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JUDITH T. TERRY �� yL Town Hall, 53095 Main Road
TOWN CLERK g i P.O. Box 1 179
REGISTRAR OF VITAL STATISTICS t 0 T Southold, New York 11971
�� Fax (516) 765-1823
MARRIAGE OFFICER
® ®���• Telephone (516) 765-1801
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 685 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : SEA BREEZE CESSPOOL SERVICE
Address 1 : P. O. BOX 156
City St Zip CUTCHOGUE NY 11935
Descripton of Proposed Construction or Alteration
FILL IN OLD CESSPOOL AND PUT IN NEW POOL.
APPROVED AS SUBMITTED, HOWEVER, OLD POOL MUST BE REMOVED. EXCAVATION
INSPECTION REQUIRED. CALL 765-1802 FOR AN APPOINTMENT AT LEAST 24
HOURS IN ADVANCE.
Name Of Owner RICHMOND, ROBERT
Mailing Address 1 BOX 133
City St Zip CUTCHOGUE NY 11935
Property Address 1 MAIN ROAD
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 97.00 block 2 lot 11 .000
Cross Street BRIDGE STREET
Building Permit Number Cross Reference:
Issue Date: 12/12/90 Judith T. Terry
Southold Town Clerk
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TOWN OF SOUTHOLD ,.., ,.. ; g, .F ,
'- . ,14 Town Hall, 53095 Main Road
�N't'�. P.O. Box 1179
'�� �i ��� Southold, New York 11971
JUDITH T. TERRY �'••�����1' TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
December 10, 1990
To: Southold Town Code Enforcement 'Officer
From: Linda J. Cooper, Southold Town Clerk's Office
Transmitted herewith is a copy of application No. A685 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Sea Breeze Cesspool Service for Robert Richmond •
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 - X
DISAPPROVE -
COMMENTS: — .cx .�P. tiC9 c SUL A CiaLtiR i
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Signature
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Date
OFFICE OF THE TOWN CLERK "
,-Town of Southold .' ��FFD�K�►.
Judith, T. Terry, Town Clerk Q Application No. 6
G
Town Hall, 53095 'Main.Road 1 ; Construction
'P. 0: Box 1179 ', Alteration
Southold, New York 11971,2- = � m,
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Telephone (Zr - $10.00 - Residential
(516) 765-1801 . '_"t 311 ,, ! $25.00 -Non-Residential
TOWN OF SOUTHOLD
,SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
• SEPTIC TANK 'or CESSPOOL
•
Permit No.
Fee $ 73
DATE 121/67 /
APPLICANT NAME: SCCA (5r0,C'Ve C CCS (°óÔ 1 , Sery 'G c
o
APPLICANT ADDRESS: it I , `1ta-4, V .�
SEPTIC CESSPOOL [°
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION ° I.11 0 `a
•
ces5eeol c,ncl ?ci I ill r)e14/ ces5rooi� "
LOCATION MAP: Must be attached hereto before permit may be issued. GA, 1'kt,ver c Side.
- LOCATION, OF PROPOSED CONSTRUCTION OR ALTERATION':,
• OWNER OF PROPERTY: ikU e l &'c1'1 Mph() -
OWNER MAILING ADDRESS: BOX 133 \f 2 , Cui0.10,vv e.
- -OWNER PROPERTY ADDRESS: airn e. 0.S G.aov
TELEPHONE NUMBER OF CONTACT PERSON: . t3 -35-
,
3 -35 [ ,
TAX MAP NO. : Section , le .Block L. Lot I l
CROSS STREET: Ortil 51.
BUILDING PERMIT NUMBER CROSS REFERENCE:
nature of Appli nt
RECEIVED BY:
oW ACrerk's Office
DATE: DEG 1- U 1290
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