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Home My WebLink AboutKane c DLit Town Hall, 53095 Main Road c) P.O. Box 1179 PA„ - Southold, New York 11971 JUDITH T.TERRY , l,' 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. 1183-R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X New Existing X Name Of Owner KANE, JOHN J. AND AGNES J. Mailing Address 1 P. O. BOX 275 Mailing Address 2 City St Zip CUTCHOGUE NY 11935-0000 Property Address 1 1750 PEQUASH AVENUE Property Address 2 City St Zip CUTCHOGUE NY 11935-0000 Owner Telephone No. 516-734-5239 Tax Map No. section 103.00 block 11 lot 15.001 Cross Street OLD PASTURE ROAD Date Of Last Pump Out 0/00/00 Issue Date: 7/05/89 Judith T. Terry Southold Town Clerk (TOWN SEAL) OFFICE OF THE TOWN CLERK 0°COW Town of Southold ��i _ •.QG' Application No. j/P3 Judith T. Terry, Town Clerk . Z Town Hall, 53095 Main Road o , : ,) Residential P. O. Box 1179 u' � � ' ` ' `' Non-Residential Southold, New York 11971 Off ` } _,c\‘‘-• •• Telephone [ • (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICAT ION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ DATE -5j 5/6 OWNER NAME: c d4Qr./5'4416P V d KA-K) OWNER MAILING ADDRESS: / 7r'j0 P%0,4 AK_ ( U'i e kIU I '//u . /14 3� OWNER PROPERTY ADDRESS:I 6' A! /� -��.1 iU - �� 5' OWNER TELEPHONE NUMBER: '734- Sc.;-0q 1 TAX MAP NO. : Section / 1 Block I Lot d CROSS STREET: t-- /a(vJJ,u�� TYPE OF SYSTEM: Septic Tank New Existing ��/ Cesspool New Existing L.--"/ Residential i.// Non-Residential DATE OF PREVIOUS PUMP-OUT: 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.) yap . 16A- L'IL.N j"Si9A4t RECEIVED BY: Taziargvn Clerk's Office DATE: JUL_ 03 9989 . ., � -��-_� . � ^ __ * �--_ _- � | i ,11-4'. | . ___-___� 11. ____i________ __ ____ ) � _` , -_.' _-'-_. _-_- _ -_'_-__-. _ _- ' - ` rl fl�� `�� `�� ' � �� . t - ------------- --'-- '- '-- - -- ' - --�-- -_-_--' __ l ( • ' | � � - --'-- - --�----- --- '- --- --- -- - . - -�------- --- _---_L_ -- -__'-J� | _'_ _ ____ _ . _ �. i ' l - � ' -- - - '' � i . . r /�� | � ------ --- '-- -- . ��r~� _ ___ _ � _-'_- ___ | � -- - - '- ' - | - - - - , � • - ----- ' il| � AU F � �K ! _ _ _ _-v � | | . . . \. I - _ ^ -_-__---_�__� -_- - -_'___--_' '- _- '|''_-- _. -_- . -_ _ _ _ --- --'. -- _� '' -' _-_ .� _ '_. / 1 � _ _- -- - -L | - � / | T | ' | ' - -- -- `- / . . | . .. � � 1„,e_i_sg. || |- - _ � __ i | � | l • -' - - -� ` | | I _ . 11(1. 1'a/l<1 _ ' � |/ ' � | � � | ' ' ' ! | i . ' -- | - | . ' ! ' | ' i ' ' � ! . ! | r �^ ^ � } � � ' |�� | ' / ' i / | ' / � � ' ' � / � / ' � / / / | | / "p_ | - -- ' - } ' | .� _ . ' i � -r - -- / ` | ��/ j , , , --'' --- - - - - _ _ - - - _- '--' _ | � � ~�. } / | ( . . - ��' | / , , � / /��" | | | i . | I. �� | | � | / � ' ' I / / ^ | ' ' - ' -- ' «�� | / � | | 1 / -�K_ ° - | ' - - m � - - g - '� | �� ' -� - - ' / 1- - - 1 | I ~ | i | - | I I ! , . / � -- - _. - | _ - � . � T~ ' � `� " ' � . . | � ��&�° � / ' _ - . ' | | ��' . _ / __- __ -- ---_-_ _ - - - -_ - ___- '----- ------ -- ---___- _|_ _ _ _ _ _. ______ _ __ _ . __/ _ _ ._ _ I I __� ] ]' � l l | � � / / } ! ( | / | ! | I / i ( | | ! / I I | | ! ' ! / ' | � | / � | } | ) | i . i I ! � ' � i � � I i ' � ' �