HomeMy WebLinkAboutDimon (2) OFFICE OF THE TOWN CLERK f fc0fou-C,
Town of Southold
Judith T. Terry, Town Clerk � e
Town Hall, 53095 Main Road
P. O. Box 1179 ® t . �',
Southold, New York 11971 o�-
Telephone of �
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 128 Residential
Fee $ Non-Residential
10.00
Septic Cesspool x
NAME OF OWNER: Edith E. Dimon
OWNER MAILING ADDRESS: P.O. Box 143
East Marion, New York 11939
OWNER PROPERTY ADDRESS: 1675 Bay Avenue, Lakeview Terrace
East Marion, New York
OWNER TELEPHONE NUMBER: 516-477-0563
TAX MAP NO. : Section 31 Block 9 Lot 20
CROSS STREET: Main Road (State Route 25) _
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool x New Existing x
Residential g Non-Residential
DATE OF PREVIOUS PUMP-OUT: July 24, 1986
Judith T. Ter
Southold Town Clerk
DATE: November 6, 1986
(TOWN SEAL)