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Seck, Paul
�O� �� L � �i�,��������, j���j�,j,�9��� ��, Towi1 Ha11, 53095 Main Road ����J��,�,�� „ P.O. Box 1179 � Southold,New YoYk 11971 R�GISTRAR OF VITAL STATISTICS `�' � Fax(631)765-6145 MARRIAGE OFFICER Q� Telephone(631)765-1800 RECORDS MANAGEMENT OFFICLR �� � www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER ���I�� ������ ���� ��..��� TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Carol Hydell, Southold Town Clerk's Office DATED: August 26, 2016 RF: Cesspool Construction/Alteration Application Transmitted herewith is a copy of application No. 4418 for a Cesspool/Septic Tank Construction Permit submitted by: Peconic Cesspool for Paul Seck Pleasc review the application and location map and advise if this office may issue the permit. Please complete the form below and return it to me. Thank you. � * * * � � � � � * � � I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE DISAPPROVE Comments: �ignature Dated � �1QQ1�b��eovvv�s...m.�.._..e_� �-�K� `�i . , � .. �� ��.�1�l� ,�y�� �; :� �oufi�s.ol3,3�e�Yc�rk 119 i i �(63I�?65-�145 ��R�R��'���� �`` _� , � '��teghaae 46313�6�-1� �.C����fl '��� '�'` ���-northfar�.�.�, t}F Ih'F4�A'�el�a�T � ,' � ,�� : £' • fl�,'E3'�T�F�C}�OS.� � � . . � ,;� ._ ° ��I���3:�']�� . _ . � �� `€��E)���'��F.A.°�4����` ������ � _ � �� � / a���.� � ��� V �� ���:�. � . ����- ��� ` � .� � '��t�. ��� � _�=. � ����� �. e �� �7 p,� " " ` �:� � � - �, ���48 5���=l � �.� - . �." ���s�.��� �r��€��a 40�of � . � ��i�zt�f���� � e� .. �.C� � - �� � �f � � ��� ���_� `.� L.��� � �I . .�� a �° � � �` �^rv�� _ U � � � ���� � � d��.��� .� � � � I �� � � ��: � � s . � �� � ��a `� �� a �� � ,: : � � �� ' � ��� �� ��e ''`''�,� .� ���� a � � ��� . ���� � � r� ____ ___ ____ _ _ _ __ � � _ $ --� � �� � � � � � � , ___ ___ _ � 1 �CN V �� � °� �' � �p� -�,0 `�° �SS c��, �� \ � �� �. �� � i � i �� � ���,�� * * * RECEIPT * * * Date: 08/26/16 Receipt#: 212743 Quantity Transactions Reference Subtotal 1 Septic Permit- Construct- Resid. 4418 $10.00 Total Paid: $10.00 Notes: Payment Type Amount Paid By CASH $10.00 Peconic, Cesspool Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Narne: Peconic, Cesspool P O Box 487 Laurel, NY 11948 Cler'k 1�: BONNIED Internal ID:4418