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HomeMy WebLinkAboutHunter Wit 14ti'V Def t *16, rvi ��„ rte (`� ® Town Hall, 53095 Main Road Vitt; ” «• P.O. Box 1179 :` � �i ,,�� Southold, New York 11971 JUDITH T.TERRY %�����''•I FAX(516)765-1823 TOWN CLERK TELEPHONE(516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 1439-R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X New Existing X Name Of Owner HUNTER, JAMES M. Mailing Address 1 92 CORNELL DRIVE Mailing Address 2 City St Zip SMITHTOWN NY 11787-0000 Property Address 1 1085 OLD SHIPYARD LANE Property Address 2 City St Zip SOUTHOLD NY 11971-0000 Owner Telephone No. 516-543-6779 Tax Map No. section 64.00 block 5 lot 24.000 Cross Street HOBART ROAD Date Of Last Pump Out 0/00/00 Issue Date: 4/16/90 Judith T. Terry Southold Town Clerk (TOWN SEAL) f III OFFICE OF THE TOWN CLERK 'c51FR - Town of Southold Application No. / 4_3? _ Judith T. Terry, Town Clerk ,,-;`4 b,. ° $10.00 - Residential Town Hall, 53095 Main Road ` � t _G P. 0. Box 1179 C ter; � .� � �=��,���t ��� $25.00 - Non-Residential Southold, New York 11971 O '® `-az''. Telephone :0( ske, (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD :WASTEWATER DISPOS'L DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee $Z_O...A_O' DATE 3-10-90, OWNER NAME: James E. Hunter • • OWNER MAILING ADDRESS: 92 Cornell Drive, Smithtown, NY'11787 OWNER- PROPERTY -ADDRESS,: ZC1R5 -o'7p? RSh.ipgrr.rrl." 'i;rr».e Southold, NY 111971 OWNER TELEPHONE NUMBER: (516j 543-6779 64-5-21e- TAX 4-5 2 TAX MAP NO. : Section \ Block \ Lot CROSS STREET: end at Hobart Road TYPE OF SYSTEM: Septic-Tank- - - New Existing Cesspool x New Existing x Residential x Non-Residential DATE OF PREVIOUS PUMP-OUT: Never to-my knowledge- 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.) r / r Signature of Applicant RECEIVED BY: �� �� / - _ • n - s Office DATE: 77/Z/90 LOCATION MAP i 4-4-90 Mr.- and Mrs. .Tames M.- Hunter 1085 Old Shipyard Lane .Southold, NY 11971 Can t am t tel ephmne 543-6779 1W S PY Haase Ceasp.°oll_ Dri vezvrzy O LS7i irp.ya rd Tane (*)` (,#) street sign says, Old Shipyard Rd., on corner at Hobart Rd.. Should be changed to Old Shipyard La. which it has always been. See other end of street. , Hobart Road Goldsmith 's Boatyard