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JUDITH T.TERRA' � 1.# $� Town Hall, 53095 Main Road
TOWN CLERK ; eta " P.O. Box 1179
0 1 Southold,New York 11971
REGISTRAR OF VITAL STATISTICS ® s Fax(516) 765-1823
MARRIAGE OFFICER ®�ie
RECORDS MANAGEMENT OFFICER '_ 4j ` 11i' Telephone(516) 765-1800
FREEDOM OF INFORMATION OFFICER . 'a
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 3678-R Residential X Non-Residential
Fee $ 10.00 New Existing X
Name Of Owner MASTROPOLO, MICHAEL AND JEAN
Mailing Address 1 P. O. BOX 616
Mailing Address 2
City St Zip LAUREL NY 11948-0000
Property Address 1 2828 PECONIC BAY BLVD.
Property Address 2
City St Zip LAUREL NY 11948-0000
Owner Telephone No. 516-298-8749
Tax Map No. section 128.00 block 6 lot 22.000
Cross Street WENDY DRIVE
Issue Date: 9/04/97 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
•
OFZ--ICE OF THE TOWN CLERK•
-. Town of Southold Application No.(-- 7c5Judith T. Terry, Town Clerk �� �`{. ;x;. J►
Town Hall, 53095 Main Road $10.00 - Residential
P. O. Box 1179 $25.00 - Non-Residential
Southold, New York 11971 Obi �'} �`�
Telephone ••
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(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $
DATE g— /3 _ p'?
OWNER NAME: M ICARe'L, 01 A ST( oro Lo
OWNER MAILING ADDRESS: /00 r3o),. 6 1 6
Lougee. ,,f, Y 1 ( 9 (rg
OWNER PROPERTY ADDRESS: , 'vg-'$ f c.c (tc 13 ,9}'( I3 Li/0
LALi1et /4 Y 1,19 E
OWNER TELEPHONE NUMBER: v9 $— g? (-0
TAX MAP NO. : Section y-7 32s8 ? Block ('Y$, Lot c
CROSS STREET: Jt (p '' ® R I ✓E
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool X New Existing X
Residential X 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.)
G
Signature of App ' .nt
RECEIVED BY:
Town Clerk's Office
DATE:
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