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JUDITH T. TERRY � Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR OF VITAL STATISTICS v Southold, New York 11971
�� Fax 516 765-1823
MARRIAGE OFFICER x ( )
� ��,*' Telephone (516) 765-1801
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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. 720 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : SCOTT CORWIN L & E CORP.
Address 1 : P. O. BOX 276
City St Zip GREENPORT NY 11944
Descripton of Proposed Construction or Alteration
REPLACE EXISTING CESSPOOL WITH A LARGER POOL AND ADD AN ADDITIONAL
POOL.
APPROVED AS CORRECTED ON ATTACHED SKETCH. HOLD THE 10'0" SEPARATION
AND CALL THE BUILDING DEPARTMENT FOR AN EXCAVATION INSPECTION.
Name Of Owner MICHAELS, LUCY E.
Mailing Address 1 3570 MINIHAHA BLVD.
City St Zip SOUTHOLD NY 11971
Property Address 1 3570 MINIHAHA BLVD
City St Zip SOUTHOLD NY 11971
Tax Map No. section 87.00 block 3 lot 7.000
Cross Street WABASSO STREEET
Building Permit Number Cross Reference:
Issue Date: 6/03/91 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
A:. 7r
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g. ,� �',-...— -r % Town Hall, 53095 Main Road
. ), `--,:::..,-` ���i P.O. Box 1179
'1°..( * ;� i ° Southold, New York 11971
JUDITH T. TERRY "'N"i TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
June 3, 1991
To: Southold Town Code Enforcement 'Officer
From: Linda J. Cooper, Southold Town Clerk's Office
Transmitted herewith is a copy of application No. A743 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Scott Corwin for Lucy E. Michaels .
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.
i ' 4-
Linda J. Cooper
* * * * * * * * * * * * *
I have reviewed the application and location map of the project listed
above and make the following recommendation:
APPROVE -
DISAPPROVE -
COMMENTS: D J A et, ca- irri carot AAA ' ...)49-A-C2•
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st> { _ � Town Hall, 53095 Main Road
• P.O. Box 1179
1*5 19 Southold, New York 11971
JUDITH T. TERRY -4 TELEPHONE
TOWN CLERK
(516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
June 3, 1991
To: Southold Town Code Enforcement Officer
From: Linda J. Cooper, Southold Town Clerk's Office
Transmitted herewith is a copy of application No. A743 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Scott Corwin for Lucy E. Michaels
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 - -
DISAPPROVE -
COMMENTS:
•
Signature
Date
•
OFFICE OF THE TOWN CLERK ,,,'",,
� Town of Southold ��•'t5i1 M/rop Application No. 717/Judith T. Terry, Town Clerk ‘ ‘• i - Gy
Town Hall, 53095 Main Road L ; Construction
P. O. Box 1179 1w t I r=T,
Southold, New York 11971 ,ct'+ `t_y � Alteration
Telephone `yay�0 -J*4 7 $10.00 - Residential
(516) 765-1801 .. 1 � �' $25.00 - Non-Residential
. . ...rio,,
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
•
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ erAd—
ry
DATE 5 3/ ! /
7C
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APPLICANT NAME: _ �--- - ��ftG1I�n � Yw : �-'� r
APPLICANT ADDRESS: - // � ,%�r�I�L�lJ-t J � o 100x
„ ` •"r / lir - ' ' I - 4 /L
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED ONSTR TIONALTERATION 1/014c,e,if d lock '•a ( / sl vt r) !
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: L./� /�//ir�,gei/J'
OWNER MAILING ADDRESS: -)® Gh.,`4,17,4h4 Wd.
S A-k6W .A /
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON: y`77-I (o
TAX MAP NO. : Section 8 7 Block Lot
CROSS STREET: ki,A,k(J,(--0 Sr,
BUILDING PERMIT NUMBER CROSS REFERENCE:
CopL'GrAC/L"r
Signature of Applicant
RECEIVED BY:
n Clerk's Office
DATE: JUm 03 1991
Igo art
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SCOTT CORWIN LANDSCAPING & EXCAVATING CORP.
P.O. BOX 276
GREENPORT, NEW YORK 11944
(516) 477-1476
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