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Town Hall, 53095 Main Road
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JUDITH T.TERRY "- 1 TELEPHONE
GOWN CLERK ' (516)765-1801
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. 428 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : LISO CONSTRUCTION CORP.
Address 1: P. O. BOX 439
City St Zip JAMESPORT NY 11947
Descripton of Proposed Construction or Alteration
NEW SINGLE FAMILY DWELLING WITH CESSPOOL SYSTEM.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES 11/8/88.
Name Of Owner WITTMEIER, JOHN AND PAT
Mailing Address 1 MAIN ROAD
City St Zip AQUEBOGUE NY 11931
Property Address 1 LAURELWOOD DRIVE
City St Zip LAUREL NY 11948
Tax Map No. section 145.00 block 1 lot 1 .000
Cross Street PECONIC BAY BOULEVARD
Building Permit Number Cross Reference:
•
Issue Date: 11/30/88 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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Town Hall 53095 Main Road
w s' 4 P.O. Box 1179
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--_ �1 �j�®��9Southold, New York 11971
JUDITH : TOWN OF SOUTHOLD
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TELEPHONE
TOWN CLERIC (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
To: Victor Lessard, Southold Town Building Department
From: Linda Cooper, Southold Town Clerk's Office
Dated: November 10, 1988
Transmitted herewith is a copy of application No. 430 for a Cesspool/
Septic Tank Construction Permit submitted by:
Liso Construction Corp. for John and Pat Wittmeier
Please review the application and location map and advise if the project
has received Suffolk County Health Department approval and if this office
may issue the permit.
Please complete the form below and return it to me.
Thank you.
Linda J. Cooper
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE X
DISAPPROVE
Comments: o,, cdl, u,, aato,LLLQ eA
\Cacx.4..,
Signature
NOV 3 o igog ‘,\1%01
Dated -
OFFICE OF THE TOWN CLERK S°FU(�
Judithown of T. Town Clerk �d �O COQ: Application No. I/.-57
Terry,
Town Hall, 53095 Main Road ` cr3 Construction
P. O. Box 1179
Southold, New York 11971 �, Alteration
_Q( `1\4 ''' Residential
Telephone ,! '
(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 $ 0
DATE *NOV l (), Iq TS
APPLICANT NAME: l So G oN. st o2, P .
APPLICANT ADDRESS: t-Ia s _ Po
,:4$ . c P ti . ted • -( t L g 4:7.
SEPTIC VCESSPOOL a/
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:3 o c)(1. c.--c P_.
OWNER MAILING ADDRESS: ti *4- Pe - f -,l:-Cal(d id C. E.
OWNER PROPERTY ADDRESS: L IP Luso o c,. 0 61[v-
i Avg-aL_ .�
' TELEPHONE NUMBER OF CONTACT PERSON: 7cRO -I
000
TAX MAP NO. : Section / 1-1-6- Block d Lot /
CROSS STREET: P�Gu0-1,� tap ( � L�r17 .
BUILDING PERMIT NUMBER CROSS REFERENCE:
•
Signature of A.�'.licant
RECEIVED BY: 4...--)La.
Town Clerk's Of ce
DATE: l/- /Q- PP
I
4/0
PLEASE NOTF T.,
Requires septic tank ��
t.. cover to grade.
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