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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) '- `.►, •V . ...�. 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 C i 4, /r7� MEMMEMMINIMMEMMEMMEMEMMINIMEMMEMEM MEMMINIMMEMMEMEMEMMIMEMFm M 11111•1111111111111.111=111111111MEMME 07:111-A nD4”1:_iTY 94 111 1110101101..11.1111.11 ( MEM= ePrti (-- MEMMEMMEMMEMEM 43111.11 MINIM =MM. MEMIMMINIMMEMEMM Uic) MMEMEMMEMM MEMMEMMEMMEMMEM MEMMEMMEMMEM IMMEMMEMMEMMEMMEMMEMMEMMEMMEMMEM MMEMMEMMEMEMMEMEMMEMMEMMEMMEMEMM MEMMIMMEMMEMME MMEMMINIMMEMMEMMEM MOM= -1 7 ME111111111INIMININEEN _ MINIMMEMMEMMEMEMME ME MEM MINIMMEMIV M MMEMMEMMEM EMI ME 9 MIMEMINIMMEMMEMM MM. -MEMEMINVEMEM MMEMMEMMEN. MM. MN MEM. MEM. MIIMMEMMEMME MEMurn 41IMMI MEM. MMEMMEMEMEM Mill MEM immEM ME= MEMEMINIMMEM MEM IMF ' ME MEM MMINIMMEMMEM MEM MEM I t tiVF2 MUM MMEMMEMOMME MEM OM 111111rItil MI= MEMEMMINIMM MIN Els MEM= urn.. MEMMEMMEMEM 1111111 WM MEM= MMEM MEMEMMINIMME MEM ME MOM= MEM MEMINIMMEMEM ME ME MEMMEM uuuu IIMMEMEMMINIM MUM ME MIIMMEM IIMME MEMMEMMEMME MMM ME MI= MEMMEMMEMEM MEM ME ' MMEN =MO MEMMEMMEMEM WM MEM IIMMEMENEM MMIIMMEMMEMM MEM NM 2c.11111■MIE111111 =MOM= OM MEM ill EMMEN MEMEMMEMME MEM IMO (g-5 • p001111111M MEMEMMINIMM MI ME MMEMEM 1111111MMEMMEM MEMMEMMEMMEMMEM MMOIMMEMMEM MEM MMIIMMEMMEMMEMMEM INIMMEMMOMM MEM MEMMEMOIMMEMIIMMEM MEMEMMEMEM MUM MINIMMEMMEMEMINIMM MMEMMEMMEM MEM MEM Mil MMEMMUMMEM MOM EMMEMEMBE MEMMEMEMMEMMEMMINIMMEMEM MMEMEmm MOMMEMMEMMMEMMEM INIMMEMEMMINIMMEM IMMEMMEMMEMMINIMM MMEMMEMMEMEMMEM