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OFFICE OF THE TOWN CLERK s
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Awn of Southold 0�� >. Cc/
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road ,.
P. O. Box 1179 � cn ? `". :
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Southold, New York 11971 pv cab,_"°'
Telephone 04 411
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 352 Residential X
Fee $ 10.00 Non-Residential
Septic Cesspool X
NAME OF OWNER: Goerge J. Finnegan
OWNER MAILING ADDRESS: P.O. Box 303
Cutchogue, New York 11935
OWNER PROPERTY ADDRESS: 860 Carrington Road
Cutchogue, New York 11935
OWNER TELEPHONE NUMBER: 516-734-6770
TAX MAP NO. : Section 111 Block 6 Lot 11
CROSS STREET: Haywaters Road'
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool X New Existing X
Residential X Non-Residential
DATE OF PREVIOUS PUMP-OUT: Never previously pumped
Judith T. Terry
Southold Town Clerk
DATE: July 15, 1987
(TOWN SEAL) - -
OFFICE OF THE TOWN CLERK cOFO(A-�'=
,_DTown of Southold �� CQG Application No.
Judith T. Terry, Town Clerk tst
Town Hall, 53095 Main Road c _ �,4A :4 i Residential
P. O. Box 1179 cf3 �` Non-Residential
Southold, New York 11971
Telephone 4.( ‘i�
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $ •
DATE %f /qt /Fg7
OWNER NAME: 0. g: ¢'1:--- J F i 1V /, A/
OWNER MAILING ADDRESS: jl 01 ,5 O )( 3 z>3
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OWNER PROPERTY ADDRESS: g G O C /9- iQ e l i'/G, j a ek/ f d
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OWNER TELEPHONE NUMBER: (57‘) 7 ,j//- ‘. 770
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TAX MAP NO. Section L. Block/./. L e Lot ? t�
CROSS STREET: /1/x[7(4/•71--7�R g Rc,
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool t/ New Existing
Residential !/ Non-Residential
DATE OF PREVIOUS PUMP-OUT:
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.)
iSi ature ofA' �ppficc
RECEIVED BY:
Town Clerk's Office
DATE:
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