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HomeMy WebLinkAboutClause :,fir ��� ny Town Hall, 53095 Main Road P.O. Box 1179 ® ,s&./��� Southold, New York 11971 JUDITH T.TERRYFAX 765-1823 TELEPHONE)16)765-1801 TOWN CLERK 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. 105-N Residential Non-Residential X Fee $ 25.00 Septic Cesspool X New Existing X Name Of Owner CLAUSE, DONALD J. Mailing Address 1 C/O JOHN D. CLAUSE, ESQ. Mailing Address 2 801 MONTAUK HIGHWAY City St Zip SOUTHAMPTON NY 11968-0000 Property Address 1 LOVE LANE Property Address 2 City St Zip MATTITUCK NY 11952-0000 Owner Telephone No. 516-283-8501 Tax Map No. section 140.00 block 3 lot 42.003 Cross Street MAIN ROAD Date Of Last Pump Out 0/00/00 Issue Date: 4/04/90 Judith T. Terry Southold Town Clerk (TOWN SEAL) OFFICE OF THE TOWN CLERK l\VF©LA,�'- Town of Southold C'OG Application No. iog Judith T. Terry, Town Clerk tvsfir=� y '`':� �'*,�.s=i �c $10.00 - Residential Town Hall, 53095 Main Road g‘. az - p. O. Box 1179 cn -�` „ ± h�i `y"� •;t $25.00 - Non-Residential Southold, New York 11971 Telephone _0•( 1, • (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT mpg 2219 APPLICATION for Iva (144 OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No./(95 Fee $ DATE March 16, 1990 OWNER NAME: Donald J. Clause • OWNER MAILING ADDRESS: c/o John D. Clause, Esq. Clause Commons South - 801 Montauk Hwy SuuLhdLuptun, NY 11000 OWNER PROPERTY ADDRESS: Love Lane & Main Road, Southold • OWNER TELEPHONE NUMBER: 516-283-8501 TAX MAP NO. : Section 140 Block 03 Lot42.2 & 42.3 CROSS STREET: Love Lane TYPE OF SYSTEM: Septic Tank x New Existing x Cesspool X New Existing X Residential Non-Residential X DATE OF PREVIOUS PUMP-OUT: Unknown 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 of Applicant Philip Anderson Agent for John D. Clause RECEIVED BY: Bk3jogown Clerk's Office DATE: :► ! , h • /V/liff) OF.. fRQp ,743)� off- 0/C12J C'LQv5 `PJ /•?mac G F-. M.4.0..1 W.A. Ro ER Loc 4 E-Q/4 ' 414 7UcK . 7-0 1,V .1 off=- .__. 0C.-7-.. /o L o • CO. S tJf/c-a L./e cc)u,vT y , rvE+k �/o,4K .. 4 LE - / ' • ' I `�51}�F' cQ. 7-4( .v/4� aESiyAY4Tioi : o'ST-,4iCTioao - i4o - o� -4z z .i. . /2 a �,oS2/p�ez • .� c )'-vo ��� �g ;6Z _ Bio.6S. � EX. V �Tria� . �;, gaI r, /774 , _/,',_.8zp 2-dp/l)S64 ia./ O✓Ef2 iv oll) ®�y��T ��� ,� � '�2g �s_ '�7' -� �8«FSA, 0 gi 1 ,1--- . . \ tv - Unauthorized •Iteration or addition-to this survey Is • afolation0)1° of Section 7209 of the New York,Stat, Education Law. -<.. \ Gou G ----- / l Copies of this survey map not bearing the-.Land Surveyor's Inked , seal or,embossed seal shall not be co3sidend to bi a valid true {