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HomeMy WebLinkAboutHartlieb /'g ELIZABETH A.NEVILLE �' �°A� , Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 t Southold, New York 11971 REGISTRAR OF VITAL STATISTICS 1 ® �� MARRIAGE OFFICER � °�.;,•. Y �� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER =_ ®p r '0®��r'�r Telephone (631) 765-1800 `gz+ FREEDOM OF INFORMATION OFFICER _ r OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 2517 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : DONNA & JOSEPH POZZOLANO Address 1 : 45 EISENHOWER DRIVE City St Zip EAST QUOGUE NY 11942 Descripton of Proposed Construction or Alteration SANITARY SYSTEM FOR SINGLE FAMILY DWELLING. APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES. REF #R10-00-0279 Name Of Owner JEFFREY & MARYANN HARTLIEB Mailing Address 1 21 MABEL PLACE City St Zip MERRICK NY 11566 Property Address 1 REEVE AVENUE City St Zip MATTITUCK NY 11952 Tax Map No. section 100.00 block 3 lot 15.004 Cross Street SEA AIRE LANE Building Permit Number Cross Reference: Issue Date: 2/21/01 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) •,el oFFOiAr Zi ? ELIZABETH A. NEVILLE d��® �: Town Hall, 53095 Main Road TOWN CLERK ; P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER �� Te _ `, '��1�1 Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER �__"Oj ��®��i� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER _ •°°°°,'�� OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: February 16. 2001 Transmitted herewith is a copy of application No. 2605 for a Cesspool/Septic Tank Construction Permit submitted by: Donna and Joseph Pozzolano 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: ignature Dated , #OFFICE OF THE TOWN CLERK .' �FFOLKc TOWN OF SOUTHOLD , .'O� QQy Application No.Y�05 Fr S7ABETH A.NEVILLE,TOWN CLERK P.O.BOX 1179 !� Construction SOUTHOLD,NEW YORK 11971 ; Alteration Telephone ,j, �Q �i $10.00 -Residential ✓ (631) 765-1800 it ,DO $25.00 -Non-Residential ,,.,,,,, TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION L CE o 'V for FEBrh�a16 200i CONSTRUCTION or ALTERATION PERMIT 4io� o �oWf Clerk SEPTIC TANK or CESSPOOL Permit No. Fee .$ _ DATE //U/ j eI APPLICANT NAME: 7Ofl6L 4- TQ,see k Pb22Qi rr n APPLICANT ADDRESS: I�J I EC( S e( v0 ) NY1 11614 SEPTIC CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION br a SOY y .5 rRA Ante- Iy hdr2,-1.-e • LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: l ` I OWNER OF PROPERTY: 3e-f-crel y 1� �" l OWNER MAILING ADDRESS: I " kQ\a-L6)m€XYI y OWNER PROPERTY ADDRESS: 4 'Reeve- i;V_ TELEPHONE NUMBER OF CONTACT PERSON: TAX MAP NO. : Section /00 Block © 2./Lot /5 "T CROSS STREET: SetA.- f4jre zt. l-&_ BUILDING PERMIT NUMBER CROSS REFERENCE: ipjSignature of icantRECEIVED -j;� own Clerk's Office DATE: 0\\1 0 l gc...i%UT �iq.Qip9G�.u✓ 0,i. .. /6°' 3Z1-416114:" iso-off ' 0447 20/ D.e p/Aeod E 4,-,,, ,40 .0./2-• Ci XI CZ r Pl 0 e uI, r- > t~ it' = ® LUT ' rc • ® 11) ' i '� 1 ° '-' 3 --E. ' , :.... � IL, 0 z . ,� N .23 \ xt <, ,t it , N i • 42,0/,1 FF98,7' ' 7 awaria.- , , s AW 14 HSE N , L . 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