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` ;� Town Hall, 53095 Main Road
.. .,; �•'� P.O. Box 1179
� ,i�' Southold, New York 11971
JUDITH I TERRY
%�r�/������ 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. 598 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : JOHN WALTERS
Address 1 : 160H OREGON ROAD
City St Zip CUTCHOGUE NY 11935
Descripton of Proposed Construction or Alteration
BUILD NEW CESSPOOL AND PIPE FROM EXISTING SEPTIC TANK.
APPROVED AS SUBMITTED. CALL BUILDING DEPARTMENT AT 765-1802 FOR AN
EXCAVATION INSPECTION PRIOR TO COVERING.
Name Of Owner PERRONI, FRANCIS
Mailing Address 1 310 EAST 75TH STREET
City St Zip NEW YORK NY 10021
Property Address 1 965 FISHERMAN'S BEACH ROAD
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 111 .00 block 1 lot 29.000
Cross Street LANDING ROAD
Building Permit Number Cross Reference:
Issue Date: 4/19/90 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
401010000--
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'y . ;. �'� Town Hall, 53095 Main Road
I ? " =:> �� P.O. Box 1179
TOWN OF SOUTHOLD T j ?�Q �� �'
�"- °� _ 1 •,�� Southold, New York 11971
JUDITH T. TERRY '�'�������� TELEPHONE
TOWN CLERK ' (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
Apr! eq.*.
To: Southold Town Code Enforcement 't cx,t
From: Linda J. Cooper, Southold Town I t.-L;0 (_ .ti . ' .
Transmitted herewith is a copy of applicat N(i _
ALTERATION PERMIT for a cesspool or
John Walters a/c Francis Perroni
REQ'
Please review the application and location
issue the permit. APR 1 6 1990
Please complete the form below and return Town (;{ed Southold
Thank you.
Linda J. Cooper
* * * * * *
I have reviewed the application and location map of the project listed
above and make the following recommendation:
•
APPROVE -
DISAPPROVE -
•
COMMENTS:
Signature
Date
01/►/II II
. ,' P.__ E_.[M.M.:Th'
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�` Town Hall, 53095 Main Road
BLDG. DEPT.
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• P.O. Box 1179
TOWN OF SOUTHOLD p = �0 �® 6'
�� =M :_I It ��� Southold,New York 11971
JUDITH T. TERRY I�I1'' TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
April 11, 1990
To: Southold Town Code Enforcement 'Officer
From: Linda J. Cooper, Southold Town Clerk's Office
Transmitted herewith is a copy of application No. 612A for an
ALTERATION PERMIT for a cesspool or septic system submitted by
John Walters a/c Francis Perroni
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 -
z
DISAPPROVE - -
COMMENTS: q„ '� S1 Nr-N ,,, k
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APR 181990 \ 4\1 ke\g o
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OFFICE OF THE TOWN CLERK '' S\FFQL
Town of Southold 41_,.; Application No ��'
Judith T. Terry, Town Clerk ,•G
Town Hall, 53095 Main Road ` o }' j Construction
P. O. Box 1179 Fn .,,,
� F, ' �$
Southold, New York 11971 0�.' Alteration
Telephone _�1 ' ��; Residential
(516) 765-1801 I Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ / ) 1
DATE Y C( /70
'' Z-Cid.,a
APPLICANT NAME: �� --s. � ' .'-'Yj -
APPLICANT ADDRESS: /.,( A . 1 - -, ,1--•4
(-ii / - 2i y //f3 ---
SEPTIC
rf3SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
i� - ,.,--/- , / '
LOCATION MAP: Must be attached hereto before permit may be issued.
• LOCATION OF PROPOSED CONSTRUCTION OR A TERATION:
OWNER OF PROPERTY: `
OWNER MAILING ADDRESS: ?AL) �0,J,;)- S - .
r\ -A30,NA-A --A„kA_ ) H . AbO4a-
OWNER PROPERTY ADDRESS: L.�� "--`I
TELEPHONE NUMBER OF CONTACT PERSON 7�
�'6
TAX MAP NO. : Section / / / Block / Lot 7
CROSS STREE Z,� ,---W,
BUILDING PERMIT NUMBER CROSS REFERENCE:
t J
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Signature of Applicant
RECEIVED BY:
Town Clerk's Office
DATE:
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