HomeMy WebLinkAboutLekkas OFFICE OF THE TOWN CLERK ' .c)IFVLA' '
Town of Southold �, OP
Judith T. Terry, Town Clerk
Town Hall 53095 Main Road _
P. O. Box 1179 ,v' ' �,�
Southold, New York 11971
Telephone A
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 329 Residential X
Fee $ 10.00 Non-Residential
Septic Cesspool x
NAME OF OWNER: Irma I. Lekkas
OWNER MAILING ADDRESS: 13 Silver Lane --
Greenport, New York 11944
OWNER PROPERTY ADDRESS: 13 Silver Lane
Greenport, New York
OWNER TELEPHONE NUMBER: 516-477-1270
TAX MAP NO. : Section 47 Block 2 Lot 2
CROSS STREET: Silvermere Road
TYPE OF SYSTEM: _Septic Tank New Existing
Cesspool X New Existing X
Residential X Non-Residential
DATE OF PREVIOUS PUMP-OUT: June 5, 1987
Judith T. Terry
Southold Town Clerk
DATE: July 14, 1987 •
-
(TOWN SEAL) - -
OFFICE OF THE TOWN CLERK •0 �Fd
Town of Southold %-')%1 Application No.3
Judith T. Terry, Town Clerk , � .1 Residential
Town Hall, 53095 Main Road
ti "
P. O. Box 1179 u' ,"`''; s, r
:' Non-Residential
Southold, New York 11971
Telephone = 1 ',
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee
$ (ti
DATED /
r
OWNER NAME: 1 ,4i,4 [ LeK*À5
OWNER MAILING ADDRESS:
c c Po R7 ) >1 /1 fL,41
OWNER PROPERTY ADDRESS: S4MI=
OWNER TELEPHONE NUMBER: 21177— /Z70
TAX MAP NO.48alection Block 2 Lot
CROSS STREET: SO v/?P ERE R'o4I
TYPE OF SYSTEM: Septic Tank 1,/, New Existing
Cesspool / New Existing V
Residential V Non-Residential
- - DATE OF PREVIOUS PUMP-OUT: -A/I- , 5 1.91
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.) 1-
„fel:4f,
Signature of Applicant
RECEIVED BY:
Town Clerk's Office
DATE:
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