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JUDITH T. TERRY Town Hall, 53095 Main Road
TOWN CLERK • p ►Z P.O.-BOX 1179
REGISTRAR OF VITAL STATISTICS ; g, Southold, New York 11971
MARRIAGE OFFICER �Q .�� Fax (516) 765-1823
1 0��� Fax
(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. 954 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : GARY TABOR
Address 1 : 680 NAVY STREET
City St Zip ORIENT NY 11957
Descripton of Proposed Construction or Alteration
ADDITION OF AN 8 X 8 LEACHING POOL TO AN EXISTING SYSTEM.
APPROVED AS SUBMITTED. EXCAVATION INSPECTION REQUIRED. CALL FOR AN
APPOINTMENT (765-1802).
Name Of Owner VINDIGNI, SAL
Mailing Address 1 GILLETTE DRIVE
City St Zip EAST MARION NY 11939
Property Address 1 GILLETTE DRIVE
City St Zip EAST MARION NY 11939
Tax Map No. section 38.00 block 2 lot 15.000
Cross Street ROUTE 25
Building Permit Number Cross Reference:
Issue Date: 1/15/93 Judith T. Terry
Southold Town Clerk
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JUDITH T. TERRY Town Hall, 53095 Main Road
TOWN CLERK ® fi P.O. BOX 1179
REGISTRAR OF VITAL STATISTICS 'Q.P ,�` Southold, New York 11971
MARRIAGE OFFICER r�® O �4' Fax (516) 765-1823
isln •(1) *'if Telephone Telephone (516) 765-1801
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OFFICE OF THE TOWN CLERK iR9 R r
TOWN OF SOUTHOLD ,
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' gJAN 1993 r1
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TO: Southold Town Building Department 1`
FROM: Linda Cooper, Southold Town Clerk's Office T ,v, "� 'rq-li t= _r31LL s
DATED: January 11, 1993
Transmitted herewith is a copy of application No. A981 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Gary Tabor for Sal Vindigni
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.
(42---7,we.e.<__,
Linda J. Cooper
* * * * * * * * * * * * *
I have reviewed the application and location map of the project listed
above and make the following recommendation:
APPROVE -
• DISAPPROVE -
COMMENTS: Ciu,9_2, ?).41,..4. ,cyd•-r, 4.--i...., el cA40%,15,
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.\\® �� Signature`
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OFFICE OP THE TOWN CLERK ,,,'",,,
FFO[
Town of Southold PQ � ke'OGy: Application No. g/
Judith T. Terry, Town Clerk zs,
Town Hall, 53095 Main Road ; % Construction
P. O. Box 1179
Southold, New York 11971 tt� r _ 1 Alteration
Telephone -�0,>f' ����' $10.00 - Residential
(516) 765-1801 - '01 �, 0 $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.
Fee $ /
DATE l /
APPLICANT NAME: n421-1 / 67,k ih
APPLICANT ADDRESS: L,-a /,�-k'/ S
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
,� A elge �,' p 0 /
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: 5 /g / v 1 //,/cZ-i fr(
OWNER MAILING ADDRESS: S/C2/11-
OWNER PROPERTY ADDRESS: Oi '/l r % 7e , C J^ , v
"as 7" J x1-7', 'UI q5r.
TELEPHONE NUMBER OF CONTACT PERSON: L7 2-7
- TAX MAP NO. : Section 3 V Bloc Lot , S�
CROSS STREET: f o ci
BUILDING PERMIT NUMBER CROSS REFERENCE:
WINED
JAN.111993
nature of Applicant
RECEIVED BY: „`s
•wn ' le
' s Office
DATE: "
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