HomeMy WebLinkAboutBehrens, Arthur • I� "% FOL,
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ELIZABETH A.NEVILLE CQGy Town Hall, 53095 Main Road
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TOWN CLERK % o P.O. Box 1179
� y, Southold, New York 11971
REGISTRAR OF VITAL STATISTICS ` �' Fax(631) 765-6145
MARRIAGE OFFICER �y
RECORDS MANAGEMENT OFFICER VT)
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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. 2261 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
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 BEHRENS, ARTHUR
Mailing Address 1 49 SUNSET AVENUE
City St Zip GREENPORT NY 11944
Property Address 1 49 SUNSET AVENUE
City St Zip GREENPORT NY 11944
Tax Map No. section 33.00 block 4 lot 55.000
Cross Street SUTTON
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 •I, Town Hall, 53095 Main Road
TOWN CLERK 1 o P.O. Box 1179
y Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICSt
MARRIAGE OFFICER �
. p Fax (516) 765-6145
RECORDS MANAGEMENT OFFICER �,2# �0"or Telephone (516) 765-1800
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FREEDOM OF INFORMATION OFFICER : '/'
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda Cooper, Southold Town Clerk's Office
DATED : March 1 , 2000
Transmitted herewith is a copy of application No. 2349 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Morris Cesspool for Arthur Behrens •
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 appli ation and location map of the project listed
above and make the fol ing recommendation:
APPROVE -
DISAPPROVE -
COMMENTS: Maintain required setbacks from adjacent wells,
buildings, property lines and water bodies. EXCAVATION INSPECTION
REQUIRED.
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Date
OFFICE OF THE TOWN CLERK �si," I U(
TOWN OF SOUTHOLD 1�' !1 4�j� Application No. 02 �� r
ELIZABETH A.NEVILLE,TOWN CLERK
P.O.BOX 1179 z Construction
SOUTHOLD,NEW YORK 11971 =v T
Alteration
Telephone Q�/,' $10.00 - Residential
(516) 765-1801 - 4.1 ��/ 'l $25.00 - Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ �f
DATE j 11:1 rag 1
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APPLICANT NAME: - I/S
APPLICANT ADDRESS: 260
SEPTIC CESSPOOL
DESCRIPTION OF PR P SED 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:
OWNER MAILING ADDRESS: '�/ �1•--2
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON: 7/5- ^-7� -6
TAX MAP NO. : Section 3 g Block / Lot SS
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
/2'9 /4/(12.6:Signature of Applicant
RECEIVED BY: � . ,
To Clerks 0 -
DATE: 37 _)
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