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JUDITH T.TERRY �� ,``�,_- ; Town Hall,53095 Main Road
TOWN CLERK ?, 1,4%4'4 P.O.Box 1179
Southold,New York 11971
REGISTRAR OF VITAL STATISTICS `�® ~' 1) Fax(516)765-1823
RECORDS MANAGEMENT OFFICER i2:3 �i
MARRIAGE OFFICER -`` �� 1
�_-' Volt' Telephone(516)765-1800
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FREEDOM OF INFORMATION OFFICER ••••
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 3419-R Residenti l X Non-Residential
Fee $ 10.00 New Existing X
Name Of Owner DIGONS, MRS. JAMES
Mailing Address 1 P. O. BOX 531
Mailing Address 2
City St Zip MATTITUCK NY 11952-0000
Property Address 1 1000 SALTAIRE WAY
Property Address 2
City St Zip MATTITUCK NY 11952-0000
Owner Telephone No. 516-298-9725
Tax Map No. section 100.00 block 1 lot 31 .000
Cross Street WAVECREST LANE
Issue Date: 12/13/95 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
)
.. ...
OFFICE OF THE TOWN CLERK c3\\FFOC,�-"=
Town of Southold �� CQG= Application No. 3q/7
Judith T. Terry, Town Clerk �� - N
Town Hall, 53095 Main Road , $10.00 - Residential /
P. O. Box 1179 �;' $25.00 - Non-Residential
Southold, New York 11971 O ��`
Telephone 64®.( ��0 '�,
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $ /c' • D
DATE %Jll rJ/®' --i
/
OWNER NAME: iii, . . - ' .
OWNER MAILING ADDRESS: ,P.O • obi( ..5:3 /
Nei- th,r«, /I)1 UP-9.--
OWNER PROPERTY ADDRESS: /0,0() SA-L../747.Q'
py-L/ea77 .e.. 1-7
Of-74/7• blei iuE'G✓ 1z. // c/L `�
OWNER TELEPHONE NUMBER: (19 2 7J'e ?/ar ,
TAX MAP NO. : Section /0 O Block / Lot37
CROSS STREET: , l
TYPE OF SYSTEM:-;Se_ptic, Tank New Existing
Cesspool ✓ New Existing
Residential 7 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.)
t
ignature of Ap- icant
RECEIVED BY:
• . ; - Town 'Clerk's Office
DATE:
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SURVEY FOR •
THOMAS J. CAHILL 01,14x'10
•
LOT 29
31SALTAIRE ESTATES
MATTITUCK
TOWN OF SOUTHOLD
SUFF. CO., N.Y. GUARANTEED TO:
• INTER-COUNTY TITLE GUARANTY
SCALE . 1 " = 401 8 MORTGAGE CO.
NOTE : n o MONUMENT RIVERHEAD SAVINGS BANK '
SUBDIVISION MAP FILED IN THE NOV.. 28, 1966
OFFICE OF THE CLERK OF SUFFOLK COUNTY •JUNE 13, 1967 PR �:' ENG} EER AND
ON AUG. 3, 1966 AS MAP NO. 4682. LAND SURV YOR N.1C6.LIC.NO.I2845
. RIVERHEAD, N.Y.