HomeMy WebLinkAboutKunst EtkPeo-
F 1 r
JUDITH T. TERRY � ,��' Town Hall, 53095 Main Road
TOWN CLERK [ n` T P.O. Box 1179
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER Fax (516) 765-1823
® to* Telephone (516) 765-1801
�0� 1�
!err/ r°/ol"
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 1736-R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
New Existing X
Name Of, Owner KUNST, JOHN AND MARYANN
Mailing Address 1 51 STRAWBERRY HILL
Mailing Address 2
City St Zip MADISON CT 06443-0000
Property Address 1 COREY CREEK RD AKA KOKE DRIVE
Property Address 2
City St Zip SOUTHOLD NY 11971-0000
Owner Telephone No. 203-245-4732
Tax Map No. section 78.00 block 6 lot 16.000
Cross Street MAIN BAYV I EW ROAD
Date Of Last Pump Out 0/00/00
Issue Date: 8/14/91 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
OFFICE OF THE TOWN CLERK ' 'S\\FFD(,( C'
Town of Southold OQ � - � ' Application No/2-3
Judith T. Terry, Town-Clerk'
Town Hall, 53095 Main Road �x^ --,4,7:i 4 -< $10.00 - Residential
P. O. Box 1179 cn 34.4 j ; $25.00 - Non-Residential
Southold, New York 11971
Telephone Q( •
(516) 765-1801
TOWN OF SOUTHOLD
•
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. /`7 `36
Fee $ /4•-*"
• DATE S- /3 -9 l
•
'OWNER NAME: J / at?d / r Qi n / jl-triS-1-- •
1
OWNER MAILING ADDRESS: 51 SfrQw6erre.1 1--k1(
Maths. ori C. • 0b��3
OWNER PROPERTY ADDRESS: OW( / Oak. r&IYW iLei
(nova)
OWNER TELEPHONE NUMBER: (2D.3)a'/S -x/73 X516 ) 765 -LL/53
TAX MAP NO. : Section 7,42-- Block G Lot / •
CROSS STREET: ,027Gt-tom / v'
TYPE OF SYSTEM: Septic Tank New Existing !/
Cesspool V New Existing
Residential Non-Residential
DATE OF PREVIOUS PUMP-OUT:
LOCATION MAP: Must be attached hereto before permit may be issued.
(Locate building and system; give north arrow and feet
of distance, approximately, to building and closest road.)
/ aian16_,(K
S• nature of Applicant - -
RECEIVED BY: Ai/ /
LC-Ase---EA--(__
T wn Clerk's Office
DATE: F3 -OV/
--\_
' '-\,_ )
VW'
•
t`----_____,
.`
' \\'' '\• ' • '
W
\------ 1-r,Q6.
D
7 LAND I, FpZME L\( VOk N -
IA IF Ni2b1D FU,t t
N
5/04°4•V SO"b 1
•
Is, •
125.00
4
t4.z1 -
Q
iJ o
f
3M IL c�
m
\\IT.
xQ
0
N
.— i 9J
w , .9. 0 ti.
d 4
4
N - If
kr 2
Q ,
�, .1) 1S5 4 -s
^f -petit •- '1 1� ,
,..8
o � �O �
le34 ..
z � �,QyO4a
Q 48 v ,-/"3 Irl(04°413'S0"\ J 112.. .00. �.41
1-•p.11D FD12MEQL�( 1,LAI+._
1,11 F U L.2LLD 1 .6Ls.p .1
SOIsurnaix COT HEALTH DEPARTIE
NOV 021978 . A.. Do; a, #_rr a -)
DATi� MtP bt= LA1,1p
Trter sul,piy 511
„ UpT�
i',1,31 acted by`t his C".'opartz.:.nt fl icA.;.d
---,1,-.f,c,..0„..---A- )044-41— a V .0,1 6b1.111-1D1.9
:-,f C., n-7 5z;,•_•'�l:n n.r'i Y2 i3
-11%lt•V NF- hbUl1W
l�
7 51..F-Fill.. CDUt X Y, til V.
SU711 NED
W 2LU 2A ATIto
OCT.. ab, 1418
V2.L1414._ U . WV-11.1561\1 , L•5. .
.SEINU)4E1 , 1\1`/•
IA t../DIME LV- • IADW.ab5ScA‘.-s I"=30'