HomeMy WebLinkAboutPassanant, John /Of°
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ELIZABETH A.NEVILLE • oy�c Town Hall, 53095 Main Road
TOWN CLERK ;
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ELIZABETH A.NEVILLE h`ZoL �Gy Town Hal], 53095 Main Road
TOWN CLERK c 1 P.O. Box 1179
y Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS Fax��t Fax (516) 765-1823
MARRIAGE OFFICER ?i
RECORDS MANAGEMENT OFFICER
4? -0 0"��� Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER i��
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: September 3, 1998
Transmitted herewith is a copy of application No. 2002 for a Cesspool/
Septic Tank Construction Permit submitted by:
Morris Cesspool for John Passanant
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 applicatio and location map of the project cited above
and make the following reco endations:
APPROVE
DISAPPROVE
Comments:
ignatur
2
Dated
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OFFICE 01 THE TOWN CLERK ' /,c"„n,••,,�
TOWN OFSOUTHOLD ��`F��KCOv Application No 0
F!JJABETH A.NEV11.i.F,TOWN CLERK 4
,� P.O.BOX 1179 Construction
SOUTHOLD,NEW YORK 11971 o rn
Alteration
Telephonescc �Q�i $10.00 - Residential
(516) 765-1801 _ l -� if' $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee .$ 60_,0) J 9
DAT
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APPLICANT NAME:
APPLICANT ADDRESS: C� v '
SEPTIC CESSPOOL
DESCRIPTION F PROPOSED CONSTRUC4 ON OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION 05 ALTERA ON:
OWNER OF PROPERTY:
OWNER MAILING ADDRESS: /7' tee,
Sr s•
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON: 7C 5 ����U
TAX MAP NO. : Section 70 Block 7 Lot
CROSS STREET: C3--61-1`'`-
BUILDING PERMIT NUMBER CROSS REFERENCE:
- C.
Signature of Applicant
RECEIVED BY:
ow7/,_,CZrk's Office
DATE:
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