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HomeMy WebLinkAboutHedtrich, JoanF,LPl,ABVM A. NEVILLE To vx Cr z= µ g£GMTPAR OF VITAL STATISTICS WAMAGE OFFICER RECORDS'i6ANAG .OMCER, FREEDOM OF OFFICER Town Ham, 53095 Main Road P.O. Bos 1179 Southold, New York 11971 Fax (631) 765-6145 TeI4l Me, (631) 765-1800. 8=tholdtovmnorthfork-net is OFTOWNTOWN CLEFJK Tovx OF SOUTH, SO€ THOP YWTBWATER DISTRICT Ap,iCAT'i0N IOI.TERA O ERMC0NSTRUCNoA - CES3g{70L. orEP''ITANK pciioNonResidenfa3 @ $25 i- Residenta€ @ PertNo. y F AppHmtNwne 2,EC04C— P - 0. BOX . 4$7 T .t X VnIPu 11948 Septic Tan:' Brief Desc,, ':tion o: Name and phone nuiabez of contact Tax Mag No: Section Cross Street Bi NOTE: LOCATION* MAP�R'4 CONSTRUCTIOI�T REQU�S S ,EY Received by: Block. 44 LOt� UBMUIRD WrM APPLIC, ATION. NEW I'H DEPAR NT APPRO l l� data p ��l �tj� owt._ y ***RECEIPT*** Date: 06/01/15 Receipt#: 186548 Quantity Transactions Reference Subtotal 1 Septic Permit - Construct - Resid. 4321 $10.00 Total Paid: $10.00 Notes: Payment Type Amount Paid By CASH $10.00 Peconic, Cesspool Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: Peconic, Cesspool P O Box 487 Laurel, NY 11948 Clerk ID: SABRINA Internal ID: 4321 .Land $ o r mer 1 � 0 r A v E. MAP OF -.LAND QF DAMES. H. YOUNG- ESTATE AT MA-"TSTUCK, N.Y. 9. A v E. MAP OF -.LAND QF DAMES. H. YOUNG- ESTATE AT MA-"TSTUCK, N.Y.