HomeMy WebLinkAboutMohring (11) 41,
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Town Hall, 53095 Main Road
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JUDITH T.TERRY =®� �°s �,ii� TELEPHONE
TOWN CLERK
(516) 765-1801
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. 427 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : MOHRING, RICHARD
Address 1 : 237 GLEN COVE AVENUE
City St Zip SEA CLIFF NY 11579
Descripton of Proposed Construction or Alteration
NEW SINGLE FAMILY DWELLING
APPROVED AS SUBMITTED.
Name Of Owner MOHRING, RICHARD
Mailing Address 1 237 GLEN COVE AVENUE
City St Zip SEA CLIFF NY 11579
Property Address 1 KINBERLY LANE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 70.00 block 13 lot 20.019
Cross Street PINE NECK ROAD
Building Permit Number Cross Reference:
Issue Date: 11/18/88 Judith T. Terry
Southold Town Clerk
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OFFICE OF THE TOWN CLERK 5\\TF��
Town of Southold CQG' Application No. 4.40.0Judith T. Terry, Town Clerk �
Town Hall, 53095 Main Road 7 Residential AL
P. O. Box 1179 cry _ `' Non-Resid-ntial
Southold, New York 11971 •
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Telephone .( It•
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
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ERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. c,2 L1,/
-
Fee $
DATE y/g/sr
OWNER NAME: 12 ' [' 1, ci (AlU (-- (2j u`J
OWNER MAILING ADDRESS: 3 ? ( (c (G U r G -P
OWNER PROPERTY ADDRESS: Pt' �, c i f 7%141(7
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OWNER TELEPHONE NUMBER: 7 (— C( l
TAX MAP NO. : Section 76 Block 7 3 Lot ,
CROSS STREET: ( , j 6 < Y l Ct e / /) < 47r /T, nd
TYPE OF SYSTEM: Septic Tank 0a New Existing
Cesspool C E New Existing
Residential y Non-Residential
DATE OF PREVIOUS PUMP-OUT:
LOCATION MAP: Must be attached hereto before permit may be issued.
(Locate building and system; give north arrow and feet
of distance, approximately, to building and closest road.)
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DATE: ///) 5/4?‘
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• • ( v A Ca N T j THE WATER SUPPLY AND SEWAGE DISPOSAL
AREA = 47 022SQ, FT.,; FILL FACILITES FOR ALL LOTS IN THIS DEVELOPMENT
4' - COMPLY WITH THE STANDARDS & REQUIREMENTS
OF THE SUFFOLK'COUNTY DEPARTMENT OF HEAL TH.
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6 standards for title surveys, as established '
' by the L.I.A.L.S. and approved and adopoted - • ° . EY OF -
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