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HomeMy WebLinkAboutHoeg, James o, S11EF0L�-coG,\ ELIZABETH A. NEVILLE �� �: Town Hall, 53095 Main Road TOWN CLERK ; H Z P.O. Box 1179 REGISTRAR OF VITAL STATISTICS t Southold, New York 11971 MARRIAGE OFFICER �� �fiL ���1', Fax(631) 765 6145 RECORDS MANAGEMENT OFFICER =- 491 �a01•,� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER - �� ,.0- OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 4058-R Residential X Non-Residential Fee $ 10.00 New X Existing Name Of Owner HOEC, JAMES E KAREN Mailing Address 1 350 WILLIS CREEK DRIVE Mailing Address 2 City St Zip MATTITUCK NY 11952-0000 Property Address 1 350 WILLIS CREEK DRIVE Property Address 2 City St Zip MATTITUCK NY 11952-0000 Owner Telephone No. 631-734-7439 Tax Map No. section 115.00 block 17 lot 17.010 Cross Street MEADOW BEACH ROAD Issue Date: 11/30/00 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) ' r OFFICE OF THE TOWN CLERK SCS FO 4' ` TOWNOFSOUTHOLD ` � CO Application No. k-165Y ELIZABETH A.NEVILLE,TOWN CLERK � $10.00 - Residential ✓ P.O.BOX 1179 SOUTHOLD,NEWYORK 11971 '�� $25.00 - Non-Residential Telephone 4 * s '" (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT MEM APPLICATION for 'NOV 2 9 :2000 OPERATION PERMIT 5914#4155010 Offilk SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ i�• � DATE ( l i7g1 OWNER NAME: JAMC7 4- k) CC OWNER MAILING ADDRESS: OWNER PROPERTY ADDRESS: 3S1) VN,ATrritie-L r (-r 111c7- OWNER l1s-- OWNER TELEPHONE NUMBER: 2-9,� TAX MAP NO. : Section 11C Block Lot IT 61 D CROSS STREET: t`'tEk-©64.3 FC /l TYPE OF SYSTEM: Septic Tank V New Existing Cesspool New Existing Residential '� 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.) ignature of Applicant RECEIVED BY: Town Clerk's Office DATE: 41 .3 ,-4 ;C > 1 -4 CP i._ -4-._t,---I,---;-- --4.. -I'l:, ::,..---____::____i---:il,ir:_-_Ii.,-177_'i:_...--; - , -1- - ci z --1 a I. t i I 1 4 a t 9 42744 I riS5 a. Z ' I --- 7'r* ' . _ —. i . ---I-— . • 0 ' g • 1 w (.3 i r- . 1 • . • i -.- _.- -, - t-i- L -> &,- . 4 i ,., - :r - --, - - i•'- r -----e- - 4" - -. -+---- - ' ' , '. 1 - _ I , 1 1 ;- 4:---- '!'-' 7-- — -• ---j, „. 4 , P..) k - - 4- 4- - T --, - 0 -I .. _..., I - i I I 4 1 -#-.---.-1 t---- 1 0 . I I . ; I I ; t I ;-- '— -- 4----i—"----7 --T-- -* /.---, .- .. - -4 I : ( 1 i : I -1' --r--- ---, —--t- .-------: i 0) 1 ' 4— •'''. -- —r---4--- Alf, , • i i _ , . , 1 i : 0 1 1 NN . - -- 1 ---- • ----- - __.__ I -. _ .. _ .3....? 1 43