HomeMy WebLinkAboutPapa JUDITH T. TERRY 1+ _ Town Hall, 53095 Main Road
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TOWN CLERK P.O. Box 1179
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REGISTRAR OF VITAL STATISTICS tri Southold, New York 11971
MARRIAGE OFFICER Fax� ��, Fax (516) 765-1823
'yol *not. Telephone (516) 765-1801
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 950 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : PECONIC CESSPOOL
Address 1 : P. O. BOX 975
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
ADDITION OF AN OVERFLOW TO AN EXISTING SYSTEM.
APPROVED AS SUBMITTED. EXCAVATION INSPECTION REQUIRED.
Name Of Owner PAPA, VINCENT
Mailing Address 1 175 FRONT STREET
City St Zip LAUREL NY 11948
Property Address 1 175 FRONT STREET
City St Zip LAUREL NY 11948
Tax Map No. section 126.00 block 10 lot 9.002
Cross Street BRAY AVENUE
Building Permit Number Cross Reference:
Issue Date: 1/15/93 Judith T. Terry
Southold Town Clerk
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® %_., Town Hall, 53095 Main Road
JUDITH T. TERRY �;
TOWN CLERKZ. ® ig P.O. Box 1179
REGISTRAR OF VITAL STATISTICS g, :�` Southold, New York 11971
MARRIAGE OFFICER _® .'I Fax (516) 765-1823
�i ' .�' Telephone (516) 765-1801
40
OFFICE OF THE TOWN CLERK D._u �. m=
TOWN OF SOUTHOLD ,,
\\J �' 2129992TO: Southold Town Building Department ;� �,, ,rl'j
FROM: Linda Cooper, Southold Town Clerk's Office �. -HO :. ryEPT`.' �m
DATED: December 22, 1992 .TOWN Of SO T-ipLD. ,,,
Transmitted herewith is a copy of application No. , 977 for an •
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Cesspool for Vincent Papa
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.
/
Linda J. Cooper
* * * * * * * * * * * * *
I have reviewed the application and location map of the project listed
above and make the following recommendation:
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APPROVE - b<
DISAPPROVE -
COMMENTS: 4.e . ! - ./ 0, ' ,1 •'/i •. Q. !
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• ) \ Signature
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Date
OFFICE OF THE TOWN CLERK ,,,'"',,"''• � 1
Town of Southold .�'4� tfUti(Cs;?;
Application No �'
Judith T. Terry, Town Clerk �� � . Gy
Town Hall, 53095 Main Road Z r_ •�
Construction
P. O. Box 1179 ; o ,'ten ;
Southold, New York 11971 �tJ� = �,• Alteration
Telephone �y0,j- $10.00 - Residential
(516) 765-1801l
- � �' $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE , 7/ -771.40/
APPLICANT NAME:
APPLICANT ADDRESS:
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION ell
ALTERATION
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTJ,ON OR ALTERATION:
OWNER OF PROPERTY: M i.- . � / ff ✓ •
OWNER MAILING ADDRESS: / Zj 1
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON: C211,-765:7
TAX MAP NO. : Section /Z4- Block fe Lot
CROSS STREET: /59,Z1
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of App ' ant
RECEIVED BY:
Town Clerk's Office
DATE:
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