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JUDITH T. TERRY Town Hall, 53095 Main Road
TOWN CLERK ® e t P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Q .�` Southold, New York 11971
MARRIAGE OFFICER �® ''� Fax (516) 765-1823
��® 0,4 its 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. 891 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : RICHARD AND THERESA PRESSLER
Address 1 : 53987 MAIN 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 APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES ON 3/23/92.
Name Of Owner PRESSLER, RICHARD AND THERESA
Mailing Address 1 53987 MAIN ROAD
City St Zip SOUTHOLD NY 11971
Property Address 1 TUTH I LL ROAD EXT.
(LOT 20)
City St Zip SOUTHODL NY 11971
Tax Map No. section 55.00 block 6 lot 15.023
Cross Street ORIOLE DRIVE
Building Permit Number Cross Reference:
Issue Date: 7/23/92 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
o -
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t k, . Town Hall
JUDITH T. TERRY �- �� , 53095 Main Road
TOWN CLERK Z ® '11 = , mE P.O. Box 1179
REGISTRAR OF VITAL STATISTICS % Ga' Kt - ��`` Southold, New York 11971
MARRIAGE OFFICER ' c t !'`t t'` Fax (516) 765-1823
�•�,
� ; Telephone (516) 765-1801
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OFFICE OF THE TOWN CLERK- T-` ._r�.'�__---_ -
TOWN OF SOUTHOLD ri LIP ___
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I t\ JUL 2 01992
TO: Southold Town Building Department '
FROM: Linda J. Cooper, Southold Town Clerk's Office TO F F OUTHOLO x
DATED: July 17, 1992
Transmitted herewith is a copy of application No. 915 for a Cesspool/
Septic Tank Construction Permit submitted by:
Richard and Theresa Pressler .
Please review the application and location map and advise if the project
has received Suffolk County Health Department approval and if this office
may issue the permit.
Please complete the form below and return it to me.
Thank you.
i
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE X
DISAPPROVE
Comments: 4,-. qier.4-.0.0S, C„ 44 � pa, crs.,
TECepert
6-6-+, -
Signature IUL 28 1pC.,
11 a..i\01 2-- Town Clerk �� ®f
Dated ej
OFFICE OF THE TOWN CLERK ,,,'"""'''-
Town of Southold .014VULI' -
'�` Town Clerk . Application No. 7 (._
Judith T: Terry, y
Town Hall, 53095 Main Road ; Construction ✓- _
P. 0. Box 1179 ; v rn
Southold, New York 11971 tt� 1 Alteration
Tele hone �0,>i'
®��0' $10.00 - Residential
p
(516) 765-1801 .t �, '' $25.00 - Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
.7 DATE if?- qz
APPLICANT NAME: C .ar 414-01 Pr-L-re,,,s Let-
APPLICANT ADDRESS: 5M1'7 yy 1-,,J i2
r�14QLb ,U1` ( 1q - /
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
'1-9 Opti) )4 o u
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: �c. .(-6c I Przss C.Z�
OWNER MAILING ADDRESS: -51_35?? 0
&)0 rldro `/r A I Q f I
OWNER PROPERTY ADDRESS: �{`U�L- t LL -R-D LST 2O
_sou Ig - s
TELEPHONE NUMBER OF CONTACT PERSON: '7(o�- 254 -
TAX MAP NO. : Section - Block l`4 Lot
CROSS STREET: O et OLE
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Applicant
RECEIVED BY:
w/n. Clerk's Office
DATE: (
I40~ - - _
II am familiar with the Standards'ior Ap-'•r • i ACZV Z4/x/<7.
} Construction of Subsurface Se v]f $isposal'Sy•
for Single Emily Residences and will abide by the _ '' 5:
conditions sei forth therein and on the permit to - ' -
construct. - - -
Signature • -- -
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