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HomeMy WebLinkAboutGuiler OFFICE OF THE TOWN CLERK •c0F01,KI,O Town of Southold ,, 01;:t.,:.• 3Judith T. Terry, Town Clerk t_ Town Hall, 53095 Main Road { P. O. Box 1179 - • Southold, New York 11971 tip` 4,r ' Telephone _0.( si t (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 231 Residential X Non-Residential Fee $ 10.00 Septic Cesspool X . NAME OF OWNER: Karl E. Guiler and Wife OWNER MAILING ADDRESS: 1480 Westphalia Road Mattituck, New York 11952 OWNER PROPERTY ADDRESS: 1480 Westphalia Road Mattituck, New York OWNER TELEPHONE NUMBER: 516-298-4460 TAX MAP NO. : Section 114 Block 7 Lot 13 CROSS STREET: Horton Avenue TYPE OF SYSTEM: Septic Tank , New Existing Cesspool X New Existing x Residential X Non-Residential DATE OF PREVIOUS PUMP-OUT: January 6, 1986 Judith T. Terry© Southold Town Clerk DATE: February 26. 1987 (TOWN SEAL) OFFICE OF THE TOWN CLERK cAFU��- _ 3 Town of Southold �� �G Application No. Judith T. Terry, Town Clerk Residential Town Hall, 53095 Main Road c _ ' K. - { P. O. Box 1179 u' `' Non-Residential Southold, New York 11971 O ' ' �•` 4o : �o ..• Telephone _ .( �► (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT FEB 1 19U APPLICATION Too Mark Southold for • OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. o23/ Fee $ /6•cr • DATE :- i.A_/ OWNER NAME: "4: (Cc?, 1l , OWNER MAILING ADDRESS: ) TZ) L3.• I �' ' 2,--r.S2- OWNER PROPERTY ADDRESS: C , LdJ l?' � OWNER TELEPHONE NUMBER: TAX MAP NO. : Section / / Block 7 Lot 13 CROSS STREET: � (DR 7n/if TYPE OF SYSTEM: Septic Tank New Existing Cesspool New Existing Residential X " Non-Residential DATE OF PREVIOUS PUMP-OUT: j-- 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 B Y: g(rx_67. RI£CE1 Viall n glerk's Office DATE: rrn 1E27 Town Clerk Southold L ta, g 11480 WeS7170 r16. 1 ( rtC.?( 0 C COSP°171. 1-15` H.-a •F 00141I4 r+o/a1t tt tsC k G RU M