HomeMy WebLinkAboutHariri VI/`/%,ice
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& ` �- Town Hall, 53095 Main Road
S7.....&441\4060.4;" .: P.O. Box 1179
$ ,,.�'� Southold, New York 11971
�
JUDITH T.TERRY `=�? ��`' FAX(516)765-1823
TOWN CLERK TELEPHONE(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. 615 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : RICHARD CAMPBELL
Address 1 : 7 HAWKINS AVENUE
City St Zip EAST SETAUKET NY 11733
Descripton of Proposed Construction or Alteration
NEW SINGLE FAMILY DWELLING WITH CESSPOOL SYSTEM.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES ON 4/23/90.
Name Of Owner HARIRI, ROBERT AND MAGGIE
Mailing Address 1 1320 YORK AVENUE
APT. 30N
City St Zip NEW YORK NY 10021
Property Address 1 SOUNDVIEW AVENUE
City St Zip MATTITUCK NY 11952
Tax Map No. section 100.00 block 2 lot 5.001
Cross Street SALTAIRE WAY
Building Permit Number Cross Reference:
Issue Date: 5/30/90 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
s.
mow.
Ur2a Town Hall, 53095 Main Road
fi'±-
0"� �'�-�* P.O. Box 1179
Z$of` ��# Southold, New York 11971
JUDITH T.TERRY „so TELEPHONE
TOWN CLERK (516):16§71,891,,---i
REGISTRAR OI VITAL STATISTICS OFFICE OF THE TOWN CLERK �"`r
7=1TOWN OF SOUTHOLD ` ' =aC�� ;r , "
' 2 p 't 1
/31
MAY1990
��`�
To: Southold Town Code Enforcement Officer
From: Linda Cooper, Southold Town Clerk's Office b'O`''OF DEPT.
TowNDated: May 21, 1990
Transmitted herewith is a copy of application No. 630 for a Cesspool/
Septic Tank Construction Permit submitted by:
Richard Campbell for Robert and Maggie Hariri. •
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 application and location map of the project cited above
and make the following recommendations:
APPROVE
DISAPPROVE
Comments: ► • ,,
NJALLA.P. LYNN 91a-1\cto
MOO clb..0 AA.
Signature
MAY 24 r wO 6Ji3/9
Dated
, :...,.
OFFICE OF THE TOWN CLERK cc�VFFO(,(� _
Town of Southold , , CO ��
' Application No. (o
Judith T. Terry, Town Clerk '- <
Town Hall, 53095 Main Road ` c Y �� Construction 6...---
P.
/
P. 0. Box 1179 ����, ,,F-a. •
Southold, New York 11971 ®F Alteration
Telephone �l r [ 1.a•� 1'. Residential (_
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE c\/ 2/ 89C-)
APPLICANT NAME: c C Cc �`i' s octmiLe_._ ((
APPLICANT ADDRESS: 7 c f i,',,f 5 fly/e e;61- S,Y-c,o (;e�
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSEDIICONSTRUCTION OR ALTERATION
Me-Lc) re S , Ge r\( Cc_
•
LOCATION MAP: Must be attached hereto before permit may be issued.
• LOCATION OF PROPOSED CO SITRUCTION OR ALTERATION:
OWNER OF PROPERTY: o,bei 1 --s fl'i I e_ //cri-i
OWNER MAILING ADDRESS: l� 2C.) � ' T So
N. `/. 1 N Y. /oC2
OWNER PROPERTY ADDRESS: -__Cruidklieu) Are._
rnc`f H,toc(C
TELEPHONE NUMBER OF CONTACT PERSON: 66 - 631
TAX MAP NO. : Section /Ob Block 2- Lot f�U S
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
aexA.es 61414a
Signature of/Applicant
RECEIVED BY:
ligiwr CIRs Office
DATE: ,,...
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