HomeMy WebLinkAboutTyler (2) PI;
gr Jt . :: '1 �e` Town Hall, 53095 Main Road
_ ®� P.O. Box 1179
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/al®� � .•it- Southold, New York 11971
JUDITH T.TERRY = %. z�%''' 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. 618 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : PECON I C CESSPOOL
Address 1 : P. O. BOX 972
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
ADDITION OF AN OVERFLOW CESSPOOL TO AN EXISTING SYSTEM.
APPROVED AS SUBMITTED. EXCAVATION INSPECTION REQUIRED. CONTACT THE
SOUTHOLD BUILDING DEPARTMENT (765-1802) BEFORE BURYING THE POOL.
Name Of Owner TYLER, JOHN AND MARY
Mailing Address 1 BOX 733
City St Zip MATTITUCK NY 11952
Property Address 1 MARRATOOKA ROAD
City St Zip MATTITUCK NY 11952
Tax Map No. section 125.00 block 1 lot 19.006
Cross Street SUNSET LANE
Building Permit Number Cross Reference:
Issue Date: 6/26/90 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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SLD DEF �'✓,�" a ter:. i P.O. Box 1179
TOWN OF SOUTHOLD -,c;.;/,,,,,,,
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JUDITH T. TERRY "��"01. TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
June 5, 1990
To: Southold Town Code Enforcement Officer
From: Linda J. Cooper, Southold Town Clerk's Office
Transmitted herewith is a copy of application No. A633 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Cesspool for James and Mary Tyler .
•
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 - X
DISAPPROVE -
COMMENTS: cs, .4,,,,,KA ecxtsl.ck-, t,---^ cA &C ala S-.
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OFFICE OF THE TOWN CLERK %c3
IFUL4' :
Town of `Southold Q e/ / s
Judith T. Terry, Town Clerk a7`. Application No.
Town Hall, 53095 Main Road 8 Construction
P. O. Box 1179 ? f
Southold, New York 11971 D��r� Alteration
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Telephone Q( * Residential
(516) 765-1801 /
Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE =`
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APPLICANT NAME: , ,..
APPLICANT ADDRESS: P, ,- -,¢' -
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTIONN OR ALTERATION
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: 0 " eerc sch,latx
OWNER MAILING ADDRESS: 771444,...,..4e-v.44..-i,1: �4
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OWNER PROPERTY ADDRESS: ,<
TELEPHONE NUMBER OF CONTACT PERSON: , - e,-; ,
TAX MAP NO. : Section /XS—, Block / Lot /9,, 4
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
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Signature of Applica `t
RECEIVED BY:
Town Clerk's Office
DATE:
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