HomeMy WebLinkAboutFarnbach OFFICE OF THE TOWN CLERK
Town of Southold 0N) O.
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road ::_{. -:'-=;g
P. O. Box 1179 :u3 ' ► .
Southold; New York 11971 `O -
Telephone 0.( * i'
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 74 Residential xx
Non-Residential
Fee $ 10.00
Septic Cesspool xx
NAME OF OWNER: Dorothy Farnbach
OWNER MAILING ADDRESS: Ole Jule Lane
Mattituck, New York 11952
OWNER PROPERTY ADDRESS: Ole Jule Lane
Mattituck, New York
OWNER TELEPHONE NUMBER: 516-298-4622
TAX MAP NO. : Section 122 Block 4 Lot 13
CROSS STREET: Kraus Road
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool XX New Existing xx
Residential XX Non-Residential
DATE OF PREVIOUS PUMP-OUT: July 1981
eiree4reeivesfes,„7.04.0......"
Judith T. Terr
Southold Town Clerk
DATE: September 30, 1986
i
(TOWN SEAL)
OVFICE OF THE TOWN CLERK icOFO(,' =
/ Town of Southold �� „Y CQG' , Application No. 7'/
`Judith T. Terry, Town Clerk � y
Town Hall, 53095 Main Road o •
C I Residential ,r
P. O. Box 1179 v' - 'e .`' Non-Residential
Southold, New York 11971 O `®. r
Telephone 5 ?( 4
(516) 765-1801
TOWN OF SOUTHOLD
RECEIVED SOUTHOLD WASTEWATER DISPOSAL DISTRICT
SEP 3 01986 APPLICATION
Town Clerk Southold for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 7/
Fee $
DATE ;27;7 /,7f-'
OWNER NAME: , ,,;0,7,�
OWNER MAILING ADDRESS: fikg ,77./L XLH
//y4 r2_
OWNER PROPERTY ADDRESS: .5.41,4c--
OWNER TELEPHONE NUMBER: 7-9-r-4/,‘, "x
2_
TAX MAP NO. : Section /2 2, Block Lot /3
CROSS STREET: �,�',jf?//, — — , eX/ra: �; ��4/3/ s l�p`�1 i
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool New Existing
Residential X Non-Residential
DATE OF PREVIOUS PUMP-OUT: /9T7
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.)
•
Signa re of Applicant
RECEIVED BY:
Town alerk's ffice
DATE: h ) v, 776
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