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Home My WebLink AboutKavanagh (2) 001pc) ULA Town Hall, 53095 Main Road �� P.O. Box 1179 �� e Southold, New York 11971 AltJUDITH 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. 70-N Residential Non-Residential X Fee $ 25. 00 Septic Cesspool X New Existing X Name Of Owner KAVANAGH, BRIAN K. SR. Mailing Address 1 BOX 776 Mailing Address 2 City St Zip GREENPORT NY 11944-0000 Property Address 1 BRIAN'S SONG Property Address 2 MAIN ROAD City St Zip GREENPORT NY 11944-0000 Owner Telephone No. 516-477-2021 Tax Map No. section 45. 00 block 4 lot 7. 000 Cross Street MOORES LANE Date Of Last Pump Out 0/00/00 Issue Date: 6/08/88 Judith T. Terry Southold Town Clerk (TOWN SEAL) E• b® • ..� OFFICE OF THE TOWN CLERK /��CS�FF�(/(�'= Town of Southold , CQ Application No. Judith T. Terry, Town Clerk a. 0 Town Hall, 53095 Main Road P+ :` Residential p. O. Box 1179 u3 -1÷-0 ; Non-Residential 7 Southold, New York 11971 '` Telephone ®� ~�� • (516) 765-1801 TOWN OF SOUTHOLD RECEIVED SOUTHOLD WASTEWATER DISPOSAL DISTRICT JUN 03 1988 APPLICATION love Who ' 'or - OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. AIf- 7D Fee $ DATE S � OWNER NAME: 7/emiy / lic ,',/g/v/4) . oxe OWNER MAILING ADDRESS: a , rot,;--y---7 7 r 6 7 OWNER PROPERTY ADDRESS: 3.424,-c.e OWNER TELEPHONE NUMBER: 7 7 2 TAX MAP NO. : Section Block Lot 7 CROSS STREET: (.20 2:5r TYPE OF SYSTEM: Septic Tank New Existing Cesspool X New Existing Residential Non-Residential DATE OF PREVIOUS PUMP-OUT: GP 7 LOCATION MAP: Must be attached hereto before permit may be issued. 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