HomeMy WebLinkAboutCordasci, Michael 0#
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ELIZABETH A. NEVILLE d=� yA Town Hall, 53095 Main Road
TOWN CLERK ; h P.O. Box 1179
REGISTRAR OF VITAL STATISTICS % 4,_
Southold, New York 11971
MARRIAGE OFFICER �fi 4 �, Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER =_�ljig *a0'i� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER �.�
OFFICE OF THE TOWN CLERK
SOUTHOLD '➢Ki115lAff.I�II:P►9 I'HOMDSAL PERMIT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 4088-R Residential X Non-Residential
Fee $ 10.00 New X Existing
Name Of Owner CORDASCI, MICHAEL J
Mailing Address 1 435 PRIVATE RD #26
Mailing Address 2
City St Zip SOUTHOLD NY 11971-0000
Property Address 1 435 PRIVATE RD #26
Property Address 2
City St Zip SOUTHOLD NY 11971-0000
Owner Telephone No. 631-477-8187
Tax Map No. section 59.00 block 9 lot 9.042
Cross Street SOUNDVIEW DRIVE
Issue Date: 6/25/01 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
•
44
OFFICE OF THE TOWN CLERK ��jVFFOvi`+D Application No. ir:��
•
TOWN OF SOUTHOLD Q G� . •
IXIZABETH A.NEVILLE,TOWN CLERK .� � $10.00 - Residintia I
P.O.BOX 1179 cn ��
SOUTHOLD,NEW YORK 11971 �1• $25.00 - Non-1 esidential
Telephone Selt 1 '
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
aPCEIVED
OPERATION PERMIT
SEPTIC TANK or CESSPOOL JUN 19 2001
auurnoIU town Clerk
Operation Permit No. a a901c
Fee $ j'a •Ob
DATE
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OWNER NAME: M;(:hA9. l Cordcxc,
OWNER MAILING ADDRESS: 135 ?r iv e_, >;d .°2.,6 , 50Jh 1 L N_y.
119
OWNER PROPERTY ADDRESS: ')35- ?r; k. Ka 4'2.6, 50 ,1-11,41A N`1•
Ron
OWNER TELEPHONE NUMBER: 4.77-$14
TAX MAP NO. : Section 51.00 Block 9 Lot 9.a q Z
CROSS STREET: So un ctVitiA., Dr;V
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool New Existing
e)(-1 ) Lam` Residential Non-Residential
4„,,,s03L,
LOCATION MAP: Must be attached here o before permit may a issued. ('Q
(Locate building and system; give north arrow and feet "�""�'
of distance, approximately, to building and closest road.) / -ka*.,
- 21-1(1/3 40
7/44-1arcgd-r-1.)-
r
Si ature of Applicant
. RECEIVED BY:
Town Clerk's Office
DATE: