HomeMy WebLinkAboutFairlie oy
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Town Hall, 53095 Main Road
�--....se, ��$ P.O. Box 1179
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Southold, New York 11971
JUDITH T. TERRY �����iv 0' TELEPHONE
TELEPHONE
TOWN CLERK (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. 1082-R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
New X Existing
Name Of Owner FAIRLIE, ROBERT AND JEAN
Mailing Address 1 63 SHADYSIDE AVENUE
Mailing Address 2
City St Zip PORT WASHINGTON NY 11050-0000
Property Address 1 3765 WELLS AVENUE
Property Address 2
City St Zip SOUTHOLD NY 11971-0000
Owner Telephone No. 516-883-6444
Tax Map No. section 70.00 block 4 lot 3.000
Cross Street OAKLAWN AVENUE
Date Of Last Pump Out 0/00/00
Issue Date: 4/13/89 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
1
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( DWELLING )
1 LOT 4i
I
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NI( AREA ® SQ.FT. �1
TEST HOLE �� e, S . 16 ° 40 � OOIiE. 20456 Q ,Ji 15 875 S .F1 ir
lio'Dark-
own `� p NI 172 .00 `o� o_I �� a 1, I• tO Lu
!o¢n, �� p m� oil F`�+. I� ° Z (V
cw,M 3
Qrown 6 IJJ ci i 44.5 WELL 'Cl Z 2 cr I A"! 1, 1989
loony n 4O3 ri/WOO/ �( (�
46 e 2 STORY b%BECK/ `C 11 1
13 Z 4. .r1. XO;sE ,,), z7"
DOF01 o W HE>�LTH SERVICES
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brown 5Z`B. — m.S• GAR. q.� Q N
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moa,-se �, �T r Q��• 3 �J� p U R 1/EY OF
m �� _ CO P/ 0 LOT 3
12.3
1°,3-1 z 1OI —I 165 25' Z gI hI 05
water 'to � , r� n� `® SS ) II PLAN OF LOTS OWNED B Y GEORGE H. WELLS II
/n pale lotly3 I,)
• brown CO "-`.c; N. 16° 40100" w. P/O LOT 3 192.32 FILED NOV. 28,1927 FILE NO. 859
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94coar-.re —J AT SOUTH O L D
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17, LiJo TOWN OF SOUTHOLD
o
SUFFOLK COUNTY, N. Y -
(DWELLING ) 1000 — 70 - 04 - 03 ,
. o AWN AVE .
SCALE III = 40'.
OA%(LAMAY. 21, 1987
- Jan.. 6, 1988(u.c.)
.1 �.. , _:_I I`lD T 0
(®Y`` SOMA GOLINTY'- + .•�: NOV. 28, I988(FINALJ
��. QN`A' by op` ICAG it TITLE INSURANCE COMPANY
EILIM MY
`. C ,6,< ' ,. G��,_•� F dbY � TITLE 0. 8808 - 721123
•-- ' I 'ii 1—® ` DATE JAIN 1 g 19o914,, , A. GAS S ABSTRACT INC.
' 4 'Ii..'"-:'--N--.-.`r'' LIC. NO. 49 66 8 The sewage disposal and water supply t it s
•+ ' _.s_4'1 -.-"="—‘.'&7,1,P:,?..''' location have been t
p/ IC -I-FIVE
IR V E14.3';'S 81 ENGINEERS P C. of ter - end ted by this Gapar efrt ffl d/
J( "":I '' $ • , , �,, 'y ta S Prepared in accordance with the minimum
ti( 5I''� �,,'�.6° •?�; 0 •
�' , ,,,x,.. ....,._....._......„.�� '; standards for title surveys as establich;;r1 b}
P. O.'6 1 � , eitailet Gams 04 Wt the L.I.A.L.S. and approved and adopted
`i5
MAIN ROAD
for such use by The New York State Land
. l SOUTHOLD , N.Y.- 11971 ELEVATIONS ARE REFERENCED TO N.G.V. D Title Association.
87 - 40.1