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Home My WebLink AboutDell Development LLC /�•�,,O pF SO0ryo! ELIZABETH A.NEVILLE �� 0 O \ Town Hall,53095 Main Road TOWN CLERK ; lg 41 ; P.O. Box 1179 H Southold, New York 11971 REGISTRAR OF VITAL STATISTICS G @ MARRIAGE OFFICER \ '�► - �� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER l Oi.- Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER = COMM 1\11. southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 4304-R Residential X Non-Residential Fee $ 10.00 New X Existing Name Of Owner DELL DEVELOPMENT LLC Mailing Address 1 PO BOX 600 Mailing Address 2 City St Zip WADING RIVER NY 11792-0000 Property Address 1 215 TARPON DRIVE Property Address 2 City St Zip GREENPORT NY 11944-0000 Owner Telephone No. 631-209-9033 Tax Map No. section 53.00 block 5 lot 3.000 Cross Street MAIN ROAD Issue Date: 1/25/06 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) ELIZABETH A.NEVILLE t,'4 CD Town Hall,53095 Main Road TOWN CLERK • ; P.O.Box 1179 REGISTRAR OF VITAL STATISTICS ; Southold,New York 11971 MARRIAGE OFFICER t S/ Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER = virf AV I° Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER �', aoutholdtown.northfork.net err OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION OPERATION PERMIT CESSPOOL or SEPTIC TANK Residential @$10 1C or Non-Residential @$25 _ Application No.q 30-1 Permit No. 31 kO Owner Name eA\ �fUGIU evV1C0+ LL Owner Mailing Address Q Q Go k -G o U 1.Ucd64 (Ztv[( AI 117� Owner m'Address (Property 9- p � L4✓pcin r,`✓C 6it{vIc44 IVY ( I S y y Owner Telephone No. 6,3 1 YOGI 0 3 Tax Map No: Section '5 r 0 Block S Lot 3 Cross Street mu('v, Koci Please check each that applies: New Construction ?\-- Alteration cAlteration to Exiting System Residential 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.) /iAC Signature'o? pplicant ate Received by: