HomeMy WebLinkAboutGendot Homes Inc ,•%pF SO(/r�,o tELIZABETH A.NEVILLE
Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold,New York 11971
MARRIAGE OFFICER , Fax(631) 765-6145
ftECORDS MANAGEMENT OFFICER ` %. Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER = CQ ,�0. southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 4297-R Residential X Non-Residential
Fee $ 10.00 New X Existing
Name Of Owner GENDOT HOMES INC.
Mailing Address 1 P 0 BOX 534
Mailing Address 2
City St Zip WADING RIVER NY 11792-0000
Property Address 1 2330 WELLS ROAD
Property Address 2
City St Zip SOUTHOLD NY 11971-0000
Owner Telephone No. 631-929-6407
Tax Map No. section 70.00 block 3 lot 22.012
Cross Street JERNICK LANE
Issue Date: 8/25/05 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)