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HomeMy WebLinkAboutMunafo, Joseph �� "c 1FFOL4' � O � G ` � O ELIZABETH A. NEVILLE � _ 'y\ Town Hall, 53095 Main Road TOWN CLERK H P.O. Box 1179 REGISTRAR OF VITAL STATISTICS ,i Southold, New York 11971 MARRIAGE OFFICER :` ,i/� � � Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER =_-7Ql iit �a 'i� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER r,�� southoldtown.northfork.net .....iii OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 4176-R Residential X Non-Residential Fee $ 10.00 New X Existing Name Of Owner MUNAFO, JOSEPH Mailing Address 1 P 0 BOX 275 Mailing Address 2 City St Zip PECONIC NY 11958-0000 Property Address 1 1850 INDIAN NECK LN Property Address 2 City St Zip PECONIC NY 11958-0000 Owner Telephone No. 631-734-5921 Tax Map No. section 86.00 block 4 lot 6.003 Cross Street LESLIE ROAD Issue Date: 12/09/02 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) a OFFICE OF THE TOWN CLERK QCOFFO(�C TOWNOFSOUTHOLD OG: Application No. `7/ / 7� ELIZABETH A.NEVILLE,TOWN CLERK $10.00 - Residential P.O.BOX 1179 SOUTHOLD,NEW YORK 11971 ,�� $25.00 - Non-Residential Telephone 4'Q( * ��0 ', (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. x.6(05 R Fee $ 10.00 DATE 0-1116 OWNER NAME: _bSP4 MVIOitort) 17) 1,1 Al OWNER MAILING ADDRESS: P©. p Re_ ca4A,CL 1V-Ce OWNER PROPERTY ADDRESS: 1850 I&o ) L1A , Pec5.)KC (OA'. let's g OWNER TELEPHONE NUMBER: CO- 734-51,1,‘ TAX MAP NO. : Section 86.06 Block 41 Lot (0,003 CROSS STREET: LesL Lt .j TYPE OF SYSTEM: Septic Tank New t,./ Existing Cesspool New v Existing Residential t/ Non-Residential Pim;fi DV)5R 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.) S' nat PP A licant RECEIVED BY: Town e�ffice DATE: / 9-0