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ELIZABETH A.NEVILLE t 0/Q 4 e Town Hall,53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR OF VITAL STATISTICS N Southold,New York 11971
MARRIAGE OFFICER Q 1� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER ` �
; � I�� Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER CQ V��,d southoldtown.northfork.net
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 4295-R Residential X Non-Residential
Fee $ 10.00 New X Existing
Name Of Owner DONNE, STEVE
Mailing Address 1 1210 TUTHILL ROAD
Mailing Address 2
City St Zip SOUTHOLD NY 11971-0000
Property Address 1 1465 HILLCREST DRIVE
Property Address 2
City St Zip ORIENT NY 11957-0000
Owner Telephone No. 000-000-0000
Tax Map No. section 30.00 block 2 lot 80.011
Cross Street HEATH DRIVE
Issue Date: 10/20/05 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)