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_ JUDITH T. TERRYE► Town Hall, 53095 Main Road
TOWN CLERK p rZ P.O. Box 1179
REGISTRAR OF VITAL STATISTICS If' � Southold, New York 11971
MARRIAGE OFFICER � ®
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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. 962 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : PECONIC CESSPOOL
Address 1 : P. O. BOX 972
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
ADDITION OF AN OVERFLOW TO AN EXISTING SYSTEM.
APPROVED WITH CHANGES AS SHOWN ON ATTACHED SKETCH. HOLD 10'
SEPARATION AND DISTANCE FROM WELL. CALL FOR NECESSARY EXCAVATION
INSPECTION.
Name Of Owner MORCOMBE, ESTHER
Mailing Address 1 615 ISLAND VIEW LANE
City St Zip _ GREENPORT NY 11944
Property Address 1 615 ISLAND VIEW LANE
City St Zip GREENPORT NY 11944
Tax Map No. section 57.00 block 2 lot 25.000
Cross Street BAYSHORE ROAD
Building Permit Number Cross Reference:
Issue Date: 2/24/93 Judith T. Terry
Southold Town Clerk
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JUDITH T. TERRY ,4 7,t, Town Hall, 53095 Main Road
TOWN CLERK ri t� P.O. BOX 1179
REGISTRAR OF VITAL STATISTICS % �` Southold, New York 11971
MARRIAGE OFFICER k 1p' *� Fax (516) 765-1823
G ��A ED �® �!� Telephone (516) 765-1801
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD �-i(`,et,,,,,,r,„
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TO: Southold Town Building Department � d/�' yn; ,�, r.
FROM: Linda Cooper, Southold Town Clerk's Office kTv` ' ° ' '
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DATED: FdDruary 22, 1993 ��e� 5� �� i6'"Y `f' }:
Transmitted herewith is a copy of application No. A989 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Cesspool for Esther Morcombe .
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.
C% cdr.t__
Linda J. Cooper
* * * * * * * * * * * * *
I have reviewed the application and location map of the project listed
above and make the following recommendation:
APPROVE - X
DISAPPROVE -
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