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JUDITH T. TERRY
;?� iC ". Town Hall, 53095 Main Road
TOWN CLERK •
v T ; P.O. Box 1179
REGISTRAR OF VITAL STATISTICS • Southold, New York 11971
MARRIAGE OFFICER Vv . �� Fax (516) 765-1823
=_ u 1%- ��� 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. 748 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : JAMES AND MARILYN GOODWIN
Address 1 : 7200 DEPOT LANE
City St Zip CUTCHOGUE NY 11935
Descripton of Proposed Construction or Alteration
ADDITION OF NEW POOL TO AN EXISTING SYSTEM.
APPROVED AS SUBMITTED. EXCAVATION INSPECTION REQUIRED. CALL THE
SOUTHOLD TOWN BUILDING DEPARTMENT (765-1802) FOR AN APPOINTMENT.
Name Of Owner GOODWIN, JAMES AND MARILYN
Mailing Address 1 7200 DEPOT LANE
City St Zip CUTCHOGUE NY 11935
Property Address 1 7200 DEPOT LANE
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 95.00 block 2 lot 3.000
Cross Street ROUTE 48
Building Permit Number Cross Reference:
Issue Date: 8/13/91 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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. Town Hall, 53095 Main Road
P.O. Box 1179
gin/ Southold, New York 11971
JUDITH T.TERRY ., -' TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR M.VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
To: Southold Town Code Enforcement Officer
From: Linda Cooper, Southold Town Clerk's Office
Dated: Autust 9, 1991
Transmitted herewith is a copy of application No. 771 for a Cesspool/
Septic Tank Construction Permit submitted by:
James & Marilyn Goodwin .
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 JC,
DISAPPROVE n(� .,� {�
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Signature
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Dated
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Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
JUDITH T.TERRY
�^�, TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF`THE TOWN CLERK
TOWN OF SOUTHOLD
To: Southold Town Code Enforcement Officer
From: Linda Cooper, Southold Town Clerk's Office
Dated: Autust 9, 1991
Transmitted herewith is a copy of application No. 771 for a Cesspool/
Septic Tank Construction Permit submitted by:
James & Marilyn Goodwin
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
DISAPPROVE
Comments:
Signature
Dated
OFFICE OF THE TOWN CLERK ""
Town of+SOuthold .11. c4�FfOIK`►-
Judith T. Terry, Town Clerk ,,'�� l/` Application No. /7�
Town Hall, 53095 Main Road Z _ Construction
P. O. Box 1179 'G
Southold, New York 11971 ,t�t� �,� Alteration
Telephone O,y�, We'
,' $10.00 - Residential
(516) 765-1801
�' $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ /i)—
DATE aft6t99�
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APPLICANT NAME: -�d i Rani�'� Crz'o z,)i -
APPLICANT ADDRESS: eo kerft_e€4
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SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION 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: 'TQin'S a y-*7)
OWNER MAILING ADDRESS: pago,t. YY/'
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OWNER PROPERTY ADDRESS: 7 pv 1 09'-e-
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TELEPHONE NUMBER OF CONTACT PERS
TAX MAP NO. : Section 9S--
Block Lot
CROSS STREET: /6Lik i
BUILDING PERMIT NUMBER CROSS REFE' ENCE:
Signature of Applicant
RECEIVED BY: j ,cti7
oln Clerk's Office
DATE: /f/
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