HomeMy WebLinkAboutLang ELIZABETH A. NEVILLE, MMCF �°W� , � Town Hall,53095 Main Road
TOWN CLERK � P.O.Box 1179
Southold,New York 11971
REGISTRAR OF VITAL STATISTICS Fax(631)765-6145
MARRIAGE OFFICER ' Telephone(631)765-1800
IN RECORDS MANAGEMENT OFFICER '�, jP° �k) www.southoldtownny.gov
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Southold Town Clerk's Office
DATED: November 28, 2018
RE: Cesspool Construction/Alteration Application
Transmitted herewith is a copy of application No. 4679 for a Cesspool/Septic Tank Construction
Permit submitted by:
Due East Planning, Inc.- Susan Brierley for,Anthony Lan.
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 ww,
Comments:.
Signature
Dated
LI w w Town Tfat„ 53095 M n .f'trsd
TOWN CLERK
P.O. Box 1179
Southold, New 'work 119"71.
REGISTRAR(3F' 7.' STATISTICS �'�
"
Fax..(631) '765-61,45
MARRIAGE OFFICER r�
CORDS MANAGEMENT OFFICE; I'e1Y�;IDh�1Il7e (631,) '765-1800'
FREEDOM of INFORMATION OFFICER southoldto n.norr•tkafork.net
OFFICE
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATERDISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL r SEPTIC TANK
Residential @ 14 X or Non-Residential 25 Application No. i 0Oct L
Permit No, 4...
Applicant _ Due E_aes..t.Planning,mInc. - S.u.._san.. rierl.e.
� ���___
- - m
Applicant Mailing Address POI x._4.�
IT ... .. _
Septic LCesspool-
Brief
___.m. . ._ _ .... ..._ ...........�.�. µ
p ' X or Cesspool
Brief Description of Proposed Construction or Alteration COnstruction of 3 Bedroom Single Family
--
Location of Proposed Construction/Alteration:
Owner of Property: AnthonywLang _w . ._.._.._..... m _. .
Owner Mailing Address:,............_. .. ....__�_._ m.. .._ ...
Owner Property Ad(l:r e ss: 1635 Park Ave Mattituck, NY 11952
Due East Planning I1r .__Susan Brigid 631. 04,6233
Itiarne and phone number of contact person .�? .._._ .. ._.. ,�.
Tax Map No: Section 123_�..Bloch:_.. 02 _... Lot 32
Cross Street Marratooka Rd
NOTE. LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
"
I'H DEPARTMENT S"I°.II.TC°.I"IIN E QUIRES JIVI�� ."I" . ..II�n y APPROVAL
Signature of Appl t Date
Received by: .......,. . ., ..
Town of Southold
P.O Box 1179
Southold, NY 11971
* * * RECEIPT * * *
Date: 11/28/18 Receipt#: 249887
Quantity Transactions Reference Subtotal
1 Septic Permit-Construct- Resid. 4679 $10.00
___._.........m.....M ..... �
Total Paid: $10.00
Notes: Susan Brierley
Payment Type Amount Paid By
CK#1365 $10.00 Due, East Planning Inc
Southold Town Clerk's Office
53095 Main Road, PO Box 1179
Southold, NY 11971
Name: Due, East Planning Inc
Po Box 4144
East Hampton, NY 11937
Clerk ID: JENNIFER Internal ID:4679
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