HomeMy WebLinkAboutFirst Universalist Church •e G
Town Hall, 53095 Main Road
�' P.O. Box 1 179
_yam � �.•�, Southold, New York 11971
JUDITH T.TERRY .� 1 ir'O TELEPHONE
TOWN CLERK �I (516) 765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 398 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : CUTCHOGUE DEVELOPMENT CORP.
Address 1: 500 BEEBE DRIVE
City St Zip CUTCHOGUE NY 11935
Descripton of Proposed Construction or Alteration
ADDITION OF OVERFLOW RING TO EXISTING SYSTEM.
APPROVED AS SUBMITTED AND WITH THE STIPULATION THAT NEW OVERFLOW IS
WITHIN 15 ' 0" OF EXISTING POOL.
Name Of Owner FIRST UNIVERSALIST CHURCH
Mailing Address 1 P. O. BOX 221
City St Zip SOUTHOLD NY 11971
Property Address 1 MAIN ROAD
City St Zip SOUTHOLD NY 11971
Tax Map No. section 63 . 00 block 6 lot 6. 002
Cross Street TUCKERS LANE
Building Permit Number Cross Reference:
Issue Date: 9/26/88 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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TOWN OF • cr3 SOUTHOLD � { -,�
0 • - Town Hall, 53095 Main Boa(
= '�` �' � P.O. Box 1 179
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.JUDITH T. TERRY
TOWN CLERK -
TELEPHONE
REGISTRAR OF VITAL STATISTICS (516)765-1801
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
September 26, 1988
To: Victor Lessard, Southold Town Building Department
From: Linda J. Cooper, Southold Town Clerk's Office
Transmitted herewith is a copy of application No. 406 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Cutchogue, Development Corp. for First Universalist Church
•
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. ll
Linda J. Cooper
* * * * * * * * * *
I
have reviewed the application and location map of the project listed
above and make the following recommendation:
APPROVE -
DISAPPROVE -
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Signature
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Date
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OFFICE OF THE TOWN CLERK (\SWFUCIr`� t �/
Town of Southold Application No. O
Judith T. Terry, Town Clerk .G
Town Hall, 53095 Main RoadU Construction
P. O. Box 1179
Southold, New York 11971 ,yam O�•`, Alteration
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Telephonet �� Residential L
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.3 d'
mom_
Fee $ l�('
DATE
APPLICANT NAME: L-i,}1c.AO OG ? k ` CO 2
APPLICANT ADDRESS: Soo W-1/4-0E
CUTc4v6oe- { 3'' llq''? �
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: 1 -3Nf}L 3
OWNER MAILING ADDRESS: yo BCX 2-1-t
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OWNER PROPERTY ADDRESS: /-}'(Q;DVt
TELEPHONE NUMBER OF CONTACT PERSON: 13 SDS SEL _ q(.1. 4AN.
TAX MAP NO. : Section 3 Block 6 Lot e', .2
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
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Signature of Applicant
RECEIVED Bi""""`T
''''`'��`Town Clerk's Office
DATE: SEP 2 6 19H
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