HomeMy WebLinkAboutManzi Homes Inc (5) /e 0111,OFFOUr
ELIZABETH A.NEVILLE �,W O4 ; Town Hall, 53095 Main Road
TOWN CLERK o - I, P.O. Box 1179
y Z Southold New York 11971
REGISTRAR OF VITAL STATISTICS '
MARRIAGE OFFICER �� Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER "'/Q! �i� 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. 4205-R Residential X Non-Residential
Fee $ 10.00 New X Existing
Name Of Owner MANZI HOMES INC
Mailing Address 1 P 0 BOx 702
Mailing Address 2
City St Zip ROCKY POINT NY 11778-0000
Property Address 1 6484 SOUNDVIEW AVE
Property Address 2
City St zip SOUTHOLD NY 11971-0000
owner Telephone No. 631-744-1039
Tax Map No. section 59.00 block 8 lot 4.002
Cross Street KENNY'S ROAD
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40,2 matt
Issue Date: 6/02/03 izabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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OFFICFJOF THE TOWN CLERK
TOWNOFSOUTHOLD 0 . OIj Application No. �a0�
ELIZABETH A.NEVILLE,TOWN CLERK •� �J'►
;t� $10.00 - Residential
P.O.BOX 1179
SOUTHOLD,NEW YORK 11971
$25.00 - Non-Residential
Telephone 710 4 *6 ''•
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
.
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $
DATE May
OWNER NAME: 11 4M-2.'1 rsr\e S )rl
OWNER MAILING ADDRESS:�•Q Qtr >Oa_
R_CDC k � n-(', iQ I I�?
OWNER PROPERTY ADDRESS: h y �� ��
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Sc--D \c . y t 1 R'71
OWNER TELEPHONE NUMBER: 62 / - 7 yCt - /O39
TAX MAP NO. : Section 5 Block - Lot L
CROSS STREET: It-ve_r(1(1 Ll _ ( P
TYPE OF SYSTEM: Septic Tank 'New 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.)
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Signat re of App icant
RECEIVED BY:
Town Clerk's Office
DATE:
JOB No. 01-69 i TAX I.D. No. 1000-59-08-4.2
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2. S ,e, THE LOCATION OF WELLS,WATER SERVICE
LINES, SEPTIC TANKS AND CESSPOOLS
N/F STEPHEN J.DOROSKI SHOWN HEREON ARE FIELD OBSERVA
FARMLAND TIONS AND OR DATA OBTAINED FROM
OTHERS.
FIRM MAP No.36103C0154 G
FLOOD ZONE X
Unauthorized alteration or addition to this document is a violation of Section 7209 SURVEY OF:
of YY edhereeonsheon only to the person for whom
ltMprepared DESCRIBED PROPERTY
and on his behalf to the Title Company,Goyemmentai Agency and Lending
Institutions listed hereon.
Copies of this document not bearing the professional's inked seal or embossed SOUTHOLD,TOWN OF SOUTHOLD
seal shall not be considered a valid hue copy.
The offsets[or dimensions j shown hereon for a specific ° �°d° �apupo aeenotenederection d SUFFOLK COUNTY, NEW YORK
fences,retains g walls,pools,patios,planting areas,addition to butdings,or any other
The
construction.e d right d ways and/or easements d record,a any,not shownare SURVEY DATE: 01/10/03 pi N
SCALE: 1"=60'
not guaranteed.
CERTIFIED ONLY TO:
MANZI HOMES DESTIN a GRAS'
LAND SURVEY(R: = 711-1-U
2 o art
a► PO BOX 704 v F.;('7
Rocky Point,New York,1778 N t•*t
631821.3442 * y n<
By DESTIN G.GRAF N.Y.S.LIC NO.50067 r•*tn, DE t
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