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HomeMy WebLinkAboutMagrino cleObteil JUDITH T. TERRY �' Town Hall, 53095 Main Road TOWN CLERK : rimP.O. Box 1179 Erb Southold, New York 11971 REGISTRAR OF VITAL STATISTICS Fax (516) 765-1823 MARRIAGE OFFICERed�®� opo Telephone (516) 765-1801 RECORDS MANAGEMENT OFFICER " _ FREEDOM OF INFORMATION OFFICER /'I OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 3155-R Residential X Non-Residential Fee $ 10.00 New Existing X Name Of Owner MAGRINO, J.L. JR. Mailing Address 1 P. O. BOX 157 Mailing Address 2 City St Zip ORIENT NY 11957-0000 Property Address 1 VILLAGE LANE Property Address 2 City St Zip ORIENT NY 11957-0000 Owner Telephone No. 516-323-3747 Tax Map No. section 25.00 block 2 lot 4.013 Cross Street ROUTE 25 Issue Date: 12/20/93 Judith T. Terry Southold Town Clerk (TOWN SEAL) OFFICE OF THE TOWN CLERK 'c3IFD(,r� Town of Southold Application No. Judith T. Terry, Town Clerk y �� Town Hall, 53095 Main RoadI $10.00 - Residential cart OA' P. O. Box 1179 : tri • $25.00 - Non-Residential Southold, New York 11971 0 Telephone ( * I. • (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT • APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. j/575-- Fee $ DATE /3/ 77Y3 OWNER NAME: /24/(9-6-7/2 At o J2 OWNER MAILING ADDRESS: PP. BOX /5 - Ofe/P T JV y /775,7 OWNER PROPERTY ADDRESS: O2/E-Nr - OWNER TELEPHONE NUMBER: (Sig) a3 - 37 , TAX MAP NO. : Section 5 Block Lot / CROSS STREET: .15 Ensr- TYPE, OF-SYSTEM: Septic Tank t/ New Existing Cesspool New Existing Residential r/ Non-Residential DATE OF PREVIOUS PUMP-OUT: k -L 5 r / F 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.) ,9 ifjnturo pplicant RECEIVED: BY: �_ Town Clerk's Office DATE: 7,Ah� /9� _ 3. t \ `\_ i -!Lel r 7-7 ;r r- -L , _ _ ,,,i ., =3NaF. t,-• i i_-;•1 s`•,_ V it . .N'!i_?t I1 ._ (_ ter- IcJ�I"i r...�,3 ,-If` _c,. R1 it l`� _ ` 1, , _ i�3 t~ - tS? _ - - (. t - - - ;'--}� fad 1.1 Cn _ - - .� - - - - - ._ - - • . S.-,t'1 G _ '1 1 -5 1 = _-�,s ` -"t::)-y . c� r= -J•:-...,,--1 ti..7.:-_.:-'--> 1'i,moi'. 1 - - - .- \ 0 \\ Li. -• Vroii_1-il._ -;.tfi _ - _ 1 . 1 - __ , - - - :s - _ _ - ` X—X-=)4- 47-:'.:ili:, -Dr trrt,�- -f- �1..i -p.15t-`. 1 _ _'- r- s'.'", _ _ - 1-- - PA 2 k::�L _ " - - - - - 1 a', - '- : '.--' - - -I-2N• > •9 - \ • • ; • - - •• -• - •-+f0' 't•:. — 95.66 . - -, shed - _ t� f E _1 _ - _ - . (n'`_ - - Co- 11l'•�n--%it4 1--, G-jai-cltl"4:1"• 1-%; ;e I - it15 - - -- - (-1 - - - - - _ -DIV1�f.Jli—=A"trIe iCai --i.:-11-le r-11'�.i`.vF'4' : I. -i`_ •LIC_F.t't�,e - Land 5tii-V e"!t3.."-;"1-:;:- v=. j - 1 r1.64 4.40.. 79.43 _- ' _ GA---C.,2:1-110. oi r,..1 .Y. -- I? . _i'_ i•.-__>. --,_ 41-',..• _• w -