HomeMy WebLinkAboutMaginn JUDITH T. TERRY Town Hall, 53095 Main Road
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TOWN CLERK p ft, P.O. Box 1179
REGISTRAR OF VITAL STATISTICS 'LP .Q Southold, New York 11971
MARRIAGE OFFICER .��! Fax (516) 765-1823
® �® ! Telephone (516) 765-1801
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 1851-R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
New Existing X
Name Of Owner MAGINN, NEIL
Mailing Address 1 850 BUNGALOW LANE
Mailing Address 2
City St Zip MATTITUCK NY 11952-0000
Property Address 1 850 BUNGALOW LANE
Property Address 2
City St Zip MATTITUCK NY 11952-0000
Owner Telephone No. 516-298-9572
Tax Map No. section 123.00 block 2 lot 13.001
Cross Street CENTER STREET
Date Of Last Pump Out 0/00/00
Issue Date: 2/21/92 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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OFFIC*5 OF�THE TOWN CLERK VFF� i�5 /
T' vn of Southold �� lQ ' Application No.
Judith T. Terry, Town Clerk `, •
Town Hall, 53095 Main Road $10.00 - Residential X10.00
P. 0.. Box 1179 cry r Kg ` $25.00 - Non-Residential
Southold, New York 1,1971 0 � L
Telephone
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $ 10.00
DATE 1/20/92
OWNER NAME: Neil Maginn
OWNER MAILING ADDRESS: 850 Bungalow La.
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Mattituck, NY. #11952
OWNER PROPERTY ADDRESS: Same
OWNER TELEPHONE NUMBER: 298-9572
TAX MAP NO. : Section 123 Block 2 Lot 13.1
CROSS STREET: Center S .
TYPE OF SYSTEM: Septic Tank X New Existing X
Cesspool X New Existing X
Residential X Non-Residential
DATE OF PREVIOUS PUMP-OUT: None
LOCATION MAP: Must be attached hereto before permit may be issued.
(Locate building and system; give north arrow and feet
7,2 (3, of distance, approximately, to building and closest road.)
Signa re of Applicant
RECEIVED BY:
Raiviti® own Clerk's Office
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DATE:
FEB 2119P
'boron Cterk sout'iTd
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