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Home My WebLink AboutMacaluso • .•=. ��`,''0FOLKCOG : JUDITH T. TERRY ; ` - Town Hall, 53095 Main Road TOWN CLERK G T P.O. Box 1179 REGISTRAR OF VITAL STATISTICS �� Southold, New York 11971 MARRIAGE OFFICER yO Fax�, Fax (516) 765-1823 411,‘,„.•� Fax (516) 765-1801 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 3109-R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X New Existing X Name Of Owner MACALUSO, ANTHONY AND MARIE Mailing Address 1 175 TANNERS POND ROAD Mailing Address 2 City St Zip GARDEN CITY NY 11530-0000 Property Address 1 1900 REYDON DRIVE Property Address 2 City St Zip SOUTHOLD NY 11971-0000 Owner Telephone No. 516-741-6393 Tax Map No. section 80.00 block 3 lot 12.000 Cross Street NORTH BAYVIEW ROAD Date Of Last Pump Out 0/00/00 Issue Date: 8/27/93 Judith T. Terry Southold Town Clerk (TOWN SEAL) by 4 OFFICE OF THE TOWN CLERK ,�FF� Town of Southold - CQ ',, Application No. (- 70/9'(- 70/9'Judith T. Terry, Town Clerk . ��A ' _ Town Hall, 53095 Main Road ~~ .: :> $10.00 - Residential P. O. Box 1179 tri �`' $25.00 - Non-Residential Southold, New York 11971 O •�` Telephone = .( .4 ltNee . • (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. - Fee $ /O. 00 __ -_- DATE 8-.26- 93 OWNER NAME: ATTf401/ /14A../-67 4c41.495'O OWNER MAILING ADDRESS: / 75 —ThAW612.5 14 w4 AA() GAR,0Enr c/Ty / '< y /A530 OWNER PROPERTY ADDRESS : / /©O ioo—f}oi- /V)( 1/7 7/ OWNER TELEPHONE NUMBER: 7151/- 393 TAX MAP NO. : Section - 80 Block '3 Lot 2— CROSS STREET: / OiCrii} CBA/ V FGcJ TYPE OF SYSTEM: Septic Tank New Existing Cesspool New Existing ✓— r- Residential ✓ Non-Residential rpJ 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.) / , ignature o • pplicant RECEIVED BY: , , - • - Town Clerk's Office DATE: INCINED - AUG 2 7 1*...) - .