HomeMy WebLinkAboutGardner, Susan •
Town Hall, 53095 Main Road
\YD \, P.O. Box 1179
to.°
Southold, New York 11971
JUDITH T.TERRY FAX(516)765-1823
TELEPHONE(516)765-1801
TOWN CLERK
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. 552 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : PECON I C CESSPOOL
Address 1 : P. O. BOX 972
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
ADDITION OF ONE OVERFLOW CESSPOOL TO EXISTING SYSTEM.
APPROVED AS SUBMITTED. NOTE: EXCAVATION INSPECTION REQUIRED.
Name Of Owner GARDNER, SUSAN B.
Mailing Address 1 YOUNGS ROAD
City St Zip ORIENT NY 11957
Property Address 1 YOUNGS ROAD
City St Zip ORIENT NY 11957
Tax Map No. section 18.00 block 2 lot 10.000
Cross Street MAIN ROAD
Building Permit Number Cross Reference:
Issue Date: 9/29/89 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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�',; ,,��` Town Hall, 53095 Main Road
�o 4c:- • P.O. Box 1179
0 . DEPT. �__ ���` Southold, New York 11971
JUDIT SOUThOLD ������ 0,0 TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
September 26, 1989
To: Victor Lessard, Southold Town Building Department
From: Linda J. Cooper, Southold Town Clerk's Office
Transmitted herewith is a copy of application No. A566 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Cesspool for Susan B. Gardner
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 - X
DISAPPROVE -
COMMENTS: cL0 j Lt,era.c.isl_D- ate, acQi "Lc_i4
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,,. �. Signature
Date
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OFFICE OF THE TOWN CLERK AO
Town of Southold ��� COQ , Application No. 5-ti 14-
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road • j� Construction
P. O. Box 1179
Southold, New York 11971 O Off• Alteration
Telephone *l Jig �, �� 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 $ 16, ( (J
DATE
*(7401
APPLICANT NAME: bea'C- t/'72
APPLICANT ADDRESS: /??j. /59‘ 97
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CO STRUCTION OR ALTERATION
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: _92a444.4.-
OWNER MAILING ADDRESS:
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON: Z � GSY
TAX MAP NO. : Section /7 Block 7-- Lot �0
CROSS STREET : i M1.,Li
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Applican
RECEIVED BY: ??''RR�
�o`�Ot0 k's Office
DATE: SEp26 1981
Town Clerk
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