HomeMy WebLinkAboutPugliese Ralph ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
· MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
Town Hall, 53095 Main Road
P,O. Box 1179
Southold, New York 11971
...... Fax (6~). 76.5-6145.
· Telephone (631) 7654800
southoldtown.northfork.net
OFFICE OF THE TOWN CLERK "
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential ~ $10__ or Non-Residential ~ $25 __
Applicant Mailing Address ~ 7ggO~._/~W! DC/~ .]-. ,4 ,v
Septic T~ or Cesspool
Brief Description of Proposed Construction or Alteration
Application No. ~3~~'~
Permit No.
Location of Proposed Constmc~on/Alteratiojl:
Owner of Property:
Owner Mailing Addr;is''bt.../
Owner Property Address:
Name and phone number of eontac[j~erson
' ,x apNo: Section
Cross S~eet
NOTE: LOCATION ~P MUST BE SUBMITTED WITH ~PLICATION. NEW
CONSTRUCTION ~QUI~S SURLY WITH HEALTH D~TMENT APPROV~
R~eived b .
BRIDGE ~,,, LANE
Cia
40' RIGHT OF- WAY
RALPH AND PATRICIA PUGLIESE cz.
VINEYARDS
LOT 3
LOT
298.56'
TM# lO00 097-0~-P/0 126
GUARANTEED TO
RALPH PUCL[ESE
PATRICIA F'UGLIESE
LOT 2
IN A MINOR SUBDIVISION
FOR RALPH AND PATRICIA PUGLIE$£
SffUATE
CUTCHOGUE, TOWN OF SOUTHOLD
SUFFOLK COUNTY, NF'W YORK
SURVEYED FOR: RALPH PUGLIESE
PATRICIA PUGLI£CJE
SURVEYED: 23 MAY 2002
SCALE 1"= 100'
AREA = 87,120 SF.
2 000 ACRES
SURVEYED BY
STANLEY d. ISAKS£N, dFC
P.O. BOX 294
NEW SUFFOLK. N.Y. 1'/956