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Home My WebLink AboutJester WOO, it gyp;:/i♦ ii 4144 C3�®tl •-i CD = z ,� Town Hall, 53095 Main Road 1r AT./ P.O. Box 1179 �, 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 WASTEWATERDISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 1475-R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X New Existing X Name Of Owner JESTER, BURRIS T. AND VIVIAN Mailing Address 1 P. O. BOX 619 Mailing Address 2 City St Zip CUTCHOGUE NY 11935-0000 Property Address 1 MOOSE TRAIL Property Address 2 City St Zip CUTCHOGUE NY 11935-0000 Owner Telephone No. 000-000-0000 Tax Map No. section 103.00 block 4 lot 3.000 Cross Street DEER FOOT PATH Date Of Last Pump Out 0/00/00 Issue Date: 6/04/90 Judith T. Terry Southold Town Clerk (TOWN SEAL) r , . S. • S I III' . OFFICE OF THE TOWN CLERK rc0F0/-i '- - A/75— Judith / _ Town of Southold �Q -,e C'QG� Application No. ��f 7S Judith T. Terry, Town Clerk .r� r ,, f.--441) Town Hall, 53095 Main Road $10.00 - Residential (/ p. O. Box 1179 u'3 :"Ai '°•�"�~�� t $25.00 - Non-Residential Southold, New York 11971 Obi,®''`'' -..$ Telephone _Z' `�� (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for • OPERATION PERMIT • SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ /a, Q® • DATE L ; 1 • 90 1 ► • � r 111 'OWNER NAME: a f ' -' • OWNER MAILING ADDRESS: p. 0 . ox 6!9 C'v �a o cfa As: Y.. / /93S OWNER PROPERTY ADDRESS: f/962-5 -y� 7'�/1/k_J , - _ r- _ __ 0 � le Vl. -1 r OWNER TELEPHONE NUMBER: TAX MAP NO. : Section / 0 3 Block L( Lot 3 CROSS STREET: j _ '--(90 '— 4 f fl TYPE OF SYSTEM: Septic Tank New Existing / Cesspool New Existing t. Residential Non- esidential DATE OF PREVIOUS PUMP-OUT: ) / 990 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.) .19,(4,1,44„; 7---T 1 14 ' Signature of • ,,plicant 1 RECEIVED BY: __: Ni< • n Clerk's Office - DATE: JUN 0419u Town DA Gotha . :ti ^ . • . ' . . -'" It''''''"'"*.:-f*:71'Z'''-'-1.1;' -.' ''' '''''' '"Cz1=''''''''4';',.'4r▪ •4'- tl't' 'mite '1".,14"1'..-...*'-',,Ii"Prs''''!"'''1.4 '',.,..Z"40,0,4.`"4,"-''tri„'44.4,*\4•-?,;(4Z.„1,t7,4',` --"At2,41f.,,',-,4?4,:i7,:.,,,,i.:'', IL.,,`1 ''';'t),„2,•-;•••„!„.^41‘p ,”;,,,,,,,-, • <,•,:,-,,,, {.,-, .....,c, „0,• 7 ....„....v.:.•74.4 ,..„• ...........,)„,._ 7 '.- •'\-•• "' .P..e"..:„.t^'' ":..f,,.,.,!.. .,.-,";,.',,^....3Q,1.4..Y...",;.. '' •,'.