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Home My WebLink AboutEsposito, Basilio (3) ��,# �pF S004, ELIZABETH A. NEVILLE 's %-v l0 Town Hall, 53095 Main Road TOWN CLERK 4 * P.O. Box 1179 REGISTRAR OF VITAL STATISTICS G Q Southold, New York 11971 MARRIAGE OFFICER Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER =�04 �,&,'l�� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER ' /°°i• southoldtown.northfork.net o OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 4337-R Residential X Non-Residential Fee $ 10.00 New Existing X Name Of Owner BASILIO ESPOSITO Mailing Address 1 1045 BUDDS POND ROAD Mailing Address 2 City St Zip SOUTHOLD NY 11971-0000 Property Address 1 1745 BAY SHORE ROAD Property Address 2 City St Zip GREENPORT NY 11944-0000 Owner Telephone No. 631-765-2821 Tax Map No. section 53.00 block 4 lot 700 Cross Street KERWIN BLVD Issue Date: 6/11/07 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) /lO/AVFOUr � r 00 ELIZABETH A.NEVILLE ��, . Town Hall, 53095 Main Road TOWN CLERK § • ; P.O.Box 1179 Z Southold, New York 11971 REGISTRAR OF VITAL STATISTICS W Al MARRIAGE OFFICER : �� Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER =y� 's� Telephone(631) 765-1800 91 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 /r Non-Residential @ $25 Application No. 3 Permit No. 3 tt 9.1,,' Owner Name 514 S t I c O Owner Mailing Address I!i U S 13 r/S U. komj) R c A 0 50v Owner Property Address 17 iUS 13 l9 y 1,2 ©A q Owner Telephone No. G 3/ 7G'- 28 2- / Tax Map No: Section 5-3,v 0 Block 4 Lot 7e Cross Street I?C�/1i Please check each that applies: New Construction Alteration to Existing System Residential l/ 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.) 33.: 2 - 2 /- 07 Signature of Applicant Date Received by: Survey of Lot 27 & 28 N Amended Map 'A' of w 'Peconic Bay Estates' 'i e • Filed May 19, 1933 S ' as Map # 1124 `70 SCT# 1000-53-4-7 , o, Surveyed: January 12, 2006 - , • Amend 26, • June 19, 2006,DDA6,iIFeb. 22,22007 ,- p/p a•• March 20, 2007 `S C ?�� Situate:Arshamomaque p V Town: Southold Suffolk County, NY zip Area = 0.56 Acres to HW '0 s. e r' g'� d �h u, - •g9;. cis �� h ',scJ sem',. - - o°-\ o� \,- • 0 � , 41CC �'.� \6' •A17.'6\Sc°o� ,s,3 ^ . ,� cs, •s\ ,,•? :tie (‘°(‘<‘6. . '')' al I CC° ,,040e be <9'Y 5 h\ o •,•F • J Jg c� n i' 0 •0 0+ 3. vim;% ROBERT H.FOX ��,. ' NYS PLS#50197 iX. . Q� � 1 ' POBOX#538 X66` r RIVERHEAD,NY 631-722-3390 ' I 3/20/2001 4:03:OEPM i C0 6:\SLMcsposIto5.pro ;