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HomeMy WebLinkAboutHoffman f' ELIZABETH A.NEVILLE • .k• � ' 1/y Town Hall, 53095 Main Road TOWN CLERK c, ® F P.O. Box 1179 c� Southold, New York 11971 REGISTRAR OF VITAL STATISTICS Fax (516) 765-1823 MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER ` ®�1�/ Telephone(516) 765-1800 FREEDOM OF INFORMATION OFFICER - I ��st./ OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 3826-R Residential X Non-Residential Fee $ 10.00 New Existing X Name Of Owner HOFFMAN, GEORGE P. Mailing Address 1 1755 EVERGREEN DRIVE Mailing Address 2 • City St Zip CUTCHOGUE NY 11935-0000 Property Address 1 1755 EVERGREEN DRIVE Property Address 2 City St Zip CUTCHOGUE NY 11935-0000 Owner Telephone No. 516-734-2866 Tax Map No. section 102.00 block 1 lot 4.006 Cross Street DEPOT LANE Issue Date: 10/21/98 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) 0, di. OFFICE OF THE TOWN CLERK _ 2 TOWN O1'SOUTHOLD ,&.‘)c3IFOUr COG Application No. 334 ELIZABETH A.NEVILLE,TOWN CLERK ' $10.00 - Residential P.O.BOX 1179 SOUTHOLD,NEW YORK 11971 *.$ $25.00 - Non-Residential - Telephone fe? * • (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ • DATE /6 — /— sr OWNER NAME: ��✓���� T� U ": 77�� OWNER MAILING ADDRESS: / /� 5- c‹,. -Ti/ "Pie/ xj/ OWNER PROPERTY ADDRESS: OWNER DDRESS:OWNER TELEPHONE NUMBER: (F -4 TAX MAP NO. : Section Block o Lot " CROSS STREET: Dep--A- 1.-031A9-- TYPE OF SYSTEM: Septic Tank V New Existing Cesspool v New Existing Residential Non-Residential LOCATION MAP: Must be attached hereto before permit may be issued. 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