HomeMy WebLinkAboutDuggan aC
Town Hall, 53095 Main Road
Lai
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. 736-R Residential X Non-Residential
Fee $ 10. 00 Septic X Cesspool
New Existing X
Name Of Owner DUGGAN, JOSEPH R.
Mailing Address 1 1051 VAN BUREN AVENUE
Mailing Address 2
City St Zip FRANKLIN SQUARE NY 11010-0000
Property Address 1 330 SNUG HARBOR ROAD
Property Address 2
City St Zip GREENPORT , NY 11944-0000
Owner Telephone No. 516-354-5367
Tax Map No. section 35. 00 block 5 lot 31.000
Cross Street MAPLE DRIVE
Date Of Last Pump Out 0/00/00
Issue Date: 6/22/88 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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OFFICE OF THE TOWN CLERK c0FUj1j
Town of Southold �® �Q�' Application No. 4.
Judith T. Terry, Town Clerk . " 3
' �c } Residential
Town Hall, 53095 Main Road a
P. O. Box 1179 c'n �` Non-Residential
Southold, New York 11971 Ocab ►='
Telephone ®( � •�� ..'
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for - -
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 734
Fee $ 10 .00
DATE June 20, 1988
OWNER NAME: Joseph R. Duggan
OWNER MAILING ADDRESS: 1051 Van Buren Ave.
Franklin Square, N.Y. , 11010
OWNER PROPERTY ADDRESS:330 Snug Harbor Road
Gc enpnrt N.Y.
OWNER TELEPHONE NUMBER: 516-354-5367
TAX MAP NO. : Section 035 Block 5 Lot 31
CROSS STREET: Map1F. Drive
TYPE OF SYSTEM: Septic Tank x _New x Existing
Cesspool New Existing
Residential x Non-Residential
DATE OF PREVIOUS PUMP-OUT: None
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.)
Signature of Applica t
RECEIVED BY: ( M}
Town Clerk's -Office
RECEIVED
DATE:
JUN 211988
Too CIA Southold
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