-t...'' • 1,......'-• rm-J ' -•/,.,,,go,e(,- '-. . '',3''..-,,....! -:;V:'' ''';:",)'...-4seSZ:V^.•'" •: :- .G,?A',,,j'.4, "'v. ' ' ' • A. ` IP . -,,.',.,-4 =-, , ,-..i",--7•;•,-1..ir F-• ','• 4.„ -4-.,*,44E-,,,;;:-• -..,..',- ;--';'-`:.„!.". 1.<4.,i's• ::-- 1,11.:is-; ,,",gle',. : '-::-.".,-;.,771-7:::--•'-'',-=: :: "I t-1..L;',.:;t'--,-,' --:-...;.'"'"c",..1,- :• --•,';''..,'•-•.,`"'l:''4'''V.-;'-. -,*".'', .?' 4'''''''''''•• : • \ ,i,, ..,,,..4.,,,,„; ..,.,. , ,.,,. -- .;. • ., :-.; ,,, ..,... .ssiv 4 - r .-4,1 ,,,,•,',,..,W.eAT:).,:„7. ".,_:,:,-4??:,,..r,..if;if'_:`,;*., 4:41.1..;,',..r4y •,i,, ,:txtA• t..,,,,?:.,,,,,-,4)1..?..-.;44.,^‘,.,..;',. --'`.41;Zr..,,,7;'-2,4111'4„,77,,,O''1:',,c 1 .;:',“V,I;.41,..:ii;;;I!''f..... . il 411.1,7.`,,,<<•_ -,,,, , ,, .,,,z ' "..: ,• -•••••, ' ?„ ,,,-.• , - -1'..<';',„„ -.X.4,74-4.,,,,''2,<•-,:.,•<"4„;.,;,itt7-1,-.1:'A„<i';'-'),,,,;;;,..k;r.),!( ,4,,..".,T.5.,pr.„;ii -,:,,,,I..'-,_I's.:-.; ,,,ii,-,-..:-.''•-•:.-7-i "..-1-‘1,7,-,IN 4,,,,*---:FFI./z.,,•.'4 -.-.,..'".•`g.,;;;:z-,,,i •de.,-,-s.,--,-,j^..A.V;%',. 1 ' 't _-.-;',..;:.4-.,1;.-- ,'.f-,.-4.-.•..----..-t, -„5.*:;.,;.74,1-1 _,,-.7i.--_•,..',,,--„, ." ,---:;':„.'.7., ,,,.).4 „04.0o-;...,--..„;,4,-g.,.•i;:..,„-L.p-,:.00, ,,,,I,,....yit,,;;;4.*.-.4,,,i...7:1-1-L.'•...•.&,./4-,i$,A, '• •,,i,• _•• ,-: :,,Wi-t,...•.,,r,rg,' P4, 01.4-0 '.0`,-,,,,...:,_.A0.,4„ -ii,!,,,:',•?4,- ,:tli,r,:iilisk,i,, -4..to Iv ,-.1,;,- ..,=.1'01:47:idgii,, --TIL..ti ,,,,,..., 'Af:',_.,'"-P-2.,:,_,„,i,,,,r. -,,,A.,.. ........ ....„,...-- . .$1.41,.., .;•.4,... „44-. - ,r4V.:':tz.:••-•' .,1-11 '..'''''',14:-,,. ' ..'•,- :0=4.? • :1:_'*-.• :`,.-i' .Y '.' '';'!.,-.1";11 ir.,--',--I'l ' -1-4'-'4''.-..0t„,:oa:4 "eke_ .,....,,,,,, ,k,„,,t,...,.4.,..1.-5,7v•_.•._ „;...,-, -•,. •_'•';,,,L ji••••tl„.4: . _" . '.;`P. • s•110.4. .,,,,,,-.&,,•AK ...,...+,7,,,,, je,..tet,,,,,, 2,• .,_,„„4„, 4;,,.... ,. ;Iv..._„,,- .41.,...,);•, ••,,4)„,:•„-_,A,L.Wr,s,-->„tt..--,4'1-tr,',„,,r -,,,,:i..,Z,1 .'it.. 0' ," ,•••.,,,P-.:1',71;,".._* 4, ir ,:„...„°'611'.4`'. •,...`..,,:.-4,•,4,01;-?a, Z.'''.'..t,VtlriOfti.,...r'; -.1;,,,<L. ,.np• ..V, -' ' •-,-;..4..,..?-4::,,AA 2z:.,-- iik . ,A,, , i•••.". -4-,:e0.1.•• :ii.,•,..,Y,e--....=••,--•-.. : • ... 7i,.30.54,---.",l'..if;,k,-.- , , -,,-.•,,,,,.1„.,,,,,.. or,i. ' .,,,,,4-4,.. ,,:,,-...„12.-t..4-.,,,,,, ,,,-2,&• is, . . '