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HomeMy WebLinkAboutS&E Real Estate c, w Town Hall, 53095 Main Road ems® �`' P.O. Box 1179 106 0V:if Southold, New York 11971 NDITH T.TERRY 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. 87-N Residential Non-Residential X Fee $ 25.00 Septic Cesspool X New Existing X Name Of Owner S & E REAL ESTATE COMPANY Mailing Address 1 70 EAST SUNRISE HIGHWAY Mailing Address 2 SUITE 610 City St Zip VALLEY STREAM NY 11581-1260 Property Address 1 KING KULLEN SUPERMARKET Property Address 2 MAIN ROAD City St Zip CUTCHOGUE NY 11935-0000 Owner Telephone No. 516-561-9500 Tax Map No. section 97.00 block 5 lot 12.000 Cross Street COX LANE Date Of Last Pump Out 0/00/00 Issue Date: 5/11/89 Judith T. Terry Southold Town Clerk (TOWN SEAL) \, OFFICE OF TH ' k 3WN CLERK ,rSIFD '= Town of Southold � T CQG Application No. NZg Judith T. Terry, •Town Clerk .� 0 P •.64' e .. Town Hall, 53095 Main Road o " 4 -� Residential P. O. Box 1179 ��`' Non-Residential ,,// Southold, New York 11971 4 � � � ` �` Telephone -4/ 1lift l (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee sips) DATE 41 ti / 1 OWNER NAME: OWNER MAILING ADDRESS: 1 6• cu-AJ-)41r:" y Ib/'c 4/ vig-mAry cta,019 //in- /A a OWNER PROPERTY ADDRESS: 30+1' 7l () ( 106vAI l d..#11 6.%4 OWNER TELEPHONE NUMBER: it.}. /-4(a y • TAX MAP NO. : Section 41 Block C Lot / y CROSS STREET: CO LfriiC TYPE OF SYSTEM: Septic Tank / New Existing Cesspool ti New Existing 17 Residential Non-Residential DATE OF PREVIOUS PUMP-OUT: fittri S ( l1 F' 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.) • T � J < Signat e of Applicant- - - RECEIVED BY: Town Clerk's Office DATE: — ....--/r • . r . t • _ 1 , , . . . . . . / • 1*....so" `N.N.. - , . . . , / .. . . • . . / t N 43.5.os' . . ' -- .i..tre /V2/==...:' 1 ...-.—. .—.- r. _ . . . 4tA . 27 . : . . . , .. .. . . • 1 , ig' . /3 /3 /3 .34 cl . ' , • Il I • 29 • ii --/--/ • 'k.' il.,4 • !II 29 . !/ . ,' ./ ' . . . _ . __ % '• — 'a , :10 i ' .• 1. to - .1inI* • 54 1 • . - • i t . , • •• \ \ \ \ ••• , - 6) it ). • • .i , : ' 4/ - , ' f • gi? 'V 1 '' cr :; . il ; .. ) • • • IN 1,,, •. - • . i .. . -.....„. -• \ 1, , e • - . .. — 2f 11 • ' "• \ \ • . • . • . . . . - . .... • , i ...,_„. ....-,,............ — PCAN Ti/V a ......,ti ---Za... c I 1: -- _.......-.----, _...... _-......—,.......--. . G.50•8074 , . . .. . . i; !; - .:..... .7._L._:abut_ 171, "Vo r ....1.._ raV".",-2.7757; . • . . ,._.. _. .. hr..1.4 "i;a• 01.42a.- ' • . ill .4 ... . . __ ____. . _ .. _ .... _• 37,- ._ • • • • . • . . . -c--/-3-x---z-4-- -&-- . . . e , .z..-e--11---- -772.7.--ift- " - ' 400/5 iiirliSkit4i4^4: 4.-2.4= - ; . . . . ... .......____ -......._ --___-:-=_ . • :• . . • ditcw. 'mar .- . ---2_- .. 7 i"."-.7a•ra"-.4*.r . • I' . . - --