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Home My WebLink AboutFaber O ��1FFOL�- ELIZABETH A.NEVILLE,MMC �4 Town Hall,53095 Main Road TOWN CLERK a P.O.Box 1179 C* Southold,New York 11971 REGISTRAR OF VITAL STATISTICS � Fax(631)765-6145 MARRIAGE OFFICER ,�i ® 0�• Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department D [ECR D'V[E FROM: Sabrina Born, Southold Town Clerk's Office SEP 5 2017 DATED: September 1, 2017 BUILDING Dom. RE: Cesspool Construction/Alteration Application TOWN OF SOUTHOm Transmitted herewith is a copy of application No. 4514 for a Cesspool/Septic Tank Construction Permit submitted by: Frederick Weber for Stephen &Joanne Faber Please 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: r r Signature Dated FOL Ir ELIZABETH A. NEVILLE, MMC Town Hall,53095 Main Road TOWN CLERK P.O.Box 1179 Southold,New York 11971 CA at REGISTRAR OF VITAL STATISTICS DIV Fax(631)765-6145 MARRIAGE OFFICER Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Sabrina Born, Southold Town Clerk's Office DATED: September 1, 2017 RE: Cesspool Construction/Alteration Application Transmitted herewith is a copy of application No. 4514 for a Cesspool/Septic Tank Construction Permit submitted by: Frederick Weber for Stephen & Joanne Faber Please 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: Signature Dated �aSU� 4C��' ELIZABETH A. NEVILLE ® ®� ._. �°Z' � .. Town Hall, 63096 Main I3.oa, TOWN CLERKe� � P.O. Box 11.79 REGISTRAR OF VITAL STATIS`T'ICS � � Southold, New York 11971 MARRIAGE OFFICER �� `'` Fax (631) 766-6146 RECORDS MANAGEMENT OFFICER �f® ®� Telephone (631)765-1800 FREEDOM OF INFORMATION OFFICER "� �` sou tholdtown.northfork.net OFFICE OFTHE TOWN CLERK Y TOWN OF SOUTHOLD SOUTI-IOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEP'T`IC TANK Residential @$10 \ or Non-Residential @$25 Application No. Permit No. Applicant licant Name Applicant Mailing Address 4A Septic Tank_,, or Cesspool Brief Description of Proposed Construction or Alteration l ` t 4 ` ►1r `RC1' �,R Location of Proposed Construction/Alteration: Owner of Property: � s _.- -_ Owner Mailing Address: " Owner Property Address: Name and phone number of contact person Tax Map No: tom) Section I Block g�") Lot � Cross Street_ E 'eA � o NO'T'E: LOCATION ST 0 SUBAUTTED WITH APPLICATION. NEW CONSTRUCTION RE QUIRE S SUR ALTH DEPARTME NT APPROVAL sr n F.I Si9Tlature of Applicant Date Received by: __ ` ie FILL WITH L R OF