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HomeMy WebLinkAboutGlisker or ear JUDITH T. TERRY y u� Town Hall, 53095 Main Road TOWN CLERK r P.O. BOX 1179 REGISTRAR OF VITAL STATISTICS a � Southold, New York 11971 MARRIAGE OFFICER ®�, Fax Fax (516) 765-1823 _ 0 'MOP 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. 1923-R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X New Existing X Name Of Owner GLISKER, RICHARD Mailing Address 1 8625 WICKHAM AVENUE Mailing Address 2 City St Zip MATTITUCK - NY 11952-0000 Property Address 1 8625 WICKHAM AVENUE Property Address 2 City St Zip MATTITUCK NY 11952-0000 Owner Telephone No. 516-298-5340 Tax Map No. section 107.00 block 5 lot 1 .002 Cross Street MILL LANE Date Of Last Pump Out 0/00/00 Issue Date: 6/12/92 • Judith T. Terry Southold Town Clerk (TOWN SEAL) OFFICE OF THE TOWN CLERK .cvFFO(,r��� Town of Southold CQG', Application No. /5'2.-;3 Judith T. Terry, Town Clerk �� J` n'_xz �� $10.00 - Residential Town Hall, 53095 Main Road ri P. O. Box 1179 tr3 r z $25.00 - Non-Residential Southold, New York 11971 Obi • 0 ��` Telephone _Ol ' '/ (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICAT ION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ • DATE d///(6 OWNER NAME: RI,e�l�o„c,, -c,( Ct - I L IC ,/' OWNER MAILING ADDRESS: _ OWNER PROPERTY ADDRESS: 5N., ..? s LALLci kap OWNER TELEPHONE NUMBER: c 9 e3 9 TAX MAP NO. : Section / 0 1 Block 0 Lot /, a CROSS STREET: v kt.4, (•[ ( e:- f TYPE OF SYSTEM: ,,Septic ,Tank New Existing Cesspool c/ New Existing Residential L/ 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.) • /d4<f•- -/./ Signature of Applicant RECEIVED BY: - Town Clerk's Office - DATE: - 3 £ i ,„ of hoc ‘1,51J c2. \ ,, . • ;`, - - ', `, `' \ _ Nis • Q°� _ �SI r..j5�;:�,. • ,, ` J ' P� fit` 8Q CSO -- \ ,`! O _(,�'_ hoc aaeV y �_ • \, • . \;, • G.I,AT.-,,,,,,,,,t,,':4•.•re ' • ,,t'ri,r / 1� .\ ., .;pS;, 'a` coo I .516, ` .; 1 �\ R��& f ii,;"«4�?;n'q a; ,. ,ar' "n,,;',. o ; •�� \ GONG - - , ;1.1,,`,4,,,,101;,;•,.:,:.-, r rr`,y a,.1x.,4 , •+4_•�y`��+'4'' ti li. � 1 I\ , ,. .. ' , _ ,.r•^ i / r. • ifr%4 "rr��t-�' _ 'G�� ;-;',' .h + \ •,- '•µ ';;' 't: '9\-` ',...3•344, i'i'`", _t /90\'� }; - , 1•7 �kr'Sl�k`4,d�z.S'Str�� .,';'„1,,,P„• .: _ 1 [+' ,tip, - \''•,'•.`i .T.`Nom. ' • ' .. . - • {�.iz ,�tii•4%'�`' `�;:�tii'd4(}�w -``'.. 1,"'`'y_ .e•,~•Y 'd�:1 -��.k:;l Yt- • ` • ir u �.r.•�;,�;, ,_ i�.. i s:• :r,• ° � • Y � 9at 1, ''Oi•' ''' ) ,.)r' - - LA ' ,PN • i'� ' i P' <r,'�f�l'r,�:f`a1`a.��o i � %,:••.s _ N W �i ,-r`''tt t, 't ., • .j''�7t`�}'.'14r�r� , ril yr.t, _ - C' 1.•''14:''''•••'''''''''r, - `r >`I t,: orf. • , r,7.' - �` o. !V41 na'ic ,•.:Zi.ttY'E.{` ,el'�"{•, ,.,i• i "yY: _''•; •Q` �,i. _ • - _ `\ - • . � �' r:i't d'f ��j�c ::,` it„,5 '•, inV.,-,i,;. 1.2 f • / f �� i �7 �•`:�$,'~i c!3,<;`'a't.7,.. +F,+, �� • t• 'r•t• ;',2,y,:`, A."r ,': q O,,_ +„',,:':',,,";,:11..._ 'M, _ ,Yr� �^)f�, , > + , !4'^'+d-1 3>7'"-`J'SW.,,}.�J- 'i;'',.-•),. �' • `y• k' .4i�-: ,- ,,I d. , •W L"'1„ i� ,£,e4Nr=z'F!c` ?fin: 'r':;i, .� ;f,� - 'f,',..t„ n.`.(� \v1 ''2t �:' lL S J. ��� �! i ^",�{,, �,�„ J.i r�;.. O - I ,� r... Y•'"�t Z60 \Z '+°;;`; I • T-S' .. , T 3„ ;,'' ! < ' 111�' ' N k "1 • o y ,,,>,'2,4 , o'” ; ,- r` +#';`r,. \ "'s 4'r: 2k ;la1 „ '.r x ;45'”:'� ` '}`' '''N • :,,,, „.,,,,,r,•,....'. o , r i F:g:,,,, ; fid.`? ' ;.�r; y z.+„ i•,. t,\ * o. J t', •• Q• t n •,.0 ,, e: ,T.${'s• 4ti ,. ., IA, Y�'.4,. \ 0 r -lid E, i ' 1 ;� CtirK';' I' `�' F'z;', • Y`' kK(!, :;z \ 3 \I ., , i t/ %�,t; - •:'-'d,' f�;'«.gF S�-•it:,.f SJF„ .?▪ '`• .•toe i., ILA..^� _ e-\ 3. , 'w1`t?',}' IOgt-. :e i1;[ 4'. n•,:�£. fes'. ;+;�, .:'�'":1, '14 ,i,,,,:,0-,0y...1,.•' '.,. . •\ I .�+ . , Pa iar,r;70.•:-�i,;`tif(' , „ „#r'? �', , •`;,,_ ,1:y. ;y1-.tk• ` '.� :`` 'rt �,,, - ;``,G•7eia {,,T{Y;;,'r,c,+j'-,”�`t;' ,t'Q .1.k •'••t •;, _ • 4. • 'ilt' • -11 i N -,,„' "T''1 • , '` \ • it4a0r r.Y{fif•�4`,t13.�+ '. V�.i,!'.•vk4' ,.V .tiq •V. ` - • . . . 4r5 +11-!:a:r`r.'1•b,,i`,'i`q ,i l',•:,, rf::