HomeMy WebLinkAboutConiglio, Anthony Is 0°l
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ELIZABETH A.NEVILLE _� . ` Town Hall, 53095 Main Road
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TOWN CLERK So P.O. Box 1179
CA Z tSouthold, New York 11971
REGISTRAR,OF VITAL STATISTICS
MARRIAGE OFFICER `` Iji ���1, Fax (631) 765 6145
RECORDS MANAGEMENT OFFICER _ jgg �
Q! iii Telephone (631) 765-1800
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FREEDOM OF INFORMATION OFFICER - ��4 b,��� 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. 4203-R Residential x Non-Residential
Fee $ 10.00 New x Existing
Name Of Owner CONIGLIO, ANTHONY
Mailing Address 1 2575 OAKLAWN AVENUE
Mailing Address 2
City St zip SOUTHOLD NY 11971-0000
Property Address 1 2575 OAKLAWN AVENUE
Property Address 2
City St Zip SOUTHOLD NY 11971-0000
Owner Telephone No. 000-000-0000
Tax Map No. section 70.00 block 3 lot 23.000
Cross Street WELLS AVENUE
Issue Date: 5/19/03 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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OFFICE OF THE TOWN CLERK C31FD
TOWN OF SOUTHOLD &% COG Application No. 420124-1
ELIZABETH A.NEVIIJ.F,TOWN CLERK t $10.00 - Residential
P.O.BOX 1179 a `�
SOUTHOLD,NEW YORK 11971 ; $25.00 - Non-Residential
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Telephone 4 ( `1% ...
(516) 765-1801 . 'i
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $
DATIA1, 51 1/66.3
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OWNER NAME: A Plyn,J C. PrOI4L-/o
OWNER MAILING ADDRESS: es-75 0Akt-Akw/ A ✓E
Sou Niol.D , 14.1. 11811
OWNER PROPERTY ADDRESS: Z575 DAIS LAW A vc /
Sov74/1oL.D All• 11871
OWNER TELEPHONE NUMBER: •
TAX MAP NO. : Section 70 -00 Block 3 Lot 23.00ca
CROSS STREET: \AIE'L.L-.S A Lig-A.)06
TYPE OF SYSTEM: Septic Tank /) ( New )( Existing
Cesspool 400044, New S Existing
Residential 1 ei5 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.)
_ taitil 4. ilitdi'
Signatu e of App ' '-nt
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RECEIVED B : 4111111."
ITown Clerk's Office
DATE: S\IHl. c_____3
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, N 23" 23' 50" W 100.00'
OAKLAWN AVE.
1:11.X WAP NO.
r 000-070-0.3-t.i'-2.:; SURVEYED 12 istARCH 199-
suivcr OF
SCALE 120'
i DESCRIBED PROPER TY
AREA a 14,895.L525SF
SI TUA ri:
: 7suarontees Indicated hero on shall yen SOUTHOLD, TOWN OF ....:..L. t,'i HOLD
1 :nly to the person for whom the surrey 0.542 A°CRRES
s prepered, and on his behalf to the SUFFOLK COON; tc N. Y.
We ccniPenY, Coveneental Agency, .
•ruing kelittlicsl, if listed hereon, and AU7-4600), 06/f// ,-A,,/c•
of the lending logimion. SURVEYED roi? : HOWARD BEPLA 7
.-ucrontees •
are not transfcrable to PAT BEP LAT C3s (S (0-0/0 l / '
idi7......1 0
Ktional institutions et stbsequsot owners. .
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SURVEY ED BY
srANLEY J. ISAKSEN, JR.
Uncialhorlzsd alteration or addition to lids
GUARANTE LL. TO survey is a violation of Section 72OP of P.O. BOX 294 . .
7. HOWARD 8EPLAT the Row York State Edocution Law. NEW SUFFOLK, NY 11956
i PAT BEPLAT s
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FIDE-LTV NATIONAL TITLE INS. CO. 516
4 SUFFOLK COUNTY NATIONAL BANK
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TOWN OF RIVERNEAD Copts of this survey. n-,..p nal ;seating ..\ A
the Land Surveyors embossed iota! shalt /1;
ICEN; V LAND SU 'EYOR
not be consideutri to be a valid true
try hirs Lic. NO. 49273 98R69i . •
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