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Home My WebLink AboutDuke, StephenREGISTP. P~R OF VITAL STATISTICS MARIUAGE OFFICER ttF~COP, DS MANAGEMENT OFFIORR FREEDOM OF INFOI~iATION OFFICER Town Hall, 58095 Main Road P.O. B~ 1179 Southokl, Hew York 119'/1 Fax (681) 765-614.5 T~l~pho~ (651) 76~-1800 southolcltown.northfork.net Residential ~ $10 Y or Non-Residential @ $25 OFFICE OF ~ TOWN CLERK TOWN OF SoUTHOLD SOUTHOLD WASTEWATER DISTRICT ~ APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPO O L or SEPTiC TARK ~ff%/~ Permit No. ~ } Applier Name PECONIC CESSPOOL Applicant Msi!in§ Ad&~ssv P. O. Box ..487 LAUREL, I~W .Y. ORK 119.48 .... s~,tic r~/'...orC?pooI. ~ . .. ..__~__ Brief Desc~i~os~ ~enstrucuoAo~_~uu~ , [) · o~aZ, .. Lo~tio, oi'~pos~i co~-?~,lt~tio,,:~..~... ~_.,.,, Ex/a ~ r~