HomeMy WebLinkAboutPerino, Joseph f ,
SOUTHOLD WASTEWATER DISPOSAL PERMIT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 4320-R Residential X Non-Residential
Fee $ 10.00 New X Existing
Name Of Owner PERINO, JOSEPH
Mailing Address 1 1120 HARBOR LANE
Mailing Address 2
City St Zip CUTCHOGUE NY 11935-0000
Property Address 1 1120 HARBOR LANE
Property Address 2
City St Zip CUTCHOGUE NY 11935-0000
Owner Telephone No. 631-000-0000
Tax Map No. section 103.00 block 1 lot 20.009
Cross Street MAIN ROAD
Issue Date: 9/25/06 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
ELIZABETH A.NEVILLE ; ` Town Hall,53095 Main Road
TOWN CLERK P.O.Box 1179
REGISTRAR OF VITAL,STATISTICS bat �+ Southold,New York 11971
MARRIAGE OFFICER III
Fax(631)765-6145
RECORDS MANAGEMENT OFFICER jig ,�' Fax
(631) 765-1800
FREEDOM OF INFORMATION OFFICER " - ,''P southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
OPERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential 0$10 )( or Non-Residential 0$25 Application No. 45/6
Permit No. 3 09 8
Owner Name ec:,c,��•►�
Owner Mailing Address 117-6 C,t-tT(144a is JCr�
Owner Property Address SApt ".
Owner Telephone No.
Tax Map No: /604) Section /0 3 Block o 1 Lot 2 o- `1
Cress Street /t4At /L b
Please check each that applies: New Consiruction
Alteration to Existing System
Reside_ntial Nm-Residential
MUST 1.r. rEn.fln,fl• Ifl t tZUflrr ♦TTr rfl 1 mrfar it
NOTE:�.: Ltu*A11Vi� iriAE MUS 1 BE S JDnJ1.1 1 U I 411.1 1 AP Lll.I %Ilia. tI,ut di.G
building and system; give north arrow and approximate distance in feet from system to building
and closest road. New construction may submit cope of survey with SCHD approval.)
lot OC
Si 'a . s:- ofAp•'cant D. -
Received bv: T6.4-12(1,
j P•VEY OF ok'Or F `
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MAP OF "`'‘ o
HARBOR PARK H()Mf; �-��� ' . -.``�s
FILE No. 9602 FILED NOVEMBER 22, 1994 ��� . \ r
SITUATED AT moo' \ - .� P�
CUTCHOGUE N's° . •
•
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK ��\ �,,
S.C. TAX No. 1000-103-01 -20.9
SCALE 1 "71--40'
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MAY 12, 2004
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FEBRUARY 18, 2005 REVISED PROPOSED HOUSE _ l� \ . se.,..1�
APRIL 26, 2005 FOUNDATION LOCATION \�
SEPTEMBER 30. 2005 FINAL SURVEY `
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AREA = 80,000.63 sq. ft. 1' r
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