HomeMy WebLinkAboutSacher JUDITH T. TERRY Town Hall, 53095 Main Road
TOWN CLERK ® T P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Cr' .` Southold, New York 11971
MARRIAGE OFFICER yQ o� , Fax (516) 765-1823
So� 411 �� 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. 1000 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : MORRIS CESSPOOL SERVICE
Address 1 : 2760 YENNECOTT DRIVE
City St Zip SOUTHOLD NY 11971
Descripton of Proposed Construction or- Alteration
ADDITION OF AN OVERFLOW CESSPOOL TO AN EXISTING SYSTEM.
APPROVED AS SUBMITTED. KEEP AT LEST 10' APART. EXCAVATION INSPECTION
REQUIRED.
Name Of Owner SACHER, STEVEN
Mailing Address 1 2365 HYATT ROAD
City St Zip SOUTHOLD NY 11971
Property Address 1 2365 HYATT ROAD
City St Zip SOUTHOLD NY 11971
Tax Map No. section 54.00 block 1 lot 13.001
Cross Street SOUNDVIEW ROAD
Building Permit Number Cross Reference:
Issue Date: 5/21/93 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
s�i'�cgFOL t ,i
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JUDITH T. TERRY � � } __...-. ^ : n H.11, 53095 Main Road
wFt ; BLDG.DEF L� . P:O. Box 1179
TOWN CLERK e y a TOWN® SOUTHOLD
REGISTRAR OF VITAL STATISTICS ' " + bb"ri i New York 11971
Fax (516) 765-1823
MARRIAGE OFFICER ® v� r� i-
1�" Telephone (516) 765-1801
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda Cooper, Southold Town Clerk's Office
DATED: May 17, 1993
Transmitted herewith is a copy of application No. A1028 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Morris Cesspool for Steven Sacher
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 followin ecommendation:
APPROVE -
DISAPPROVE -
COMMENTS: 3:,✓REMIND
Signature
•
OFFICE OF THE TOWN CLERK ,,,'"""''
Town of Southold �oZd
Judith T. Terry, Town Clerk %`'®•• " �/�. Application No. f
Town Hall, 53095 Main Road . Construction
•
P. 0. Box 1179 - '� •
Southold, New York 11971 tt� ' Alteration
• Telephone =0"O,y�O %et/ $10.00 - Residential
(516) 765-1801 _ 1 /'� $25.00 - Non-Residential
'
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE AA-7 4 /l27 •
APPLICANT NAME: Ar
ioxirArAr ,Viil� Aft, s <pv/ "/ / s
APPLICANT ADDRESS: �(} ,(/e+e n �-,r 4=74£ V. 7M7 Y
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: S'/'JC "--
OWNER OF PROPERTY: '' feuciet
OWNER MAILING ADDRESS: 23i ��yei x,,�
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON: i(, C- 3306
TAX MAP NO. : Section L/ Block Lot /2/
CROSS STREET: � p
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Applicant
RECEIVED BY:
Town CI rk's Office
DATE: C`� / ?/p_3
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