HomeMy WebLinkAboutDoscher •
®
JUDITH T. TERRY Town Hall, 53095 Main Road
TOWN CLERK ►Z P.O. Box 1179
REGISTRAR OF VITAL STATISTICS % Southold, New York 11971
MARRIAGE OFFICER ® ®�' Fax (516) 765 1823
�y01 ND .'.�
Telephone (516) 765-1801
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 3170-R Residential X Non-Residential
Fee $ 10.00 New Existing X
Name Of Owner DOSCHER, JOHN AND WIFE
Mailing Address 1 P. O. BOX 478
Mailing Address 2
City St Zip CUTCHOGUE NY 11935-0000
Property Address 1 455 SCHOOLHOUSE ROAD
Property Address 2
City St Zip CUTCHOGUE NY 11935-0000
Owner Telephone No. 516-734-5578
Tax Map No. section 102.00 block 1 lot 29.000
Cross Street DEPOT LANE
Issue Date: 2/04/94 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
OFFICE OF THE TOWN CLERK cvFFLI/kCQG
'-
Town of Southold � a Application No. >X76
Judith T. Terry, Town Clerk ' y�',
Town Hall, 53095 Main Road " - : $10.00 - Residential
P. O. Box 1179 ktra . $25.00 - Non-Residential
Southold, New York 11971
Telephone (
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
.:P:LICAT;ON
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. . / 70
Fee $ /CTS
DATE / —
OWNER
—OWNER NAME: Doscher, John & WF
OWNER MAILING ADDRESS: PO Box 478
Cutchogue, N. Y. 11935
OWNER npOPER Y ADDRESS; 455 Schoolhouse Road
Cutchogue,- N. Y. 11935
OWNER TELEPHONE NUMBER: 516 734-5578
TAX MAP NO. : Section /0 R Block / Lot 2 9
CROSS STREET:
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool X New Existing
Residential_A 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.)
•
7f,,4 I /1/i'v,'r
Signature of Applicant
RECEIVED BY: /f /ZiA7)--s-g
"I own Clerk s Office
DATE: / = > — 96
• �-
Cesspool sketch for property of
Doris & John Doscher
455 Schoolhouse Road
Cutchogue, N.Y.
Sidewalk Back Door
�r T
II , 1
gr
f �y � .I/_ HOUSE
/ TTr
Drive- �,
, -rflow - 't , Bow Window
way1\\
•
- —Vent
\\I
271
_—? 0Overflow
r� Approx. North
North Street
dead ends into
Schoolhouse Rd.
at this d ' veway.
Schoolhouse Road
NGRTH S r. is fl? R3