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Home My WebLink AboutStrazza, Al -4 ' * SO/0;k- '. ELIZABETH A.NEVILLE I � l0 : Town Hall, 53095 Main Road TOWN CLERK ; 41 41, P.O. Box 1179 REGISTRAR OF VITAL STATISTICS G it ,�` Southold, New York 11971 MARRIAGE OFFICER �O �1 Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER l ��t, Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER =.0011111 i,� southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 4319-F. Residential ✓ Non-Residential Fee $ 10.00 New X Existing Name Of Owner STRAZZA, AL & MARILYN Mailing Address 1 PO BOX 345 Mailing Address 2 City St Zip NEW SUFFOLK NY 11956-0000 Property Address 1 1180 GRATHWOHL ROAD Property Address 2 City St Zip NEW SUFFOLK NY 11956-0000 Owner Telephone No. 631-734-2599 Tax Map No. section 117.00 block 1 lot 1.006 Cross Street NEW SUFFOLK AVENUE Issue Date: 8/03/06 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) 0 $UFFOUr \ ELIZABETH A.NEVILLE A Town Hall,53095 Main Road TOWN CLERK ` ; P.O.Box 1179 REGISTRAR OF VITAL STATISTICS �O Southold,New York 11971 MARRIAGE OFFICER -4* �0`'�s� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER 1 * tool Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER •,..,,..•'� southoldtown.northfork.net 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. 73 t Permit No.335), ' Owner Name 41- S1X)f-12-2 l3 /1)14/ ��yn g nent7-A- Owner Mailing Address Po PJO< 31l.S New sowtk A pi iQs- Owner Property Address II SD &471-1 tic)o!-/L kb Ivccv Su4p I t N 11 l (grce Owner Telephone No. (0 3 ( - '13 11 -o?s- 5 Tax Map No: Section 1/7 Block / Lot /. Cross Street /V eW Surrizr IR 1 '414- Please check each that applies: New Construction Alteration to Existing 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.) L-41A2'Orl � 0 Signature of App 7/2 D to Received by: Ati ---- 4, 4.4‘4._—, e , i C. I , -- - . , >7,1-14,... ie 13hL - \ 0 srA-- j ' ismer 51-44-z&L' I 1 .,..._5 -1 t41004,AJ,'' 64-A T//woh I. Rd . 1// —aniord - r --.',0r,o/OrtArdllaridir t - Ariorwr ------„-- AL & MARILYN STRAZZA 1180 GRATHWOHL ROAD NEW SUFFOLK