HomeMy WebLinkAboutLatson (2) OFFICE OF THE TOWN CLERK • • FD
Town of Southold ���� �
Judith T. Terry, Town Clerkatz: ; .
Town Hall, 53095 Main Road
P. O. Box 1179 �••�
Southold, New York 11971 •
Telephone 1a
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 222 Residential X
Fee $ 10.00 Non-Residential
Septic Cesspool X
NAME OF OWNER: John G. Latson
OWNER MAILING ADDRESS: 12425 Sound Avenue
Mattituck, New York 11952
OWNER PROPERTY ADDRESS: 12425 Sound Avenue •
Mattituck, New York 11952
OWNER TELEPHONE NUMBER: 516-298-5777
TAX MAP NO. : Section 141 Block 3 Lot 39
CROSS STREET: Lipco Road
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool X New Existing x
Residential X Non-Residential
DATE OF PREVIOUS PUMP-OUT: November 8. 1986
•
Judith T. Te y
Southold Town Clerk
DATE: February 13, 1987
(TOWN SEAL)
OFFICE OF THE TOWN CLERK �� (�.
Town of Southold % fCQG' Application No. a�
Judith T. Terry, Town Clerk r - =
Town Hall, 53095 Main Road Residential
P. O. Box 1179 cis fir► z• Non-Residential
Southold, New York 11971
of _ r.`a0��1`,
Telephone .( * �
•
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.p a-
Fee $ 10.'d 0
DATE 2 i / 3J 0 T
OWNER NAME: J0Li. E
OWNER MAILING ADDRESS: CI
�s{2S- 56.0144 -LI
hG 1l^ A oc_ f\J N,y. l 9 7 z
OWNER PROPERTY ADDRESS:
OWNER TELEPHONE NUMBER: (S'!6)
TAX MAP NO. : Section P71, Block 3 Lot dY
CROSS -STREET: &(PCO RJ
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool 17 New Existing I/
Residential V Non-Residential
DATE OF PREVIOUS PUMP-OUT: b\ tP ,S ( 9
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.)
,y‘d.igr/ature of Applicant
..._t_Th 1
RECEIVED BY ,mtd� e19-4-9,Cljtj
I•tc%-&-irr *.iwn Clerk' Office
DATE: FEB 13 '987
Town Cork Southold
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SQUND RDADI
NDR7N
' - CERTIFIED TO
FIRST AMERICAN TITLE INSURANCE
• COMPANY OF NEW YORK
SOUTHOLO SAVINGS BANK
JOHN LATSON
Y SHARON LATSON
_' ---..--_: - _- - -- -_ SURVEY FOR
- , JOHN a SHARON LATSON
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r'' AT MATTITUCK
• r•. - TOWN OF SOUTHOLD
' ""�"' i�o��nfos, SUFFOLK COUNTY�N.Y.
pN�W��9 1000 - 14I - 03 - 39
`� j ' �$o' SCALE I" = 40'
! ,* ti ,`t 23• AUG. 5 , 19 86
, \`NEVJ� LIC NO 49668
P/CONIC SURVEY( 8 ENGINEERS , P. C. Prepared In accordance with the minimum
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5 1 6 ) 7 6 5 - 502o standards for title surveys as established by
•. 0. B 0 X 909
`*•` - • MAIN ROAD A D the l I.A L S. and approved and adopted
for such use by The New York State Land
SOUTHOLD r N.Y II_' r rrtle Association.
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