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HomeMy WebLinkAboutEsquirol O Town Hall, 53095 Main Road Fes 1� - .F,Z,Zf P.O. Box 1 179 Southold, New York 11971 JUDITH T.TERRY ®� TELEPHONE TOWN CLERK (516) 765-1801 REGISTRAR Or VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 920-R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X New Existing X Name Of Owner ESQU I ROL, JOSEPH A., J R. ------------------------------ Mailing Address 1 ESQUIROL, SUSAN F. ------------------------------ Mailing Address 2 P. O. BOX 842 ---- ------------------------- City St Zip MATTITUCK NY 11952-0000 -------------------- -- ---------- Property Address 1 1350 LUPTON POINT ROAD ------------------------------ Property Address 2 ------------------------------ City St Zip MATTITUCK NY 11952-0000 -------------------- -- ---------- Owner Telephone No. 516-298-8676 Tax Map No. section 115.00 block 11 lot 11 .000 ------ --- ------ Cross Street DMARRATOOKA ROAD ------------------------------ Date Of Last Pump Out 0/00/78 ---------------------------------- Issue Date: 11/16/88 Judith T. Terry -------- Southold Town Clerk (TOWN SEAL) (} ,-,_„-2--,.r THE TOWN CLERK Town of Southold 0��� �CQG Application No. Judith T. Terry, Town Clerk Town Hall, 53095 Main Road -� 7 Residential P. 0. Box 1179 cry Non-Residential Southold, New York 11971 O _ Telephone �.( Y►�� (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK" or CESSPOOL Operation Permit No. Fee $ DATE OL)VL;:V►�6E62 ` f _ OWNER NAME: JOSC,ea' ( . ��t �_� � �� L_g( cL(Q_61__ _ J2 OWNER MAILING ADDRESS: 0 , © )( y 2, 1Nlr �� ttLIC PC CUr L, YOcejC GB�51- OWNER PROPERTY ADDRESS: p lit L.c iC K9 dw_ Yo P_14" I Irt ti Z OWNER TELEPHONE NUMBER: ( sr10 a TAX MAP' NO. : Section ` ( Block ( ( Lot C "( CROSS STREET: TYPE OF SYSTEM: Septic Tank New Existing Cesspool New Existing Residential . }( Non-Residential DATE OF PREVIOUS PUMP-OUT: UPKXPvU✓Iy - (5v(5(;? ID Yt=A25 &o, 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.) Si nature o plicant RECEIVED BY: R ��9-0own Clerk's Office DATE: NOV 1 6 1988 T-®1vR OJAI 39"floid r` I G7 0 P W ul y 0 ?O� e a;r'.g,�_. ".79 100.0 K b ® s' 43 Ito' ± M • - N r • •' 'r a 71-91 tu 0 t. > © r MAP OP PROPERTY z SURVEYED • - al 10 5 i1•a- S cAS tF} FF..(.S C�t,Q c G2�0 L f� �.��'� t o`b+. 9,. L M A�"�" 1�"U C f�a �c k ' 1 E Y _ t �� • - = - - N1ILL1S - CREEK oR. F_ EP _ HOLE_• G _ ScALG' : Sp• � f a S�cuY1t� Y;tic � ! _ c�•„r_as.,• _Kd _; , -tc, GUar,z i�rc ANG. t`tlOcB.. _. . as svrve ��ci Cr_ +ober iQ� �G• �v°r•qS 13ar�k VAn TuYL Sir+ �, _ U �� o ® ��. �° _ , •e - _ • ;, . • .__ :• - - �- . moo,,,,._.- 'TJ,� - - -_: - -. - a L[cCNSEa L.-ANO SvcvrrYJ�S