HomeMy WebLinkAboutManwaring OFFICE OF THE TOWN CLERK r _~' ic3IFWrit-
Town of Southold ��
Judith T. Terry, Town Clerk � ^ha a
Town Hall, 53095 Main Road
P. 0. Box 1179 (11,
Southold,
Southold, New York 11971 1 O ;�
Telephone _ 1 4
(516) 765-1801 • -
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 229 Residential X
Non-Residential
Fee $ 10.00 Septic Cesspool x
NAME OF OWNER: Linda Manwarinq
OWNER MAILING ADDRESS: P.O. Box 512
Southold, New York 11971
OWNER PROPERTY ADDRESS: Beckwith Avenue
Southold, New York
OWNER TELEPHONE NUMBER: 516-765-2010
TAX MAP NO. : Section 61 Block 2 Lot 3
CROSS STREET: , Main Road (Route 25) and Traveler Street
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool X New Existing x
Residential X Non-Residential
DATE OF PREVIOUS PUMP-OUT: Unknown
•
Judith T. Ter
Southold Town Clerk
DATE: February 23, 1987 (S
-
1,
(TOWN ,SEAL)
OFFICE OF THE TOWN CLERK 60,
91J ,rC�
Town of Southold Application No.
Judith T. Terry, Town Clerk L
* -1
Town Hall, 53095 Main Road - Residential
P. 0. Box 1179 ' -`. � Non-Residential
Southold, New York 11971 O ® *i? *.1
Telephone.( ��
(516) 765-1801
RECEIVE , TOWN OF SOUTHOLD
FEB 13 1987 SOUTHOLD WASTEWATER DISPOSAL DISTRICT
Town C14rk Southold
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. „7,2,9
Fee $ /0
DATE
OWNER NAME: j_tN) NAc}-t I'\ C-
OWNER MAILING ADDRESS: i=C.-Kw I i Isku t=_ r`i) o.
� otf I. HoG-�
OWNER PROPERTY ADDRESS: R-N(E-
OWNER TELEPHONE NUMBER: 7G .S — ‹g-° /0
TAX MAP NO. : Section OG !0-0 Block 0�--'-c' Lot G-D 3 &--c
CROSS STREET: ( \ 'k%). ,
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool New Existing z/
Residential ✓ Non-Residential
DATE OF PREVIOUS PUMP-OUT: e y-y\)
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.)
G
Signature f Applicant
RECEIVED BY: , (79..
RECE. , Ltrown Cleijk's Offi de
DATE: FEB 2 3 1987
Town Cork Southold __ _ ---
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