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HomeMy WebLinkAboutMaiorana JUDITH T.TERRY ; ® 1 , ..Os �� Town Hall,53095 Main Road TOWN CLERK c� ",; g P.O.Box 1179 REGISTRAR OF VITAL STATISTICS ‘ O4' 0 Southold,New York 11971 MARRIAGE OFFICER t� ��� Fax(516)765-1823 RECORDS MANAGEMENT OFFICER �� Telephone (516)765-1800 FREEDOM OF INFORMATION OFFICER .„„ ,•• � OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 3311-R Residential X Non-Residential Fee $ 10.00 New Existing X Name Of Owner MAIORANA, EUGENE AND KATHLEEN Mailing Address 1 2660 LIGHTHOUSE ROAD Mailing Address 2 City St Zip SOUTHOLD NY 11971-0000 Property Address 1 2660 LIGHTHOUSE ROAD Property Address 2 City St Zip SOUTHOLD NY 11971-0000 Owner Telephone No. 516-765-5766 Tax Map No. section 50.00 block 4 lot 12.000 Cross Street SOUNDVIEW AVENUE Issue Date: 2/15/95 Judith T. Terry Southold Town Clerk (TOWN SEAL) 4 � 16FFICE OF THE TOWN CLERK X31 �OI��r� - Town of Southold ,% - `� C'' 1 Judith T. Terry, Town Clerk -a_-.../"--- ' , 4 ': �-1 �\ Application No. <0(-)T1 Town Hall, 53095 Main Road ~ ` , ! $10.00 - Residential P. O. Box 1179 un j .' �` $25.00 - Non-Residential Southold, New York 11971 O °�`� Telephone• "'Q( 4 `0, .'� (516) 765-1801 TOWN OF SOUTHOLD ' SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ • . DATE 4 VIC- OWNER NAME: E tvent- am karAleeh Mei Oram OWNER MAILING ADDRESS: ? bi 0 Li j14haatse_ Poke' 5 ©IAAold) NY \I1° 7/ OWNER PROPERTY ADDRESS : S4.n e. 9S give,) OWNER TELEPHONE NUMBER: ,(5-i/o) 7/05-- 5744 TAX MAP NO. : Section 5 , Block — 4 - Lot /02.- CROSS oZCROSS STREET: .60(4/041 v; evv Av�u� 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.) (1---))i, ,,,..,,,,,..,. Signature of Applicant RECEIVED BY: Town Clerk's Office DATE: /lIq/orer41 1 Mf' ' n �/e -- �~ `* 4 �► a to 6,o t_iyiia use 'ed, S NM o ld, Ili/ / r /117( Titi. MI Na . 5-6 .,- '/- / P.-- Lona —Lon ® Island Sabin 0/ . N r o 3. n -----c; fa \tt Qara . , J Jr. Cesspools are_ SD re e.4- r, . n ' ;n -Fra r/4- o-r' h o use_ u n c45-11 A `% crom I.,;jh Ouse- Roctj. Pro► Line_ QO ' W r _1-- Z0 S le 0 A