HomeMy WebLinkAboutNaletilic q!. i.
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Town Hall, 53095 Main Road
�� P.O. Box 1179
� Southold, New York 11971
JUDITH T.TERRY FAX(516)765-1823
TOWN CLERK TELEPHONE(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. 551 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 CESSPOOL TO AN EXISTING SYSTEM.
APPROVED AS SUBMITTED. NOTE: EXCAVATION INSPECTION REQUIRED.
Name Of Owner NALETILIC, VINKO
Mailing Address 1 150-16 24TH ROAD
City St Zip WHITESTONE NY 11357
Property Address 1 1150 SECOND STREET
City St Zip NEW SUFFOLK NY 11956
Tax Map No. section 117.00 block 7 lot 22.000
Cross Street ORCHARD STREET
Building Permit Number Cross Reference:
Issue Date: 9/14/89 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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.moo l ' • . P.O. Box 1179
'_9410 )1$0° Southold, New York 11971
JUDITH T. TERRY '"���il�� TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
September 12, 1989
To: Victor Lessard, Southold Town Building Department
From: Linda J. Cooper, Southold Town Clerk's Office
Transmitted herewith is a copy of application No. A565 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Cesspool for Vinko Naletilic
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.
Cie--/
Linda J. Cooper
* * * * * * * * * * * * *
I have reviewed the application and location map of the project listed
above and make the following recommendation:
APPROVE - D('
DISAPPROVE -
COMMENTS: q„ j,,,,rELt eZ-t �, anac 90.
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OFFICE OF THE TOWN CLERK S�FFQCI
JudithTown of T. Terry, thold TownClerk ��0. " - j- "O Application No.
Town Hall, 53095, Main Road ` ., -, Construction
P. O. Box 1179 Ln ® _, 1 -=
Southold, New York 11971
"":- O� . Alteration
Telephone 0 , 0 Residential
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
I
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL --
Permit No.
Fee $ co
DATE -,9,1112/61-2
APPLICANT NAME: CL„-eirt ! i
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APPLICANT ADDRESS: /fa AP 7�
A6 I
SEPTIC CESSPOOL
DESCRIPT .SN I PROPOSED CONSTRUCTION OR ALTERATION
'.% LICA /�� _ •••••417. -----
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRU,CTI N 0 ALTERATION:
OWNER OF PROPERTY: , t ' X/9 Lk-- 1-11-1c.-
OWNER MAILING ADDRESS: /5-0 --/C. --1-4( 1Z
/73 57
OWNER PROPERTY ADDRESS: //S ��.-6( S
It/J .,5#esi / tgr
TELEPHONE NUMBER OF CONTACT PERSON: iffe 976 51
TAX MAP NO. : Section //7 Block / Lot 7---2,--
CROSS STREET: (54i[ ,
BUILDING PERMIT NUMBER CROSS REFERENCE:
#61.4‘,‘"Ait /.,
Signature of Applic. t
RECEIVED BY:
WE 1 C n Clerk's Office
DATE: SSP 12
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• nil 14- 11
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