HomeMy WebLinkAboutLong Island Traveler Watchman . r
OFFICE OF THE TOWN CLERK ' c4O ,(`►O
Town of Southold - j
Judith T. Terry, Town Clerk b-z
Town Hall, 53095 Main Road ',
P. O. Box 1179 ,`u' •;
Southold, New York 11971 O
Telephone _ 10�
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. =NR59 Residential
Fee $ 25.00 Non-Residential X
Septic Cesspool X
NAME OF OWNER: Patricia Wood - Long Island Traveler-Watchman
OWNER MAILING ADDRESS: Traveler Street
Southold, New York 11971
OWNER PROPERTY ADDRESS: Traveler Street
Southold, New York
OWNER TELEPHONE NUMBER: 516-765-3425
TAX MAP NO. : Section 61 Block- 2 Lot
CROSS STREET: Beckwith Avenue
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool x New Existing x
Residential _ Non-Residential x
DATE OF PREVIOUS PUMP-OUT: Unknown
` Judith T. Ter,' .
Southold Town Clerk
DATE: January 11, 1988
(TOWN SEAL)
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OFFICE OF THE TOWN CLERK COOL!? -_
Town of Southold ,&`% Application No.-4A661
4444
Judith T. Terry, Town Clerk �
Residential
Town Hall, 53095 Main Road
P. O. Box 1179 c" x " ► Non-Residential
Southold, New York 11971
Telephone : I
(516) 765-1801
������ I TOWN OF SOUTHOLD
DEC 31 1997 SOUTHOLD WASTEWATER DISPOSAL DISTRICT
Inwin clerk Southold
APPLICATION
Tor`
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $ -.
DATE /4-e/7"
OWNER NAME: Pf-rg l e-'Pwoo 1- v -- Li)a��C-4-j, 19 ;c1
OWNER MAILING ADDRESS: 'WA el-e-12_ 5 T
o cc-r- D Air )
OWNER PROPERTY ADDRESS: Te_fq/
OWNER TELEPHONE NUMBER: b S - -59
TAX MAP NO. : Section ' J Block - • Lot
CROSS STREET: v&
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool New Existing ✓/
Residential Non-Residential
DATE OF PREVIOUS PUMP-OUT: /Ale?
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.)
f / %Ri9va ez-- r,✓�9-i� ,!iG'e_.
Signature of Applicant
RECEIVED BY: t cL�
Town Jerk's fice
RECEIVED
DATE:
JAN 11 Of
Town ('IArk Southold
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