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Home My WebLink AboutBayberry BldrsTOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit TAX MAP NO.: CROSS STREET: TYPE OF SYSTEM: OWNER NAME: ~ t2 C'~ OWNER MAILING ADDRESS: , , ~0 .~0~ ~ / ~ OWNER PROPERTY ADDRESS: ,~,~ .~ , J g., (~1~ (i~ OWNER TE~PHONE NUMBER: ((~ ~ ~'~- O~:~ Septic Tank Cesspool Residen rial .... ~/. Non-Residential LOCATION MAP: Must be attached hereto before permit may be issued. (Locate building and system; give north arrow and feet of distance, approximately, to building and closest road.) RECEIVED BY; . . ............. .S.C. TAX HAP NO. DIST. IOOCDECT. D~ BLOCK ~ LOT Iq.16 I PILE NO. t PROJEC, T NO.O~-O-/Iq PEltl~ !*O11 ~PROYAL O1. CONb~I'RU~TION I*OR A H.~.J. ALL ~I~HT~ ~ESE~V50. NOTE, P~OP~EO ELEVATION5 UNOERLINDO an~ ~r ~ ¢~ ~ ~ ~J FILED HAP ~. 108D~ DATE FILED 6/11/01 -~ PNB. UNB. ~NST. PIN~