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HomeMy WebLinkAboutHughes (2) i 1%f y` �` Town Hall, 53095 Main Road V t� P.O. Box 1179 ,�'�• Southold, New York 11971 JUDITH T.TERRY '-.',,,,li" FAX(516)765-1823 TOWN CLERK TELEPHONE(516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD i SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 1533-R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X New Existing X Name Of Owner HUGHES, ELWOOD AND CAROL Mailing Address 1 6125 SKUNK LANE Mailing Address 2 City St Zip CUTCHOGUE NY 11935-0000 Property Address 1 6125 SKUNK LANE Property Address 2 City St Zip CUTCHOGUE NY 11935-0000 Owner Telephone No. 516-734-5214 Tax Map No. section 104.00 block 4 lot 1 .000 Cross Street STERLING Date Of Last Pump Out 0/00/00 Issue Date: 9/26/90 Judith T. Terry Southold Town Clerk (TOWN SEAL) : r'r OFFICE OF THE TOWN CLERK ���FFO Town of Southold �� �C�G� Application No./S3 '3 Judith T. Terry, Town Clerk =` Kms: :‘) Town Hall, 53095 Main Road :: -4 $10.00 - Residential P. O. Box 1179 cry :` t ` '` ; $25.00 - Non-Residential Southold, New York 11971 ` '" �,`, Telephone Q( �� (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. /5 33 Fee $ /C7 DATE 'OWNER NAME: OWNER MAILING ADDRESS: 6/ 2 c Liu ,/Y OWNER PROPERTY-ADDRESS: OWNER TELEPHONE NUMBER: 73� c52/4 TAX MAP NO. : Section /ep T Block 1 Lot / I CROSS STREET: cc-7E-2GI�Gj TYPE OF SYSTEM: Septic Tank - New Existing Cesspool New Existing !/ Residential Non-Residential DATE OF PREVIOUS PUMP-OUT: Al-,C ( /gy,Cos 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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