HomeMy WebLinkAboutJKNK, LLC ,, g�FFO(,tcoG``
ELIZABETH A.NEVILLE �� 11 y�; Town Hall, 53095 Main Road
TOWN CLERK C P.O. Box 1179
ti Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
`� 1i l �1�, Fax(631) 765-6145
MARRIAGE OFFICER
Telephone (631) 765-1800
RECORDS MANAGEMENT OFFICER =. 4t j #001,
FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 4124-N Residential Non-Residential X
Fee $ 25.00 New Existing X
Name Of Owner J KN K, LLC
Mailing Address 1 PO BOX 607
Mailing Address 2
City St Zip ORIENT NY 11957-0000
Property Address 1 13650 MAIN ROAD
Property Address 2
City St Zip MATTITUCK NY 11952-0000
Owner Telephone No. . 631-323-3880
Tax Map No. section 114.00 block 11 lot 24.003
Cross Street WICKHAM AVENUE
Issue Date: 1/25/02 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD Application No. Lit a'A
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> >�A.NEVILLE,TOWN CLERK , M. $10.00 -
Residential
P.O.BOX 1179
SOUTHOLD,NEW YORK 11971 �. Oil
$25.00- Non-Residential X
Telephone _(1 * 0'
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION_
for
MINIM
OPERATION PERMIT JAN 2 4 201.
SEPTIC TANK or CESSPOOL SOlikeldTswiasrk
Operation Permit No.
Fee $ 25.00
DATE January 23, 2002
OWNER NAME: JKNK, LLC
OWNER MAILING ADDRESS: P.O. Box 607
Orient, New York 11957
OWNER PROPERTY ADDRESS: 13650 Main Road, Mattituck, New York 11952
OWNER TELEPHONE NUMBER: (631 ) 323-3880
TAX MAP NO. : Section 1000- 114 Block 11 Lot 24.3
CROSS STREET: 'S.R.25 and Wickham Avenue
TYPE OF SYSTEM: Septic Tank New Existing
Additional Overflow to Existing Cesspool
Cesspool X New Existing
Residential Non-Residential X
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.)
Please see the alteration permit.
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.rdwell
RECEIVED BY:
Town clerk's Office
DATE: