HomeMy WebLinkAboutGarride, Maria �G:
ELIZABETH A. NEVILLE 1���h,10 y ; Town Hall, 53095 Main Road
TOWN CLERK o P.O. Box 1179
y Southold New York 11971
REGISTRAR,OF VITAL STATISTICS '
MARRIAGE OFFICER ‘11& �����, Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER � �"1 •4���0.01 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. 4182-R Residential X Non-Residential
Fee $ 10.00 New Existing X
Name Of Owner GARRIDE, MARIA
Mailing Address 1 817 FLINT STREET
Mailing Address 2
City St Zip GREENPORT NY 11944-0000
Property Address 1 817 FLINT STREET
Property Address 2
City St Zip GREENPORT NY 11944-0000
Owner Telephone No. 631-477-9739
Tax Map No. section 48.00 block 2 lot 28.000
Cross Street NINTH
4.1 . naafiIssue Date: 1/09/03 izabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
R
OFFICE OF THE TOWN CLERK C.OFOL4- '
TOWN OF SOUTHOLD � CD�► Application No. qv-
ELIZABETH A.NEVII.I.F,TOWN CLERK L $10.00 - Residential
P.O.BOX 1179
Ls,
SOUTHOLD,NEW YORK 11971 �; $25.00 - Non-Residential
Telephone • 1 * `)\%6
1.
0 .
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $ •
DATE 1 7 - (33
OWNER NAME: ‘ Le5t Q.
OWNER MAILING ADDRESS: 87 7 ./A)
OWNER PROPERTY ADDRESS: 2/ 7 ,L// 7" 7
OWNER TELEPHONE NUMBER: V7 .7 ?'7 -39
TAX MAP NO. : Section 174g1 Block L Lot a
CROSS STREET:
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool New Existing
Residential k/ Non-Residential
Sze- d a 9v3
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.)
Signaturg . —:'cant
RECEIVED BY: d
own Clerk's Office
DATE: 111 10