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JUDITH T. TERRY , r Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER ems® Fax Fax (516) 765-1823
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(516) 765-1801 410 I
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 692 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : LYNCH HOMES, INC.
Address 1 : 1725 ROUTE 58
City St Zip RIVERHEAD NY 11901
Descripton of Proposed Construction or Alteration
NEW SINGLE FAMILY DWELLING WITH CESSPOOL SYSTEM.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES ON 12/19/90.
Name Of Owner METZ, KEVIN AND SUSAN
Mailing Address 1 P. O. BOX 67
City St Zip PECONIC NY 11958
Property Address 1 ORIOLE DRIVE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 55.00 block 6 lot 15.029
Cross Street TUTHILL ROAD EXT.
Building Permit Number Cross Reference:
Issue Date: 3/20/91 Judith T. Terry
Southold Town Clerk
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J Town Hall, 53095 Main Road
BLDG.DEPT. `�'.`=�, '�7,', --,:.:%,-,-,` '�r Town Clerk Southold P.O. Box 1179
TOWN OF SOUTHOLD ' `.` .. °�' ',UJ
r, � .1".--,',a' Southold, New York 11971
JUDITH T.TERRY >,6`3"-- TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
To: Southold Town Code Enforcement Officer
From: Linda Cooper, Southold Town Clerk's Office
Dated: February 27, 1991
Transmitted herewith is a copy of application No. 705 for a Cesspool/
Septic Tank Construction Permit submitted by:
Lynch Homes Inc for Kevin and Susan Metz •
Please review the application and location map and advise if the project
has received Suffolk County Health Department approval and if this office
may issue the permit.
Please complete the form below and return it to me.
Thank you.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE X -
DISAPPROVE
Comments: o-s ,c,Q"fi,i ov- 1 0.agc c0
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OFFICE OF THE TOWN CLERK ,,'",,,""'--
Town of Southold .'���cj�EFULx1'0 = Application No.'7os
Judith T. Terry, Town Clerk ;�'�o G
Town Hall, 53095 Main Road ;
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