HomeMy WebLinkAboutGottlieb, Stephen 1
OFFICE OF THE TOWN CLERK c,51FFOU(
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Town of Southold ; �� Olj
Judith T. Terry, Town Clerk . - .-
Town Hall, 53095 Main Road
P. 0. Box 1179 cr2
Southold, New York 11971
Telephone
(516) 765-1801
TOWN OF SOUTHOLD -
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 81 Residential x
Non-Residential
Fee $ 10.00
Septic x Cesspool', X
PERMIT ISSUED TO:
NAME: Richard Suter
ADDRESS: 6 Atlanti Avenue
East Moriches. New York 11940
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION
Construction of a single family residence with
indoor pool . deck and garage.
LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
OWNER OF PROPERTY: Stephen Gottlieb
OWNER MAILING ADDRESS: 199 Jericho Tpk.
Floral Park, New YOrk 11001 _.
OWNER PROPERTY ADDRESS: Robinson Road
Southold, New York •
TAX MAP NO. : Section 81 Block 1 Lot 3 and p/o 15
CROSS STREET: Paradise Point Road Y.
BUILDING PERMIT NUMBER CROSS REFERENCE: Unknown
Judith T. Terry
Southold Town Clerk
DATE: December 5, 1986
(TOWN SEAL)
OFFICE OF THE TOWN CLERK
Town of Southold
Judith T. Terry, Town Clerk Application No. LS
Town Hall, 53095 Main Road Construction ✓
P. O. Box 1179
Southold, New York 11971 Alteration
Telephone Residential
(516) 765-1801 Non-Residential
RECEIVED TOWN OF SOUTHOLD
DEC 021986 SOUTI-IOLD WASTEWATER DISPOSAL DISTRICT
Town Clerk Southold
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ 10 .1
DATE ( I - � ' �(o
APPLICANT NAME:NAME: Ze.-ViAsCO £Ufl
APPLICANT ADDRESS: -0 A inn hC ettlt ,
iv; I I , Lc,/ 116N0
SEPTIC )( CESSPOOL )(
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
_____CP,Isciii/Iza021._. tq (;44.91-e-
(Lunt_ I LX o 9&L i -t -erk 3,--,r -
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: Stepiltn ( O1IlICb
OWNER MAILING ADDRESS: I6Cl le 2I chAj I Pe.
t`- l o K.aj PA-i216, JJL& Ujjt4-/ c/i t‘ 4/
OWNER PROPERTY ADDRESS: 'R06/ 060 &�a& d)
TELEPHONE NUMBER OF CONTACT PERSON`( j.p) 67 4b QZ
TAX MAP NO. : Section Block t Lot j /1 15
CROSS STREET: Pa r cf (&e._ -- 69.zJL. . _ d
BUILDING PERMIT NUMBER CROSS REFERENCE:
11
S gnature of Applicant
RECEIVED BY: -xcL_.
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