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rb, tilf Wire, JUDITH T. TERRY %� � Town Hall, 53095 Main Road TOWN CLERK S P.O. Box 1179 REGISTRAR OF VITAL STATISTICS T Southold, New York 11971 MARRIAGE OFFICER ',` Fax (516) 765-1823 s� Telephone (516) 765-1801 +•rid///�` OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 708 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : JOHN J. WALTERS Address 1 : 160A OREGON ROAD City St Zip CUTCHOGUE NY 11935 Descripton of Proposed Construction or Alteration REPLACE OLD, COLLAPSED CESSPOOL WITH NEW POOL. APPROVED AS SUBMITTED. HOLD TO 15' BEWEEN OLD AND NEW POOL. CALL 765-1802 (BUILDING DEPT. ) FOR AN EXCAVATION INSPECTION. Name Of Owner PAPADATOS, THIOS Mailing Address 1 37 EDWARD PLACE City St Zip VALLEY STREAM NY 11580 Property Address 1 CHAPEL LANE City St Zip GREENPORT NY 11944 Tax Map No. section 45.00 block 1 , lot 8.000 Cross Street ROUTE 48 Building Permit Number Cross Reference: Issue Date: 5/14/91 Judith T. Terry Southold Town Clerk (TOWN SEAL) AI• -- g 1 ...,,,,,,,,m,„„ , r[L.„. .„©s\-\5.----7,\)\ iVr ...f—rt. to, 4P i;:...7i:,,,..:,?,,L4-1 ,:i...;,,rsi,..0..:,(_. A , \\'\ \,\il ____,:n.,,,,,--- a. ? Town Hall, 53095 Main Road a pp.D ST1:1OL r ` ;'" ,-;;4„.,V:.4 . 11 'TO,� O� ..;')"_. �� ,-_t -..:_, ,t \--.0 P.O. Box 1 179 . .4:- •:°,1 SI Southold, New York 11971 JUDITH T. TERRY "%A.A.,so" TELEPHONE TOWN CLERK (516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD May 14, 1991 To: Southold Town Code Enforcement 'Officer From: Linda J. Cooper, Southold Town Clerk's Office Transmitted herewith is a copy of application No. A733 for an ALTERATION PERMIT for a cesspool or septic system submitted by John Walters for Thios Papadatos 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: APPROVE - bc DISAPPROVE - COMMENTS: 41494 ) 5 ,o a„,j ec1/40 r)).-0,A. 0 °1-1r-littj.' '. ' 7 ,,c- 7dD a. - >66/g ,vim 0 414 i N. 44: i • 0 d'4 ® ;j6..ik,y Si nature �r Date IR •• OFFICE OF THE TOWN CLERK ,,,'""" Town of Southold ,,x•01 cOVOLir41G Application No. 72 Judith T. Terry, Town Clerk 4, y Town Hall, 53095 Main Road Construction ' P. O. Box 1179 . = s : �� Southold, New York 11971 �� i �• Alteration Telephone 'O,>f' Q�;4 $10.00 -Residential (516) 765-1801 ' �l >' ,, !' ', $25.00 -Non-Residential TOWN OF SOUTHOLD t SOUTHOLD WASTEWATER DISPOSAL DISTRICT i APPLICATION for CONSTRUCTION or ALTERATION PERMIT ' SEPTIC TANK or CESSPOOL j ' Permit No. Fee .$ DATE 57//77 APPLICANT NAME: (1 (,A) .441-- APPLICANT ADDRESS: /0---6___i - t./- 1-e-<-4_ / W.)'e t/ r 3_C- SEPTIC CESSPOOL DESCRIPTION OF PROP SED CONSTRUCTION OR ALTERATION - i if / �' ,. ii.liv >1(.ifi 14�� Tom/ �'` i . /_ i, 0._., " , fes` ' i i LOCATION MAP: Must be attached hereto before permit may be issued. , LOCATION OF PROPOSED CONSTRUCTION ' ALTERATION: ' OWNER OF PROPERTY: ~74,1;<1 • OWNER MAILING ADDRESS: 9 7 e,,,,' _;\‘eiA-e.J l/Seo OWNER PROPERTY ADDRESS: 4k-,-4t--- ,,e . 0-Le a/-) 10.1)-r_51--, , TELEPHONE NUMBER OF CONTACT PERSON: 0( TO-2 ' TAX MAP NO. : Section '1/ Block ` Lot CROSS STREET: "41- CI,C.74.-e Zeg_..,(4_,_..., -- BUILDING PERMIT NUMBER CROSS REFERENCE: d !1&' / V Sigr, ture of Applicant RECEIVEDBtagiiiik6 j - - -1 own"Cfe k's Office DATE: MAY IA 1991 ‘ k-1 y or IP" .. ,„. ,,._ 1.. i .. 1?" c....'. 7. (B . , 5 5. . . . . 5 , ‘_____ 11 , CA) , / \ , - 5 5. 5 . Zj VQ L 1 cI I -.461 :Y; - . Y 0 ... ,d, N., , • , I.- 16. . , - . - i . . i \ . I •..,,„,_,, , . . , , • ( „\•41 ‘‘' ) . , i 11- N -•• c.... ...)0 p , .... , . . A . OFFICE OF THE TOWN CLERK ,,,'""1.11e.,„,-, Town of Southold ,.''.'C,,% O = Application No. Judith T. Terry, Town Clerk ;' • Gy'; Town Hall, 53095 Main Road � �, 4 Construction • P. O. Box 1179. Alteration Southold, New York 11971 •cwt, :, • f��� Telephone =�,�� $t>0.- ( $10.00 - Residential (516) 765-1801 - �l * 1, .'' $25.00 -Non-Residential ' --- .1,,,,,, f, TOWN OF SOUTHOLD . 1:7:7-- Judith ' ' SOUTHOLD WASTEWATER DISPOSAL DISTRICT , APPLICATION , for ,l. C, CONSTRUCTION or ALTERATION PERMIT t= SEPTIC TANK or CESSPOOL Permit No. • • Fee $ DATE 57/V77</ APPLICANT NAME: \ i G( APPLICANT ADDRESS: ' / 6, dr A . .1,, t.„..r.__ W-.(y e u r EC— SEPTIC CESSPOOL " DESCRIPTION OF PROP SED CONSTRUCTION OR ALTERATION , di4°' ‘'...itiviatiik: -.. _i 4, �/ / c- / LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION ili' ALTERATION: _ OWNER OF PROPERTY: 7et i • OWNER MAILING ADDRESS: 9 7 L// ii, ,06....-6,.....e„, OWNER PROPERTY ADDRESS: ° CILc ',y , TELEPHONE NUMBER OF CONTACT PERSON: 0/ TO-2-)--- , TAX MAP NO. : Section " Block Lot ' CROSS STREET: ,.//- W-71— , BUILDING PERMIT NUMBER CROSS REFERENCE: Sig Cure of Applicant - • RECEIVED BY: Town Clerk's Office • • • DATE: `