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HomeMy WebLinkAboutSouthold Park Dist e\pp'"7/ JUDITH T. TERRY ' w, Town Hall, 53095 Main Road TOWN CLERK ® P.O. Box 1179 REGISTRAR OF VITAL STATISTICS .: Southold, New York 11971 MARRIAGE OFFICER ® O �, Fax (516) 765-1823 ® �� 4,� 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. 130-N Residential Non-Residential X Fee $ 25.00 Septic Cesspool • X New Existing X Name Of Owner SOUTHOLD PARK DISTRICT Mailing Address 1 P.O. BOX 959 Mailing Address 2 City St Zip SOUTHOLD NY 11971-0000 Property Address 1 FOUNDERS LANDING Property Address 2 TERRY LANE City St Zip SOUTHOLD NY 11971-0000 Owner Telephone No. 516-765-1659 Tax Map No. section 65.00 block 1 lot 19.001 Cross Street HOBART ROAD Date Of Last Pump Out 0/00/00 Issue Date: 7/20/92 Judith T. Terry Southold Town Clerk • (TOWN SEAL) • OFFICE OP THE TOWN CLERK ' Town of SoutholdQ� F o = Application No.-444 Judith T. Terry, Town "Clerk` S� �" y ` } '�''� $10.00 - Residential Town Hall, 53095 Main Road P. O. Box 1179 $25.00 - Non-Residential Southold, New York 11971 O ;0,-7 Telephone Telephone 1 Or. (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. k.06- Fee / aFee DATE JUly 14, 1992 OWNER NAME: S uthold Park District OWNER MAILING ADDRESS: P.O. Box 959 Southold, NY 11971 OWNER PROPERTY ADDRESS: Founders Landing Terry Lane, Southold, Ny OWNER TELEPHONE NUMBER: 765 1659 TAX MAP NO. : Section 65 Block 1 Lot 19.1 CROSS STREET: '��=- 19A-eucia TYPE OF SYSTEM: Septic Tank New Existing Cesspool x New Existing x Residential Non-Residential x DATE OF PREVIOUS PUMP-OUT: 5/92 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.) ee°111 /lea/ -7;71- .-141/` nature of Applicant g Pp RECEIVED BY: W> - Town Clerk's Office - - DATE: • • -•..,_•... _ , ,- _ , . , :••••'.-=',-\--,_'. --'f;:_.-.= _• ,4. ", i-..-\r- - - - . 13. __.... e r i . r • , r .,,,, ' . % ... .._../ •......---' ...--/ `,..._...1 ..--..- I.-..--- 4 l , • • ....7..,— .' .. .--....-. •••• • ,. . . r 's, ,„, f F. (..-,::". ' . % k,.... 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