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HomeMy WebLinkAboutBarrows, Mary '�/� . 14' ELIZABETH A. NEVILLE Town Hall, 53095 Main Road TOWN CLERK 4 4 P.O. Box 1179 REGISTRAR OF VITAL STATISTICS G ,� Southold, New York 11971 MARRIAGE OFFICER1. �- Fax Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER �IyCOUN� � ���•� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER ��.0 southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 4347-R Residential X Non-Residential Fee $ 10.00 New X Existing Name Of Owner MARY BARROWS Mailing Address 1 PO BOX 862 Mailing Address 2 City St Zip SOUTHOLD NY 11971-0000 Property Address 1 1325 OLD SHIPYARD LANE Property Address 2 City St Zip SOUTHOLD NY 11971-0000 Owner Telephone No. 561-386-9100 Tax Map No. section 64.00 block 5 lot 2.600 Cross Street HOBART ROAD Issue Date: 7/11/07 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) „' S11FO i °V ELIZABETH A.NEVILLE eTown Hall, 53095 Main Road h`1` TOWN CLERK A ; P.O. Box 1179 ; Southold, New York 11971 REGISTRAR OF VITAL STATISTICS ; O v► ',i MARRIAGE OFFICER . Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER y� 0 �,0 Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER =.O' �a�'i southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION OPERATION PERMIT CESSPOOL or SEPTIC TANK Residential @ $10 x or Non-Residential @ $25 Application Nd.1. 1 I 1 Permit No. Owner Name 1,” 1 C C CA c C ("j \_ Owner Mailing Address ©r � .R (� c`�. � x Owner Property Address `3 as. (D\A_ s\-\ k c¢�6,,, \_a sr, V, rD� �'Q \\\ Owner Telephone No. 51.0 . k?ti, —q IOC Tax Map No: Section (,)t-} Block 4m Lot c� Cross Street c, P�- Please check each that applies: New Construction t/ Alteration to Existin System Residential Non-Residential NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. (Locate building and system; give north arrow and approximate distance in feet from system to building and closest road. New construction may submit copy of survey with SCHD approval.) . sC5a2 1, tl-0"7 Signature of A lict Date Received by: • 1/4 `� h LOT ,off. O W , N . � x o s 7g•44,4Q0 E W 'W o'er ��4100. IR ? �,Iy �O , i 1 0% ` l� GNR COND. oo N WI. FENCE a ►/ter( op`1� 0 27.5 +150.61 ' J I'\ o�, X83. it1; OA2 03'N. pIt j it o I 1 I Z 41 um I Lf) \ HE Wjpr N� 1 L�T ����ll O „, 40.0' �-LO 13 g CONC. 40N. DR/vEw,, --�*Anise �` • ! 1 UNE 3� .n 14.0' �111�1 C0 ELLAR ENCE O. • n b ' O O ` —1 z �' 'O '�f. U) O a 8 N N 7g•44'40» W ' O I 0 F C W £0? Co moo qfib N 152.76, AO 0 • 2 a 0 4, h$