HomeMy WebLinkAboutGargani oil WM&
•
1 /�
101'0 Y t-•F• �
T�y` . G�
JUDITH T.TERRY ` ® _M • Town Hall,53095 Main Road
TOWN CLERK t x•,.R`-6..4 P.O.Box 1179
�s trs,l� Southold,New York 11971
MARRIAGE OFFICER
REGISTRAR OF VITAL STATISTICS �_ 1 Fax(516)765-1823
� � c5��11
RECORDS MANAGEMENT OFFICER --.7°1 t 4;//1 Telephone(516)765-1800
FREEDOM OF INFORMATION OFFICER ���,,,,�•��
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 3373-R Residential X Non-Residential
Fee $ 10.00 New X Existing
Name Of Owner GARCANI, JULIUS
Mailing Address 1 540 MAPLE LANE
Mailing Address 2
City St Zip SOUTHOLD NY 11971-0000
Property Address 1 540 MAPLE LANE
Property Address 2
City St Zip SOUTHOLD NY 11971-0000
Owner Telephone No. 516-765-3747
Tax Map No. section 64.00 block 1 lot 21 .000
Cross Street MAIN ROAD
Issue Date: 8/10/95 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
•
,,OFFICE OF THE TOWN CLERKS��FdUr
Town of Southold ,V CQG 'Application No.
Judith T. Terry, Town Clerk .�� y
Town Hall, 53095 Main Road Y $10.00 - Residential
P. O. Box 1179 ' cr3 .`' $25.00 - Non-Residential
Southold, New York 11971 OL 0���`
Telephone _0l IP N�
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
- for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 7 f
Fee $ •
DATE —7— Z g
OWNER NAME: 3O L t 05 EA A1-72.674- v i
OWNER MAILING ADDRESS: 5---(4- 0 M ,-'-pc.. E. L ,J-
S c_ i4r t/ /1 7 /
OWNER PROPERTY ADDRESS:
OWNER TELEPHONE NUMBER: 76S-- •3 7 LO
TAX MAP NO. : Section 6 q Block l - Lot - 2 /
CROSS STREET': /Q ,
TYPE OF SYSTEM: Septic Tank New -r-= Existing
•
Cesspool New ✓ Existing
Residential ✓ Non-Residential
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
RECEIVED BY: ANN
T:wn -'Jerk's 0 ice
DATE: g ��
08/07/95 10:55 FAX 516 477 2728 MANDEL REALESTAT 11002
& _
1111.
„..-
` Ili
• !r. 7.
• i
J t
:/ 3° - • 1
/14. ---- - _ -�
Larri
Ar �F o L.�__•�-i
- , TZ. Co r"rtlitt
•
•
N. 12' 29'40"E• _ Z6e 84. i4.1
Si v1tr i,
lb leer"/ j r . .2
_ ,"i
_ „.....,__.1.9.....=_:-.
�9 —
'
Li' E-= N \ ' l 7'
- �oesspoeM
t
its............t':1 1 i il ; N,,5,i;";:. :ri , :, a
' -
r „..--
septic N'
tem* iY
e41106•
eV 73 "5-3.34 _ i - 7 .t.15ei.40
0 I_ , It
Lir9'74.54n .J. ' 74r
1
f • IP
.5(t f.b'E:V.+$f U. P 4 fat
• • b p t c f + °
JUL,- �1 t'f_-) 5 G A I 6 / ! - -- - _— -
�0(1774a4. b Atria ir"doei.4 4,95
. • se ale . eiQ.= f..
.es, a..132.1.