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HomeMy WebLinkAboutFoley 14 COF I. 11 JUDITH T. TERRY ,0 . Town Hall, 53095 Main Road TOWN CLERK 1=oT P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER Fax (516) 765-1823 � O ®� r 4y®1 � Telephone (516) 765-1801 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 3130-R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X New X Existing Name Of Owner FOLEY, JAMES AND JULIA Mailing Address 1 80-51 232ND STREET Mailing Address 2 City St Zip QUEENS VILLAGE NY 11427-0000 Property Address 1 GOLDIN AVENUE Property Address 2 City St Zip SOUTHOLD NY 11971-0000 Owner Telephone No. 718-740-2965 Tax Map No. section 135.00 block 2 lot 14.001 Cross Street NORTH ROAD Date Of Last Pump Out 0/00/00 Issue Date: 9/27/93 Judith T. Terry Southold Town Clerk (TOWN SEAL) ,r OFFICE OF THE TOWN CLERK 'c,VWFD(,�� Town of Southold 0�� ,rt'".. . + c'G._ ` Application No.__I Judith T. Terry, Town Clerk ` •.. .":.? .. • •, . --- Town Hall, 53095 Main Road $10.00 - Residential P. O. Box 1179 crs . $25.00 - Non-Residential Southold, New York 11971 Off® ti--'- :'-, Telephone 4_ 014 `P 's (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION • for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ /0, 00 DATE 7/15'3 OWNER NAME: S frLCf s -' -701../A Fvl-Ej/ OWNER MAILING ADDRESS: 00- c/ 2 3 i °222 STYL�r gLEeNs Vic-LAI-6C, a7/ 1/'-/2-7 OWNER PROPERTY ADDRESS: - Got. i, 4-V6--- -5-0 -i/�--SO ✓THo c M y n771 OWNER TELEPHONE NUMBER: 7/ g 71/0 Z 96 S. , j TAX MAP NO. : Section / 35-- Block Z Lot N. 00 I ' CROSS STREET: NMP/ (1oA--b TYPE O_F',SYSTEM: Septic Tank )< New Existing Cesspool New Existing Residential X 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.) Signature of Applicant . _ S,,-/7-- ,/4-: Ald ,,ez,) (1.‘e.-7) RECEIVED' BY: - Town Clerk's Office DATE: ' - - f2-1-€7/ el 9 -5 D -//( • , :; ,___.;.,,..„,,-„:,-;._;,,..,-.'..,N---,'"?:'`'--,--?..-,-.7.--`4'-,'„ -,-,,' 1-,'4'''.'''.:','-'-'tip' , . ,: ::, \ ,-...: -: . ' 1n 't. .3Y�e ,k;�13:.• a',":s�•T I'4�'uu'�-J:4aF' � .Yur. _ .".z,"'",:.,-349.i-:..',;"1.''"i"-",,,:''i,.1 _ -1 '-`,J'''.`i, ,;f.-<i_ '�y ' \ — . . ... y,•.,. ;ti'Tr„,-..,,,i Ye ,-,-.,-:-..,-,.-::..,;.,.._A'•.: ,�.: _ ,;r n;";.j3 Fin'; -�x11!.:-;.::"•.-g"."..:1,,.. v*._. .. _ � - `T`•"-,?• i"i`-i%i'moi`y.. -,v, 4t`:,,,v;.! . ' 'i'-.:f,i�„ti4i •-,V-S-,r.,a•1•: :, • iig--•'''.114',';'-..' , - r Sri: 1 _'.•�j,y, i.{yt•'4..1 4,• .i�•',, .'.V -,;! . ' _ - , • /` Z, S ,y N".j';i '`�i c�,+{�4"34r�ii'Sli"�'.Sy). '.. ..5''s +-a•v.,r� - - i, _ - - - • ti /r�• .^a-C"':'t�>. "i iii�': ..� ig`"i'^ .- ' -!,kF^trfl`Ji�`,,:4 ''�j.JS''kl_n }, r!"y.+�r Yf•.�,i•.- _ _ - _ - ` - - _ , +`" ry y,•Fi' fs i•'sF A^ },2',N 1-,..:to, 1;_ 't:g3:its:,' _ - _ _ _ • •'''+.r.�! ;.i'•`'j��'{•`'~y,ryi3�'y;`/.;_y'��l`i'.�i.f,�,,:r.�:h«':1",.,_s-`,v ' ,t Af "',f�;^3.;�-`,,q„„'q, 1:':}1x,2+- _” ,,• - _ _ - S':".n 'n"J ^ .,. . .b : 1. %":..;cs' is Sjr:.,-`S•'•.., , -, - - ' 1 - ' ;�9 t'':.r2.12!'t`;' 7.?.' ��� // <.a^t`!'�.3 i�fi Jr� 's;''}, „I,.,, - •• -' . , .t'aL",F�''+Ni,,ij:;y• 5,Y'-4y' Y>�"'-i:,'ICirf, ;F �t''t.s,:•, �? .. i `., y 1_ `�4,,."t'f- ";•:'vt a'',LhMyFG'?• -'iYFt4,,k_i: " '•i, - � ,$7,t>xi i- `r, s^, }3+:tS�iF.".ji:.i ..:f.. -`.`- .i _ _ - - ' 4,,,.:; _,:wt;y;r:1:`yj'f�4 -4.,4,-10:s�y,, ;s,•,. - 's;. 6 `e/ • 5` i� T