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HomeMy WebLinkAboutDriscoll • .00 cofoutit, \, . T eet Town Hall, 53095 Main Road I $ P.O. Box 1179 ` ® �����, Southold, New York 11971 JUDITH T.TERRY `� ,_ �� TELEPHONE TOWN CLERK (516) 765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 762-R Residential X Non-Residential Fee $ 10. 00 Septic Cesspool X New Existing X Name Of Owner DRISCOLL, JACK Mailing Address 1 BOX 362 Mailing Address 2 City St Zip LAUREL NY 11948-0000 Property Address 1 NORTH OAKWOOD ROAD Property Address 2 City St Zip LAUREL NY 11948-0000 Owner Telephone No. 516-298-8493 Tax Map No. section 127. 00 block 6 lot 12.000 Cross Street PECONIC BAY BLVD Date Of Last Pump Out 0/00/00 Issue Date: 7/19/88 Judith T. Terry Southold Town Clerk (TOWN SEAL) r r I' " iii q'L OFFICE OF THE TOWN CLERK �OC Q = Town 'of Southold ,� `� C'� - Application No. �� Judith T. Terry, Town Clerk �` • :,,.,kE ,' 1 Town Hall 53095 Main Road °` .�. -c I Residential P. 0. Box 1179 • t T71 . v' 72.it. n ; Non-Residential Southold, New- York 11971 ' - O « "'�,' " '"Y g�`� Telephone _ (516) 765-1801 � 1 • TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION - - for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ I ® , " DATE 1 ` "_R r • OWNER NAME: c1 4 e. , DDRi ' c ,. O L OWNER MAILING ADDRESS: fO, 3 6 Z er Wit- vWEL PL,/ ` 1q9ir OWNER PROPERTY ADDRESS:, ...g..„.A... , , ' OWNER TELEPHONE NUMBER: 2J �-Fj ! 9 3 f -,: - nrt TAX MAP NO. : Section -- r °"/Block 6 Lot 9 7 f:• CROSS STREET: K.Zcr.A......e., az (3.f2fil TYPE OF SYSTEM: Septic Tank New Ng 3 Existing Cesspool New /7t3 Existing • Residential Non-Residential • DATE OF PREVIOUS PUMP-OUT: iI—p may 3 g /.,„,,, �7,00 6"1/Li -- LOCATION MAP: Must be attached hereto before ermitbe iss d. (Locate building and system; give north arrow and feet of distance, approximately, to building and closest road.) ,/ / /4.4--z.--e---ei-e---P ....di - Signature of Applicant RECEIVED BY: Town Clerk's Office DATE: .4, I`, II •,.,_' , ',, IN I • w . ''''''.',° .II 4 " 1%'''4' ;:,?..:'''' '''",,,..„.. ,'',1''...•`'. :' 3"\-':. '-' l' ", ; „.,'; ',1?'":`' ,,-,!1 ,',',.,"'! ,,' '' , ' " ' , ,• ' I '''r: t ' .'''"'•.•r'5 i •1 t'l •' '''' ''''' ' ' '... '..'' ' '';'• ''''''','‘' ,,''':: • 1 ' •-'', " i ''' k ' '.'', ''' ,, „ - ' ' "' ' '' . • d' :'."t, ' r •I ' ,',''• •••%`1"' '" '' '''''`', :• -'kr, ,-,".' , '. •''''- I ,..'' 4 r -'-''',' ''-'.i:'',. '2'‘'1•E', '' ,„'s''• - '' ' -r , ',•''o,',r.';'' ,'' ' ''''• ., ";:)... ,"`,,A"„, '',,. ,,,r1,,,:,,,,S ',' • '.:," '. '.iti'' ,i.( ..1'1' 1-, , • , H.- ' ' • .0 A 4eSV , . ... --,,' --' ,,-;,,., • o5::\-,s,,'\ •••:..,.. ' ''',•.7•, 'i:'1 Ll'e '.‘•MV. . ... •, : '',.•" ..."'" 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