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ELIZABETH A.NEVILLE 140_0 y Town Hall, 53095 Main Road
TOWN CLERK o P.O.Box 1179
_ Southold,New York 11971
REGISTRAR.OF VITAL STATISTICS
MARRIAGE OFFICER �. ���f�� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER ;_"*O( ��® Of Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER ,I" 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. 3084 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED T0:
Name : ARTCO DRAINAGE CO
Address 1: PO BOX 1132
City St zip MATTITUCK NY 11952
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 INSPECTINO REQUIRED.
Name Of Owner PECONIC SIGN COMPANY
Mailing Address 1 74605 ROUTE 25
City St Zip GREENPROT NY 11944
Property Address 1 74605 ROUTE 25
City St Zip GREENPORT NY 11944
Tax Map No. section 45.00 block 4 lot 5.000
Cross Street
Building Permit Number Cross Reference:
Issue Date: 9/08/03 Elizabeth A. Neville
Southold Town Clerk -
(TOWN SEAL)
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ELIZABETH A.NEVILLE I ®���; Town Hall, 53095 Main Road
TOWN CLERK p :6 P.O. Box 1179
' t Southold, New York 11971
REGISTRAR,OF VITAL STATISTICS
- • MARRIAGE OFFICER • - 1 Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER \ 4fo �O�i��� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER = * ,*•,I southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
a 02,
Residential @ $10 or Non Residential @ $25 Application No.
Permit No.
Applicant Name K-70 bcA� n�,
Applicant Mailing Address \ \)2e , N�vJ °(\ , ( sc�•
Septic Tank or Cesspool
Brief Description of Proposed Construction or Alteration <--e., Sr\
Location of Proposed Construction/Alteration:
Owner of Property: �C7 P\i c, S c _, CC1e DNN
- Owner Mailing Address: Cos J Z�' `�� �\--\� C`1) \> 9
Owner Property Address: -k,
Name and phone number of contact person 3j'% -CP 660
Tax Map No: Section ) o Block plc— Lot OL( - 0�
_ Cross Street
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEP TMENT APPROVAL
Signature of Applicant D e
Received by �9-P
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000'nevi's. V.ti.H,,Motsre Eaiat�)
laot IPE- s.89: od0 E.
50.00 .0\ •
9 MAP OF PROPERTY
cf' SURVEYED Foto.
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GEORGE Hit MADELINE
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ipyi •4 OF 50UTr{OLD, N.Y.
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R GUARANTEED To THE.5ECURIl-'y' TITLE---.LL11111 3
la AND GUARANTY COMPANY
r1.5SURVEYED MAY 19,1970
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0 NO '-" GttE.ENFC)Rrj N.Y.
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` riTLE No,H5-cB54.21t.
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