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HomeMy WebLinkAboutMacnish (2) OFFICE OF THE TOWN CLERK Town of Southold Judith T. Terry, Town Clerk O Thr. .G Town Hall, 53095 Main Road � P. O. Box 1179 cn Southold, New York 11971' \ `'® ® ‘‘-. • Telephone - ►01 ��© (516) 765-1801 fie TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT OPERATION PERMIT SEPTIC TANK or CESSPOOL - Operation Permit No. 579 Residential x Non-Residential Fee $ 10.00 Septic Cesspool X NAME OF OWNER: Mary MacNish (Ruth Slatterly Estate) OWNER MAILING ADDRESS: 1900 Westphalia Road Mattituck, New York 11952 OWNER PROPERTY ADDRESS: _ 1900 Westphalia Road Mattituck, New York OWNER TELEPHONE NUMBER: 516-298-8870 TAX MAP NO. : Section 114 Block 7 Lot 12.1 CROSS STREET: County Rt. 48 - TYPE OF SYSTEM: Septic Tank , New Existing Cesspool X New Existing X Residential X Non-Residential DATE OF PREVIOUS PUMP-OUT: Unknown odgedatifve...00,0 Judith T. T • Southold Town Clerk DATE: January 19, 1988 • (TOWN SEAL) OFFICE OF THE TOWN CLERK • 1�F�,s• '•- �`7y Town of Southold �� ''` �& Application No. Judith T. Terry, Town Clerk Town Hall, 53095 Main Road : :G 7 Residential P. 0. Box 1179- � .`� Non-Residential Southold, New York 11971 OSA s u- /r Telephone Jet 1P,(516) . 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION Tor __ OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ `L>' DATE it I ?/Y NAME:ER A M E. Ru tiq �(,{ 0.�. �t ) OWNER MAILING ADDRESS: U L.JAsNlil 103 1/f0 p_..,-c" F yn) '/V e1Z OWNER PROPERTY ADDRESS: OWNER TELEPHONE NUMBER: TAX MAP NO. : Section j,/'/ -, Block 01 Lot 1 2 . / CROSS STREET-: x TYPE OF SYSTEM: Septic Tank New , Existing X Cesspool 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.) dA.cos 4.4). Signature of Ap lic t i)10,e1/1/40'k) • RECEIVED BY• ' - "- ' `at'own lerk's Office DATE: JAN 19 1987 Town Cie*4c Southold • tatt- •. _ - 41411s 0 1 • s„ Lt) Acli, aki '),3:q .1? - voti-e • bi,,,114.1112 s 1