HomeMy WebLinkAboutMohring (7) ovf Dtiro
Town Hall, 53095 Main Road
�i`� P.O. Box 1179
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Vii'' Southold New York 11971
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7UDITH T.TERRYX25' ���`� FAX(516)765-1823
TELEPHONE(516)765-1801
TOWN CLERK
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 569 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : MOHRING, RICHARD
Address 1 : 35 MOHRING BAY COURT
City St Zip BAYVILLE NY 11709
Descripton of Proposed Construction or Alteration
NEW SINGLE FAMILY DWELLING
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES ON 10/3/89.
Name Of Owner MOHRING, RICHARD
Mailing Address 1 323 GLEN COVE AVENUE
City St Zip SEA CLIFF NY 11579
Property Address 1 LONG CREEK DRIVE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 55.00 block 7 lot 7.000
Cross Street LAUREL AVENUE
Building Permit Number Cross Reference:
Issue Date: 12/06/89 Judith T. Terry
Southold Town Clerk
(TOWN SEAIr)
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JUDIT IdM I o 5®U T. ��,���N TELEPHONE
TOWN CLERK TFIOL85 (516) 765-1801
REGISTRAR or 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 27, 1989
Transmitted herewith is a copy of application No. 583 for a Cesspool/
Septic Tank Construction Permit submitted by:
RICHARD MOHRING
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
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Signature
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Dated
OFFICE OF THE TOWN CLERK ,c0FU(k,�
Town of Southold
Judith T. Terry, Town Clerk a f: Application No. 6-Y573
Town Hall, 53095 Main Road • Construction
P. O. Box 1179
Southold, New York 11971 O 0;'phone
Alteration
TeleeiAN
t " Residential
(516) 765-1801 ' I
Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No;.
Fee $
DATE ///: 7/
APPLICANT NAME: 7? rr G�G �(•�`Gt/�
APPLICANT ADDRESS: ( cyi7.7-Ou6-P /1/47?" •/
(-//1.7f /17 // P
SEPTIC y 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 CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: /7, e4
OWNER MAILING ADDRESS: 72-3
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OWNER PROPERTY ADDRESS: 4,04)6,
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section S- Block 5 7 Lot C
CROSS STREET: C14e-W
BUILDING PERMIT NUMBER CROSS REFERENCE:
gnature of Applic n
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RECEIVEBY: ��//`///i /%1
Town Clerk's Office
DATE: // — 4 5 &-,
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