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Home My WebLink AboutFiedler (2) OFFICE OF THE TOWN CLERK • f Q Town of Southold Judith T. Terry, Town Clerks,�f. Town Hall, 53095 Main Road , git.1 ; ,F. P. O. Box '1'179 cn �: •� �-- . Southold, New York 11971 p Telephone 0( y 1 % (516) 765-1801 • TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 347 Residential X Fee $ 10.00 Non-Residential Septic Cesspool X NAME OF OWNER: Rich Fiedler • OWNER MAILING ADDRESS: 1380 Beach Road Greenport, New York 11944 OWNER PROPERTY ADDRESS: 1380 Beach Road Greenport;.: New York OWNER TELEPHONE NUMBER: 516-477-1665 TAX MAP NO. : Section 43 Block 3 Lot 11 CROSS STREET: Manhasset Avenue " TYPE OF SYSTEM: Septic Tank New Existing Cesspool X New Existing X Residential X Non-Residential DATE OF PREVIOUS PUMP-OUT: Pump-out was 4/8/87 Judith T. Terry - Southold Town Clerk DATE: July 15, 1987 - - (TOWN SEAL) _ 3 dFFICE(OF THE TOWN CLERK �CalF01,'°'= r� Town of Southold `C $ -.,-- :. CQ-'` Application No. 3 77 _ Judith T. Terry, Town Clerk . 4 Town Hall, 53095 Main Road �" - } Residential P. O. Box 11790 �% Non-Residential Southold, New York 11971 %® �` Telephone o.( iiroo• • (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for ' OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ IO..00 FOR pump do l ON 4/07 - DATE 43 / 77 OWNER NAME: Vic 4 FIEDLe-(Z OWNER MAILING ADDRESS: 13&O 13.EAC-H COAD G P N.RDI 7 lV- i 14'44 OWNER PROPERTY ADDRESS: OWNER TELEPHONE NUMBER: 477- /665- fOC'�O ® 43 - 3 1/ TAX MAP NO. : Section Block Lot CROSS STREET: ,4044.1/957-- TYPE 40f/jq5TYPE OF SYSTEM: Septic Tank New Existing Cesspool X New Existing 3( Residential Non-Residential DATE OF f$t:1'---PUMP-OUT: 4 /r / 6 7 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.) dillill -,---/A 4: $ Sig ature of Applicant RECEIVED BY: Town Clerk's Office DATE: , • ,•-• , . • ' - __-- .....•v./1-44.4.2'....:.•'-t-7 , • -,T• •. SLJ F.F.GO.i-1 -EALr1-1 DEP 1.":APP.P.0 VA LI 5.1\10.6 '34 I 0.--1 a / L L._L._.:: L-,..I . . , . , '. N/AR,f LYN P, I-71 E Di 17 12 I , 1 . _.- AP-E A '. '1-2 '•inA -+ c'C',) Fr. . . . . • I DEE 1,-.) ' 1 15E7'C:2-7237 PAGE 167. . • __7--- , ------- I . 6.5 1 • n, 1 ! „,••• 4 1 1 ..,.: .- . .,..- . , . s•cs-- . 3 , ,c--., .,........, -...„ I \I . .‘ •, ..),, - \ 0 , I ' ` . /`-',-`7%.• ,f,4<> , • I -, 1:2 , I, I . • .••••.; ,...: . i ../ - , - ,..N '3'117 Z-1.'- ..:”. / ,•raj „. ;.. '-. Z.).4 - A 1 •\ -.-- ‘ ...ek---. --I'il a VI .. , . 1 ILI / I - Sk) -2'2'-'• - \"•;,,,,.' 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