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HomeMy WebLinkAboutRodenburg oto JUDITH T.TERRY �111 A Town Hall, 53095 Main Road TOWN CLERK P.O.Box 1179 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS `� ��,��� Fax(516) 765-1823 O./ ® MARRIAGE OFFICER � ���� Telephone(516) 765-1800 RECORDS MANAGEMENT OFFICER ': 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. 3543-R Residential X Non-Residential Fee $ 10.00 New Existing X Name Of Owner RODENBURG, LEE Mailing Address 1 1480 WASHINGTON AVENUE Mailing Address 2 City St Zip GREENPORT NY 11944-0000 Property Address 1 1480 WASHINGTON AVENUE Property Address 2 City St Zip GREENPORT NY 11944-0000 Owner Telephone No. 516-477-0669 3d Tax Map No. section 40.00 block 5 lot ,.oe...61-0-1-11"6"/ 6/9P7 Cross Street CEDARFIELDS DRIVE / / Issue Date: 11/15/96 Judith T. Terry Southold Town Clerk (TOWN SEAL) ' •.. OFFICE OF THE TOWN CLERK csqFair Town of Southold , &%- epG? ,t1 Application No ' Judith T. Terry, Town Clerk , . vi ,..,.. .*Al eC $10.00 - Residential r Town Hall, 53095 Main Road , — 1� , P. O. Box 1179 U7 5, r V � $25.00 - Non-Residential Southold, New York 11971 O ', .. I`� Telephone.(` ..),'N," (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT ) SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ • DATE OWNER NAME: let' ler)44.1A44,-3 OWNER MAILING ADDRESS: /tic-c2 1JCcs/4o9 //L/ mac/ rip /1-/y // y OWNER PROPERTY ADDRESS : - a,( _ .L - I OWNER TELEPHONE NUMBER: 6-77 - 066 2 TAX MAP NO. : Section '-- Block -1 Lot e CROSS STREET: ce t z ,)5 r)rJ TYPE OF SYSTEM: Septic Tank >7 New Existing e'etitc,4-ec/Ces ool New Existing 5h-e-d-, 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 B,,,.',4- . 'i) aro I ri Town Clerk's Office G DATE: ' 1 9Cl� , ^•r,� 1}�,..r i .u`:1:_ _, .?f,';✓ •4• r .,ti,:::_•i', r,.• r-^ "[3h•• _ - ','• '• f Y ; .. T, 'L - '`• • v • l',:;.:', ,,.Li,,= .' `, : _ - , ... • Il "-t^ -;',2'_,',. ."-N.-,.:-,;'',•::':."f,. _ 'l. Ufa :Y�^<�{ - .:". Y: '',:•%", _ _ �•I, . f,n� ,.,,(n,. , .ry:hC .`ry;:y. %'' .i' , _ - -,•,4-:',',,-;-.,!--".-.,.., '4<, - - ,'_ - , . • •:..,' •%•,,';,‘ • Vim, r, t .:'.:u•• L' • ?r` - �r1.�• : i ter. 'i"� _• '-'-3 , f�, -> . •- '/ - _ 0 "` '` ;a::-;� • . • -20 • • • '1`OI " - _ _ ,� •• _ Tf, J,fJ (. ',L\% if+•••` ?' '"': r , . '" ` _ ` t-,��.� r• • t < , �-,L- -• I�'�•,tl+• :}�f�u1;:J r_,`_rte' '''''''•:%'‘-l.':..:' _ :: L.,,,:,,-....,11-„,::::-.-:,,,a -),• ,�r:.' S's C, j ` • i. 1- _ ,�CF - -, • V .1=';, -i.-.1;:-.;,-;: •r- ,�f" 4,.1 - F `i lI J _ - ,,I• ,'' 4 .. t tet' P :1:17%:.2:::‘:::.;.:.'"';',..;_ • ,.: w r' k ,' CEEB H: Y�^r -'1..';14 i'fY _ r,I psi •-T' ,1: rI'•-- _ :_l'- - •r , ' . 1 .`' DU'A.• C, ='; • ':; ,rte •:`' - O -f - 9 'i;• - - _� -z -'>• -•., .x,41' '-\.:•:.„-t ':T, , :N, • • • f7Y-_ �.-'r..;.ti.'CC•=.-i:n`- '•y',a •.`_ _�l.. -• ..'C`.4Sr,' ,i,��a,; ,r,. Y-'-- 'a`•,.:�', ril.f_ r_'�;•...•�O.'�r- 5.3 ' ` - -'''• ''•. _ - +/•5I,' ".-0....., h"r. -''\�_ {_„ •+ i =e. -• 2 _ •--•,. V ”- .-`S{'Y4n`._-f1`i' T• r}I-a )1i � ; r Q ';' • yF _ - - - _ ;1'=' -_S ' � -,r4,;,;'",-,.,-.','4:::".1.-;.--- =� r ,h , r � I "•' s. UbE t - - ' _ i - 'ro� 2TiY•;: ,a �,-.ti.`•: i ¢=••-. � -_r. _•+�L.�$a_e:.. n�.:.- S1�,.rlr - `;i .- , Ar _i r. Ioele ,� 0o - ;f, ` ' ` • 7" '� ,' ,v�, Y >' M19=,s ;c,. 'It' _ 'N :-1J ` ;L}y _ , ti• - i,,,'*�}+,,'. _,It)'10.. - a ; � \•�, • . .':" i` ^ �.` •' �j - t - +{ t ,. j �{Wi`' t >' , _. ` ' •, -4 - IX ' _ 11.`' v ' ,nfy `{�."rl••.`'.• ,,='•-:, t, „ ;lM- ' 1 ' IL.-' -, / 10 - • -1 -}'11.'Pa .Ja`' _N-' ' --i••:�•e‘:-'",,:;.:-'-."'•";'•.4",•=., -'. 'f• i.,' . i.>:.- ;-._ 'tre. ,"•':;;',. 1 ?•' ^ ' ; ',._ 5 r'' :i••..,t' ,:!' aJ �/• 'i,., • `eZ}4', , ,r „::: ::-. e.. -,:".3.'t,-..“,• I ti 00 •"'' . • ':-.7 - ..'' '2,,-::::-,,,,,,,, '� • ..' ' ��,=',%:-..:•;,‘:". .; • �;• 1100• i,r/r wAT {�' " :i'. �„ '" (�li.`r,a. - ' _,-,..t-'y(jBL%•� r " N; - - p• �y'' - '' im 'l� --.7„.4.,•.•-,--,!..-1,-''''•4:- 'r4 -i _, _ •-_ _ •'i', :•F;-t"1� • •'�`- .g''f,r rra...�-'.c. _ - a"_.._:� '}:.,'-L•.•-.,:a', Y..r.,.�....: 'c>='s�r..�•' - ..:•..'.t:.::.i.-4•.i...t,.%:.L�,:iri. .=3i^.�.ra:....,. •� .'o'r.`ai..:.,.•'.._•�.._r __ a::a:._ •,�at�_.�:•s..?:._...:w-:,n.;,.i.J'