HomeMy WebLinkAboutHorvath OFFICE OF THE TOWN CLERK';. "F [
Town of Southold j
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road ' c , °= -�
P. O. Box 1179 man � � �-
4.
Southold, New York 11971 � �
Telephone ^ 01 *
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation. Permit No. 555 Residential X
Fee $ 10.00 Non-Residential
Septic Cesspool x
NAME OF OWNER: Robert W. Horvath
OWNER MAILING ADDRESS: RR 1 , 835 Strohson Road
Cutchoque, New York 11935
OWNER PROPERTY ADDRESS: 835 Strohson Road
Cutchogue, New York 11935
OWNER TELEPHONE NUMBER: 516-734-5565
TAX MAP NO. : Section 103 Block 10 Lot 8
CROSS STREET: Bladwin Place
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool X _ New Existing x
Residential X Non-Residential
DATE OF PREVIOUS PUMP-OUT: Never previously pumped
i h .
-----g#r"iligSouthold Tow Clerk
DATE: December 31, 1987
(TOWN SEAL) ,
OFFICE OF THE TOWN CLERK c0FO1 r�''•
Town of Southold V CQ ' Application No.,S-"S_'
Judith T. Terry, Town Clerk i$;“ Gy►1'
Town Hall, 53095 Main Road : ` Residential
P. O. Box 1179 c' ' " x �,r Non-Residential
Southold, New York 11971 O .. _O� e
Telephone : .( * I�
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. ,5-51c'
Fee $ •
DATE December 29 , 1987
OWNER NAME: Robert W. Horvath
OWNER MAILING ADDRESS:RR#1 - 835 Strohson Rd .
Cutchogue , New York 11935
OWNER PROPERTY ADDRESS: same as above
OWNER TELEPHONE NUMBER: 734-5565
TAX MAP NO. : Secilk01 103 Blbbk 10 l-1Lot 8
CROSS STREET: & LD WIN PL .
TYPE OF SYSTEM: Septic Tank ✓ New Existing
Cesspool New Existing t/-
Residential
Residential Non-Residential
DATE OF PREVIOUS PUMP-OUT: /1,13.87 (FuRsr Pum.n our)
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.)
' (,( ft
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1 Signature . •plicant
RECEIVED BY:
C4<rxve., ?
To lerk' Office
DATE: nEC 31 1.981
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