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HomeMy WebLinkAboutDaskalopoulos OFFICE OF THE TOWN CLERK • 'cO,F�(KC," Town of Southold � �lj - Judith T. Terry, Town Clerk ti Town Hall, 53095 Main Road :.. P. O. Box 1179 f cis Southold, New York 11971 \,Q .'� Telephone "4--V/0/ NOO (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 490 - Residential X Fee $ 10.00 Non-Residential Septic Cesspool x NAME OF OWNER: George and Potoula Daskalopoulos OWNER MAILING ADDRESS: Soundview Avenue Southold, New York 11971 OWNER PROPERTY ADDRESS:.Soundview Avenue Southold, New York OWNER TELEPHONE NUMBER: 516-765-2078 TAX MAP NO. : Section 51 Block 4 Lot 8 CROSS STREET: Clark Road TYPE OF SYSTEM: Septic Tank New • Existing Cesspool X New Existing X Residential X Non-Residential DATE OF PREVIOUS PUMP-OUT: 1985 • Judith T. Terry Southold Town Clerk DATE: November 23, 1987 (TOWN SEAL) F ii I ��- OFFICE OF THE TOWN CLERK �C0FOUrp� Town of Southold C ' Application No.;;r0 Judith T. Terry, Town Clerk .,1' . _*k4,-4, Town Hall, 53095 Main Road -4, ;..•'.x."A• 4 1 Residential ./ P. 0. Box 1179 :7E', .. : ; . Non-Residential Southold, New York 11971 O :, • , ,s-$ Telephone ®.( 4 *46 • (516) 765-1801 RECEIVED TOWN OF SOUTHOLD NOV 121987 SOUTHOLD WASTEWATER DISPOSAL DISTRICT Intr Cterti, outhold APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. icid Fee $ /6 - DATE / e 1./e4Jj6,111 /, r7 OWNER NAME: 66:07e6' ,p-foj® aZda . 7) 'it42o-poULoc OWNER MAILING ADDRESS: J©c,/v Iat/Ic-c� E 80 tJ r(-I-d 6,� ,/tt Y /74 7/ OWNER PROPERTY ADDRESS: S.eD � OWNER TELEPHONE NUMBER: .57C — 7nJ2C 7S TAX MAP NO. : Section J I Block 17L Lot X CROSS STREET: i--,....K_AA C 117 RI), TYPE OF SYSTEM: Septic Tank New Existing Cesspool �---- New Existing Residential L Non-Residential DATE OF PREVIOUS PUMP-OUT: �la) e l Q a v _ 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.) /nature of ' plicant RECEIVED BY: (� �- , Townrk's 0 fice RECEIVED DATE: NOV 2 3 1987 Tngn C4erh Southold • -, Jik.• LONG i S 6-‘,N9 _b - , G f F._D Ars K A PoU-1.c9-q. ?Qo i7--fezri , f 4,1 110 - [.q_____r,‘4) ., .,6,‘' . 011 . , SavIJDVtec49 A.d