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' s ' Hall, 53095 Main Road
JUDITH T. TERRY
Town
TOWN CLERK `a a "� P.O. Box 1179
REGISTRAR OF VITAL STATISTICS ® Southold, New York 11971
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MARRIAGE OFFICER o / ��� Fax (516) 765-1823
-v4 \%b(t)=' Telephone (516) 765-1801
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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. 742 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : PECON I C CESSPOOL
Address 1 : P. O. BOX 972
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
REPLACE EXISTING CESSPOOL WITH NEW OVERFLOW TYPE.
APPROVED AS SUBMITTED. CALL FOR NECESSARY EXCAVATION INSPECTION.
Name Of Owner HUFE, WARREN
Mailing Address 1 WELLS ROAD
City St Zip SOUTHOLD NY 11971
Property Address 1 WELLS ROAD
City St Zip SOUTHOLD NY 11971
Tax Map No. section 70.00 block 4 lot 6.000
Cross Street OAKLAWN AVENUE
Building Permit Number Cross Reference:
Issue Date: 7/26/91 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T. TERRY % !0 �� Town Hall, 53095 Main Road
Ie P.O. Box 1179
TOWN CLERK
REGISTRAR OF VITAL STATISTICS s, ;i Southold, New York 11971
MARRIAGE OFFICER Fax (516) 765-1823
�I r Zr�** Telephone (516) 765-1801
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OFFICE OF THE TOWN CLERK [g 1E awig -
TOWN OF SOUTHOLD D
July 19, 1991 A I :91991
To: Southold Town Code Enforcement "Officer BLDG. DEPT.
TOWN OF SOUTHOLD ;_
From: Linda J. Cooper, Southold Town Clerk's Office
Transmitted herewith is a copy of application No. A 764 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Cesspool for Warren Hufe .
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.
Linda J. Cooper
* * * * * * * * * * * * *
I have reviewed the application and location map of the project listed
above and make the following recommendation:
APPROVE - os
DISAPPROVE - n
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OFFICE OF THE TOWN CLERK ,,,'"'
Town of Southold" •'' , tgli/(`►0 Application No. -2(.St
Judith T. Terry, Town Clerk 1%'�� _ Gy
Town Hall, 53095 Main Road Z !� ; Construction
P. O. Box 1179 ; o _
Southold, New York 11971 tt3 �,�• Alteration
Tele hone =�D,y Q�i $10.00 - Residential 1/
(516) 765-1801 =�'Ol � ��
$25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 7 4 t/ •
Fee •$
DATE 7//f
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APPLICANT NAME: ,;Q2'. 171; z _
APPLICANT ADDRESS: v / 2---
SEPTIC
SEPTIC CESSPOOL
DESCRIPTIO OF PROPOSED CONSTRUCTION\OR ALTERATION
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCT ON OR ALTERATION:/
OWNER OF PROPERTY:
OWNER MAILING ADDRESS:
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON: �C?-965Y
TAX MAP NO. : Section 70 Block Lot (p
CROSS STREET: ��--
BUILDING PERMIT NUMBER CROSS REFERENCE:
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Sign/ure of Applicant
RECEIVED BY: 40/
Town Clerk's Office
DATE: 7A 979/-
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