HomeMy WebLinkAboutSawicki J
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Town Hall, 53095 Main Road
P.O. Box 1179
_ 1', Southold, New York 11971
JUDITH 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. 80-N Residential Non-Residential X
Fee $ 25.00 Septic Cesspool X
New Existing X
Name Of Owner SAWICKI, JOHN V., JR.
Mailing Address 1 BOX 34
Mailing Address 2
City St Zip MATTITUCK NY 11952-0000
Property Address 1 1165 MAIN ROAD
Property Address 2
City St Zip MATTITUCK NY 11952-0000
Owner Telephone No. 516-298-8333
Tax Map No. section 142.00 block 2 lot 21 .000
Cross Street LEGION AVENUE
Date Of Last Pump Out 0/00/00
Issue Date: 12/22/88 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
OFFICE OF THE TOWN CLERK �c5\\FFO(,��'-
Town of Southold C' k g6
Judith T. Terry, Town Clerk ��� Y �%-=‘\
Application No.
Town Hall, 53095 Main Road ay; Residential
.; f.�
P. O. Box 1179 v' � 1'4 Non-Residential V7
Southold, New York 11971
Telephone yo
1 , .
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
MEWED
APPLICATION
DEC 2018idd
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $
DATE A?*/e52
OWNER NAME: P) V. Z":042U-V .7
OWNER MAILING ADDRESS: E ,14,1
112,4244 r 4400,94-2„
OWNER PROPERTY ADDRESS: glee")
47T rGt � !/9
OWNER TELEPHONE NUMBER: 2. '— C-333
TAX MAP NO. : Section 1L/2 Block .12'. Lot
CROSS STREET: ? hk) #
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool 1.00°- New Existing
. Residential ✓v Non-Residential ®--
DATE OF PREVIOUS PUMP-OUT: .Z7 (rote))
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.)
/7 (rk
Sigture of Applicant
RECEIVED BY: �,
Office
• DATE:
TEC 2 r; 198
' •-TOWN OF SOUTHOLO MAKE ALL RECEIVER OF TAXES .—..... —_—. .—, .. .....
1
MON TOFRI 9 00 AM TOSOOPM „
:- 1986-1987 TAX LEVY FUNDS .CLOSED ALL LEGAL HOLIDAYS ' .
CLOSED,SAT 0,2
SUFFOLK COUNTY;N Y PAYABLE TO GEORGE;MELLAS 'pOgO-rid 516.765-1803 TAXES BECOME A LIEN ON DEC 1ST
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RECEIVED PAYMENT-SECOND HALF OR TOTAL TAX RECEIVED PAYMENT-FIRST HALF TAX
RECEIPT NO DATE PAID AMOUNT PAID RECEIPT NO DATE PAID AMOUNT PAID
42914 05-29-'87 959.22 3 , 03
-
).4 01-03-37 959.23
NOTE TAXES ARE PAYABLE BY CHECK, CASH OR MONEY ORDER. CHECKS NOTICE
WILL BE ACCEPTED SUBJECT TO COLLECTION FOR WHICH THIS OFFICE ASSUMES SECOND HALF TAX MAY BE PAID AT THE SAME TIME THE FIRST HALF IS DUE AND PAYABLE
NO RESPONSIBILITY NO CASH BY MAIL NO 3RD
CEPTEDPARTY CHECK POSTAGE STAMPS SECOND HALF CAN BE PAID AT ANY TIME UNTIL MAY 31st,WITHOUT PENALTY ,
NOT ACCEPTED NO POST DATED CHECKS AC .
. "
'PLEASE READ THE REVERSE SIDE 'ORIGINAL
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