HomeMy WebLinkAboutSharkey, Walter o- fSUFOUr
ELIZABETH A. NEVILLE 111 0 O% Town Hall, 53095 Main Road
TOWN CLERK o P.O. Box 1179
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Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER `� if�il. '4 ',�1Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER �__-'/DI -0 ,• Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ��� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 4141-R Residential X Non-Residential
Fee $ 10.00 New Existing X
Name Of Owner SHARKEY, WALTER & CATHERINE
Mailing Address 1 PO BOX i /3373
Mailing Address 2
City St Zip MATTITUCK NY 11952-0000
Property Address 1 1930 MARLENE LANE
Property Address 2
City St Zip MATTITUCK NY 11952-0000
Owner Telephone No. 631-298-5977
Tax Map No. section 144.00 block 2 lot 32.000
Cross Street PECONIC BAYBLVD
Issue Date: 4/24/02 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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(VICE OF THE TOWN CLERK C�FFU�r - -
TOWNOFSOUTHOLD 0�� BOApplication No. gill(
ELIZABETH A.NEVILLE,TOWN CLERK $10.00 - Residential ✓
P.O.BOX 1179
SOUTHOLD,NEWYORK 11971 *.$ $25.00 - Non-Residential
Telephone 70 410"
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION, RECEIVED
for
APR 2 3 2002
OPERATION PERMIT
SEPTIC TANK or CESSPOOL Southold TowN Clerk
Operation Permit No.
Fee $
DATE
AOWNER NAME: �- 74e'fai<hr,c4 ew - Sr-4p kyr
OWNER MAILING ADDRESS:
irAlp
OWNER PROPERTY ADDRESS: 7 ' � itlitikes,24142
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OWNER TELEPHONE NUMBER:t9S < 6 4'777
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TAX MAP NO. : Section Block Lot ° .. ,2
CROSS STREET: (/),,tre_pw-72Ade---&,1-A-/--
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool 1✓ New Existing
Residential '✓ Non-Residential
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.)
Sign. ' .f pp icant
RECEIVED BY: �' •
T. n erk's Office
DATE:
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141,71A.4.... t -�-
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ICI rmit-
Walter Sharkey
1930 Marlene Lane
Mattituck