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HomeMy WebLinkAboutDBM Corp or %OFFOL�c ELIZABETH A. NEVILLE _ 'y ; Town Hall, 53095 Main Road TOWN CLERK ; y - P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Af , Southold, New York 11971 Fax (631) 765-6145 MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER `1:90��� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER _ iii' OFFICE OF THE TOWN CLERK SOUTHOLD N6kI1fiIIHRINSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 4113-R Residential X Non-Residential Fee $ 10.00 New X Existing Name Of Owner DBM CORP. Mailing Address 1 PO BOX 2100 Mailing Address 2 City St Zip CREENPORT NY 11944-0000 Property Address 1 375 KAYLEIGHS'S COURT Property Address 2 City St Zip EAST MARION NY 11939-0000 Owner Telephone No. 631-477-1300 Tax Map No. section 31 .00 block 4 lot 16.008 Cross Street MAIN ROAD —(22' Issue Date: 12/12/01 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) Signature of App icant RECEIVED BY• Town Clerk's Office DATE: 0 •• i.. Or TGE OF THE TOWN CLERK OC��F FOC�'t," T(�WNOFSOUfHOLD ��, %--1, Application No. q l J3 ELIZABETH A.NEVILLE,TOWN CLERK ..� $10.00 - Residential 1/ P.O.BOX 1179 a SOUTHOLD,NEW YORK 11971 0 *'$ $25.00 - Non-Residential Off" Telephone 9j * �, i',' (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION RECEIVED for DEC 12 OPERATION PERMIT SEPTIC TANK or CESSPOOL Southold Town Clerk Operation Permit No. Fee $ i0. 9)- DATE /f o1( )/3 302,(0 OWNER NAME: ` OI 00 OWNER MAILING ADDRESS: /214" 2.-1©o OWNER PROPERTY ADDRESS: 3 76 ' J 9" 1 /-el 64 (5- �Q OLT- -i 51 P /> n/ti l // ? I-1-1 OWNER TELEPHONE NUMBER: `T_1 7 /300 TAX MAP NO. : Section 3 I Block �7 Lot /6, 8 CROSS STREET: /< C u1"E 1,5(Mm A jo7-� TYPE OF SYSTEM: Septic Tank ii New !/ Existing Cesspool V New / Existing Residential V 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 App icant RECEIVED BY• _ Town Clerk's Office DATE: arouciakls oc LUZ VSaroUCOOKIS i ' _c a I O C 1 U C Ci O c a) c o L KAYLEIGH'S COURT BELGIAN BLOCK CURB GAS VALVE-0 S 10'01'00" E BOXTEL PHONE° S i 50'20" E 109.20' v2 �,�,.AS 0 42.41' -mac N 10'01'00" W�219.94'- �- N 09'27'00" 7. 1 I 207 r`Lc) Y-4. * I O cn 0_ co +- 43 5 f —'f' ‘' re) 1 J 1) Q f a)IE 0. ' 1 (f) Ot 36.3' ,/ N n n 74.1' , n 2 STORY FRAME ro ,% \ / HOUSE & GARAGE N 0 41.4' 50.3' , 57 0' \ p w r -y-' C 1 . o CL 4) _ •s`, •�`, 0 ��'-' 0,‘,, I L o Q •> a) ..a W 0 _C : rn w U U) - Cl.) Ch CV 4-, 0 w J O 0 0 rn in 10 p a) 0o N 1 N z N 10'38'20" W 142.11' now or formerly Union Free School District No. 2