HomeMy WebLinkAboutKennedy 04 ee
JUDITH T. TERRY Town Hall, 53095 Main Road
TOWN CLERK ® ,.. P.O. BOX 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER '� Fax (516) 765-1823
/O
Telephone (516) 765-1801
dAla
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 1745-R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
New Existing X
Name Of Owner KENNEDY, EAMON L.
Mailing Address 1 6730 NASSAU POINT ROAD
Mailing Address 2
City St Zip CUTCHOGUE NY 11935-0000
Property Address 1 6730 NASSAU POINT ROAD
Property Address 2
City St Zip CUTCHOGUE NY 11935-0000
Owner Telephone No. 516-734-7790
Tax Map No. section 111 .00 block 15 lot 6.000
Cross Street WUNNEWETA ROAD
Date Of Last Pump Out 0/00/00
Issue Date: 9/04/91 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
OFFICE OF THE TOWN CLERK cOFa,t,•'• , /`
Town of Southold �� 4 11Q Application No. //9'c
Judith T. Terry, Town Clerk $10.00 - Residential ./
Town Hall, 53095 Main Road z: -
ti
P. O. Box 1179 tr3 � $25.00 - Non-Residential
Southold, New York 11971 O $
{ 5$
Telephone = ( N
to
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $ A.9 .•
DATE 3/ (r e7
OWNER NAME: A H0 A/ L 7
OWNER MAILING ADDRESS: 6/3o Ii . Vlc�rk- /C
c�Ec 4/y. iig35—
OWNER PROPERTY ADDRESS: '
OWNER TELEPHONE NUMBER: C576) 73(-71-- 77/
` IST /o-t,-0
TAX MAP NO. : Section /1' Block /-5— Lot (
CROSS STREET: vvu-
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool I// New Existing V
Residential if Non-Residential
DATE OF PREVIOUS PUMP-OUT: M's. i
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.)
�ucry w
Signature of Applicant
RECEIVED BY: X
Town/ Clerk's Office
DATE:
ROMP
SEP 041991
town Glen WWI
N...)1-E .-,- -
- 1.LOT 1*1:.✓ krr-E- f`_17 AME�..L'i:: f;A; 1--,. - N/._ _ F_ i_ f (—) •,`1
- TNC _.,uf F.CCJ.C:E kc'_ic-'_=> OFF ic, i- A,: F ii„1_ Ki, l�,,,
2.CONTOU(Z5 AE F kOM sur I C ,./ Lr. i `Y C.E2_iAl_ F_',.1k•v'f Y
) \
_ �
1 AN------7;
1“--)A i
CIE,. , -S.880 `LGuLA I 1 ,
Q f ,i,\ ELL
/ e� /ate ` 3( ' ` -,-'1 .p _
Loy !:-„,
. ,. 0 ,Q
• .
0 e ,,i.r)11 i
}{U L Ia C1 2 / s E { ( � �� . _ 1 ^lel, ,
FENCE 3yt 5.— 1 \--1
35 /
_ 1 - LOT !30
{
30
1
1
. SU'125.-.r �- I L L 1-01.1.
F---
l
T\_'iL. i '4 pf - i
. (5,i
•
•
NO1780