HomeMy WebLinkAboutMullen Motors +6
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OFFICE OF THE TOWN CLERK
Town of Southold O��FC��
Judith T. Terry, Town Clerk ._
Town Hall, 53095 Main Road Z .-
P. O. Box 1179 ��
Southold, New York 11971 ti Q
Telephone
(516) 765-1801 "
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TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. NR34 Residential
Fee $ 25.00 Non-Residential X
Septic Cesspool X
NAME OF OWNER: Mullen Motors Inc.
OWNER MAILING ADDRESS: East Main Street
Southold, New York 11971
OWNER PROPERTY ADDRESS: East MainStreet •
Southold, New York
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OWNER TELEPHONE NUMBER: 516-765-3564
TAX MAP NO. : Section 62 Block 3 Lot 90
CROSS STREET: Cottage Place
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool X New Existing X
Residential X Non-Residential
DATE OF PREVIOUS PUMP-OUT: February 4, 1987
,;4104
Judith T. Terry o,
Southold Town Clerk
DATE: April 7, 1987
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(TOWN SEAL)
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`G1FICE OF THE TOWN CLERK c��FFOJL/ �/
Town of Southold �� ••.- CQ� Application No./1✓,�3 T
Judith T. Terry, Town Clerk ��0 ` ,
Town Hall, 53095 Main Road -< Residential
P. O. Box 1179 v' rito �`' Non-Residential
Southold, New York 11971 �w- os
y
Telephone '_611 611 -;14;0"6
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $ •
• DATE Mard-
OWNER
NAME: I l Lc,I p,+'1 1040r� �,•,e,
OWNER MAILING ADDRESS: Lcusi Mall S4-- e,e+
S& o0 ,_ V. I19?1
OWNER PROPERTY ADDRESS: a c j Mat
Soc.E h id lU-v 1 i9 '7
OWNER TELEPHONE NUMBER: .674, -
TAX MAP NO. : Section Block 2 Lot
CROSS STREET: C44-0_r, PlcLQ .
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool )/ New Existing V
Residential Non-Residential ✓
DATE OF PREVIOUS PUMP-OUT: F€b - -1 Hrl
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
RECEIVED BY:
Town Clerk's Office
DATE:
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