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,,/IV®�'Uff®` 1 AO. ELIZABETH A.NEVILLE 4 am Town Hall, 53095 Main Road TOWN CLERK o P.O. Box 1179 ty, Southold,New York 11971 REGISTRAR OF VITAL STATISTICS ` o Fax(631) 765-6145 MARRIAGE OFFICER :`�i� RECORDS MANAGEMENT OFFICER ®1 dis $r/�1// 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. 2892 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : FAIRWEATHER BROWN Address 1 : PO BOX 521 City St Zip GREENPORT NY 11944 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 #R10-02-0118 Name Of Owner MANNING, ALISON Mailing Address 1 PO BOX 148 City St Zip NEW SUFFOLK NY 11956 Property Address 1 1540 JACKSON STREET City St Zip NEW SUFFOLK NY 11956 Tax Map No. section 117.00 block 10 lot 12.004 Cross Street Building Permit Number Cross Reference: Issue Date: 9/24/02 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) Www, ............ - 6 OG; ELIZABETH A. NEVILLE ���,ZO y�: Town Hall, 53095 Main Road TOWN CLERK y - % P.O. Box 1179 Southold, REGISTRAR OF VITAL STATISTICS New York 11971 MARRIAGE OFFICER `� w l��1�, Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER "'/Ql ��o,i� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER _ r��� southoldtown.northfork.net liliil alLanall ! I :i : OFFICE OF THE TOWN CLERK 1 it_ i SSP ® � 2002 11 l j TOWN OF SOUTHOLD I TO:r�,, Lt cs Southold T wn Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: September 4, 2002 Transmitted herewith is a copy of application No. 3002 for a Cesspool/Septic Tank Construction Permit submitted by: Amy Martin/Fairweather-Brown 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: c77e�p /144.,-(., ,0"--_,. - . .."- --t-e-pect-z-r,-- 2i6„-4 :/\ .4 Signature //o/42 Dated ;� OFFICE OF TSE TOWN CLERK ,' r TON OF SOUTHOLD �t'�0�� ��o`nCV Application No J0° W FT.i7ABETH A.NEVILLE,TOWN CLERK it. / P.O.BOX 1179 : 1M Fin'T.,,..,,,gr-,-,:--••zimc,,;p2,0,!-•,egi,,',..:-.4,Fg.1,,-,-,,„T-s„--?;•!Zo,7.,,w41,;!-•;,,,,l,w,,`,P-5,.4',5741,,-4,-,':,,T?,,,,,..,;4-5,1":„.V.••,:f--,.-iq.,:i.,-,-, ...,,,•v,;-`.!--',,,--,‘,-.,-.v,:z-J,,-.,?;,',..,•,-,..,.."4.,,,,:',..,,;,,-.4 ••,",•,:•;',,,,,,,1,3,7,-:., Z':••=,,-,,„?-,,;',--=-'k;').:,=,-,,,IA,;,'„,;,t •;z.-...,-,,--4,;.--_,-,,,..,;,,,,,-;,,,v,,,.:,,,,,,,,:,1,,t4,1,,,::(7;1_,,.4..,,,.,,,,, .,,,,..j.,--„...„.!,ie%,,,rf,,T,-.-ir. ...c.,;71,:t:,,,11.,,,,-.1,-74:,,, „7, +•••?).7,,,;pri,,,r-•;,71.-!,-,-.!",c-,71,115.-;,-..74.:,'..-,f=t7,----,..1;---,Q;;,:t1:1-F4F-(1,g411;2,-ISr,‘;Finji'-. 1../Pc,"47VAT,',:.:',fr.3!,,1,9,fXe,•'•-,4i.,4,,',";-.-,,,x1;41-y...,,,,te,•••,„,.:1-,,,,....-.4,K.,-,;),ta.A .,41,.-.,-,..f:•,:._zo,,4..z.•••.:,.r,,-,.....,9,4,K-,..."m:V..),,,s'`,1-,-,-;;;:,,,,...,4:.-1,-.‘",...',17.,'-=;,:•__L-."•;,,-f---,_'.,,,%'.--...?,,-3k., '•"•,-,--'••,4::`,4. 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