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Home My WebLink AboutSimchick (2) ' Town HallP.O., 53095Box1Main179 Road � r� _ •►0 Southold, New York 11971 JUDITH T.TERRY 1�.��ii ��' 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. 368 R Residential X Non-Residential Fee $ 10. 00 Septic Cesspool X PERMIT ISSUED TO: Name : SIMCHICK, STANLEY Address 1: ALVAHS LANE City St Zip CUTCHOGUE NY 11935 Descripton of Proposed Construction or Alteration NEW SINGLE FAMILY DWELLING WITH CESSPOOL SYSTEM. APPROVED AS SUBMITTED. Name Of Owner SIMCHICK, HELEN Mailing Address 1 P. O. BOX 33 City St Zip CUTCHOGUE NY 11935 Property Address 1 ALVAHS LANE City St Zip CUTCHOGUE NY 11935 Tax Map No. section 101. 00 block 1 lot 19.000 Cross Street ROUTE 48 Building Permit Number Cross Reference: Issue Date: 7/11/88 Judith T. Terry Southold Town Clerk (TOWN SEAL) 011 OFFICE OF THE TOWN CLERK OF,QCK(,G Town of Southold "`` Judith, T. Terry, Town Clerk �.=- �'.` *- Application No.`3 Town Hall, 53095 Main Road • '. ,Y' "' i Construction crz n; . P. 0. Box 1179 ‘e, %Y. ` �'" *.$ Alteration Southold, New York 11971 'Oj ,, _ ' Residential a/ Telephone (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 $/O — DATE (?!"O APPLICANT NAME: c77.9.,/,4-7 C.,P7o#, GK NY f_ . APPLICANT ADDRESS: 1�/1r Aye, ��oufe/Z o 167' G Ta-Hd L/f ,V y SEPTIC eCESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONST UCTION OR ALTERATION: ,/ OWNER OF PROPERTY: /6V ,/A�r/ Gji OWNER MAILING ADDRESS: /v• go )( 33 ,g2v,-1-lr /4 y/ ort-z -71o,vg OWNER PROPERTY ADDRESS: 39,,7 A TELEPHONE NUMBER OF CONTACT PERSON: 73Y _‘r6a— TAX MAP NO. : Section /o/ Block / . Lot , (� CROSS STREET: BUILDING PERMIT NUMBER CROSS REFERENCE: /1 J Sig if ire of Applicant RECEIVED BY� ��y113n CI rk's Offic DATE: JUL08198 Town Clerk Southold SUFF; -i4 (.. . ,vii-.) • ' . , • P ... - 'Llt-1C1-11Cle:... ' , . /6S \ 1 .4 , . ' . . . ' . e 4 :4 /7i- IT. 2 0 I LI 1,S.56-3210 E. ' _,.. -369,64 ' , . , , l• . , ' r- . r-_-....,' •....... ......... ... ,-... .... , -. r. ,.. ': • . ll , / . . P I , . . 171 4 • ilcl , THE WA' / Ai.F SYSTEM,: IL? .._.‘•Li I , . Fki — , .,.. . •-,-g (kJ . ' .80 -162 , . ‘ // . CONFOR SUFFOLI 1 . , ' ( u . . , -- '...,. '. //' , :=J-,ALE 60 I . (s) -_ 1 , • 1' AreEP.C,30-,=t,.E.. • 7-41. • , . . . —,.......- . ' , 421 , . ' na•••,, • X 1.1,:'4-1'45RIUKET,NIT..-- . ,,,-.., , kJ . . 1-- . SUFFOLI piac.)P. E.4.--.F.:PIK. i •tf4, (1 , : - kt . SERVO , - ----1 P-i------t .--(••) 4 , ti.c. • ' . ' > , DATE:...... -.........; , H. S. REF . . ' APPROVI . , 1r > tf i • I--- ---•1 • . „ , .....1 • _— 100 -- I 4, -9 Eel ' - _______ TFLT i.:- OLE i 66 . ' . . ' ' SUFFC i) . 14 .\• ..: 1%' . , DIST: t ..-.-..- .. H '''' ' ---M ' t VC. WEI.L.i. -'r - , . A000 AD • r , I 5 , . (4-1-> OWNcRS 1 •:3..56 32 tO VI, . . :369:64 0, , . 0. . • , . D . , 1‘,1Ci--41C i,-.:, , , • , o b 1 C.),1 (VACANT) . . . .' EU F.1 , . , DEED:..L>25 - ; . , .• .. (1) -'-;:j-f-• - ' . TESTA _ .it . . • N1AP cf. Pf2C)PIEQ-TY . • . ..... . , - 5(..)rsZko/E.\I/E 1:;) F;0 r:a , . • . . . . C-r A i.\, 1 ; t.-7 .‘/ (1:-\'' t K.,./1.r 1 i I'ir'i / . . .,,, , , , „ -' • ' - ,'1-44 . i • . ....) I r'-'''. 1 ‘4 L..1 f ,.„) ) i ' ,,,,,,,it,-1 ,. , . . . . • . _ . „ , .- .. . , - . . , . - • . . '' "-: .-.C.E.Aksi o .. .