HomeMy WebLinkAboutFurlong, Mary .0'�4FOIIre�
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JUDITH T. TERRY Town Hall, 53095 Main Road
TOWN CLERK v T P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER t0 47. Fax (516) 765-1823
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,kszt, � Telephone (516) 765-1801
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 990 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : MORRIS CESSPOOL SERVICE
Address 1 : 2760 YENNECOTT DRIVE
City St Zip SOUTHOLD NY 11971
Descripton of Proposed Construction or Alteration
ADDITION OF A NEW OVERFLOW TO THE EXISTING SYSTEM.
APPROVED AS SUBMITTED. HOLD 10'0" SEPARATION. EXCAVATION INSPECTION
REQUIRED. CALL 765-1802 TO ARRANGE INSPECTION.
Name Of Owner FURLONG, MARY
Mailing Address 1 1345 NAKOMIS ROAD
City St Zip SOUTHOLD NY 11971
Property Address 1 1345 NAKOMIS ROAD
City St Zip SOUTHOLD NY 11971
Tax Map No. section 78.00 block 3 lot 35.000
Cross Street HIAWATHA PATH
Building Permit Number Cross Reference:
Issue Date: 5/11/93 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T. TERRY ` : • Town Hall, 53095 Main Road
z P.O. Box 1179
TOWN CLERK `O T
REGISTRAR OF VITAL STATISTICS ,, ._ Southold, New York 11971
MARRIAGE OFFICER ;y0` Fax (516) 765-1823
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1 1D �►� Telephone (516) 765-1801
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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 28, 1993
Transmitted herewith is a copy of application No. 1018 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Morris Cesspool Service for Mary Furlong
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:
41411/111)
APPROVE - X
NAY
7 1993
DISAPPROVE -
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COMMENTS: 9#Qpp. / Q -0 q�.c , �Y CA-AA
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Signature
Date 1
OFFICE OF THE TOWN CLERK ,,,,,,,,,,,
Town of Southold ,.''lrC� rit `eour0-__ Application No.
Judith T. Terry, Town Clerk ,
Town Hall, 53095 Main RoadConstruction
P. O. Box 1179 ,-'x, i
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Southold, New York 11971 IJ */ Alteration Cl
Tele hone \ ������' $10.00 - Residential C•
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(516) 765-1801 ---.110.1 � 1, #' $25.00 -Non-Residential
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TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. /611.3
Fee $ /.lG -----
DATE '41 2 /Y9S
APPLICANT NAME: Ai—aele /%/e/ �i ./
APPLICANT ADDRESS: 7� 1
7 /
SEPTIC CESSPOOL 1.1
DESCRIPTION OF PROP/ D CONSTRUCTION OR ALTERATION
/ .
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATIO
OWNER OF PROPERTY: /71/e/ C- J��/'
OWNER MAILING ADDRESS: J1 5/ '� J, rke/J �J
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OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON: �� ��C)v
TAX MAP NO. : Section 7f Block ? Lot _575�
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CROSS STREET: 1J
BUILDING PERMIT NUMBER CROSS REFERENCE:
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91 04-
• ignature of Applicant
RECEIVED BY: ,4 i /L _- - e
• • Town Clerk's Office
DATE: `-// a 1/l.,
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