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HomeMy WebLinkAboutGriffith, Richard OOOOOO glirtx , 0 ' ; JUDITH T. TERRYTown Hall, 53095 Main Road TOWN CLERK p e= P.O. Box 1179 REGISTRAR OF VITAL STATISTICS �` Southold, New York 11971 MARRIAGE OFFICER 0 �- •�� Fax (516) 765-1823 Nt%`'�f. Telephone (516) 765-1801 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 916 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : PECONIC CESSPOOL Address 1 : P. O. BOX 972 City St Zip MATTITUCK NY 11952 Descripton of Proposed Construction or Alteration ADDITION OF AN OVERFLOW POOL TO AN EXISTING SYSTEM. APPROVED AS SUBMITTED. EXCAVATION INSPECTION REQUIRED. Name Of Owner GRIFFITH, RICHARD Mailing Address 1 1475 PECONIC BAY BLVD. City St Zip LAUREL NY 11948 Property Address 1 1475 PECONIC BAY BLVD. City St Zip LAUREL NY 11948 Tax Map No. section 143.00 block 1 lot 2.000 Cross Street LAURELWOOD LANE Building Permit Number Cross Reference: Issue Date: 10/14/92 Judith T. Terry Southold Town Clerk (TOWN SEAL) t /7/ o o JUDITH T. TERRYTown Hall, 53095 Main Road TOWN CLERK : p P.O.►ZT1 Box 1179 REGISTRAR OF VITAL STATISTICS %U' *' �`� Southold, New York 11971 00 �� Fax (516) 765-1823 MARRIAGE OFFICER -7... *0 ��� '1°‘* Telephone (516) 765-1801 po SEP 2 9 ° OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD September 29, 1992 To: Southold Town Code Enforcement Officer From: Linda J. Cooper, Southold Town Clerk's Office Transmitted herewith is a copy of application No. A942 for an ALTERATION PERMIT for a cesspool or septic system submitted by Peconic Cesspool for Lynne Delfausse 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. rt Linda J. Cooper * * * * * * * * * * * * * I have reviewed the application and location map of the project listed above and make the following recommendation: APPROVE - Y DISAPPROVE - COMMENTS: eettD)4- 61-0.41 IQ .LJD . Q.Odd JO-tC9.,2.2.a.c.✓ .L.K.. J.2,a- S X).2.4...1 !� t$ C v ©� .k.14:‘ 7:ciftc, c.... ca..4_4:Q _ _ _ &4.0 Signature A� �4Q > (5\ a.. Tow" MR tho►d GAG Date 11101 OFFICE OF THE TOWN CLERK "'"""- Town of Southold ,.'�'�C % OLk'1 = Application No. 7` � - Judith T. Terry, Town Clerk ,' r --. Town Hall, 53095 Main Road ; � Construction ‘1"------- Z P. O. Box 1179 • Southold, New York 11971 •c�1'i T,,' Alteration ----_4:01 D,j� Q . $10.00 - Residential _ t----- Telephone _ (516) 765-1801 -01 �� -- -,,,,,,�, ,' $25.00 -Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. t 5/ _ Fee $ /6 DATE 7/91/, / APPLICANT NAME: 7.__a_, C,/ APPLICANT ADDRESS: �� �- 7-"et �l�° ®�--rte SEPTIC CESSPOOL DESCR OF PROPOSED CONSTRUCTION OR ALTERATION ^ `, --,6-.44'.., LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONST UCTION OR • TERATION: OWNER OF PROPERTY: ' / i , i OWNER MAILING ADDRESS: /3 S-5 ' / ' .0 i OWNER PROPERTY ADDRESS: r- TELEPHONE NUMBER OF CONTACT PERSON: 2-7 '/C S TAX MAP NO. : Section ,/ Block /f Lot .2:7 CROSS STREET: .01, ��c.C..- --g....-A- BUILDING PERMIT NUMBER CROSS REFERENCE: ,dtcdee__t_„./t,e Signature of App ant RECEIVED BY: /L/ /NZ- / To n Clerk's Office DATE: ,g'1 cx. / 9e 7 fril-w6T- _ Ohl/kJ 0 .. . .. _ • ____ 4/87-1.--.,,y 1,, •:,,c5- , 44, 9, /----------1,11114A--" • , k , 1 $ ! .. F-r Qtel 190A-5 /8740 0 0171-ani L ( 6 F r 0 EV t gct — // —. 17