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HomeMy WebLinkAboutGoldman (2) tegf JUDITH T. TERRY y Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS q=g5 1 Southold, New York 11971 MARRIAGE OFFICER ® �' Fax (516) 765-1823 ,s2,s' ®_�! Telephone (516) 765-1801 `g40 ms *14' ii. OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 1987-R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X New Existing X Name Of Owner GOLDMAN, ROBERT T. Mailing Address 1 BOX 95 Mailing Address 2 City St Zip NEW SUFFOLK NY 11956-0000 Property Address 1 930 JACKSON STREET Property Address 2 City St Zip NEW SUFFOLK NY 11956-0000 Owner Telephone No. 516-734-5547 Tax Map No. section 117.00 block 10 lot 6.000 Cross Street FIFTH STREET Date Of Last Pump Out 0/00/00 Issue Date: 10/15/92 Judith T. Terry Southold Town Clerk (TOWN SEAL) '� . Ii„-' OJFIC-E OF THE TOWN CLERKSF� - _. Town of Southold V��...:�-_. CQG', Application No. / 98 Judith T. Terry, Town Clerk A.0:- '� x:., y Town Hall, 53095 Main Road o . ' r �� 7 $10.00 - Residential P. O. Box 1179 tr's "ts r �Y; $25.00 - Non-Residential Southold, New York 11971 Off` '' ,_ I Telephone _(j (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION - for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ DATE 1b 6 q `Z. OWNER NAME: KIN(, 2 1- CO �nt&p OWNER MAILING-ADDRESS: tjdNit 95 NewSAIE tOI 1lciSO OWNER PROPERTY ADDRESS: C C `, A-C.I�S00 ST: Dray.) SuFFOuC1 J4 L kit ID OWNER TELEPHONE NUMBER: 1-S1 ' SLEIl TAX MAP NO. : Section 1 i 1 Block \ 0 Lot CROSS STREET: c�•c.A sT - TYPE OF:SYSTEM: =Septic--Tank -== ------ -New Existing / • Cesspool / New Existing ✓ Residential J 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.) 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