HomeMy WebLinkAboutMiddlemiss L;
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, Town Hall, 53095 Main Road
rk4•- `� P.O. Box 1179
�® .W°. ®V.i'� Southold, New York 11971
JUDITH T.TERRY 'Iii•
TELEPHONE
TOWN CLERK (516) 765-1801
REGISTRAR OI VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 423 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : DUNNE, DAN
Address 1 : P. 0. BOX 583
City St Zip GREENPORT NY 11944
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 9/7/88.
Name Of Owner MIDDLEMISS, THOMAS & MARIANNE
Mailing Address 1 16-36 166TH STREET
City St Zip WHITESTONE NY 11357
Property Address 1 SEAWOOD DRIVE
City St Zip SOUTHOLD NY 11971
Tax Map No . section 79 . 00 block 8 lot 1 . 000
Cross Street NORTH BAYVIEW ROAD
Building Permit Number Cross Reference:
Issue Date: 11 /09/88 Judith T. Terry
Southold Town Clerk
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TOWN OF BOuT;OLD s fx
Town Hall, 53095 Main Road
�- �� P.O. Box 1179
�®1 Ø .•' Southold, New York 11971
taiJUDITH T.TERRY iAo0 TELEPHONE
TOWN CLERK (516) 765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
To: Victor Lessard, Southold Town Building Department
From: Linda Cooper, Southold Town Clerk's Office -
Dated: November 7, 1988
Transmitted herewith is a copy of application No. 429 for a Cesspool/
Septic Tank Construction Permit submitted by:
Dan Dunne for Thomas Middlemiss -
•
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 �(
DISAPPROVE
Comments: o uv, CA/ �u ,, f a (retia.
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Signature
11
Dated
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- OFFICE OF THE TOWN CLERK �
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Town of Southold 4-4'14
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Judith T. Terry, Town Clerk � � "" Application No.
Town Hall, 53095 Main Road o ' Construction
P. O. Box 1179 cn ���'�`� _ � �- ` �
Southold, New York 11971 ` " Alteration
Telephone .14 � Residential h
(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 $ /G °s
DATE 6r, y-z
i
APPLICANT NAME: �,
APPLICANT ADDRESS: tE) %hoX �3 d-eQr, �,z r /.®(/. •
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: 6jv1e 4,4„, / 3547.-
OWNER PROPERTY ADDRESS: �,Pne,e 47:-A cti�Ps� rv�2U/D
TELEPHONE NUMBER OF CONTACT PERSON: X77-
TAX MAP NO. : Section 079 Block r Lot �,ef2n/
- CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:_
/soature of Applicant
RECEIVED BY: J g
Town CJ(erk's ffie
DATE: ./k`- 7—