HomeMy WebLinkAboutTapfar, George oNiAr
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ELIZABETH A.NEVILLE ���� 'y Town Hall, 53095 Main Road
TOWN CLERK o P.O. Box 1179
y = Southold, New York 11971
REGISTRAR OF VITAL STATISTICS V1'�� Fax (631) 765-6145
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER -_yQ! a��i�� 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. 4178-R Residential x Non-Residential
Fee $ 10.00 New x Existing
Name Of Owner TAPFAR, GEORGE J.
Mailing Address 1 1805 BRAY AVENUE
Mailing Address 2
City St Zip LAUREL NY 11948-0000
Property Address 1 1805 BRAY AVENUE
Property Address 2
City St Zip LAUREL NY 11948-0000
Owner Telephone No. 631-298-9415
Tax Map No. section 126.00 block 8 lot 13.000
cross street ALDO DRIVE
Issue Date: 12/27/02 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
.,l " "".„
OFFICE OF THE TOWN CLERK ���C3�FFO(r'��! J
TOWN OFSOUTHOLD / Application No. 4-j / 78
ELIZABETH A.NEVILLE,TOWN CLERK
$10.00 - Residential
P.O.BOX 1179
C.13
SOUTHOLD,NEWYORK 11971 �� $25.00 - Non-Residential
Telephone 40 41 s,.
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $
DATE /// Q
OWNER NAME: W'e.,2,pie _ 72457.-.
OWNER MAILING ADDRESS: /J 25 � e
1/,e /
OWNER PROPERTY ADDRESS: p 2Z/.r�j /9-5"
OWNER TELEPHONE NUMBER: � czaf I 592'J
_
TAX MAP NO. : Section __Block S Lot /�
CROSS STREET: /19 ..-062,0
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool New !// Existing
Residential v 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.)
4/00
"r:nat a . /App is /
RECEIVED BY:
Town Clerk's Office
DATE:
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GEORGE TAPFAR
1805 BRAY AVENUE
LAUREL