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Home My WebLink AboutMauceri '41 011ir • Town Hall, 53095 Main Road ��® ®� i°/ P.O. Box 1179 '�� ` 1 Southold, New York 11971 JUDITH T.TERRY �� ' TELEPHONE TOWN CLERK (516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 3591-R Residential X Non-Residential Fee $ 10.00 New X Existing Name Of Owner MAUCERI, CHRISTOPHER & MARYANN Mailing Address 1 P. O. BOX 1321 Mailing Address 2 City St Zip CUTCHOGUE NY 11935-0000 Property Address 1 1455 EVERGREEN DRIVE Property Address 2 City St Zip CUTCHOGUE NY 11935-0000 Owner Telephone No. 516-734-7553 Tax Map No. section 102.00 block 1 lot 4.004 Cross Street DEPOT LANE Issue Date: 2/28/97 Judith T. Terry Southold Town Clerk (TOWN SEAL) DEFILE OF THE TOWN CLERK , Town of Southold �� CQ�'; Application No3\ 7 / Judith T. Terry, Town Clerk �t Town Hall, 53095 Main Road a $10.00 - Residential P. O. Box 1179 u-3 ;' $25.00 - Non-Residential Southold, New York 11971 O ��` Telephone = ( yi (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL' DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. /2/ 77 Fee $ /0 ,.00 DATE f i a g. / 97' OWNER NAME: c Afetyk."-- r iwair.,6277 /n�CQ/7 OWNER MAILING ADDRESS: fib f3Ox /3,2/ ad-chre Py 9c3L5- OWNER PROPERT-Y ADDRESS: /1jJ5' )fes f gLJ . Z1-Wc C qqo /9 /'93-'T OWNER TELEPHONE NUMBER: 576- 73/- 75'53 / 576-- 734= +4428 TAX MAP NO. : Section /601 Block / Lot '41 e CROSS STREET: ejej ,� TYPE OF SYSTEM: :Septic Tank _A New Existing Cesspool Alk, New X 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.) 77)7a/V.47,,L klaW 2 Signature of Applicant RECEIVED B Y: RECEIVE® - • - Town Clerk's Office DATE: FEB 2 8 1997 - Southold Town Clerk - U - --- - '�FLESER.VED FOR FUTURcE• .DEDICATION 1 TO TOWN OF SOUTHOL-b") • I "VtliNeYAQ,D -5O D[Z1VE1 N:521QOQ.Efi274.33 '4 7/./ ALE 5Q, / .PR EA'.40,26--; 32 0 3�2.k 01 .g2 o © _ 1 364 4., i O=PIPE �'S 3 ' 53.5d ' . =f5'aFSETO - A � s -6•, G • J— -- As: - ti _ �- GA2. W �-it ;r...„..--L ., 0 •- - -,� . 1,11 i Ca EU / i I Vo � , a01 i • >• 84,8 _________Ai: V 2�ca€? 5� i L / / - /- 3� 5.-52°G+fit. , - • 299.15 • I / • { , i, -- , • a4RI5TOPHE1ZA3 Z i_) L .!•mac..'-. ..,q. L1 T y�. - Z.r%�. , - X41:^'(`: .1' '4'• •_b?}, _ •A'•. .:9',- •t w . 7.,„:"„; _ _ _ �• Vit', MAUCEf2t ' --,, _ e :k - .,.A=l ED-7,. ifs• .R•il � Mrii Irv• •f.