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HomeMy WebLinkAboutVancleef / 0 i 0 0 1. �� # ®may $, JUDITH T. TERRY : It Z .4. Town Hall, 53095 Main Road TOWN CLERK p 0.71 P.O. Box 1179 tla � Southold, New York 11971 REGISTRAR OF VITAL STATISTICS = V/ ® � �% Fax (516) 765-1823 MARRIAGE OFFICER - ej`° aqa® ,•' Telephone (516) 765 1801 RECORDS MANAGEMENT OFFICER 7®� [' ��• FREEDOM OF INFORMATION OFFICER �:�"�,eie//ii�I OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 1119 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : GARY TABOR Address 1 : 680 NAVY STREET City St Zip ORIENT NY 11957 Descripton of Proposed Construction or Alteration INSTALLATION OF 8 X 8 LEACHING POOL TO AN EXISTING SYSTEM. APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT WELLS BULIDINGS, PROPOERTY LINES AND WATERBOD1ES. EXCAVATION INSPECTION REQUIRED. Name Of Owner VANCLEEF, CLIFFORD Mailing Address 1 MAIN ROAD City St Zip ORIENT NY 11957 Property Address 1 MAIN ROAD City St Zip ORIENT NY 11957 Tax Map No. section 17.00 block 4 lot 3.000 Cross Street VILLAGE LANE Building Permit Number Cross Reference: Issue Date: 5/02/94 Judith T. Terry Southold Town Clerk (TOWN SEAL) / (/ JUDITH T. TERRY Town Hall, 53095 Main Road TOWN CLERK zt ® T P.O. BOX 1179 REGISTRAR OF VITAL STATISTICS tilW �` • Southold, New York 11971 MARRIAGE OFFICER �® :$' �$ % Fax (516) 765-1823 • =__�,�®1 -� •1 Telephone (516) 765-1801 OFFICE OF THE TOWN CLERK 1 TOWN OF SOUTHOLD `� :",,AP #1�1TO: Southold Town Building DepartmentR u /994LFROM: Linda Cooper, Southold Town Clerk's Office ? � ' Tow v of DN DATED: April 20, 1994 SO�HOLD Transmitted herewith is a copy of application No. A1158 for an ALTERATION PERMIT for a cesspool or septic system submitted by ' Gary Tabor for Clifford VanCleef 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 - �� EXCAVATIrig DISAPPROVE - ' lf F;1 COMMENTS: - 4ti ex.-et/Ad i2 /' z A.-07-7.-) a_1,49,-..p.„," ,,„4,94,, 1'1„;-&-,.ff-e-i ......,,,,....., . - i'P15' cii 447/<,,-.4-,/..‘e.,6; �` 11 4 Signatur- Date <--OFFICE OF THE TOWN CLERK /C0FULJ Town of Southold ZO\ '- �,� Application'No. �i s Judith T. Terry, Town Clerk 1 j Town Hall, 53095 Main Road ` % Construction P. 0. Box 1179 u- - Southold, New York 11971 '!? Alteration Telephone *01 i#'' Residential (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 $ DATE Ai ) Va l 'y APPLICANT NAME: r"--' /9 1' / 2 /4.60 P. APPLICANT ADDRESS: 6, $o 1'i/1 e, S -Tr e-c-7' 69 J., ' c k✓ 7' /fry, 117 L5f7 SEPTIC CESSPOOL 1,--- DESCRIPTION lamDESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION "G✓ %. . s 9 ii 5 ) ,8-- I -e-.ge-Ai '`✓y 00 I LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: e Ii ' '7 of o. .7i/,' �(f, ke-.4 - - OWNER MAILING ADDRESS: 7,Q,',/-/ )r 1 cI 0 t, ' i /1 OWNER PROPERTY ADDRESS: ,S'/52-, e TELEPHONE NUMBER OF CONTACT PERSON: p 3 - 2 6 & 7 C (.�TAX MAP NO. : Section / �/ Lot J 7 "l �� CROSS STREET: -7/i i//47 c A p ,-/c., BUILDING PERMIT NUMBER CROSS REFERENCE: _____----;_le 7gna ure of Applicant RECEIVED BY: T wn C erk's Office DATE: ` o2f4 y— n o use- per. 0 Oidi © 1 VVV 1 foo /. S'f'�e w/52Il1-