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HomeMy WebLinkAboutMcgowan • • , K Town Hall, 53095 Main Road grl .*V' ��1 P.O. Box 1179 A1,4,0,/ � i Southold, New York 11971 JUDITH T.TERRY �.� � TELEPHONE TOWN CLERK (516) 7651801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 3564-R Residential X Non-Residential Fee $ 10.00 New Existing X Name Of Owner MCGOWAN, JANET S. Mailing Address 1 P. O. BOX 106 Mailing Address 2 City St Zip NEW SUFFOLK NY 11956-0000 Property Address 1 405 KING STREET Property Address 2 City St Zip NEW SUFFOLK NY 11956-0000 Owner Telephone No. 516-734-6455 Tax Map No. section 117.00 block 7 lot 9.000 Cross Street THIRD STREET Issue Date: 12/19/96 Judith T. Terry Southold Town Clerk (TOWN SEAL) /I III OFFICE OF THE TOWN CLERK c,VFFUC,��' Town of Southold �� 110 Application No. Judith T. Terry, Town Clerk � Town Hall, 53095 Main Road -� $10.00 - Residential P. O. Box 1179 tri : 6 Z' $25.00 - Non-Residential Southold, New York 11971 O �1', Telephone ®.( * . • � (516) 765-1801 • TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ DATE OWNER NAME: T/a 7- S, /y, G,, O Kr , 'ti OWNER MAILING ADDRESS: i3 0 / 6 ,>V w S P. U L l,<- OWNER PROPERTY ADDRESS: U S-" ( .il/ < 5 T_, OWNER TELEPHONE NUMBER: -7 3 Lf — y S1S TAX MAP NO. : Section / 1 -7 Block / Lot CROSS STREET: 3 r 5 7'aAi-=L--T TYPE OF SYSTEM:- " Septic Tank New Existing Cesspool '- New Existing Residential Non-Residential 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.) Signature of Applicant RECEIVED",aY: , AL( - Town Clerk's 'office DATE-:' Ute./i • . . ,,, , • . • •, • . , . . . .' • .•,,, ' . . ,,F. '• •.• ",- . , . . , ,:,,l' • , • •.• . i, 1 . , • . . .„ Leiric( 04. cyLIV-te-ev- • 1 • . • .. . - • . i. . . :.• ' ,..! . ' -. • ,• .„ „ . •t , , . ' . . Ns. • 1 * N.890 t 5010 4 E. 5 P,41\_- ,,',. . . . . • -• i;*'' ' ' - • Vertae -ovi titio.t. •, . , •,. ,,,,,, • ' ‘,.. : t' Gra Ycittie. , . •• ', •... , •''..sII• • •• ' ., .. . I. , ,, ,...,,, • ' 1 ' \ . • ' , .. r•-•,' ., „ ' - II ' •-•• • I ;, , • ' 11 H (...) ,. I .`c) i P ,,, s . , • ' -q : 0 i -, ,.... :':- - •, .. ••., ..., •., •I !,,,. . ' , ; . -,... ' ‘.9;.) -• ' 1,,;,-,;•„„'.,-,-/ ,' 1;4 . , 1 , 1 .1 , •, i .4 ' •'•V.•;- .' - -I". L.•,',•!'i; - . ' . —i .1''-• • ' • : ,•`,: ',s t 1' . .-1;;I•''', . , ...' , , ' , / 1 . .. , .. , • • , ' i'.1 •' ,, : • 1 „ • ( , ' ' i, ' • ' : 1.11 1 , •1 i , ' _ , .,..,i ,, ,, : , •.,— , , , , ' •in .-..,:i1;',.• v i,:;..,,-, 6 •,, , , , ' ,• 4) .•;,'• ,..-( . , . . . :, • ;, •:::: ..-•••1. ', ;•,. ,•, .” ::';-,.., .',.' ;; •,,-,;:: -yi.' 2"•:, • • I . 1 (1,) .. ;;''tr•'';;',‘,• ,”:•`•::;', .:.•••.), :',; I„ ' •• • .• , • ,,,,,,,....y.,,;.7 r I' 1., vs• ) •••;- .. '••:,' t• , ..; 1 ' ' ;„.r,;; • ,1 ,•'.','''',,,, ••:•,..I•.,•• ;I',•;' ,,IA,,,,,,,,..,,,,..‘4i.,,,,,, ,,,.,;,,,,, ,,,. ' ::....,,;:, .3 _7 / ., - , • '.'''''.'.,\''' •-• -1+- •:•••-;••1: I • .3,. , . • ....1, ••'..:.;i:',.; ,..k.' - —__....),, , ' i .., • • , , , ,, :. .• . ,,.:•,-, y .: 1: , K4,1,rt ' '' " - . 13 '',:''',''; "1. , 4'7 'id,;,:, .: ;1'1,7;'‘: ,,L, ,, . ':` ' ,i„,) . ' ,; ‘ 'i,". ' ., • ' 1.- ..',.• `..7" ' 1 ,,,, 0 . - • ''. , Ai I 4::..—,;;i ,,, , ,,.. . . . ..; , „ '.,1 .,•,., - - b , ....-.)., ,:c\- • •,,-. ...... ; . , . • ' . • .' • ‘''','.. • li ' t.v L • ' * ' . - ' (1', ft) " ' tf\•`. ' , , ,',„.4-...:„.,.,;,,, - - • .,, . - "1— • , 1 . • . , • . . ,: •• . !, \ . .. , . V . ., , .. • • . . , " • _ i, s, . . . , ,--.:.. • . ill,:, '•' , i , • 11 ' 1 \9 I:- • 1 41.0,4•114.00,biraln 44,-,,, —1, ,'. ‘ .) ....„•• ,...".".;f:::.4.:k;:;;-,1',,,',,..!.'.1i-;_t_.• ,..,., ''•1,.. '....-',-,... .. i ....,....„ 4., . - l(\•I I , . t.- • '' 4, . 1 ' . ‘ , ' •., . 0 i 0 1 i . , . 0 ' • 0 i . ' • 1 r ' • 0 I . 4.Ytill-(C th I ' . . I 1 I • , .: \ ; 1 1 • , ' I 1 I ---- -• l ,, - 1 • •. , ---- • II — 1 • .. 6 brier Et- •"-— , . •,, •. S.C..''77":1"IS',0'.\At. '' B--,Z.16 ' 1 .. , . , • • . , • . , . , - • , , . . , . ' e..".• .,• . , . 4 r I r . r r r . , N ' • " • , „ r r r . r • „ -' . ' • •r • .r. r •. ' ., • ' F. 1\ii.z-AF--:1 OF. 1,.., /ANC) *Z"..,LI \?E.. t...I.'''.[..) POF.:::'. • , • ........... , • \/\/1\4 . 1 :••E•-• 4,41/-:S, t.•• --t— ;..:2-.),, y'it-Z,T T E • . . . NEW "--,_.-)Li I-7 rz-oL v: -r(:)WN (--)r-- SOU-ri.i(-.)[.,.c.,., l'•' 'N:', 1