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HomeMy WebLinkAboutForte, Edward eo �,O��S�FFO(,��o - ELIZABETH A.NEVILLEhy. y� Town Hall, 53095 Main Road TOWN CLERK I -� r P.O. Box 1179 i N Southold, New York 11971 REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER Fax (516) 765-1823 YYY(((YYY� RECORDS MANAGEMENT OFFICER :# Telephone (516) 765-1800 FREEDOM OF INFORMATION OFFICER %� 4 )\-�'� � �0 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 2013 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : EDWARD FORTE Address 1 : 105 JAKES LANE City St Zip CALVERTON NY 11933 Descripton of Proposed Construction or Alteration SANITARY SYSTEM FOR SINGLE FAMILY DWELLING. APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES. REF # R10-99-0025 Name Of Owner EDWARD & SUSAN FORTE Mailing Address 1 105 JAKES LANE City St Zip CALVERTON NY 11933 Property Address 1 EVERGREEN DRIVE City St Zip CUTCHOGUE NY 11935 Tax Map No. section 102.00 block 1 lot 11.010 Cross Street DEPOT LANE Building Permit Number Cross Reference: Issue Date: 2/19/99 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) 6 /3 N /Or oG. ELIZABETH A.NEVILLE ti� yam,: Town Hall, 53095 Main Road TOWN CLERK 4c:3 P.O. Box 1179 ti Z Southold, New York 11971 REGISTRAR OF VITAL STATISTICS Fax (516) 765-1823 MARRIAGE OFFICER Fax �0�� Telephone (516) 765-1800 RECORDS MANAGEMENT OFFICER :� FREEDOM OF INFORMATION OFFICER i n I.., OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: February 18, 1999 Transmitted herewith is a copy of application No. 2093 for a Cesspool/ Septic Tank Construction Permit submitted by: Edward Forte Please review the application and location map and advise if the project has received Suffolk County Health Department approval and if this office may issue the permit. Please complete the form below and return it to me. Thank you. Linda J. Cooper * * * * * * * * * * * * I have reviewed the applic tion and location map of the project cited above and make the following r ommendations: APPROVE DISAPPROVE Comments: ignature 1t t/ -5 Dated OFFICE OF THE TOWN CLERK s' " OL TOWN OF SOUTHOLD �_�S �Q ; Application No. Qc9 ,� 17ABETH A.NEVILLE,TOWN CLERK ��'' P.O.BOX 1179 ;L Construction SOUTHOLD,NEW YORK 11971 Alteration Telephone dj,�, .0" $10.00 -Residentiale. (516) 765-1801 = Ol 4�,0' $25.00 -Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $ `DATE APPLICANT NAME: cc! e— APPLICANT ADDRESS: I©3 .J 11(. 5 t` �d ��� ✓ foq Ny /I72 SEPTIC CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION Si r13J dam ;I! e 5�cJ�r p LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: [d ward 6( C.-- OWNER MAILING ADDRESS: ) 05 Jake 5 Let Ca )vc j-inn � ivy /i933 OWNER PROPERTY ADDRESS: EV e (l r ee v/ Or CttGti ©Jv ej ray // ? 3\5 TELEPHONE NUMBER OF CONTACT PERSON: 5" 7c) 7— /Yy TAX MAP NO. : Section 1 O c) Block / Lot t / O CROSS STREET: O epa-t- Rd BUILDING PERMIT NUMBER CROSS REFERENCE: Signature of Applicant RECEIVED BY: /11/ Town Clerk s fice DATE: 1 ' SURVEY OF LOT 10 . — . tuEtt, i ON MAO' OP TWE WOODS AT I ST e , la -tr -• Hou .4 CUTCI-10GUE.se - , I -4\i'• Ci et 2111 FILED: AT CUTOHOGUE We.6717 f ... 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