HomeMy WebLinkAboutAppenzellar, Sylvia REG~ OF V~TAL STATISTICS
MARlUA~E OFFICF~
aFfORDS MANAGEMENT
FREEDOM OF ~ORMAT~OI~ OFFiCeR
OFFICE OF ~ TOWN CLERK
TOWN OF SOUTHOLD
$OUTHOLD WASTEWATER DISTRICT
APPLICATION
Town Hall, 53095 Main Road
P.O. Box 1179
Southol~, New York 11971
Fax (651) 76~-61A~
Telephone (651)
southokI~wn.nor thfork-net
CONSTRUCTION or ALTERATION PER/VIIT
CESSPOOL or SEPTIC TANK
R~d~1% $10~ or
Non-Residential (~ $25 _
Application No q 09,..~.
Permit No. _
APPlic,~t tq~¢ PECONIC CESSPOOL
Applic, mtM~i!ingAddress ~. O. BOX._4S7
LAUREL= NEW YORK 1..!94~.
Sop~cT-.~ .._.~C~oo ~ . . ..
N~e ~d phone n~b= of ~nmct ~
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