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JUDITH T. TERRY Town Hall, 53095 Main Road
TOWN CLERK � P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER �? '�. Fax (516) 765-1823
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V- 277, ��;®��! 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. 838 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : MORRIS CESSPOOL
Address 1 : 2760 YENNECOTT DRIVE
City St Zip SOUTHOLD NY 11971
Descripton of Proposed Construction or Alteration
ADDITION OF POOL TO AN EXISTING SYSTEM.
APPROVED AS SUBMITTED. HOLD A 10' SEPARATION. EXCAVATION INSPECTION
REQUIRED. CALL 765-1802 FOR AN APPOINTMENT.
Name Of Owner TAYLOR, ROBERT
Mailing Address 1 ROUTE 48
City St Zip CUTCHOGUE NY 11958
Property Address 1 ROUTE 48
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 96.00 block 1 lot 18.001
Cross Street COX LANE
Building Permit Number Cross Reference:
Issue Date: 5/11/92 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T. TERRYTown Hall, 53095 Main Road
TOWN CLERK tZ ® h P.O. Box 1179
REGISTRAR OF VITAL STATISTICS .% Southold, New York 11971
MARRIAGE OFFICER �® �4 '01. Fax (516) 765-1823
'_ 31 2Vi ED •, 1,‘...
® ‘! Telephone (516) 765-1801
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
MAY 5, 1992 '1.4.,17:76--- -, ,,,,Tl .^ ,
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To: Southold Town Code Enforcement Officer I � � g/6s.9,, " '��'
From: Linda J. Cooper, Southold Town Clerk's Office ,..
Transmitted herewith is a copy of application No. 862 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Morris Cesspool for Robert Taylor .
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. �-e j
Linda J. Cooper
* * * * * * * * * * * * *
I have reviewed the application and location map of the project listed
above and make the following recommendation:
APPROVE - X
DISAPPROVE - f �p �^
COMMENTS: qo dt4.+,0� 01,1+ � B,IZLe.K lasc 2) . 0.
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Signature
OCJ Date
OFFICE OF THE TOWN CLERK ,,,,'"'"
Town of Southold 004M/ref;
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Judith T. Terry, Town Clerk .4% Application No.� Gy
Town Hall, 53095 Main Road Z !G Construction
P. O. Box 1179 vG, - ,Zr, ;
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