HomeMy WebLinkAboutRobinson (4) 4°el f fie:
°`} Town Hall, 53095 Main Road
VoNgP.O. Box 1179
Southold, New York 11971
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JUDITH T.TERRY ����
'4���0ii1� 1i1 TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERIC
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 347 R Residential X Non-Residential
Fee $ 10. 00 Septic Cesspool X
PERMIT ISSUED TO:
Name : PECONIC CESSPOOL
Address 1: P.O. BOX 972
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
ADDITION OF NEW CESSPOOL TO EXISTING SYSTEM.
APPROVED AS SUBMITTED. NEW POOL MUST BE WITHIN 15 ' OF EXISTING POOL.
Name Of Owner ROBINSON, JEAN
Mailing Address 1 RR1, 9905 NASSAU POINT ROAD
City St Zip CUTCHOGUE NY 11935
Property Address 1 9905 NASSAU POINT ROAD
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 119. 00 block 1 lot 9. 001
Cross Street CLEARWATER ROAD
Building Permit Number Cross Reference:
Issue Date: 5/25/88 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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1 .' ��� Southold, New York 11971
•JUDITH T. TERRY TELEPHONE
TOWN CLERK
(516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
May 24, 1988
To: Victor Lessard, Southold Town Building Department
From: Linda J. Cooper, Southold Town Clerk's Office
Transmitted herewith is a copy of application No. A351 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Richard Magill d/b/a Peconic Cesspool for Jean Robinson
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.
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- - Linda
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I have reviewed the application and location map of the project listed
above and make the following recommendation:
APPROVE - X
DISAPPROVE -
COMMENTS: � � 63^ to c/
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Date
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OFFKE OF THE TOWN CLERK C�FFO(,r
Town of Southold 0 O
Judith T. Terry, Town, Clerk
y ,� � v�$ Application No. S �'
Town Hall, 53095 Main Road mssConstruction
P. O. BOX 1179 [n Y`£ _
��� Alteration
Southold, New York 11971
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 51>y
APPLICANT. NAME:.s' D. f�= w,, r` , w ` `' • , '� ,
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PLICANT 'ADDRESS..
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: ,
OWNER MAILING ADDRESS: / /
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO.':, Section /19' Block / Lot
CROSS STREET:
BUILDING PERMIT 'NUMBER CROSS REFERENCE:
Signature of Applica
RECEIVED BY: ►% ,
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DATE: Olj
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