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HomeMy WebLinkAboutDavis OFFICE OF THE TOWN CLERK ' ic��FFO[/f e"- Town of Southold Judith T. Terry, Town Clerk Z k " Town Hall, 53095 Main Road = `" 4i 'h P. O. Box 1179 u' � ` ° ' Southold, New York 11971 '% Telephone ' 0( [ st% (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation. Permit No. 602 Residential )( Non-Residential Fee $ 10.00 • Septic Cesspool X NAME OF OWNER: William Davis _ OWNER MAILING ADDRESS: 520 Sterling Place • Greenport, New York 11944 OWNER PROPERTY ADDRESS: 520 Sterling Place Greenport, New York OWNER TELEPHONE NUMBER: 516-477-2355 - TAX MAP NO. : Section 34 Block 3 ' Lot 7 CROSS STREET: Knapp Place TYPE OF SYSTEM: Septic Tank New Existing Cesspool X New Existing x Residential X Non-Residential DATE OF PREVIOUS PUMP-OUT: Unknown us i. 'r err Southold Town Clerk DATE: February •11., . 1988 - (TOWN SEAL) /f ih q iii OFFICE OF THE TOWN CLERK �c�VFF�(K.i Town of Southold <QG', Application No. Judith T. Terry, Town Clerk •� n Town Hall, 53095 Main Road Residential P. 0. Box 1179 v' " `, ' • Non-Residential Southold, New York 11971 ® {F; *'$ Telephone *01 [ �� (516) 765-1801 TOWN OF SOUTHOLD RECEIVE JAN SOUTHOLD WASTEWATER DISPOSAL DISTRICT Tnwn Cleric Southold APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. O,2___/ Fee $J/J,0c) DATE 3/4,42J) OWNER NAME: %V,//,',,, OWNER MAILING ADDRESS: S-76) OWNER PROPERTY ADDRESS: 54,4 sy, OWNER TELEPHONE NUMBER: 7:77- _,3s-1/45--- . :77 _,3s-5 TAX MAP NO. : Section 3y Block Lot 7 CROSS STREET: /61,A d71-) c TYPE OF SYSTEM: Septic Tank New Existing Cesspool V New Existing v' Residential V Non-Residential DATE OF PREVIOUS PUMP-OUT: 1,#),,, 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: -fi,„. Town Clerk's Office erd/ DATE: c� ���" . ' � . ' . . '�. � . � ' ` . . . � ~ , . � ��. :~ ��yV ` � � � c�u. ' � \�- ' � ` . ^ - � � ' . . � � . ^ � � � / ' � w[ ' , ' ._-__ __ �/� . ^~�~�'%» � �� �/�r'~`� . ' -� � �~,-�+ ' ~ � . . - : . � � __-.__-----� __ __--------__- -_______-'��� .y� / � �- / � � -- � � ��- �y� ^� �� � / . ' . _-_' -____ ---'____-__-__-__'__^__''--__'- -- --_ __--__-' -__ _-__ �� ' '` / � ` ` � � - -,� � __1t ' --- ------ -----'----- ' . � . '' . / -� _�-_____- ____________ __� _ _ __ ._ _-__ / ' , 0 0 . CL::: ----C-11----1-7- ' ' ----- - _ ____ ' -- '_- --------'-- ---�---' -r-. - -----'-- _ ' - . .,�' __-_-_____-_-_.-�'__�-_'___-_____ -____--_-- __--�_' -'-_-_-_ ___-__ - �-_ __�_-- . . . . , __ __ _ --__- __ . / . _ . - �. . � . • I ,-..-.. __-_. _--- _-_-_ _- ---_�-_-_-- ----�___'_--- -----_- -_ � •--_ � �--_-__'_ � ` • ` . . � � � _- _-- -_ _ ^ -----__--�- � ' � . , ' �--__-_ --. ---_- -- - -------'-- �------��-r---�----�---- ..` � . r\ � � ` ' . . . .� _ _ - ______ _- -__ ___ __-_�_-__� ` ^ . . � � � . . • ����������������_��_�_��� ����� �������� ._.-... ... . � . ' • \ _ .... .. __ ......• -. ___ ______ -_____ ___ _