HomeMy WebLinkAboutMilovich, Joe ELIZABETH A.NEVILLE h� y ; Town Hall, 53095 Main Road
TOWN CLERK ; t - • P.O. Box 1179
REGISTRAR OF VITAL STATISTICS i Southold, New York 11971
MARRIAGE OFFICER `` ,ji ` ��, Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER � �Q1 � Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ,�� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2804 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : MORRIS CESSPOOL
Address 1 : 2760 YENNECOTT DRIVE
City St Zip SOUTHOLD NY 11971
Descripton of Proposed Construction or Alteration
ADDITION TO EXISTING SYSTEM.
APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT
WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES.
EXCAVATION INSPECTION REQUIRED.
Name Of Owner MILOVICH, JOE
Mailing Address 1 PO BOX 345
City St Zip SOUTHOLD NY 11971
Property Address 1 1035 OAKLAWN AVENUE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 63.00 block 7 lot 3.000
Cross Street
Building Permit Number Cross Reference:
Issue Date: 5/17/02 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A. NEVILLE �0 4# y ; Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
ti Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS v' 'rif
MARRIAGE OFFICER s" 1i Fax Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER =_4* 'W
+a0 ori Telephone (631) 765 1800
FREEDOM OF INFORMATION OFFICER ���� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
r-` �._ - - -- ��� P��
� ,H APR 18 2002 .2
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TO: Southold Town Building Department F��
FROM: Linda J. Cooper, Southold Town Clerk's Office Fu no_nr�'T
DATED: April 18, 2002
Transmitted herewith is a copy of application No. 2908 for a Cesspool/Septic Tank ALTERATION
Permit submitted by:
Morris Cesspool for Milovich
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.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
Comments: Maintain required setbacks from adjacent wells, buildings, property lines and water
Bodies. EXCAVATION INSPECTION REQUIRED.
Signature
9 /fi 02—
Dated
„ ,iii.•...,,,,'
d'FICE OF THE TOWN CLERK e i t!`��`F
TOWN OF SOUTHOLD �� �1 4. .
Application No. �ELIZABETHA.NEVILLE,TOWNCLERK ;
P.O.BOX 1179 .4„
Construction
SOUTHOLD,NEW YORK 11971 v T
Alteration
• Vs
$10.00 - Residential
Telephone O,j�o Agg ��Q���',
(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 $
DATE /la,
4O 2
APPLICANT NAME:
APPLICANT ADDRESS: _ ♦ ft 7 /ft/
SEPTIC CESSPOO'I r
DESCRIPTION OF PRy7 CONSTRUCTION OR ALTERATION
etet /-
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCT OR ALTERATION:
OWNER OF PROPERTY: o 2
OWNER MAILING ADDRESS: 7)ebee. Led”?
d
OWNER PROPERTY ADDRESS: hos
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section Block Lot
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
547/eet-
Signature of Applicant
RECEIVED BY:
Town Clerk's Office
DATE:
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