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JUI➢ITA T. TERRY � r r� ��� Town Hall, 53095 Main Road
. P.O. Box 1179
TOWN CLERK �, � �
REGISTRAR OF VITAL STATISTICS ve -vi Southold, New York 11971
MARRIAGE OFFICER ` a ' 1�
Fax (516) 765-1823
•
I' Telephone (516) 765-1801
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 709 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : ROBERT A. KEHL
Address 1 : 28545 MAIN ROAD
City St Zip ORIENT NY 11958
Descripton of Proposed Construction or Alteration
REPLACE OLD, COLLAPSED CESSPOOL.
APPROVED AS SUBMITTED. REPLACE IN KIND, IN PLACE.
EXCAVATON INSPECTION REQUIRED. CALL BUILDING DEPT. 765-1802 FOR AN
APPOINTMENT.
Name Of Owner UHL, OTTO JR.
Mailing Address 1 9 DERBY ROAD
City St Zip PORT WASHINGTON NY 11050
Property Address 1 42 SOUND AVENUE
City St Zip GREENPORT NY 11944
Tax Map No. section 33.00 block 4 lot 86.000
Cross Street SOUND DRIVE
Building Permit Number Cross Reference:
Issue Date: 5/16/91 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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(11 i1 WqSoutholcl;New York 11971
JUDITH T. TERRY �'"~x/-11 TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
May 6, 1991
To: Southold Town Code Enforcement 'Officer
From: Linda J. Cooper, Southold Town Clerk's Office
Transmitted herewith is a copy of application No. A727 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Robert A. Kehl for Otto Uhl Jr. •
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: F.912h.e.s„ ,,c/r, k-4,..%I. 7 )49.0..c,"... zo-R-910.444 1 04
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ma _�� Signature
NAY 151991 ‘iii1 ,1 ,
1 ; 1 Date
OFFICE OF THE TOWN CLERK ,,,'"'""
1� "''-
Town of Southold "C.4\\FFD(Kt'
Judith T. Terry,
Town Clerk ;��� � Application No.`? a7
Town Hall, 53095 Main Road ; Z !� ; Construction
P. O. Box 1179 ; v rn � (—
Southold, New York 11971 1.$1t; Alteration
Telephone O $10.00 - Residential
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(516) 765-1801 .. '1 > ��' $25.00 -Non-Residential
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TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
•
Permit No. -7(.7
Fee $ /o
DATE J /97.
y APPLICANT NAME: (OPei--if ,4 ,? t7 /XI /��//t'S ,4lg 27,1,/,aivr,v v:a' tr/C
APPLICANT ADDRESS: "? 7 4-9--r
aRe' e:
SEPTIC CESSPOOL )(
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION J i,e',4cd'
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION":
OWNER OF PROPERTY: e7, Vre�
OWNER MAILING ADDRESS: O1 i `/ ROI
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OWNER PROPERTY ADDRESS: 'L Sds...410 ,'6''
`4440,/folzT) /irk'
TELEPHONE NUMBER OF CONTACT PERSON: 35 - 35 t?
TAX MAP NO. : Section 3 3 Block 9 Lot ?C.
CROSS STREET: 4'4 ,p/cis
BUILDING PERMIT NUMBER CROSS REFERENCE:
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Signature of Applicant
RECEIVED BY: /Vl
// /Town: Clerk's fice - -
DATE: -3
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