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JUDITH T. TERRY y' j Town Hall, 53095 Main Road
TOWN CLERK ® ��f P.O. Box 1179
REGISTRAR OF VITAL STATISTICS .�` Southold, New York 11971
MARRIAGE OFFICER ® �. R .� Fax (516) 765-1823
07 �� _�! Telephone (516) 765-1801
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 921 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 TO AN EXISTING SYSTEM.
APPROVED AS SUBMITTED. KEEP MAXIMUM SEPARATION OF 10'0" BETWEEN OLD
AND NEW POOL. CALL FOR EXCAVATION INSPECTION.
Name Of Owner YOUNG, PETER
Mailing Address 1 CEDAR DRIVE
City St Zip SOUTHOLD NY 11971
Property Address 1 CEDAR DRIVE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 78.00 block 8 lot 19.000
Cross Street NORTH BAYV I EW
Building Permit Number Cross Reference:
Issue Date: 10/20/92 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T. TERRYAI,' ' Town Hall, 53095 Main Road
%TOWN CLERK p " �; P.O. BOX 1179
REGISTRAR OF VITAL STATISTICS ,` Southold, New York 11971
MARRIAGE OFFICER , O Fax Fax (516) 765-1823
���®1 �,jL���l Telephone (516) 765 1801
i,!
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
October 14, 1992 kip °-` YC?l_jVtIP r- 'q:
ilA g
L °"ev1 d 4 1992
To: Southold Town Code Enforcement 'Officer i !,
- �_�;i
From: Linda J. Cooper, Southold Town Clerk's Office
— tOFS�at,TH'sem^-=„_•SOUTHOLD
Transmitted
Transmitted herewith is a copy of application No. A946 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Morris Cesspool for Peter Young
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.
i(41--11- --44-1
LindaJ. Cooper
* * * * * * * * * * * * *
I have reviewed the application and location map of the project listed
above and make the following recommendation:
APPROVE - X
DISAPPROVE - pp
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OFFICE OF THE TOWN CLERK ,,,'""""'%
Town of Southold ••' �Cj�F�OIKe'0 = Application No.94
Judith T. Terry, Town Clerk �•••0�,:=. Gy
Town Hall, 53095 Main Road Construction
P. 0. Box 1179 -
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Southold, New York 11971 �cn • Alteration
�.
Telephone 0,y �f�Or,ie� $10.00 - Residential
(516) 765-1801 - al * �, �'� $25.00 - Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE (Ye, / e?
APPLICANT NAME: l 'd/ ' arg,?29/ cs , lx c.iZ
APPLICANT ADDRESS: 226o
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued. =
,apt,
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: - _' •-1"
OWNER OF PROPERTY: -
OWNER MAILING ADDRESS: CJ /zy
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OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT •PERSON:_
TAX MAP NO. : Section 7P Block r Lot n
CROSS STREET: = 4`„4
BUILDING PERMIT NUMBER CROSS REFERENCE:
RECEIVED Signature of Applicant
RECEIVED BY: OCT I 1992
\can cklesistrapffice
DATE:
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