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HomeMy WebLinkAboutRobinson (2) i-- r fig cue Or , JUDITH T. TERRY ` ; Town Hall, 53095 Main Road TOWN CLERK ® ►ZT, : P.O. Box 1179 Southold, New York 11971 REGISTRAR OF VITAL STATISTICS �Y® �� Fax (516) 765-1823 MARRIAGE OFFICER �_ '`' �® � Telephone (516) 765-1801 RECORDS MANAGEMENT OFFICER 7 ll i• FREEDOM OF INFORMATION OFFICER =� �,i�,�I OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 3278-R Residential X Non-Residential Fee $ 10.00 New Existing X Name Of Owner ROBINSON, ERNEST C. Mailing Address 1 E-223 DIANE PLACE Mailing Address 2 City St Zip PARAMUS NJ 07652-0000 Property Address 1 915 MILL CREEK DRIVE Property Address 2 City St Zip SOUTHOLD NY 11971-0000 Owner Telephone No. 201-261-9052 Tax Map No. section 135.00 block 3 lot 37.000 Cross Street ROUTE 48 Issue Date: 11/15/911 Judith T. Terry Southold Town Clerk (TOWN SEAL) V •� v"I OFFICE OF THE TOWN CLERK ���1FFR:� _ Town of Southold %_r CD - Application No. �7� Judith T. Terry, Town Clerk �� . .. iA; o Town Hall, 53095 Main Road .� ...,,,. $10.00 - Residential P. O. Box 1179 tri r - L: hi Z' $25.00 - Non-Residential Southold, New York 11971 Obi "0,e's . ., Telephone ei * (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. ©0 Fee $ /40 DATE 7/7/7' OWNER NAME: 6-(1/f t SY Ca , 4 6//,S J,.J OWNER MAILING ADDRESS: - Y// ./,t� v7(.� - q r t �,,.0—� �, S' 7 OWNER PROPERTY ADDRESS: 9l°. / (....i .. e/,P .�,y6 D it'/Lie, ,5,., ' c, (-e.--e--/ .,42 7 ,,,r 7, OWNER TELEPHONE NUMBER: a a/.- 26, /�r - 76 .5.--;2- TAX MAP NO. : Section q7 9 ? Block / 35— Lot 3, 3 7 CROSS STREET: ede / 8 TYPE OF SYSTEM: Septic Tank 2K New 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.) __/i,1,4,0-----4 / / lr . Signature o Applicant RECEIVED BY: — Town Jerk's Office DATE: / /(/2) 1'C mf . lekn, t . •,-fk) • , • \ . .- 1.:. IQ T The, mi..; Tierrlel • I • ci 'f T .-.- C. > 'L.7 ' FOrtrICYJ9 \ kftlin5Che) , I I . , %0 , f , (\1 ) I.83'00'E, - 13 9.'.) 0 . ii• • c.; D kil . 0 ti n N ir .. t? .,-.- , Pc. •:.,.!i „, •G• i ....... • • ,., o 14):4i -,t-y, ., • ••11. • to0i 0 . ., 1- , . , , lt,)i,--t3 ,•,, , -,',. .r -F ' •:, - LU k., I ....:; r".! , v,1 • ...-ri.i i S. 1 '1.1.1 . 0 • 1 „: 1 — , • I ..-- 1/4)-7 U VI 'hi ... ... ' •• tu : !ill ti a 'r , ,` Cr 1 , I -.• biue-,5 4705:.? IC.7.7` , ... C .. i, 11, , L. i , .-- .... t ,:fUl 2 qs, t 1-i Pairk,' , -r-:#07---- 1 III i: - wl. • - 2 , • 4.1 1 ..... 0 .., ..,.. ... iy ;I) floors „ 46°114:-14-: .... li ' - •IA: _ ci.ecit_ ilL. I e?. 1.. -.... . , CI Veal.% •sea,Se+zt . ,.,..7.. •: ^ ,.r:•- ' • •.•, .1/4-DITIOri , •• • . LI'. '. 1.13 \ . .01. • . . - . •.,..'•V.': A . .....;1..:N Oi N. era:nce. ...i. i s,... .ir 1 0 - --: /:. - : ..... .....7..):STATE • • •- 0 , !' .0 N ze.w __at. t,1„ . J . •,.. . ...1, CONE;C7 7.'.: :4.7:: “:.:' ;•OT STARING 166.0 '•:.24 1 THE LAND EU V.:1::,'•.. •-,t':.• tEAL CR ' e'clif i 1`1" VADOSECD:Ey.!...'•L'.,.:7 E5 CONSIDERED (fCrrn ler7:/t/C2511r'.a: rl I z -- _ 1-. • v; TO BE A YAW:. rr'.1.*C WV. X I J '‘'1 C litn o.nci") GUARANMS 4:'•':-T.:: r:r.ON SHALL RUN ONLY TO THE jt.::;:1C::wi-.om THE SURVEY •• I.ir C14 ! IS PARE , AD I II::.EEHALF TO ME • TITLE COMP. AMI:M.LtITAL AGENCY ANP . .1 . LENDING INSTITUNZ•N LISTLD HEREON, AN1D : • • TO THE ASSIGNEES GE THE:ENDING INSTI• • . TUTION.GUARANTEES AR t NOT TRANSFERAbq •, . " ro UTIS M ADDITIONAL INSEITOW02 SUSSIO.K.o. A P OF LAND owtas. . . „ $Li 2VELYED F02. - /"" 4' s, -.../. 1.1, . . i li Ekt\IE,<-.)-1 (-N ct DoRic: B RoaiN501\ ,..) Q ,... , . • AT . • . ... • A25 gr.;A M OM OQUE " . . . Gociroritrxri to Chie..c90 'rifle 1:15tirirt,:C TOWt•J Or SOOTI-10L0 ,N.Y. , Co. $ SurVecied At/9115f' le 1975 . a SCALE '• 30'- 1 " AtvigNiOgV SaPr. 20 t98Zi •••.-•", I''''", • monument . f . P"..... . \44......... I ..A........$rie ' • . ' I ! : i Lit:en 01 LC;I:ICi ',5uryt.110/•:: I • ' r ', .... NI - it-. e :* -;.•. :- ' r:, .,IL)C :•: ! i, %v..; r.,.. , , ,. 1 1 • , - --- • , — ____