HomeMy WebLinkAboutHoey JUDITH T.TERRY �� ": �e Town Hall, 53095 Main Road
TOWN CLERK ; c‘94 P.O. Box 1179
* ' �� Southold, New York 11971
REGISTRAR OF VITAL STATISTICS : ® ®�� � Fax(516) 765-1823
MARRIAGE OFFICER `
RECORDS MANAGEMENT OFFICER �124 `�+����� Telephone(516) 765-1800
FREEDOM OF INFORMATION OFFICER ����,,,•••��
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 3405-R Residential X Non-Residential
Fee $ 10.00 New Existing X
Name Of Owner HOEY, JOSEPH P.
Mailing Address 1 P. O. BOX 424
Mailing Address 2
City St Zip SOUTHOLD NY 11971-0000
Property Address 1 1135 HOEY LANE
Property Address 2
City St Zip SOUTHOLD NY 11971-0000
Owner Telephone No. 516-765-3884
Tax Map No. section 66.00 block 1 lot 4.000
Cross Street TOWN HARBOR LANE
Issue Date: 10/27/95 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
---'=�-QF THE TOWN CLERK - COFO(,r
._;own of Southold �� CQG',% Application No.8 Ec
^stn 6_- .T. Terry, Town Clerk - Al /
i mown Hall, 53095 Main Road -� $10.00 - Residential l/
P. O. Box 1179 v' ' �Zi - $25.00 - Non-Residential_
Southold, New York 11971 O - �`
Telephone 64e: .( * 01
(516) 765-1801 '
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION .
. for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. _
Fee $ -;I__ _; c
DATE CO ct 9'
OWNER NAME:To 5.e p Q., 7, )-i ® Q. v `�
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OWNER MAILING ADDRESS: 4/7 ,0 -- ok.v iv 1-1,.RRipop -re R 'lZ 0.0 E
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OWNER PROPERTY ADDRESS: 17 j /4 p. 1 I a y‘ p
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OWNER TELEPHONE NUMBER: (f / t — —7 L I S d' c/ -
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TAX MAP NO. : Sectio Blockia-j Lot `jet i �
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CROSS STREET: "1-0 0,/,11/ )-1 R h o 12 _ �, A iv �, __
TYPE OF_ SYSTEM:- Septic Tank - ' New Existing
Cesspool v New Existing
Residential ___Non-Residential
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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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