HomeMy WebLinkAboutVictoria (3) Jnr
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Town Hall, 53095 Main Road
fa :,�, , J . P.O. Box 1179
i Southold, New York 11971
JUDITH T.TERRY ' `' ^�'`
`� �-• 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. 357 R Residential X Non-Residential
Fee $ 10. 00 Septic Cesspool X
PERMIT ISSUED TO:
Name : PECONIC CESSPOOL
Address 1: P.O. BOX 972
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
ADDITION OF NEW OVERFLOW CESSPOOL TO EXISTING SYSTEM.
APPROVED AS SUBMITTED.
Name Of Owner VICTORIA, RICHARD
Mailing Address 1 BOX 1086
City St Zip MATTITUCK NY 11952
Property Address 1 OAK STREET
City St Zip MATTITUCK NY 11952
Tax Map No. section 141. 00 block 1 lot 11. 000
Cross Street HORTON AVENUE
Building Permit Number Cross Reference:
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Issue Date: 6/17/88 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T. TERRY ���..,wi,,i°
TELEPHONE
TOWN CLERK
(516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
•
June 15, 1988
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To: Victor Lessard, Southold Town Building Department
•
From: Linda J. Cooper, Southold Town Clerk's Office
Transmitted herewith is a copy of application No. A360 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Cesspool for Richard Victoria
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 - D<
DISAPPROVE -
COMMENTS: q� 0....-SAA trytcP .
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Signature
Date
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OFFICE OF THE TOWN CLERK Ocj�FFOIJrC•0
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Town of Southold , . r Application Noe-366
Judith T. Terry, Town Clerk4 :,.tr -4
Town Hall, 53095 Main Road, =1'
',„VriAUConstruction
P. 0. Box 1179 ® ; •
Southold, New York 11971 4%* _ O� 1 Alteration c/
Telephone �1K 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 ca/ " -/
• APPLICANT NAME: r<
APPLICANT ADDRESS: "ge,
SEPTIC CESSPOOL
DESCRIPTION,
OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: • Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTE ATION:
OWNER OF PROPERTY:
OWNER MAILING ADDRESS:
/'t
OWNER PROPERTY ADDRESS: - �� / / /r/ vr-,-e-LA /71f2.
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section / 1/ Block f Lot '(!.
CROSS STREET:
BUILDING. PERMIT NUMBER CROSS REFERENCE:
•
4X4,4,9,4,
Signature Applicant
RECEIVED I yG4F cQ, (1_7
Town Ierk's fice
DATE: 1 ; 1988
Town Clerk Southold
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