HomeMy WebLinkAboutHartofilis •
OFFICE OF THE TOWN CLERK • '
Town of Southold ��� C�lj
Judith T. Terry, Town Clerk � Aritit
Town Hall, 53095 Main Road ' it 4 t�
P. O. Box 1179 \cn f' X �•.
Southold, New York 11971 `�' '� Y,M.
Telephone 04 sir
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(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 80 Residential xx
Non-Residential
Fee $ 10.00
Septic Cesspool XX
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NAME OF OWNER: Demetrios Hartofilis
OWNER MAILING ADDRESS: 31-68 41st Street
Astoria, New York 11103
OWNER PROPERTY ADDRESS: 24 Maple Lane
Greenport, New York
OWNER TELEPHONE NUMBER: 718-545-8050
TAX MAP NO. : Section 35 Block 8 Lot 2. 1
CROSS STREET: Snug Harbor Road
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool XX New Existing xx
Residential XX Non-Residential
DATE OF PREVIOUS PUMP-OUT: July 1, 1986
li,r(41421;e9. *4.1.4 1-"/
Judith T. Terra,
Southold Town Clerk
DATE: October 6, 1986
(TOWN SEAL) -
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OFFICE OF THE TOWN CLERK �FFO
Town of Southold ��� CQG Application No.
Judith T. Terry, Town Clerk - /
Residential
Town Hall, 53095 Main Road
P. O. Box 1179r ��' Non-Residential
Southold, New York 11971 O ®` r '
�to
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Telephone °I NN
(516) 765-1801
RECEIVED TOWN OF SOUTHOLD
OCT O6 1986 SOUTHOLD WASTEWATER DISPOSAL DISTRICT
Town Clerk Southold
APPLI CAT ION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. et)
Fee s/ �
DATE (7C-A
OWNER NAME: ) /o$
OWNER MAILING ADDRESS: 3/ 4g' C ��
1 •
OWNER PROPERTY ADDRESS : tdi(- •y •' I
OWNER TELEPHONE NUMBER: ' ® r700
TAX MAP NO. : Section Block 41Y Lot cGj `11
CROSS STREET: � P (52 A /V, J .
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool New Existing
Residential Non-Residential
DATE OF PREVIOUS PUMP-OUT:
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.)
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RECEIVED BY: CZ- c.1)/
(-4-01)—Z-‹
Town gferk's Office
DATE: � � , /1�/
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