HomeMy WebLinkAboutDistilli oil s,4„4-0.4_____
JUDITH T.TERRY
® Town' }
® Town Hall,53095 Main Road
TOWN CLERK P.O.Box 1179
REGISTRAR OF VITAL STATISTICS ® � Southold,New York 11971
MARRIAGE OFFICER # V'AP Fax(516)765-1823
RECORDS MANAGEMENT OFFICER
�• Telephone(516)765-1800
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. 3355-R Residential X Non-Residential
Fee $ 10.00 New Existing X
Name Of Owner DISTILL', EDWARD AND NANCY
Mailing Address 1 P. O. BOX 26
Mailing Address 2
City St Zip EAST MARION NY 11939-0000
Property Address 1 195 EAST GILLETTE DRIVE
Property Address 2
City St Zip EAST MARION NY 11939-0000
Owner Telephone No. 516-477-4087
Tax Map No. section 38.00 block 4 lot 9.000
Cross Street MANOR ROAD
Issue Date: 6/16/95 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
OFFICE OF THE TOWN CLERK
Town of Southold , Application No.`� 3
Judith T. Terry, Town Clerk . , ,
Town Hall, 53095 Main Road 5<Vit
� s ;< $10.00 - Residential c�
. gra
P. 0. Box 1179 cry �' $25.00 — Non-Residential
Southold, New York 11971 O
Telephone 0,( * 1% 0
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $ /O,' <2 b
DATE 4.736A.,
OWNER NAME: ,�c2/�ccd - /J,(0_y-)‹. i / S A V
OWNER MAILING ADDRESS: R, /5 - 86,V a�
4 / //
OWNER PROPERTY ADDRESS: / Gf,5� /�a 7 r'r �/ // Dr, I/
rfon % 7/ 91.77
/77-TOWNER TELEPHONE NUMBER: -5./77-
TAX
AX MAP NO. : Section 3 r Block y Lot
CROSS STREET: /7)7a il o c" ,a oo,G4
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool li New Existing x
Residential >S 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.)
£, ;1/a'
Signature of Applicant
RECEIVED BY:
Town Clerk's Office
DATE:
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VdC A9 TOWN OF SOUTHOLD
2�'" '03, \0I SUFFOLK COUNTY , N.Y.
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/ 1 ' JULY 25, 1988
LAND CERTIFIED TO $ ,
(o s(i4 INTRACOASTAL ABSTRACT CO., INC.
?�' tiQ` •A' by 414'�� HARTFORD FUNDING LTD.
°�' 05 =, 0,,,_ A ROBERT J. HEANEY
-. :. �c t • u pu 1 • LIC. NO. Apses TITLE NO. A 136 12064 S .,.,
t. it NI ititi137.1. E TL,, P.C.
5 \� 6• -` 9• 4... LOT NUMBERS REFER TO ® ' MAP OF MARION MANOR
P. • . FILED MARCH 18, 1953 IN THE OFFICE OF THE SUFFOLK
��A A �* e�b 4O COUNTY CLERK AS MAP NO. 2038
SOU o" a/V . 1971
D.K. _ 88 - 497 .