HomeMy WebLinkAboutManzi Homes Inc (25) ete
ELIZABETH A.NEVILLE +'/`y' y �� Town Hall,53095 Main Road
TOWN CLERK o • P.O. Box 1179
Z ; Southold New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER I, Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER y�n. a� itl 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. 4265-R Residential X Non-Residential
Fee $ 10.00 New X Existing
Name Of Owner MANZI HOMES INC
Mailing Address 1 PO BOX 702
mailing Address 2
City St Zip ROCKY POINT NY 11778-0000
Property Address 1 2650 HARBOR LANE
Property Address 2
City St Zip CUTCHOGUE NY 11935-0000
Owner Telephone No. 631-744-1039
Tax Map No. section 103.00 block 1 lot 20.007
Cross Street MAIN ROAD
Issue Date: 9/29/04 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A. NEVILLE ,��h� VTown Hall, 53095 Main Road
TOWN CLERK ; p ; P.O. Box 1179
REGISTRAR OF VITAL STATISTICS � yj, Southold, New York 11971
MARRIAGE OFFICER : O / Fax(631) 765-6145
..
RECORDS MANAGEMENT OFFICER Ov Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ` 491 4 -a„'i southoldtown.northfork.net
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
OPERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @ $10 or Non-Residential @ $25 Application No.`i_6
Permit No.c2.9 q 13 Z
Owner Name Man 2 1 VI orn es ) rn C .
Owner Mailing Address P. 0 • Ig O X '70 2-
R ocky Poin.4- i NewYork it1-7g
Owner Property Address -2-1,5-0 Harbor Lan,_.
Cu-0101 rte- i New 10 r IN 35
Owner Telephone No. C' 3 (- 71-1-/-1- - 1039
Tax Map No: Section 10 3 Block I Lot 20.1
Cross Street Imo)A i ki F o A 0
Please check each that applies: New Construction X
Alteration to Existing System
Residential X Non-Residential
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. (Locate
building and system; give north arrow and approximate distance in feet from system to building
and closest road. New construction may submit copy of survey with SCHD approval.)
rel. 3/50 4/-
10
Signature of Applicant ate
Received by:
ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209
•
�RAOE OF THE NEW YORK STATE EDUCATION LAW COPIES OF THIS SURVEY MAP NOT
IO Ar-0 (OL)\ BEARING THE LAND SURVEYOR'S ORIGINAL SIGNATURE AND INKED OR EMBOSSED
1. /�– D,yrt.( Br?G✓iN 5/LTj�(0!j- SEAL SHALL NOT BE CONSIDERED A VALID TRUE COPY.
THIS PARCEL IS SUBJECT TO ANY EASEMENTS OR RESTRICTIONS OF RECORD.
3'–- EROWA/ ..5././..j(�"/J 4) ELEVATIONS REFER TO THE FIVE EASTERN TOWNS TOPOGRAPHIC MAP.N.G.V.D.
FENCES NOT LOCATED.
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16 h ° Map of Lot 1,
{� N "Minor subdivision prepared for Barbara Sowinski"
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v I`''ECG is:�,�� ; Filed:May 17, 1991,Map Number 9101
s��r,� N 4' - Situated at Cutchogue
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Town of Southold,thold,Suffolk County,New York
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,;* es.vs Rx District 1000 Section 103 Block 1 Lot 20.7
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v, i` — i m a REGISTERED LAND SURVEYOR
LOT ,2 GO 1500 Hortons Lane
sire//NOR 5e150/1//S/ON BAR8ARA SOs"✓/N5x/ v1 20 7 Southold,New York 11971
/' /D " �1 (631)209-0676
5 B 2 O .. FOUNDATION LOCATION:February 2.2004
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REI//SED.' 12/1/05 PROP, //oust* GOC.IT/ON, Scale: 1"=50 ✓
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