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JUDITH T. TERRY ;,
Town Hall, 53095 Main Road
TOWN CLERK p T P.O. Box 1179
REGISTRAR OF VITAL STATISTICS �� Southold, New York 1197 l
MARRIAGE OFFICER �Q Fax��, Fax (516) 765-1823
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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. 988 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : PECONIC CESSPOOL
Address 1 : P. O. BOX 972
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
INSTALL NEW, LARGER CESSPOOL TO TIE IN WITH EXISTING OVERFLOW. FILL
IN EXISTING SMALL CESSPOOL.
APPROVED AS SUBMITTED. KEEP 10' APART. EXCAVATION INSPECTION
REQUIRED.
Name Of Owner FONTANA, VINCENT
Mailing Address 1 340 EAST 18TH STREET
City St Zip BROOKLYN NY 11226
Property Address 1 55 OAKWOOD
City St Zip SOUTHOLD NY 11971
Tax Map No. section 59.00 block 2 lot 14.000
Cross Street WESLAND ROAD
Building Permit Number Cross Reference:
Issue Date: 5/07/93 Judith T. Terry
Southold Town Clerk
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JUDITH T. TE' ' Gus i._ Town Hall, 53095 Main Road
TOWN CLERK Z i P.O. Box 1179
REGISTRAR OF VITAL ST S Southold, New York 11971
MARRIAGE OFFIC Ott
Fax (516) 765-1823
BLDG.DEQ = 4fra �1D� �� Telephone (516) 765-1801
TOWN OF SOUTHO`fl 41
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda Cooper, Southold Town Clerk's Office
DATED: April 29, 1993
Transmitted herewith is a copy of application No. A1014 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Cesspool for Vincent Fontana ,
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.
X-
Linda J. Cooper
* * * * * * * * * * * * *
I have reviewed the application and location map of the project listed
above and make the following recommendation:
APPROVE - JC
DISAPPROVE -
COMMENTS: j1,6 i ' I 0,1/ 1/7/--
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EXCAVATION INSpE
CTiON
REQUIRED S0 a- " .� �..�P;,
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OFFICE OF THE TOWN CLERK Oc0FOUre,
Town of Southold Qom. Application No/.
Judith T. Terry, Town Clerk .G It
Town Hall, 53095 Main Road Construction
P. O. Box 1179 `y.
Southold, New York 11971 �,y�tr3 ���� Alteration
Telephone 01 * ��O �� Residential 1,.,
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ /0,00
DATE tt/2-i b 3
APPLICANT NAME: /2.e.6„.fret.c.. -
APPLICANT ADDRESS: /9d /; -v 972-
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: /� Grifent4�' ,
OWNER MAILING ADDRESS: %' el,...2e-as.e /�Z S
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OWNER PROPERTY ADDRESS:
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