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OFFICE OF THE TOWN CLERK . c.5t f d(k`;
Town of Southold ' �
Judith T. Terry, Town Clerk l� f '
Town Hall, 53095 Main Road a
P. O. Box 1179 stn
Southold, New York 11971
Telephone . liit
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 169 Residential X
Non-Residential
Fee $ 10'.00
Septic x Cesspool X
NAME OF OWNER: Edward Kowatch
OWNER MAILING ADDRESS: 133 Phillip Place
Hawthorne, New York 10532
OWNER PROPERTY ADDRESS: 935 Wells Avenue
Southold, New York
OWNER TELEPHONE NUMBER: 914-769-9469
TAX MAP NO. : Section 63 Block 7 Lot 17.11
CROSS STREET: Garden Court
TYPE OF SYSTEM: Septic Tank X New X Existing
Cesspool X New X Existing
Residential X Non-Residential
DATE OF PREVIOUS PUMP-OUT: NA
Judith T. Terry
Southold Town Clerk
DATE: December 8, 1986
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OFFICE OF THE TOWN CLERK ag ''�FD ''''
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Town of Southold �O�PF;t CQG , Application No.
Judith T. Terry, Town Clerk y
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Town Hall, 53095 Main Road - } Residential
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P. 0. Box 1179 c.nt �_ t,itfa, . Non-Residential
Southold, New --York 11971 O0 '�y- �0���`
Telephone _ .( •
(516) 765-1801
TOWN OF SOUTHOLD
RECEIVED
NOV 24 1986 SOUTHOLD WASTEWATER DISPOSAL DISTRICT
Town Clerk Southold
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. _ /6
Fee $ I D,00
DATE /0/Z 7 int;
OWNER NAME: gidAit9 Au/Aro
OWNER MAILING ADDRESS: L33
f�Aw m RNA' / �1. y I CJs3 Z.
OWNER PROPERTY ADDRESS: j3S WELLS f)VE'
So&R'O ,o Ny
OWNER TELEPHONE NUMBER: Clit( 7" - ""
0 6� 07 1(
TAX MAP NO. : Section Block L
CROSS STREET: 2.75 I No(rrit OF G RV rl Cr.
TYPE OF SYSTEM: Septic Tank 1/ New t/ Existing
Cesspool . V New V Existing
Residential Non-Residential
DATE OF PREVIOUS PUMP-OUT: Ii A
LOCATION MAP: Must be attached hereto before permit may be issued.
(Locate building and system; give north arrow and feet
distance, _approximately, to building and closest road.)
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Signet r. of Applicant
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RECEIVED BY: 9
Town CA'erk's ffice
RECEIVED
DATE:
DEO 081'
Tomb mit Southold
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