HomeMy WebLinkAboutNar Development 64' r ,4006A
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s',01 Town Hall, 53095 Main Road
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� ' P.O. Box 1179
.00 Southold, New York 11971
JUDITH T.TERRY �'� iiiii� FAX(516)765-1823
TOWN CLERK TELEPHONE(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. 106-N Residential Non-Residential X
Fee $ 25.00 Septic X Cesspool
New Existing X
Name Of Owner NAR DEVELOPMENT CORP.
Mailing Address 1 P. O. BOX 1664
Mailing Address 2
City St Zip SOUTHOLD NY 11971-0000
Property Address 1 MAIN ROAD
Property Address 2
City St Zip SOUTHOLD NY 11971-0000
Owner Telephone No. 516-765-3131
Tax Map No. section 70.00 block 5 lot 24.001
Cross Street MAIN BAYV I EW ROAD
Date Of Last Pump Out 0/00/00
Issue Date: 4/16/90 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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OFFICE OF THE TOWN CLERK • COFOUr #
Town of Southold ea Application No. /V� )O C
Judith T. Terry, Town Clerk 'a _- :•
Town Hall, 53095 Main Road ',�,5-�. .< $10.00 - Residential
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p. O. Box 1179 - vo i, ' i
,4':---t � 1 �% $25.00 - Non-Residential
Southold, New York 11971 • • 0 ® KOC ���`
Telephone - 70 A `t►6 '.
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD ;WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $ •
DATE 1/13/96
OWNER NAME: 1LJk( DCv6J-013r1en.) i co12- P
OWNER MAILING ADDRESS: P O (3 ") 7( /66 /
S 0u.THo�0 z nJ II ri`iJ
OWNER PROPERTY ADDRESS: (1- r-tA..) /L.D
S o uc il-oLD , n) ' j ( I 9 -1
OWNER TELEPHONE NUMBER: 7 6.'- 3 /3 /
y TAX MAP NO. : Section `7 0 Block J Lot a L/ /
CROSS STREET: )if ' f3 Ay vie--kA--/ 0
TYPE OF `SYSTEM: SepticLTank ✓ - ` New Existing tV
Cesspool New Existing
Residential Non-Residential ...../-
DATE
/DATE OF PREVIOUS PUMP-OUT:
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.)
Signatur of A icant
RECEIVED BY: ; �,(i�1,---,- - --
own Clerk's Office
DATE: - ' / /?d. - .- - - - • -
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170
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