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HomeMy WebLinkAboutManzi Homes Inc (32) SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 4321-R Residential X Non-Residential Fee $ 10.00 New X Existing Name Of Owner MANZI HOMES Mailing Address 1 P 0 BOX 702 Mailing Address 2 City St Zip ROCKY POINT NY 11778-0000 Property Address 1 2000 GLENN ROAD Property Address 2 City St Zip SOUTHOLD NY 11971-0000 Owner Telephone No. 631-744-1039 Tax Map No. section 78.00 block 2 lot 3.700 Cross Street MAIN BAYVIEW Issue Date: 10/26/06 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) Al "'.%i, ELIZABETH A.NEVILLE i %%1 OTown Hall, 53095 Main Road TOWN CLERK p - P.O. Box 1179 REGISTRAR OF VITAL STATISTICS � yy, ,� �� Southold, New York 11971 - - • MARRIAGEOFFICER .. . Q 'F �� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER `4f, aO�l��� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER = '� * �,'�� southoldtown.northfork.net . ,,,, OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION ollpOPERATION PERMIT CESSPOOL or SEPTIC TANK Residential @ $10or or @ $25 Application No. A Permit No. Owner Name M CJS n - _ 1 I e)m e S I g-1 C Owner Mailing Address f� 0 ©,r— 'O & TTh 1:). `-)) Pa ;.,-,T /u\/ i i>> i Owner Property Address aCT 0 0 C l e n vA 12-. ck SoL)-k 1-\01 & e� y //S7/ Owner Telephone No. ( 3 ( - --)Y,1 - / 039 Tax Map No: Section ( Block a Lot 3 7 Cross Street Cit e )� Cly Vie 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 ' D approval.) e749, , / ---di ,l_____ Signature of Applic: t Date Received by: ("------ 40. TITLE NO. 353 ± S.F. No DATE ITEM I. 2/13/06 UNDER CONSTRUCTION 2. 6/26/06 FINAL SURVEY 9t9 `!P 0. r6-11-T\, � Nt 006 oTDE ,,A 0a000 100•p0, .I �Tw 1 stiff ' a 1 Y . 101,0'00.1' 1 11 N. I/ _ 1 \If 11 t 1 1 ‘910.51 •i ii 1 1 loLLI N > ti:� ssek Cc \ m.o.r. me D ov» _ Nul ±11, 11`�L\ DIRE 20 O/ANfF I Nr W ors, 47 41; , > I 41 I Q 41±