HomeMy WebLinkAboutSwain, Louis ''- iii►�•
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ELIZABETH A.NEVILLE , .Z. , Town Hall, 53095 Main Road
TOWN CLERK t c -yam� r P.O. Box 1179
(A Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS = v- 17.7 MARRIAGE OFFICER • � �0��# Fax (516) 765-1823
RECORDS MANAGEMENT OFFICER Telephone(516) 765-1800
%FREEDOM OF INFORMATION OFFICER � ,1 '����
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2016 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 SWAIN, LOUIS
Mailing Address 1 325 CHAMPLAIN PLACE
City St Zip GREENPORT NY 11944
Property Address 1 180 CHAMPLAIN PLACE
City St Zip GREENPORT NY 11944
Tax Map No. section 34.00 block 3 lot 44.000
Cross Street
Building Permit Number Cross Reference:
Issue Date: 2/23/99 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A.NEVILLE ��� Tl/y� Town Hall, 53095 Main Road
TOWN CLERK 1 r P.O. Box 1179
5:$3 Southold, New York 11971
REGISTRAR OF VITAL STATISTICS rri$ Fax (516) 765-1823
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER N. t ,� Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER ��� * ��'
z
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda Cooper, Southold Town Clerk's Office
DATED: February 23, 1999
Transmitted herewith is a copy of application No. 2096 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Morris Cesspool for Louis Swain •
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.
4
Linda J. Cooper
* * * * * * * * * * * * *
I have reviewed the applicatio 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.
Signatur
Date
OFFICE OF THE TOWN CLERK ,,•I' %OjK
TOWN OF SOUTHOLD ,� BOG Application No.)52 e Y�
ELIZABETH A.NEVII.1F,TOWN CLERK
P.O.BOX 1179 _- Construction
SOUTHOLD,NEW YORK 11971
o Alteration
Telephone `YOB, Q '/ $10.00 - Residential
(516) 765-1801 Ol > �of $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ 77
DATE f.i/4 25
APPLICANT NAME:
APPLICANT ADDRESS: 760 , r�
SEPTIC CESSPOOL-J
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: LQG,.,, 5 ��j%//J
OWNER MAILING ADDRESS: 2J� �'G��,rh�p,�j> fi
OWNER PROPERTY ADDRESS: /10 C ii1p(i* OC
ee/5/71/fre l �v
TELEPHONE NUMBER OF CONTACT PERSON: Z 273'
TAX MAP NO. : Section 31/ Block 3 Lot
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
ignature of Applicant
RECEIVED BY:
Town Clerk's Office
DATE:
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