HomeMy WebLinkAboutJLC Management Inc (2) ,,.....,,
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ELIZABETH A.NEVILLE /PI y� Town Hall,53095 Main Road
TOWN CLERK 1 CO - P.O. Box 1179
REGISTRAR OF VITAL STATISTICS i Southold,New York 11971
MARRIAGE OFFICER �, Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER ��Ql $),i�1 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. 4261-R Residential X Non-Residential
Fee $ 10.00 New X Existing
Name Of Owner JLC MANAGEMENT INC
Mailing Address 1 7 BRADLEY LANE
Mailing Address 2
City St Zip EAST MORICHES NY 11940-0000
Property Address 1 565 THE CROSSWAY
Property Address 2
City St Zip EAST MARION NY 11939-0000
Owner Telephone No. 631-909-1211
Tax Map No. section 30.00 block 2 lot 19.000
Cross Street THE CRESCENT
Issue Date: 9/13/04 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A.NEVILLE ,1110 00
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