HomeMy WebLinkAboutBouffard i
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8 * Town Hall, 53095 Main Road
d® ?� P.O. Box 1179
®� ` for,. Southold, New York 11971
JUDITH T.TERRY :��o'a irl.4,10
� 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. 66-N Residential Non-Residential X
Fee $ 25. 00 Septic Cesspool X
New Existing X
Name Of Owner BOUFFARD, ALFRED E.
Mailing Address 1 MAPLE LANE
BOX 802
City St Zip MATTITUCK NY 11952-0000
Property Address 1 BRIDEN MACHINE CORP
WESTPHALIA ROAD
City St Zip MATTITUCK NY 11952-0000
Owner Telephone No. 516-298-5972
Tax Map No. section 141. 00 block 3 lot 36. 000
Cross Street SOUND AVENUE
Date Of Last Pump Out 0/00/00
Issue Date.: 4/22/88 ' Judith '�. Ter e
Southold Town Clerk
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(TOWN SEAL)
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OFFICE OF THE TOWN CLERK
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Town of Southold
Application No.
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road Residential /./..
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, , • P. 0,. -Box 1179 „ . c7r3 - Non-Residential
;• ' - SoUthold; .`NeW York 11971 ' , - • •
Telephone zat NN •
(516) 765-1801
TOWN OF SOUTHOLD
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SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APR 1 5 1988
Town Clerk Southold APPLICATION
for - -
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
-F66 - .to • • ; ,
DATE 4/7/88
OWNER NAME: Alfred E. Bouffard
OWNER MAILING ADDRESS: Maple Lane Box 802
Mattituck, N. Y. 11952
OWNER PROPERTY ADDRESS : Westphalia Road
Mattituck, N. Y. 11952
OWNER TELEPHONE NUMBER: 516-298-5972
TAX MAP NO. : Section /97 Block ' Lot
CROSS STREET: Sound Ave .
TYPE OF SYSTEM: Septic Tank New Existing X
Cesspool New Existing
Residential Non-Residential x
DATE OF PREVIOUS PUMP-OUT: None
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.)
Signature or pplicant
//
RECEIVED BY: / _ I
RECEIVED"own ferk's Of rice
DATE:
APR 2 2 19G8
Town Clerk Southold
AY
BRIDEN MACHINE CORP.
Aerospace Products -Tools, Dies P.D. BOX 881 - WESTPHALIA ROAD
General Machine Work MATTITUCK, NEW YORK 11952
(516) 298-8583
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