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HomeMy WebLinkAboutWickham Farm JUDITH T. TERRY Town Hall, 53095 Main Road TOWN CLERK v /51 P.O. Box 1179 REGISTRAR OF VITAL STATISTICS • qj'r • Southold, New York 11971 MARRIAGE OFFICER , Fax (516) 765-1823 �® ! 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. 814 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : MORRIS CESSPOOL SERVICE Address 1 : 2760 YENNECOTT DIRVE City St Zip SOUTHOLD NY 11971 Descripton of Proposed Construction or Alteration REPLACE COLLAPSED CESSPOOL AT LODGING. APPROVED AS SUBMITTED. EXCAVATION INSPECTION REQUIRED. CALL BUILDING DEPARTMENT (765-1802) FOR AN APPOINTMENT. Name Of Owner WICKHAM FARM INC. Mailing Address 1 28770 MAIN ROAD City St Zip CUTCHOGUE NY 11935 Property Address 1 28770 MAIN ROAD City St Zip CUTCHOGUE NY 11935 Tax Map No. section 102.00 block 6 lot 20.001 Cross Street NEW SUFFOLK AVENUE Building Permit Number Cross Reference: Issue Date: 3/31/92 Judith T. Terry Southold Town Clerk (TOWN SEAL) „ ,, ., ..f.:—4 g/ ({ 0 _ J ti ')::::::1 r i :N Town Hall, 53095 Main Road `'s ,' „ 7��e P.O. Box 1179 iC'I o ir-riREGIS i' f t. ,:� Southold, New York 11971 AR1 OO ®� ��. Fax (516) 765 1823 D =`4,® i�� Tel p one (516) 765 1801 eh -!%i ii/,” D . OFFICE OF THE TOWN CLERK ;; , 1992 .! TOWN OF SOUTHOLD ° / BLDG. DEPT. March 24, 1992 TOWN OF SOU T HOLD To: Southold Town Code Enforcement 'Officer From: Linda J. Cooper, Southold Town Clerk's Office Transmitted herewith is a copy of application No. /9 837 for an ALTERATION PERMIT for a cesspool or septic system submitted by Morris Cesspool Service for Wickham Farm Inc. . 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: 4,.... a o a-rta41.4zkQiCR . ---Qa-9---)eA--4 -41'41A: -kfttiNir\ 11!...„1/4_ta Ave° t‘- . 17\1_3't �p}i �,� - Signature— , .a. .C\C:t.?.._— Date -s- -r OFFICE'O F THE TOWN CLERK 0,,,,,,,,,,, Town of Southold / fUlir �• Q� e�G' Application No. g3 Judith T. Terry, Town Clerk ,�� - k y Town Hall, 53095 Main Road ; Z „z- !< Construction P. O. Box 1179 Southold, New York 11971 • VI i_. ,' Alteration Telephone 0,j- '0Q�'.' $10.00 - Residential !/ (516) 765-1801 �' �l 0 $25.00 - Non-Residential • - . I,,� . TOWN OF SOUTHOLD ' SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION - for CONSTRUCTION or ALTERATION PERMIT ' . I SEPTIC TANK or CESSPOOL Permit No. . • ' Fee $ i •Q DATE /274 t/ (/ 2- / APPLICANT NAME: /27oIWt ss:De1) ,c/ '�Z� 4 1 APPLICANT ADDRESS: .276c' ) )I - ô CT P7 S©cx.i / fie 7/77, SEPTIC CESSPOOL\/ DESCRIPTIONOF PROPOSED CONSTRUCTION OR ALTERATION 46-- .45- e6i4..fl5/`d-1' (-4.(5700/ i LOCATION MAP: Must be attached hereto before permit may be issued. I . LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: kk‘ /' G?ZIA ,�,., OWNER MAILING ADDRESS: ,?P>220 /21(0 , . /ord) a7(dad-f,s n y , OWNER PROPERTY ADDRESS: 54-14t.e . ` TELEPHONE NUMBER OF CONTACT PERSON: \ �f - ___47. --()‘ _: • TAX MAP NO. : Section fle2,A Block 6Lot =n9a ' CROSS STREET: 0,1, - o./ BUILDING PERMIT NUMBER CROSS REFERENCE: - 6-14;* Ple-z'jl : Signature of Applicant A RECEIVED BY: ., -""//,(— - To n 'Clerk's Office ' DATE: - 2- � s� . ..,,_ ac- CC3V 26 • „0,e 714 63/1,,t054" c (kC PP)