HomeMy WebLinkAboutFiyalkowski r
Town Hall, 53095 Main Road
0.0, �� ���� P.O. Box 1179
1 K
JUDITH T.TERRY � oos Southold, New York 11971
765-1823
TELEPHONEFAX( ) 6)765-1801
TOWN CLERK
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 1561-R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
New Existing X
Name Of Owner FIYALKOWSKI, JOHN AND MATILDA
Mailing Address 1 170 WALNUT PLACE
Mailing Address 2
City St Zip MATTITUCK NY 11952-0000
Property Address 1 170 WALNUT PLACE
Property Address 2
City St Zip MATTITUCK NY 11952-0000
Owner Telephone No. 516-298-4527
Tax Map No. section 142.00 block 1 lot 22.000
Cross Street NORTH ROAD (SOUND AVENUE)
Date Of Last Pump Out 0/00/00
Issue Date: 10/23/90 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
1
OFFICE 40F THE TOWN CLERK �3�FFO
'Town of Southold % C4G. , Application No.' i'-'
Judith T. Terry, Town Clerk % �� =
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