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• • 47-U>reN ; ,.. . t ; Town Hall, 53095 Main Road '°'`tom P.O. Box 1179 Southold, New York 11971 JUDITH T.TERRY ��A��rs. 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. 358 R Residential X Non-Residential Fee $ 10. 00 Septic Cesspool X PERMIT ISSUED TO: Name : WINDS WAY BUILDING CORP. Address 1: 1020 GLENN ROAD City St Zip SOUTHOLD NY 11971 Descripton of Proposed Construction or Alteration NEW SINGLE FAMILY DWELLING WITH CESSPOOL SYSTEM. APPROVED AS SUBMITTED AND AS PER SUFFOLK COUNTY HEALTH DEPARTMENT APPROVAL. Name Of Owner NEUMANN, WILLIAM AND MARTHA Mailing Address 1 240 GREEN VALLEY ROAD City St Zip EAST MEADOW NY 11554 Property Address 1 LITTLE PECONIC BAY ROAD City St Zip CUTCHOGUE NY 11935 Tax Map No. section 111. 00 block 11 lot 3 . 000 Cross Street VANSTON ROAD Building Permit Number Cross Reference: s,3 Issue Date: 6/17/88 Judith T. Terry Southold Town Clerk (TOWN SEAL) jE w NEME �� 57L'�� D� JUN 6 ' qv�• ' l L V��.. • L jY[4C';iInSP'✓ � 35V R-`�^t' 0 BLDG. DENT. rte, Town Hall, 53095 Main Road TOWN OF SOUTHOLD ; ':0°'. `�` ; jam • �.. _.._._.. ..__OUTH P.O. Box 728 'li it Southold, New York 11971 __,II JUDITH T.TERRY TELEPHONE TowN CLERK (516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD June 16, 1988 To: Victor Lessard, Southold Town Building Department From: Judith T. Terry, Southold Town Clerk Transmitted herewith is a copy of application No. 361 for a CONSTRUCTION or ALTERATION Permit for a cesspool or septic system submitted by Winds Way Building Corp. for William & Martha Neumann. Please review the application and location map and advise if the project has received Suffolk County Health Department approval and if we may issue the permit. Please complete the form below and return it to my office. Thank you. 401r • ei°144 Judith T. Terry Southold Town Clerk * * * * * * * * I have reviewed the application and location map of the project cited above and make the following recommendation: APPROVE - DISAPPROVE - COMMENTS:. ova oLXKa.L tel' Vat C 14:(NN '===1ciliplaTTA - �� - o . 7 Signature 1.9 ) 1. Date ' OFFICE OF THE TOWN CLERK ,�FFO S mac" JudithT. Terry,n of thold Town Clerk a 3._.. .oG • <3 G � �4 bk. ;� y Application No. Town Hall, 53095 Main Road Construction P. O. Box 1179 �yF _ �. J Southold, New York 11971 'Vi" ® ''u �- 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. Fee •$ /6 — v DATE //�7,0 - APPLICANT NAME: Ztibihcatin-5. 6,4c� jj APPLICANT ADDRESS: /6 co ps/,•//2`/ SEPTIC CESSPOOL DESCRIPTION OF PR POSED CONSTRUCTION OR ALTERATION & -' ' ' dlr.4'�.-Lu�./ LOCATION MAP-: Must be attached hereto before permit may be issued. • LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: U",•/1ri + p kbo> ',p, 84 uN OWNER MAILING ADDRESS: IYu (o/Z4zt,J p,Gf27 /241, /PI ��aac✓u . /ID's''/ OWNER PROPERTY ADDRESS: 4/r Gadaia•. Pt. c,[ 0)10sdic-it+ 1-8-e iqzr TELEPHONE •NUMBER OF CONTACT PERSON: /33 3� TAX MAP NO. : Section /// Block I/ Lot 3 CROSS STREET: !/CGptdciiPtix, BUILDING PERMIT NUMBER CROSS REFEREN - . - Signature of Applicant I RECEIVED Bt�� i ��-@ .+✓ REC.1VEDrown lerkrsO� ffice - - DATE: .;; 1_ 6 1388 • Town Clerk Southold • . ' •-• •' .1.;.:5,43.;-4,..1 14,,gzew....t.z.,...-,m...,....y.0.,,,.....,...•, ,,, ..1.,..,..,.....,:r...,,....,,._,.•,-, SUFFOLK CO. HEALTH DPT. APPROVAL iN 1,...„.„„j..i.-,.....:• ,.-1,....-0.e---:;:.-•.;.:Yr•,', ; -•.',...%.........., ;'••..,-\'........i- ,,, .- . .- ,. , '' \..L 1 4••••• , 5 . • tie direc,:•1,,s4;t 4.;....,i.:'A.,...••••7.7 *7•-•7'• '---' ''‘'t,J1flitir •L-..'1.-.A ! i.4.... 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