HomeMy WebLinkAboutHutter -OFFICE OF THE TOWN CLERK • ����FU(��,�
Town of Southold •
• Judith T. .Terry, Town Clerk % ?;`'
Town Hall, 53095 Main Road o t$ yF
•
P. O. Box 1179 43 ',
Southold, New York 11971 - - \ Q ^` �' •
Telephone 2jLS %NU
(516) 765-1801 -
TOWN OF SOUTHOLD;
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 598 Residential
Non-Residential
Fee $ 10.00
Septic Cesspool x
NAME OF OWNER: John and Irma Hutter
OWNER MAILING ADDRESS: P.O. Box 128
Southold, New York 11971
OWNER PROPERTY ADDRESS: 56600 Main Road
Southold, New York .
OWNER TELEPHONE NUMBER: 516-765-1072
TAX MAP NO. : Section 62 Block- 3 Lot 38 •
CROSS STREET: Town Harbor Lane
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool X New Existing X
Residential X Non-Residential
DATE OF PREVIOUS PUMP-OUT: December 1987. -
Judith T. T ry
Southold Town Clerk
DATE: February 10. 1988
•
(TOWN ,SEAL)
i'OFFICE OF THE TOWN CLERK
Town of Southold �� . CQ ' Application No.'---51
Judith T. Terry, Town Clerk ':
Town Hall, 53095 Main Road 04; v7a ) Residential
P. O. Box 1179 v' ' z „J Non-Residential
Southold, New York 11971 O�' '�, �•`�
Telephone _ .(
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee
$ / 1
DATE /- , g -00
OWNER NAME: rJf5 #/11 oo /IZJ2A 1107
OWNER MAILING ADDRESS: D • a'X 72--g
so u7 oLa AA/ /c7/
OWNER PROPERTY ADDRESS: L-5-466O 6u,
OWNER TELEPHONE NUMBER: 7‘c5------/67z
TAX MAP NO. : Section ‘2. Block 3 Lot '3 8
CROSS STREET: 2 4i,,v -Qac-
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool / New Existing
Residential Non-Residential
DATE OF PREVIOUS PUMP-OUT: /Z -/9-87
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.)
Signature of Applicant
- e
RECEIVED BY: -
Town Clerk's Office
DATE:
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