HomeMy WebLinkAboutLaurel Links Country Club o��SUFFO`�-c0
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ELIZABETH A.NEVILLEo Town Hall, 53095 Main Road
TOWN CLERK W a P.O. Box 1179
Southold, New York 11971
REGISTRAR,OF VITAL STATISTICS �
MARRIAGE OFFICER y�• ao� Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
OPERATION. PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 4274-R Residential x Non-Residential
s-ee $ 25.00 New x Existing
Name Of Owner LAUREL LINKS COUNTRY CLUB
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Mailing Address 1 PO Box 702
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mailing
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Mailing Address 2
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City St zip ROCKY POINT NY 11778-0000
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Property Address 1 6400 MAIN ROAD
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Property Address 2
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City St zip LAUREL NY 11948-0000
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owner Telephone No. 000-000-0000
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Tax Map No. section 125.00 block 4 lot 24.023
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Cross Street MAIN ROAD
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Issue Date: 2/01/05 Elizabeth A. Neville
-------- Southold Town Clerk
(TOWN SEAL)
O
ELIZABETH A.NEVILLE Town Hall, 53095 Main Road
TOWN CLERK c P.O. Box 1179 ,
COD Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER • Fax(631) 765-6145
RECORDS MANAGEMENT.OFFICERO� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER �O'� �O southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT,
APPLICATION
OPERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @ $10 or Non-Residential @ $25� Application No. 7
Permit No.
Owner Name ��`^� 6
Owner Mailing Address_?1 -O
Owner Property Address 6`( CDCD
Owner Telephone No.
Tax Map No: Section- Block Lot a
Cross Street
Please check each that applies: New Construction
Alteration to Existing System
Residential Non-Residential
NOTE: LOCATION MAP MUST BE SUBMITTED 'WITH ,APPLICATION. (Locate
building and.system; give north arrow and approximate distance in-feet from system to building -
and closest road. New constriction may submit copy o survey with SCHD-approval.) ;
Signature of Ap li nt Date
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Received b
Young & , Young £>0
14/ 400 Ostrander Avenue, Riverhead, New York 11901
631-727-2303
Howard W. Young, Land Surveyor
Thomas C. Wolpert, Professional 'Engineer Flo
Robert C. Tast, Architectg
Ronald E. Pfuhl, Landscape Architect � g
Douglas E. Adams, Professional Engineer
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NOTE � s
=—r-3 AREA = 154.6442 ACRES
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r- ``" • SUBDIVISION MAP "LAUREL LINKS" FILED IN THE OFFICE OF
-'` THE CLERK OF,SUFFOLK COUNTY ON NOV. 23, 2001 AS
FILE NO. 10712.
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Town Of Southold
P.O Box 1179
Southold, NY 11971
* * * RECEIPT * * *
Date: 02/01/05 Receipt#: 3355
Transaction(s): Reference Subtotal
1 1 Septic Permit- Construct- Resid. 4273 $10.00
Check#: 3355 Total Paid: $10.00
Name: Laurel, Links Counrty Club
P.o. Box 307
Laurel, NY 11948
Clerk ID: LYNDAB Internal ID:4273