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HomeMy WebLinkAboutRobinson 1�,o��FF OLI��®li JUDITH T. TERRY Town Hall, 53095 Main Road TOWN CLERK T P.O. Box 1179 REGISTRAR OF VITAL STATISTICS • il'� 1 Southold, New York 11971 MARRIAGE OFFICER ® Fax Fax (516) 765-1823 °�,y®1 Telephone (516) 765-1801 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 147-N Residential Non-Residential X Fee $ 25.00 Septic Cesspool X New Existing X Name Of Owner ROBINSON, DAVID Mailing Address 1 MAIN ROAD 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. 516-765-6054 Tax Map No. section 63.00 block 4 lot 1 .000 Cross Street TOWN HARBOR LANE Date Of Last Pump Out 0/00/00 Issue Date: 3/31/93 Judith T. Terry Southold Town Clerk (TOWN SEAL) JUDITH T. TERRY ; P+ Town Hall, 53095 Main Road TOWN CLERK v T P.O. Box 1179 REGISTRAR OF VITAL STATISTICS - Southold, New York 11971 �� Fax (516) 765-1823 MARRIAGE OFFICER ® r ',yol . j Telephone (516) 765-1801 ,.� • OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 2090-R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X New Existing X Name Of Owner ROBINSON, DAVID Mailing Address 1 MAIN ROAD 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. 516-765-6054 Tax Map No. section 63.00 block It lot 1 .000 Cross Street TOWN HARBOR LANE Date Of Last Pump Out 0/00/00 Issue Date: 3/31/93 Judith T. Terry Southold Town Clerk (TOWN SEAL) . OFFICE OF THE TOWN CLERK c,VFFOC,r.'- Town of Southold � CQ Application No. c=rti ,) � : ' G •, Judith T. Terry, Town Clerk � � a� Town Hall, 53095 Main Road $10.00 - Residential P. O. Box 1179 u3 Wi` M $25.00 - Non-Residential Southold, New York 11971 '•:* r'� *i Telephone (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT • APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ • DATE 3/d SI5b OWNER NAME: Dr 044 ) / msa• OWNER MAILING ADDRESS: Ma� �� '7w . 1-1,6,, L. 5D,711,1„ 1,3, '' 1�jai - OWNER PROPERTY ADDRESS': 411:a i ✓VrYiir ) OWNER TELEPHONE NUMBER: ' - c - ‘O TAX MAP NO. : Section 0 6 '5 Block 14 Lot _CROSS STREET: TYPE OF-,SYSTEM; Septic' Tank - -- New Existing Cesspool New Existing l� Residential Non-Residential V 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.) 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