMy WebLinkAboutAgria, John (2) it OFFOlit
ELIZABETH A. NEVILLE �0 Gia; Town Hall, 53095 Main Road
TOWN CLERK ` o • P.O. Box 1179
c/2 t Southol , New York 11971
REGISTRAR OF VITAL STATISTICS Fax(631) 765-6145
MARRIAGE OFFICER =O?''/Ql i ��,ee Telephone (631) 765-1800
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RECORDS MANAGEMENT OFFICER �a�'
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. 2256 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 AQRIA, JOHN
Mailing Address 1 52340 MAIN ROAD
City St Zip SOUTHOLD NY 11971
Property Address 1 52340 MAIN ROAD
City St Zip SOUTHOLD NY 11971
Tax Map No. section 63.00 block 6 lot 9.000
Cross Street
Building Permit Number Cross Reference:
Issue Date: 3/01/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A. NEVILLE •h`Z`& *.A Town Hall, 53095 Main Road
TOWN CLERK c 1 P.O. Box 1179
•
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS v� Al 1�
Fax (516) 765-6145
MARRIAGE OFFICER ` Tele hone (516) 765-1800
RECORDS MANAGEMENT OFFICER �; � �M0"•or' P
FREEDOM OF INFORMATION OFFICER lj�l
iNg
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda Cooper, Southold Town Clerk's Office
DATED: February 23, 2000
Transmitted herewith is a copy of application No. 2339 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Morris Cesspool for John Aqria
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 following recommendation:
APPROVE -
DISAPPROVE -
COMMENTS: Maintain required setbacks from adjacent wells,
buildings, property lines and water bodies. EXCAVATION INSPECTION
REQUIRED.
ignaturj
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Date
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6FFICE OF THE TOWN CLERK i' '''`C�Ot v n�,
TOWN OF SOUTHOLD I.1.NO,Cw. �lw(r.t . Application No. " 3�
ELIZABETH A.NEVILLE,TOWN CLERK ��O
P.O.BOX 1179 •< Construction
SOUTHOLD,NEW YORK 11971 . vp' T;; Alteration
Telephone 0,��, �ir ' $10.00 - Residential L,..---/(516) 765-1801 — �l �,,,'' $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 $
DATE-a" 2 9, 0-6
APPLICANT NAME: / O kr eS . ,i;,
° .—L-2_
APPLICANT ADDRESS: 2760 p-701A-co rF
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
2)7..."-e-t-Ar..1)
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION :
OWNER OF PROPERTY: 5-ZJ 4,l/ &4' /4.
OWNER MAILING ADDRESS: 5-2(3 /o ,f,'P) AS
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON: 76s Y.). )--6
TAX MAP NO. : Section Cj 3 Block 6 Lot /
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
P/Y/i(°--- - I
Signature of Applicant
RECEIVED BY: T
T wn CI i(312-1--(---es Office
DATE:
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