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OFFICE OF THE TOWN CLERK �FFOLA-
Town of Southold �o " _ O.
Judith T. Terry, Town Clerk
Town Hall 53095 Main Road
P. 0. Box 1179 . .>s '.: = •
Southold, New York 11971 O 0 ��•�
Telephone o •
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(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 115 Residential X
Non-Residential
Fee $ 10.00
Septic Cesspool x
PERMIT ISSUED TO:
NAME: Richard Magill (Peconic Cesspool)
ADDRESS: P.O. Box 972
Mattituck, New York 11952
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION •
Additional cesspool.
RESTRICTIONS: Install new pool as applied for.
LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
OWNER OF PROPERTY: Warren Hufe
OWNER MAILING ADDRESS: Wells Road
Southold, New York 11971
OWNER PROPERTY ADDRESS : Wells Road
Southold, New YOrk
TAX MAP NO. : Section 70 Block 4 Lot 6
CROSS STREET: Oaklawn Avenue
BUILDING PERMIT NUMBER CROSS REFERENCE:
0,1,re, ; 404
7
Judith T. Terry
Southold Town Clerk
, y I
DATE : March 9, 1987r.
(TOWN SEAL) 7
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�le4: �� Southold, New York 11971
JUDITH T. TERRY
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ll TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
March 4, 1987
To: Victor Lessard, Southold Town Building Department
From: Linda J. Cooper, Southold Town Clerk's Office
•
Transmitted herewith is a copy of application No. A119 for an
ALTERATION Permit for a cesspool or septic system submitted by
Richard Magill (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 --
Clerk
* * * * * * * *
I have reviewed the application and location map of the project cited
above and make the following recommendation:
APPROVE -
DISAPPROVE - -
•
COMMENTS: ,J (y. Q. 0 tekcalit.
Signature
3110/4? 7
Date
...
OPFICE'OF THE TOWN CLERK WFU '•"
Town of Southold R Application No.�//%
Judith T. Terry, 'Town Clerk .�
Town Hall, 53095 Main Road j' ; Construction
P. O. Box 1179 T••_ ` �J Alteration
Southold, New York 11971
Telephone 0l [ 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. •
4a!Fee .$ /6 °�
DATE7n/i/1---1---1140,7
,77e ,
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APPLICANT NAME: �p c3vvl
APPLICANT ADDRESS: "fa.. /3--2l
SEPTIC CESSPOOL I
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
a-Ael0 e.;20,-re-awK
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUTION OR ALTS TION:
OWNER OF PROPERTY:
OWNER MAILING ADDRESS:
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON: 7 '"/‘ST""` 2,F t'gir.ST
TAX MAP NO. : Section 7U Block Lot 6
CROSS STREET: t tw(,
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of App cant
RECEIVED BY m d w
h.,• .h "Town Clerks Offic
'1:1 :/7
DATE: ,• ,,,.,
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