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HomeMy WebLinkAboutMcDermott, Thomas & Rosemary REG~fRAR OF VITAL STATISTICS MAR~GE OFFICER REOOP. D~ MANAGEME~"T OFFICER FItF~DOM OF INFORMATION OFFICER Town Hall, ~095 M~n Road P.O. Box 1179 Southold, New Y~rk 11971 Fax (6Sl) 765-6145 Telephone (651) 765-1800 southolcltown.nor tl~ork.net OFFICE OF TH v: 'IX)WA CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEV~ATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK R~sidential ~ $10 ~/or Non-K~sid=ntial (~ $25 Permit No. ApPlicant Name PECONIC CESSPOOL Applicant Mailing.Address P.O. BOX ._487 LAUREL, NEW YORK 11945 S~. tic T~r~: ..:__or C.esspool. Bnef D~scZpUon~of~Fp~b~d Con.~ruction or Alt=a~on Loe~ion of Propo.qod Owner M~i~u~ Address: