HomeMy WebLinkAboutKatzer OFFICE OF THE TOWN CLERK 1 • FU
Town of Southold ��� C�
.�Judith T. Terry, Town Clerk � � �,
Town Hall, 53095 Main Road = µ
P. O. Box 1179 -0r0 ''
Southold, New York 11971 ' `'Q ••�
Telephone �,(
(516) 765-1801
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TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 340 Residential X
Fee $ 10.00 Non-Residential
Septic Cesspool X
NAME OF OWNER: Edward and Elizabeth Katzer
OWNER MAILING ADDRESS: P.O. Box 1502
Southold, New York 11971
OWNER PROPERTY ADDRESS: 1073 Bay Home Road Ext.
Southold, New YOrk
OWNER TELEPHONE NUMBER: 516-765-5593
TAX MAP NO. : Section 56 Block 5 Lot 38
CROSS STREET: ROW off Bay Home Road
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool X New Existing X
Residential X Non-Residential
DATE OF PREVIOUS PUMP-OUT: April 27, 1987
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Judith T. Terry
Southold Town Clerk
DATE: July -15, 1987 -
(TOWN SEAL)
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