HomeMy WebLinkAboutNorth Fork Liquor 0�0 Gam:
JUDITH T. TERRYTown Hall, 53095 Main Road
TOWN CLERK T P.O. Box 1179
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS . *0 '. ,' Fax (516) 765-1823
MARRIAGE OFFICER ._�/� ®II1� Fax
(516) 765-1801
RECORDS MANAGEMENT OFFICER / * 1
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 148-N Residential Non-Residential X
Fee $ 25.00 New Existing X
Name Of Owner NORTH FORK LIQUOR CORP.
Mailing Address 1 P. O. BOX 1425
Mailing Address 2
City St Zip MATTITUCK NY 11952-0000
Property Address I MAIN ROAD
Property Address 2
City St Zip MATTITUCK NY 11952-0000
Owner Telephone No. 516-298-8160
Tax Map No. section 140.00 block 3 lot 35.000
Cross Street WICKHAM AVENUE
Issue Date: 6/01/94 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
OFFICE OF THE TOWN CLERK c3\\V A- • / C�
Town of Southold Q C l
:_ OG' Application No.
•
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road $10.00 - Residential
P. O. Box 1179 tri W4` z $25.00 - Non-Residential
Southold, New York 11971
Telephone L44 �tt
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $ •
DATE „57-
OWNER
-OWNER NAME: /ro,e7-7,,FD,eI< kQ. (1,x"/.
OWNER MAILING ADDRESS: ,I, / /, S' /V41/,v A
112 i9 41/ // s-
-- =OWNER -PROPERTY AuurccJS: -5",A7
OWNER TELEPHONE NUMBER: $7 ,2 9f e7"-Ai •
TAX MAP NO. : Section 41732er Block fy10 - 3 Lot 3S--
' r
CROSS STREET: /j4 --,0-c— ,4
TYPE OF -SYSTEM: Septic Tank - New Existing I/
Cesspool New Existing
Residential Non-Residential
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.)
`ignatur- of Applicant
RECEIVED BY: - - - - - -
Town Clerk's Office
DATF: - - -
• by
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! SURVEY ,• FOR , .
i NORTH 'FORK LIQUOR CORP. . -
MATTITUCK • - •
TOWN' 'OF SOUTHOLD •
SUFF. CO.„- N.Y. - GUARANTEED TO: • " •
NORTH FORK BANK 8 TRUST CO.
• SCALE : 1"= 20' SECURITY.TITLE &GUARANTY CO.;
MARCH 18, 1965 . - , - NOTE :- '
1965 �� - ■ = MONUMENT
' MAY 13, �' / • ,
JULY 2 , 1965 PROFE '110 ALE NEER AND
i JULY 15, 1966 LAND SURVEYOR, .Y.S.LIC.NO.12O45 - • . ,
I RIVERHEAD, N.Y N.Y.