HomeMy WebLinkAboutMcNab, Glenn OFFICE OF THE"TOWN CLERK �F FU .,
TOWN OFSOUfHOLD o\�5 COIj Application No. T
I LIZABETH A.NEVILLE,TOWN CLERK � $10.00 - Residential
P.O.BOX 1179
SOUTHOLD,NEWYORK 11971 ,�' $25.00 - Non-Residential
Telephone '�' lit ' ' ''•
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 02296
Fee $
DATE $, ,d3
OWNER NAME: 6L /d 0A/A. Nc44971
OWNER MAILING ADDRESS: /6 f v rt4✓iac16'
6f/,,-r✓, Al)' // O
OWNER PROPERTY ADDRESS: 4,5 /�,P.gc.c.), ( ,,yg'
r
OWNER TELEPHONE NUMBER:G3/ -6'6/- c/67e
TAX MAP NO. : Section ?4, Block 3 Lot • l9=9/
CROSS STREET: 3.v>,,1rf/V&,t 6,00.17-6-
TYPE OF SYSTEM: Septic Tank s - New Existing
Cesspool 7- New Existing
Residential y 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.)
Au-.-.___ MC-Ai--
Signature of Applicant
RECEIVED BY:
Vv
own Clerk's Office
DATE: q 0 3
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RESIDENCES
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srLirshown hereon are from field observolions
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LOT NUMBERS REFER TO 'MAP OF
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W EL E VA ONS ARE REFERENCED
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CERTIFIED TO,
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TEST HOLE DATA CONGRESSIONAL ABSTRACT C -1145.,,,.
Dant brown FWST AMERX'AN TITLE INS
VACANT NO 10011 CGIW'ANY OF NEW YORK �� , yon,
LOT 0
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of SFC A OF mt Y°1•K EY.ALL C LAW. DONS
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la SEAL AF l?in SUFVEYoft
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IF ANOTHER S el S MAR MINS SUQt AS Clair AND
I63p 765 - 5 20 FAX (6311 765 - /797
11RO stir'-TO RATE'ME NOT N COMILIAN E'M / THE LAW. P. O. BOX
1230 TRAVEL STREET
AREA=45,201 sq ft air 10377 scree 'T SOUTHOLD, N. 11971
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