HomeMy WebLinkAboutBertodatti, William ',/,iii i_
,,�,ofFOurc;\
OG .
ELIZABETH A. NEVILLE Town Hall, 53095 Main Road
� O
TOWN CLERK ` o P.O. Box 1179
ea
REGISTRAR OF VITAL STATISTICS ,� Southold, New York 11971
MARRIAGE OFFICER `. �f. r���� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER145
Mjils ARRIA (631) 765-1800
FREEDOM OF INFORMATION OFFICER ���
OFFICE OF THE TOWN CLERK
SOUTHOLD VASIREINAgtRITBEISIBIDSAL PERMIT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 4097-R Residential X Non-Residential
Fee $ 10.00 New X Existing
Name Of Owner BERTODATTI, WILLIAM & GLORIA
Mailing Address 1 1510 EAST GILLETTE DRIVE
Mailing Address 2
City St Zip EAST MARION NY 11939-0000
Property Address 1 1510 EAST GILLETTE DRIVE
Property Address 2
City St Zip EAST MARION NY 11939-0000
Owner Telephone No. 631-000-0000
Tax Map No. section 38.00 block 3 lot 25.800
Cross Street MIDLAND PLACE
Issue Date: 8/02/01 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
,I ,
(3FFICE OF THE TOWN CLERK COFOU .
TOWN OFSOUfHOLD �� C.VApplication No. 0 9 7
ELIZABETH A.NEVILLE,TOWN CLERK $10.00 - Residential
P.O.BOX 1179
SOUTHOLD,NEW YORK 11971 cry � $25.00 - Non-Residential
Telephone _01 `je :
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION RECEIVED
for
AUG - 22001
OPERATION PERMIT
SEPTIC TANK or CESSPOOL Southold Town Clerk
Operation Permit No.
Fee $
DATE •-O2-�
OWNER NAME: LU N A-U kt() C Lo 2a k &eitt o
OWNER MAILING ADDRESS: 4'5i° E. Lie t(Z
1_a 54- (11a t a
OWNER PROPERTY ADDRESS : m4_
OWNER TELEPHONE NUMBER:
TAX MAP NO. : Section 3& Block 0 3 Lot 2 1
CROSS STREET: t4' Lc(rj ?LA-
TYPE
maTYPE OF SYSTEM: Septic Tank New L Existing
Cesspool L/ 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.)
Signature of Applicant
RECEIVED BY:
Town Clerk's 0 ice
DATE: A /
-4111111111
r I
A o r r
zz r 1 DF � m
3Z
tt 1 n m rn r N
! / .�-G...c...,—.1-1- k; I I- L. E r lb ' .:---N W
cT �7 —?i - z-'4'°- Z$'-0Co'.,-/ W W
EASEMEu r 11
V
r----2J 5*=° C:=08 �' �/ CO P-oR WATER
1-• S.O 1 Ill dl
41- tfi iE./a o.f r lj
N r , q3 7
,i'lh z-
G.Z C _-.I Ll !r
Woo, II .,
DEC A- w `iI I d
J . 2.0'GAtiT7 O Z -={ i j
TJ
-I P
N I 1 STY. FR. RE.S. N m1 FF : l5.�� r J' O
rD
a '
N (<1 _y �• 11
Ir_ r
iA m Q
N - Co .V._ Ill 1 S
N I 7-� O. o. " �-. Y
I 2.3 0.. R/.1 I (.._F5S I
C2.o' cA r�T. rV
3-
. \i, _....-- 6
, r -
lll 46s, u. 4
CD ksi r,r d•
W p
(O 11
aCoo--7' J
11 13 _ rr. ?g _ I
ZCoo fid . �0 • 1"S.CS
Q IrCo3
G 1 im..`- T-T- to Q
?q Zz iso �- ,ter I I •°f 3' �
• 1Z 33