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ELIZABETH A.NEVILLE
1••• Gy Town Hall, 53095 Main Road
TOWN CLERK o P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold,New York 11971
MARRIAGE OFFICER • ``�jji l����� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER 'j1®l .�® � 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
3196”�
Permit No. 30550 R Residential x Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : JOHN GAZZA
Address 1: 388 BROADHOLLOW ROAD
City St Zip FARMINGDALE NY 11735
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 # R10-02-0219
Name of Owner GAZZA, JOHN
Mailing Address 1 388 BROADHOLLOW ROAD
City St Zip FARMINGDALE NY 11735
Property Address 1 1680 LANDS END ROAD
City St Zip ORIENT NY 11957
Tax Map No. section 15 block 9 lot 1.022
Cross Street LATHAM LANE
Building Permit Number cross Reference:
Issue Date: 7/29/03 Elizabeth A. Neville
Southold Town clerk
(TOWN SEAL)
ELIZABETH A.NEVILLE Town Hall, 53095 Main Road
1
TOWN CLERK O P.O. Box 1179
ti Z
Southold, New York 11971
REGISTRAR OF VITAL STATISTICSP
V ®Vd' � Fax(631) 765-6145
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER 4°®�i� 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. 30550 R Residential X Non-Residential
Fee $ 10.00 Septic x Cesspool
PERMIT ISSUED TO:
Name : JOHN GAZZA
Address 1: 388 BROADHOLLOW ROAD
City St Zip FARMINGDALE NY 11735
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 # R10-02-0219
Name of Owner JOHN GAZZA
Mailing Address 1
City St zip 0000
Property Address 1 1680 LANDS END ROAD
City St ZipORIENT• NY 11957
Tax Map No. section 15 block 9 lot 1.022
Cross Street LATHAM LANE
Building Permit Number Cross Reference:
Issue Date: 7/29/03 Elizabeth A. Neville
Southold Town clerk
(TOWN SEAL)
30SC
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ELIZABETH A.NEVILLE s�a#1 - �4‘ Town Hall, 53095 Main Road
TOWN CLERK t co - ; P.O.Box 1179
k ti ac J Southold New York 11971
REGISTRAR OF VITAL STATISTICS � W r17 i '
MARRIAGE OFFICER es,_ 0. �yl,,0 Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER =-------..,..,0
'�"�'��,." southoldtown.northfork.net
OFFICE OF THE TOWN CLERK -- _____ ----- --,
TOWN OF SOUTHOLD n : C�� _i`" 1 U t ,
_ 11 11 jiti
TO: Southold Town Building Department
ULt'„j , _J
FROM: Linda J. Cooper, Southold Town Clerk's Office -- TQ`�``"TOWN i:1;-_:-
�'
DATED: June 6, 2003
Transmitted herewith is a copy of application No. 318$ for a Cesspool/Septic Tank Construction
Permit submitted by:
John Gazza
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.
1
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 , t.
DISAPPROVE
Comments: ::%.6%, :a/e7e.t,,I,J .er= p.,..
....44e-ee ese...0A , _ow- c.a.
_7;_ien._„( ri, .
Signature/
/A-3
Dated
•
OFFICE OF THE TOWN CLERK '''
•
TOWN OF
FT.T7ABETHA.NEV1i7�OWNCLERKOLD
OApplication Noc�1�
P.O.BOX 1179 ; Construction ✓
SOUTHOLD,NEW YORK 11971
G •
y� Alteration
Telephone �1 ������ $10.00 -Residential t�
(631) 765-1800 ,o'
_,,,,�•o ,,.0 $25.00 -Non-Residential
TOWN OF SOUTHOLD
e •
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee .$
DATE _6 - z -- 03
APPLICANT NAME: JQj11 GQzZc
APPLICANT ADDRESS: 3 8 8 8 r p g c/ hollow Q /
l / V e y, • II 7 3,s'
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION /
C Oh 5-1 rGIC ± 1 0ard of ifee./ 4 a1
/��1„oti2cl Seto �.1�tv)
y5teh, pproveel 12 - I / - I rL S - Aef TZ 10 z-02(q
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRICTION OR ALTERATION:
OWNER OF PROPERTY: Jc11tIi GG12.2g
OWNER MAILING ADDRESS:
OWNER PROPERTY ADDRESS: I6 50 1. c incjs Ehd Rd?
O� ; t
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section 1 5- Block Lot 1, 22
CROSS STREET: L cif q yh Lq,
BUILDING PERMIT NUMBER CROSS REFERENCE:
A
'Signature of/)�:plicant
BY: •
Town Clerk's Office
BOkrail Of I+ eel-1, Ref, 10 —02 - 0219
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