HomeMy WebLinkAboutKokkinos, George ' _
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ELIZABETH A. NEVILLEd; Town Hall, 53095 Main Road
TOWN CLERK O - P.O. Box 1179
REGISTRAR OF VITAL STATISTICS
%44.1.141 Southold, New York 11971
MARRIAGE OFFICER ,jiL �����, Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER '/Ol *a��i� Telephone (631) 765-1800
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FREEDOM OF INFORMATION OFFICER ��,1 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. 2817 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 KOKKINOS, GEORGE
Mailing Address 1 2575 PECONIC LANE
City St Zip PECONIC NY 11958
Property Address 1 2575 PECONIC LANE
City St Zip PECONIC NY 11958
Tax Map No. section 74.00 block 5 lot 9.002
Cross Street ROUTE 48
Building Permit Number Cross Reference:
Issue Date: 6/21/02 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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V OELIZABETH A.NEVILLE I����=0Gy�; Town Hall, 53095 Main Road
TOWN CLERK % C .. % P.O. Box 1179
% ti Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
`F �� Fax(631) ?65 6145
MARRIAGE OFFICER 4* ��
RECORDS MANAGEMENT OFFICER =__ 0! iNg ���,i, Fax
(631) 765-1800
FREEDOM OF INFORMATION OFFICER ���� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: April 8, 2002
Transmitted herewith is a copy of application No. 2899 for a Cesspool/Septic Tank Construction
Permit submitted by:
Morris Cesspool for Peconic Post Office
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
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I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
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Comments: -
-
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Signature
4/ 09Az
Dated
OFFICE OF TEE TOWN CLERK ,,',,r r r/rrrrttr,•���'
TOWN OF SOUTHOLD
: FOLK�
ELIZABETH A.NE VIII F,TOWN CLERK �`1�� Ol/ Application No.
P.O.BOX 1179 •
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Construction
SOUTHOLD,NEW YORK 11971 Z
Alteration
Telephone ,f �� , $10.00 -Residential
(631) 765-1800 1 Ir ,o $25.00 -Non-Residential
.a.orr�
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE
APPLICANT NAME: /2/7/7-7/7— 4 64412e,--V-Ia
APPLICANT ADDRESS: Z760 7/c-, zii,e co rr 2�
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: 621:0/2f�" / 6/'l,i�of
OWNER MAILING ADDRESS: Z3 -75- /?fCo4/Jc
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON: 76.- }3C)-0
TAX MAP NO. : Section 7 L/ Block S� Lot Z
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
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Signature of Applicant
RECEIVED BY:
Town Clerk's Office
DATE:
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