HomeMy WebLinkAboutHarrison air
C
1r 3
JUDITH T. TERRY , Town Hall, 53095 Main Road
P.O. Box 1179
TOWN CLERK w+ �
REGISTRAR OF VITAL STATISTICS �` Southold, New York 11971
MARRIAGE OFFICER ® '� Fax (516) 765-1823
QQ®� rsi, �� ,�l Telephone (516) 765-1801
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 1869-R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
New Existing X
Name Of Owner HARRISON, JOHN W.
Mailing Address 1 P. O. BOX 352
Mailing Address 2
City St Zip LAUREL NY 11948-0000
Property Address 1 2300 NORTH OAKWOOD DRIVE
Property Address 2
City St Zip LAUREL NY 11948-0000
Owner Telephone No. 516-298-4898
Tax Map No. section 127.00 block 6 lot 2.000
Cross Street PECONIC BAY BLVD.
Date Of Last Pump Out 0/00/00
Issue Date: 4/07/92 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
Y
{
0
OFFICE OF THE TOWN CLERK cvFFO(,,"
Town of Southold �� r CQ Application No. ` P
Judith T. Terry, Town Clerk `
x Ai. Lam'}
Town Hall, 53095 Main Road $10.00 - Residential c-,/
P. 0. Box 1179 u A, .2fr ' ,�‘ $25.00 - Non-Residential
Southold, New York 11971 O�i�-41 y A0e�e
Telephone '�_7 e'
(516) 765-1801 1
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
RECEIVED. APPLICATION ,
APR 7 1992 for
'Rama ClerR SDUt 01ii OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $ /6
DATE 41 /9Z.
OWNER NAME: .-,J0 h h 1'3 ' C- e.-e.- S a .,,/
OWNER MAILING ADDRESS: 7- (0. '775,-1.11, ... -5.--2,_
4./-14 R el / ro/ /1 ic V,f-
OWNER PROPERTY ADDRESS: /2-300 /✓/c) 0 / 1./c e di 2X..
�.- :L9./ ,v
OWNER TELEPHONE NUMBER: 4 '4" -7L'i 9 i
TAX MAP NO. : Section /41.‘-4, Block Lot
CROSS STREET: 7 e t„s1--) < , 73 1 '73/14
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool /,. New Existing V/
Residential V Non-Residential
DATE OF PREVIOUS PUMP-OUT: 2 /4,,„x„1 ?
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.)
--,.(lf:L,,a_ p,,,L,,,„
Sibnature of Applicant
K2-
RECEIVED BY: ,,, ���� -. ,.
Town erk'soffice
DATE: c-e `7, /53 Tr Z--
eessrcoo Li 0 ,13
., /
cti,30 7a .
1
qmeA
� �ctre�,, ,a 1
/i& s �
-Po � ( 7°o(44 