HomeMy WebLinkAboutBetter Living Homes Inc ,•0 \oSUFFoc�-BOG_
ELIZABETH A.NEVILLE 1 Town Hall, 53095 Main Road
TOWN CLERK % o - P.O. Box 1179
REGISTRAR.OF VITAL STATISTICS
ti Z ' Southold,New York 11971
MARRIAGE OFFICER
‘`‘‘46.& Fax Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER "701 t)*� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ,��� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 4219-R Residential x Non-Residential
Fee $ 10.00 New X Existing
Name Of Owner BETTER LIVING HOMES INC
Mailing Address 1 140 OAKLAND AVENUE
jai l i ng Address 2
City St Zip DEER PARK NY 11729-0000
Property Address 1 295 RABBIT LANE
Property Address 2
City St Zip EAST MARION NY 11939-0000
Owner Telephone No. 516-768-9708
Tax Map No. section 31.00 block 17 lot 11.000
Cross Street BAY AVENUE
Issue Date: 9/10/03 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
Oir'FICE()FM TOWN CLERK
TOWNOFSOUTHOLD O�O� �C�G Application No. tl�
"U ZABETHA.NEVILLE,TOWNCLERK $10.00 - Residential
P.O.BOX 1179
SOUTHOLD,NEW YORK 11971 ,; $25.00 - Non-Residential
Telephone _01 * `���,�'
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $ /19'47)
DATE S1®7! e3
OWNER NAME: /i i%- L%v eZ
}
OWNER MAILING ADDRESS: I4 , 34k-41--.4"
ak-la " au-e,
1--Z-4 AY. 779
OWNER PROPERTY ADDRESS: Z9S lets s 1 L e .
i<1 Y 11939
i
OWNER TELEPHONE NUMBER: (76) 768 - '77®g
TAX MAP NO. : Section "g( Block /7 Lot 11
CROSS STREET: T_ `T Arise,
TYPE OF SYSTEM: Septic Tank V New V Existing
Cesspool New Existing
Residential Non-Residential
LOCATION MAP: Must be attached hereto before permit may be issued.
(Locate building and system; give north arrow and feet
of distance, approximately, to building and closest road.)
Signature of Applicant
RECEIVED BY:
Town Clerk's Office
DATE:
Town Of Southold
P.O Box 1179
Southold, NY 11971
* * * RECEIPT * * *
Date: 09/10/03 Receipt#: 1224
Transaction(s): Subtotal
1 Septic Permit-Operation - Resid. $10.00
Check#: 1224 Total Paid: $10.00
Name: Better, Living Homes Inc
140 Oakland Avenue
Deer Park, NY 11729
Clerk ID: LYNDAB Internal ID:81890
BETTER LIVING HOMES, INC. 1224
Southold Town Clerk 05/07/2003
Operation Permit 10.00
checking SCTM#31-17-11 Operation Permit 10.00