HomeMy WebLinkAboutK&L Properties OFFICE OF THE TOWN CLERK - •
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Town of Southold Dorm ��
Judith T. Terry, Town Clerk aa� '09%/�
Town Hall, 53095 Main Road S N� tt
P. O. Box 1179 �� �Y ��
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Southold, New York 11971 _ .., ,-}
Telephone '-.y
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT -
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 37.8 379 Residential X
Non-Residential
Fee $ 10.00
Septic Cesspool X
NAME OF OWNER: K & L Properties `—
OWNER MAILING ADDRESS: Main Road
Riverhead, New York 11901
OWNER PROPERTY ADDRESS: Kielbasa Alley - ROW off Indian Neck Lane
Peconic, New York 11958
OWNER TELEPHONE NUMBER: - 516-727-1155
TAX MAP NO. : Section 86 Block 5 Lot 11 . 1
CROSS STREET: Indian Neck Lane
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool X New Existing X
Residential X Non-Residential
DATE OF PREVIOUS PUMP-OUT: June 1984
Judith T. Terry
Southold Town Clerk
DATE: July 30, 1987
(TOWN SEAL)
OFFICE OF THE TOWN CLERK '' C3\\VDU.•'•
Town of Southold O;C) a, Qom' • Application No.
Judith'T. Terry, Town Clerk
Towns-'Hall, 53095 Main Roado a {:G ) Residential
-P. O. Box 1179 cn s� •� Non-Residential
Southold, New York 11971
Telephone _6d
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT•IO.N
ror
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
•
Fee $ • •
DATE 9,11
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OWNER NAME: 71)jtiZE) <74-1
OWNER MAILING ADDRESS: /yI/?//i) ,L�•
A11)4(0r 4) , 1/9W W
OWNER PROPERTY ADDRESS: (Ajit7'46&-Sa
OWNER TELEPHONE NUMBER: 72? - //37s-
on,
TAX MAP NO. : Section a- a lock Lot100 •
CROSS STREET: KI EL15AS il ° -TA) A iU C /<
TYPE OF SYSTEM: Septic Tank New Existing
( v 'CQ �SE IRAQ -
Cesspool New Existing f
Residential Non-Residential
DATE OF PREVIOUS PUMP-OUT: - /9;)?/, '
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.)
I(/n1 Si ture o•
A lic t
RECEIVED BY:
Town Clerk's Office
DATE: /11114-P
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