HomeMy WebLinkAboutSchur, Robert A
‘,�o�OSUFFO�,�c
ELIZABETH A. NEVILLE 4d\ Town Hall, 53095 Main Road
TOWN CLERK o ; P.O. Box 1179
REGISTRAR OF VITAL STATISTICS � Southold, New York 11971
MARRIAGE OFFICER / Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER yp1 .. ,,� Telephone (631) 765-1800
•FREEDOM OF INFORMATION OFFICER „ ;��
OFFICE OF THE TOWN CLERK
SOUTHOLD lOgiaRIZNAMEIRTRISPRDSAL PERMIT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 4099-R Residential X Non-Residential
Fee $ 10.00 New Existing X
Name Of Owner SCHUR, ROBERT AND SHELIA
Mailing Address 1 8310 SOUNDVIEW AVENUE
Mailing Address 2
City St Zip SOUTHOLD NY 11971-0000
Property Address 1 8310 SOUNDVIEW AVENUE
Property Address 2
City St Zip SOUTHOLD NY 11971-0000
Owner Telephone No. 631-765-3287
Tax Map No. section 59.00 block 7 lot 29.006
Cross Street KENNY'S ROAD
Issue Date: 8/14/01 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
.. ,
OFFICE OF THE TOWN CLERK oswf ace`;"
TOWN OF SOUTHOLD
ELIZABETH A.NEVILLE,TOWN CLERK - Application No. yj�
P.O.BOX 1179 Z, $10.00 Residential X
SOUTHOLD,NEW YORK 11971
$25.00 - Non-Residential
Telephone '40 * •
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $ �D
DATE 8Ip A)/
OWNER NAME: Pe be, :t- -t- _;5 el,0, r
OWNER MAILING ADDRESS: g3 fo �Q vj�4,0 ve
.� ►.�¢ 1�� f `f 7 7/
OWNER PROPERTY ADDRESS: die.
OWNER TELEPHONE NUMBER: (k..31 ) 7b.5= .2$'7
TAX MAP NO. : Section 57, 00 Block 7 Lot . 9, Od6
CROSS STREET: /enyt[1 l ,a).
TYPE OF SYSTEM: Septic Tank New Existing X
Cesspool New X Existing X
Residential x Non-Residential
LOCATION MAP: Must be attached hereto before permit may be issued.
(Locate building and system; give north arrow and feet
of distance, approximately, to building and closest road.)
Signature of . pplicant
RECEIVED BY:
Town Clerk's Office
DATE:
S
e
MAP Or PROPEI?YY ``
SUi2VEVE"D Pa '
r.
, "Na -?.08E--t2T" 5h11.::1.. WI
Sc.1-14J2
tri' ''� ScX�YHQLG SUFFOLK COUNTY REAMS D$P TMENY
r
• A Sur-f--= c x Coors ry.�'V.Y. SOV 2 1 1978
.s.‘ DATE A. D. REIN'. #85_
MO -
'10 ,t:3 r L'd water supply
Q Leen
/'�) `�'�" id ins 0lt'....,—; ' _,:�E y: h8ve,_
3 \Nin ik. , ,,,,,,,... -,=.p',.. Z..',1 by �'2�.:i :.'i; cu wL:Zlv ;arid ioii f'i
�' 1 � E - :> be satisf:._tory �/�.... ie,
..,. cog
0.5„,_
<VoI Chief of General Engineering
Services
45,. ces
Q' `CZ O..r 5-40`'5040".`. �k+rn- ,11"-s..002.-1,1 — 1 9�4tc,?,Ser
e e
,ti p.9w/�' !
s '- _ _ _.__ _ . _ _ - 0.4F4-y--------: .-__. - - - W 1.fs�rY p
g,-,4pi _4 • n,f-k '.1 .
\ r
‘,� t C$C$4 . - ‘ , ,
1 + w r'
\ : i'?. Z '1'
(54:4674—"7"--"---"Ykalli— k. ,
ti Grp111:011 ; JA c� ( • ( (,,; 471-141v1) .
i#5idettf4.0*) ! S,
641400rri. ),
1I \\ 5 k 02-Thx tie447 £x':sic!ricifiipr-s:
\„ CY5-1. 11 ,#5Wi'c.+. , 7 , *ell'of 44t P _-A