HomeMy WebLinkAboutHerzweil 0,0 let
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Town Hall, 53095 Main Road
®� / P.O. Box 1179
®� �� ! Southold, New York 11971
JUDITH T.TERRY !�%���c y / 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. 451 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : MOORE, WILLIAM D.
Address 1 : P. O. BOX 23
City St Zip MATTITUCK NY 11952
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 4/7/88.
Name Of Owner HERZWEIL, BENJAMIN
Mailing Address 1 MOORE, WILLIAM D.
P. O. BOX 23
City St Zip MATTITUCK NY 11952
Property Address 1 675 MEADOW LANE
City St Zip MATTITUCK NY 11952
Tax Map No. section 115.00 block 5 lot 7.000
Cross Street NEW SUFFOLK AVENUE
Building Permit Number Cross Reference:
Issue Date: 1/05/89 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
OFFICE OF THE TOWN CLERK05� V�U ‘/j
O
Town of Southold �' `'
L� �
Judith T. Terry, Town Clerk Application No.
Town Hall, � Construction
53095 Main Road aLpr;
�P. O. Box 1179 '�- !--
Alteration iv
Southold, New York 11971 Y
Telephone �l
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 G' - F�
APPLICANT NAME: Wft_I_I APA M OOt
APPLICANT ADDRESS: VO (Soy 13
SEPTIC CESSPOOL .
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: IG.74,s1 w,TJ w i' ' '�, �� �.�,/� 0_1, kp, 114 orL •
OWNER MAILING ADDRESS: &)r 73
/77/ nuc rte. ,v-7 l J 95-11
OWNER PROPERTY ADDRESS: 7( /0/E-y�pv� �hq
/W,P- 77UC y ,
TELEPHONE NUMBER OF CONTACT PERSON: Z 7- J-6°7 i/
TAX MAP NO. : Section // s Block .- Lot 7
CROSS STREET: Aieksi Svr-Ftwc
BUILDING PERMIT NUMBER CROSS REFERENCE:_
A.)(/4--1
Signature of Applicant
RECEIVED BY qmosivED
Town Clerk's Office
DATE: CLEC _; 0 1988 •
Town Clerk Southold
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(VACANT 1
SUFFOLK CO! MY DEPARTMENT OF HEALTH SE VICE:
FOF APPPOVAL OF CONSTRUCTIOfd OF -
/ S'f1;;1 Faroily Residence Only
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APPROVED
<, 3EXPIRES TWO YEARS FROM DATE OF APPROVAL
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NEW SUFFOLK AVENUE -
SURVEY FOR _ '
s•_ t a - WILLIAM MOORE & BENJAMIN L. HERZWEIG APRIL 5 19
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