HomeMy WebLinkAboutDove OFFICE OF THE TOWN CLERK I ,c,Ofg Arei;
Town of Southold � �
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road a ' ., 5'y
P. O. Box 1179
Southold, New York 11971 Q •
®
Telephone _ 04
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 333 Residential X
Fee $ 10.00 Non-Residential
Septic Cesspool X
NAME OF OWNER: Aline Dove
OWNER MAILING ADDRESS: Box 763
Mattituck, New York 11952
OWNER PROPERTY ADDRESS: New Suffolk Avenue
Mattituck, New York
OWNER TELEPHONE NUMBER: 516-298-8310 •
TAX MAP NO. : Section 115 Block 9 Lot 1
CROSS STREET: Reeve Avenue
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool X New Existing X
Residential X Non-Residential
DATE OF PREVIOUS PUMP-OUT: March 27, 1987
Judith T. Terry
Southold Town Clerk
DATE: , July 15, 1987
(TOWN SEAL)
n
fLi
J \ ,, r
/1 N� _ i`�� ,� lid`,] : . - ,
_ f7 M�� �U- ;�0�!-<- AWN e) ^: - .-: : °. -
.
1U
. ¢_ ,
, ' „ -**cf NI i'q-ftW.V3te .
k .
. _ P {moi, ,,,a -
,.. telY)C01' 'els L
4°
sol _ „ ; o ` :, 6'.: 0
1-1\" ' • ' 6
No U rns _ -