HomeMy WebLinkAboutRaffe OFFICE OF THE TOWN CLERK cOFO(K�;�
Town of Southold � • 04
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road
P. O. Box 1179 g'``
Southold, New York 11971 O •
Telephone ��,
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
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CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 56 Residential xx
Non-Residential
Fee $ 10.00
Septic Cesspool xx
PERMIT ISSUED TO:
NAME: Neal Raffe
ADDRESS: P.O. Box 338
Mattituck, New York 11952
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION
New Construction - Single Family D -lung
= LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
OWNER OF PROPERTY: Neal Raffe
OWNER MAILING ADDRESS: P.O. Box 338
Mattituck. New York 11952
OWNER PROPERTY ADDRESS : Sebastians Cove Road
Mattituck, New York
TAX MAP NO. : Section 100 Block 3 Lot 11 .10
CROSS STREET: Mill Road
-BUILDING PERMIT NUMBER CROSS REFERENCE: Pending
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Judith T. Terry
Southold Town Clerk
DATE: October 9, 1986
(TOWNSEAL))
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OFFICE Of TOE TOWN CLERK
Town of Southold /
Judith T. Terry, Town Clerk Application No.(o
Town Hall, 53095 Main Road Construction L
P. O, Box 1179 Alteration
Southold, New York 11971
Telephone Residential
(516) 765-1801 Non-Residential
RE amp TOWN OF SOUTHOLD
OCT 0 9 1986 SOUTHOLD WASTEWATER DISPOSAL DISTRICT
Tnwn Clerk Southold
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee •$ /D`
DATE /d - `j- gi'
Y `
APPLICANT NAME: MC-4L
APPLICANT ADDRESS: A. god( 33
/ rn 7r, e_ /4`1. � // 'sem
SEPTIC CESSPOOL ✓
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
AL, CO pit 0
LOCATION MAP: Must be attached h reto before permit may be issued.
LOCATION OF PROPOSED COJ UCTION OR ALTERATION:
OWNER OF PROPERTY: -mss_.. -, i — )1 _•--- �� h
OWNER MAILING ADDRESS: /0- no, 331 OWNER PROPERTY ADDRESS:' S,¢wt SE QAST-i P ,uLS COVE cI RI)
m ft r-r-/7`4 cJc ,O Y
TELEPHONE NUMBER OF CONTACT PERSON: ? 71 - 13 3 0
TAX MAP NO. : Section Jo o Block 3 Lot
CROSS STREET: Nn- . ,c,/
BUILDING PERMIT NUMBER CROSS REFERENCE:
ignature of Applicant
RECEIVED BY: Q
Town Clerk' Office
DATE: •
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