HomeMy WebLinkAboutSchneider, Myles rIFFO(,re;. -
ELIZABETH A.NEVILLE % .Z Gym Town Hall, 53095 Main Road
TOWN CLERK c •� �� P.O. Box 1179
cn 2 Southold, New York 11971
REGISTRAR OF VITAL STATISTICS rryFax (516) 765-1823
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER `i of Telephone (516) 765-1800
EEDOM OF INFORMATION OFFICER ��
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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. 2029 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : MYLES SCHNEIDER
Address 1 : 840 TOWN HARBOR LANE
City St Zip SOUTHOLD NY 11971
Descripton of Proposed Construction or Alteration
RELOCATION OF SYSTEM TO FRONT OF HOUSE.
APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM WELLS,
BUILDINGS, PROPERTY LINES AND WATER BODIES. EXCAVATION INSPECTION
REQUIRED.
Name Of Owner SCHNEIDER, MYLES
Mailing Address 1 840 TOWN HARBOR LANE
City St Zip SOUTHOLD NY 11971
Property Address 1 840 TOWN HARBOR LANE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 64.00 block 5 lot 5.000
Cross Street L'HOMMEDIEU LANE
Building Permit Number Cross Reference:
Issue Date: 3/04/99 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A. NEVILLE may. y R Town Hall, 53095 Main Road
TOWN CLERK c 1 F1� P.O. Box 1179
cf,
y ZSouthold, New York 11971
REGISTRAR OF VITAL STATISTICS ; Fax (516) 765-1823
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER ,`�tif�l ��%, IS Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
T. OF YOUTIOLD
TO: Southold Town ui ing epar ment
FROM: Linda Cooper, Southold Town Clerk's Office
DATED: March 3, 1999
Transmitted herewith is a copy of application No. 2109 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Myles Schneider
•
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 followingwirecommendation:
APPROVE - V
DISAPPROVE -
COMMENTS: Maintain required setbacks from adjacent wells,
buildings, property lines and water bodies. EXCAVATION INSPECTION
REQUIRED.
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ignature
3131(1 (1
Date
OFFICE OF THE TOWN CLERK ',����f 0t ti n "
TOWNOFSOUTHOLD ,��es �I 4QV Application No. a 1 09
F!I7ABETH A.NEVILLE,TOWN CLERK
P.O.BOX 1179 1� Construction
SOUTHOLD,NEW YORK 11971 . O T ;
Alteration
s 01 Telephone D,j► �0�,,�� $10.00 - Residential ✓
(516) 765-1801 -_4l '",,"� $25.00 -Non-Residential
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TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION R r'-r,1/rA
for MAR 3 1999
CONSTRUCTION or ALTERATION PERMIT foWn Clerk Soutnoia
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE 3I �j99
APPLICANT NAME: „ ._
AME: 11 tl 6%614 ' Li
APPLICANT ADDRESS: '77i---61A( 11,014eA tc1
SEPTIC CESSPOOL "i-
DESCRIPTION OF PROPOtIE CONSTRUCTION OR ALTERATION
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION ALTERATION
OWNER OF PROPERTY: P NL -
OWNER MAILING ADDRESS: 7Q T /J '\
OWNER PROPERTY ADDRESS: c> VL(( kir
TELEPHONE NUMBER OF CONTACT PERSON: --) 60 r 1-10T
TAX MAP NO. : Section liCall Block 5 Lot
CROSS STREET: L1 -1Uyv‘vv\edi eaD LaZ
BUILDING PERMIT NUMBER CROSS REFERENCE:
S )”1111
n - -2y, 41 9 /
Signature of ' pplicant
RECEIVED BY:
own Cler 's Office
DATE: 3 31 9
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