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HomeMy WebLinkAboutTidal 1FFOLe; JcJDITH T.TERRY ���_ ?'� Town Hall, 53095 Main Road TOWN CLERK _ P.O. Box 1179 :1%4' T �� Southold,New York 11971 REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER y� O��i�� Fax(516) 765-1823 RECORDS MANAGEMENT OFFICER •( * �aod• Telephone(516) 765-1800 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. 160-N Residential Non-Residential X Fee $ 25.00 New Existing X Name Of Owner TIDAL PROPERTIES, INC. Mailing Address 1 P. O. BOX 2094 Mailing Address 2 City St Zip GREENPORT NY 11944-0000 Property Address 1 STIRLING AVENUE Property Address 2 "SHARKYS" City St Zip GREENPORT NY 11944-0000 Owner Telephone No. 516-477-1170 Tax Map No. section 3.00 block 5 lot 16.002 Cross Street STERLING STREET Issue Date: 8/19/96 Judith T. Terry Southold Town Clerk (TOWN SEAL) ' Is "I,...... I V // / °OFFICE OF THE TOWN CLERK c���F6 "'o - �_- Town of Southold �� CQG; Application N Judith T. Terry, Town Clerk 4,,• 1.5.%:\ Town Hall, 53095 Main Road , '':::.:.°', . < I $10.00 - Residential �� P. O. Box 1179 cn :- : ' ,•;,- ._--4. 1 ,` . ,., ., • $25.00 - Non-Residential ./ Southold, New York 11971 O '' :? ���`� Telephone 0 � *v., of (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ • DATE P/4 9 _-_ OWNER NAME: e/ ,d0 - / �g / .----- ti- � . l , OWNER MAILING ADDRESS: / OWNER PROPERTY ADDRESS: .P OWNER TELEPHONE NUMBER: /77..,- (/ .70 , /60 / 3-00 Ofl-/o (0/4 - 00,1.-- TAX MAP NO. : Section Block Lot _CROSS STREET: „c7,-,v//1Ae_, - 4/ / ,[j , TYPE• OF .SYSTEM: Septic Tank " - --- • New Existing Cesspool New Existing _ ,- /; A 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.) , .. x 4 ,, , i 0, /frd _.,If S,,,e ature of •kpplica° t RECEIVED. BY: .� • _ " Town Clerk's Office DATE: ' . , -- - ---, . -. •II , . . , ... ,/ , _ . , S. . . , . . _ .. . . S /I' , . 1 1 , .._ ., . 1! . ...__. 1 \I • - ori ,. ,I -,.. _ 0 _ ,i, ... ., ,, /1/Atfi6(c\ . \-.\\.)c..'s'ec,\NriG\ •Equ\7,\,.!\-,---_ ,:..,:-7.-- S iliuk._/ ' 74 . ,.... H •94- ' --- :C-2)-" . 1 " \ . ._ ., ,. .,.. • ; 1 i I , , „.... . . _'^----....Y.„......_44A7)---- .--;,-- -- --. ,- -: -7-_____—.," ,-- . „ .. I 1 4%3°.4e,', ' .7.-------4 -..___ _-_-_,- --=';1"-- ' - •-----------7----- ----1-' . 1 , ---„-":- _____ (;.!::'-..'.• -r!,--:-P:;-''4 .'.-,,----.'-,'-' ,..-#-,.- ,-_.--•-_- . - . ,7- ''',',3.-::'L' i 1':, -- _...- - ------,_ , . P , ., ‘, — 1 .I' I _.-- ‘ . . .._ 1 /., .,.•,'`-,_ -.4", ,, ,....,s _,•-"(2' , _ . , . . . ,..,- V ' ' . ‘ ...,.........„.......,,,,...„..... 0' I • \I\I• - 57:0: "--------- - „ --i• &ea.-- - - _ ,...<13. f 6.NO • ,.. S..' - -_ '- --!--.:--_,'-',.--1,"--.. -- ' .'-',,- J.,:-.---, -'•,-- ‘-:- - .i ..:-.:„.- ,-,--