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Home My WebLink AboutHees, HermanELIZABETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-6145 Telephone (516) 765-1800 SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 2080 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 OVERFLOW POOL TO AN EXISTING SYSTEM. APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES. EXCAVATION INSPECTION REQUIRED. Name Of Owner HEESS, HERMAN Mailing Address 1 11331 SW 155TH STREET ------------------------- ------------------------------ City St Zip MIAMI FL 33157 -------------------- -- ---------- Property Address 1 195 PARSONS BLVD ------------------------------ - ---------------------------- City St Zip EAST MARION NY 11939 -------------------- ------------ Tax Map No. section 37.00 block 2 lot 4.000 Cross Street DOGWOOD LANE ------------------------------ Building Permit Number Cross Reference: Issue Date: 5/25/99 ---------------------------------- Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) ELIZABETH A. NEVILLE ��dy TOWN CLERK �--z 0 000 REGISTRAR OF VITAL STATISTICS v. MARRIAGE OFFICERRECORDS • �- NAGEMENT OFFICER FREEDOM OF INFORMATION OF ICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda Cooper, Southold Town Clerk's Office DATED: May 18, 1999 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 Transmitted herewith is a copy of application No. 2168 for an ALTERATION PERMIT for a cesspool or septic system submitted by Hees by Morris Cesspool 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. ignatdd Date `OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD ELIZABETH A. NEVILLE, TOWN CLERK P.O. BOX 1179 SOUTHOLD, NEW YORK 11971 Telephone (516) 765-1801 ,�Q'�FFO[Kc�G � Z TOWN OF SOUTHOLD Application No. Construction Alteration � $10.00 -Residential 4---- $25.00 -Non-Residential SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT Permit No. $0 Fee 5 APPLICANT NAME: APPLICANT ADDRESS: SEPTIC TANK or CESSPOOL DATE SEPTIC CESSPOOL DESCRIPTION of PROPOSED CONSTRUCTION OR ALTERATION LOCATION MAP: Must be attached hereto before permit may bjjeJ issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: nevvo 4'n 4ee-,o, OWNER OF PROPERTY: '�Zrly OWNER MAILING ADDR OWNER PROPERTY AD[ TELEPHONE NUMBER OF CONTACT PERSON: TAX MAP NO.: Section Block_ Lot CROSS STREET: L, Q _ BUILDING PERMIT NUMBER CROSS REFERENCE -4 Signature of Applicant RECEIVED BY: Town Clerk's Office DATE: --- S 5z --z Q 155 ,rq W F(, 3315 s