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Date 10
Richard G. Ward, Chairman
Southold Town Planning Board
P.O. Box 1179
Southold, NY 11971
Dear Mr. Ward:
I would like to request a waiver of site plan requirements. The following data is
provided for the Planning Board's ,review:
Name - �
Address V6 ICJtin (l
Phone
Tax Map # 1000 -
Location of project SO
Brief description of project and reason for waiver request.
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Please include a survey or sketch of the property, to scale, showing existing and
proposed oor lan, the location of all existing and proposed buildings and parking
spaces and all existing and proposed uses.
If you need any'additional information, or have any questions, please contact:
Robert G. Kassner, Site Plan Reviewer, at (5 16) 765-1938.
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