HomeMy WebLinkAboutField OFFICE OF THE TOWN CLERK ' c0F((e :, •
Town of Southold � ®��M a BOG
Judith T. Terry, Town Clerk � ' ! �w
Town Hall, 53095 Main Road a ^' v ,
P. O. Box 1179 ' z
Southold, New York 11971 • o�
Telephone : � * ��, '
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 31 Residential XX
Non-Residential
Fee $ 10.00
Septic Cesspool xx
NAME OF OWNER: Frank A. Field REalty, Inc.
OWNER MAILING ADDRESS: Box 631
Greenport, New York 11944
OWNER PROPERTY ADDRESS: 813 Linnet Street
Greenport, New York 11944
OWNER TELEPHONE NUMBER: 477-2433
TAX MAP NO. : Section 48 Block 3 Lot 4
CROSS STREET: Ninth Street
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool XX New Existing xx
Residential XX Non-Residential
DATE OF PREVIOUS PUMP-OUT: Unknown
Southold Town CI-rk
•
DATE: August 29, 1986
(TOWN SEAL)
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OFFICF ,or THE TOWN CLERK �FFO QJ/22J
Town of Southold ��� �Q Application N
Judith T. Terry, Town Clerk ' ��
o ®C 7 Residential
Town Hall, 53095 Main Road ��,�5 t
P. O. Box 1179 crs '# Non-Residential
Southold, New York 11971 0vCN - -
Telephone 14'0= .( 0
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. L/
Fee $
DATEW, .
OWNER NAME:
PRANK A. HELD IMAM, INC. s,
OWNER MAILING ADDRESS: Box 631
treenport,'New York 11944
OWNER PROPERTY ADDRESS: 773 / I t, yi r 5?"
ciegew(Oer—
OWNER TELEPHONE NUMBER: 4'7 7- 2• #33
TAX MAP NO. : Section 4-r Block 3 Lot 4--
CROSS STREET: 1V (NW Sr
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool New Existing
Residential Non-Residential
DATE OF PREVIOUS PUMP-OUT: /1 0r ..
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.)
'611/4‘i/
Signature of Applicant
RECEIVED BY: ori 4, ,
Town Cl: k's Of ice `
DATE: 4P� � r ,9
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