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JUDITH T.TERRY . •
Town Hall,53095 Main Road
TOWN CLERK • co t P.O.Box 1179
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REGISTRAR OF VITAL STATISTICS �10 Southold,New York 11971
MARRIAGE OFFICER ®� Fax(516)765-1823
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RECORDS MANAGEMENT OFFICER : ���®d� Telephone(516)765-1800
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1313 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : MORRIS CESSPOOL
Address 1 : 2760 YENNECOTT DRIVE
City St Zip SOUTHOLD NY 11971
Descripton of Proposed Construction or Alteration
ADDITION OF AN OVERFLOW POOL TO AN EXISTING SYSTEM.
APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT
WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES. EXCAVATION
INSPECTION REQUIRED.
Name Of Owner VITALE, ANTHONY
Mailing Address 1 1 HOAGLANDS LANE
City St Zip OLD BROOKVILLE NY 11545
Property Address 1 470 INLET WAY
City St Zip SOUTHOLD NY 11971
Tax Map No. section 92.00 block 1 lot 8.000
Cross Street MAIN BAYV I EW
Building Permit Number Cross Reference:
Issue Date: 4/07/95 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
11 ��FFourt® /3 / 3
JUDITH T. TERRY : Town Hall, 53095 Main Road
TOWN CLERK ® "Mle P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
® �r Fax (516) 765-1823
MARRIAGE OFFICER = s�' � I�� Telephone (516) 765-1801
RECORDS MANAGEMENT OFFICER _ ®1414
FREEDOM OF INFORMATION OFFICER
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda Cooper, Southold Town Clerk's Office
DATED: April 5, 1995
Transmitted herewith is a copy of application No. A1362 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Morris Cesspool for Anthony Vitale
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 -
DISAPPROVE -
COMMENTS: Maintain required setbacks from adjacent wells,
buildings, property lines and water bodies. EXCAVATION INSPECTION
REQUIRED.
Signature —
�L_
Date
OFFICE OF THE TOWN CLERK �,�,'"""
Town of Southold .''' UVULk° /
��` QC. fat Application No. /3 6 2--
Judith T. Terry, Town Clerk , ,
Town Hall, 53095 Main Road % �,,` :Y "`
Construction
P. O. Box 1179 ; P - : - : rn ,--------
Southold,
Southold, New York 11971 • ct1 - .` �• Alteration
Telephone --" �Q��'', $10.00 - Residential
(516) 765-1801 --_-770/ ' $25.00 - Non-Residential
• -- . . 00'
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee •$
DATE ,A6 s `(
APPLICANT NAME: /", p-�it�� • /(x> A
APPLICANT ADDRESS: �� d i - , ',,a/�
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: ' Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: /tAdx y 1! /Gek
//lo 66) I,A-,c..)a 6 S
OWNER MAILING ADDRESS: / A7 nc+/S
?V� ,& .moi%/l< ///`7.-5'. •
OWNER PROPERTY ADDRESS: 4"7 _23,4_-/- J/9-,K
TELEPHONE NUMBER OF CONTACT PERSON :
TAX MAP NO. : Section ?•Z Block / Lot
CROSS STREET: , ' _ice.=
BUILDING PERMIT NUMBER CROSS REFERENCE:
/ 54- c
Signature of Applicant
RECEIVED BY:
Town Clerk's Office
DATE: •
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