HomeMy WebLinkAboutMohr OFFICE OF THE TOWN CLERK C FO(K`,"
Town of Southold
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road }'' s
P. O. Box 1179 :c13 s �S _ `
Southold, New York 11971
Telephone 0 J t /
(516) 765-1801 '�
TOWN OF. SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 109 Residential X
Non-Residential
Fee $ 10.00
Septic Cesspool X
PERMIT ISSUED TO:
NAME: Robert and Andrea Mohr
ADDRESS: 37 Mt. McKinley Avenue
Farmingville, New YOrk 11739
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION
New Single Family/Dwelling
LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
OWNER OF PROPERTY: Robert Mohr
OWNER MAILING ADDRESS: 37 Mt. McKinley Avenue
Farmingville, New York 11739
OWNER PROPERTY ADDRESS: Wabasso Street
Southold, New YOrk 11971
TAX MAP NO. : Section 78 Block 3 Lot 34.2
CROSS STREET: Nakomis Road
BUILDING PERMIT NUMBER CROSS REFERENCE: Unknown
eoreotee4;e1,27.00.000,....00'
Judith T. Terr
Southold Town Clerk
DATE: FEbruary 13, 1987 •
(TOWN SEAL)`.`
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tom' su,'dfd Town Hall, 53095 Main Road
GCS'`';k> _•- >< P.O. Box 1179
- /& , 1a°' tr Southold, New York 11971
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JUDITH T.TERRY �'.,.0u / i� TELEPHONE
TOWN al.RI. (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
FEbruary 13, 1987
Robert and Andrea Monr
37 Mt. McKinley Avenue - :s ,
Farmingville, New YOrk 11739
Re: Wabasso Street .
Southold, New York
Enclosed herewith is the Construction, Alteration or Modification
Permit for a Septic Tank or Cesspool System for which you applied.
Please be advised that each owner of real property operating an
on-site sewage disposal system, such as a septic tank or cesspool must,
prior to such operation, possess in the name of the owner an Operation ,
Permit for the system. The Operation Permit is issued by the Town
Clerk's Office.
The fee for an Operation Permit is ten dollars ($10.00) for
residential use and twenty-five dollars ($25. 00) for non-residential.
Please have the owner complete the enclosed Application for an Operation
Permit and return it to this office along with the proper fee.
For your general information I have enclosed an Informational
Bulletin regarding the Scavenger Waste Laws adopted by the Southold
Town Board. Should you have any questions pertaining to either permits
or the Scavenger Waste Laws, please do not hesitate to contact this
office. We will be glad to assist you in any way possible.
Very truly ours,
7.0•••• .
Judith T. Terry
- Southold Town Clerk
Enclosures (3)
JTT/Ijc
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OFFICE OF THE TOWN CLERK _
Town of Southold
Judith T. Terry, Town Clerk Application _No.P
Town Hall, 53095 Main Road Construction 1,/ ,-
P. O. Box 1179
Southold, New York 11971 __ Alteration
Telephone 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. /6
Fee $ 1 O. OD
DATE - -- / // 2
APPLICANT NAME: D 4F/2 / RN(21P F_ /'t- X R _
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APPLICANT ADDRESS: 3 7 `�! � �-� - ___e
�Feee
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SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION�� OR ALTERATION
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONST UCTION OR ALTERATION:
OWNER OF PROPERTY: 11/o
OWNER MAILING ADDRESS: /L,-;-,---6.7 �,�
OWNER PROPERTY ADDRESS: V V A_ ASO S--'-lir e e ,
t/(,„
TELEPHONE NUMBER OF CONTACT PERSON: Fes- S� F ,_ .
TAX MAP NO. : Section 7 e Block _ Lot
CROSS STREET: N4*'U,-njc `R r cid
BUILDING PERMIT NUMBER CROSS REFERENCE:
_ ,L777a.„.,,
Signature of Applicant
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RECEIVED BY�� I wigs C
bown p'erk's O✓is
RECEIVE-Erin-
DATE:
ECEIVE
DATE:
1-EB ii 1981
• Town Uri( Southold
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