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HomeMy WebLinkAboutRomano I /#/l OFFOL . ELIZABETH A.NEVII.LE ® ®� Town Hall, 53095 Main Road y . TOWN CLERK ® . P.O. Box 1179 k Southold,New York 11971 REGISTRAR OF VITAL STATISTICS ; �'I Fax(516) 765-1823 RECORDS MANAGEMENT OFFICER MARRIAGE OFFICER % � �®�I Telephone (516) 765-1800 FREEDOM OF INFORMATION OFFICER ®1 sig #0�'' OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 3837-R Residential X Non-Residential Fee $ 10.00 New Existing X Name Of Owner ROMANO, PETER & VERONICA Mailing Address 1 2620 LITTLE NECK ROAD Mailing Address 2 City St Zip , CUTCHOGUE NY 11935-0000 Property Address 1 SAME Property Address 2 City St Zip 00000-0000 Owner Telephone No. 516-734-2020 Tax Map No. section 103.00 block 4 lot 18.000 Cross Street EMORY ROAD .v'' 7 {- --- Issue Date: 12/21/98 Ef abeth A. Neville Southold Town Clerk (TOWN SEAL) L •• Ili • OFFICE OF THE TOWN CLERK VFp(,(`;- TOWN OF SOUTHOLDper. OGy Application No.,3 ,i( 7 ELIZABETH A. NEVILI,1 ,'1 OWN CLERK :°c�l $10.00 - Residential P.O. BOX 1179 fiy= � $25.00 - Non-Residential •SOUTHOLD, NEW YORK 11971 0�+. Telephone _� ' ' (516) 765-1801 • TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ • DATE rV7/7e • 'OWNER NAME: l/e. D t✓?C,4- eph„-jel.-a\iro OWNER MAILING ADDRESS: OWNER PROPERTY ADDRESS: oZ -O / OWNER TELEPHONE NUMBER: 73 1-/- a-U L TAX MAP NO. : Section ,�/ 0 3 ? Block " ? Lot /f 7 47 CROSS STREET: p TYPE OF SYSTEM: Septic Tank ✓ New Existing r/ ' Cesspool ✓ New Existing et./-- Residential ✓ Non-Residential DATE OF PREVIOUS PUMP-OUT: icy /99 91 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.) Sig ature of Applicant REQCEIVED BY: Town Clerk's Office DATE: CJ i ik EMORY ROAD ' • =tr , Z.0 / 7 05'/ , • , � . N 790 /31.5'0"E-, /50.0 m � . m . Q( , A. A�' �. , • . . \ lt k'It:1, (1�._.- --•�",,„r 0 Ili • UNA TN•,RIZED ALTERATION OR ADDITION -A/ 4�J TO IS SURVEY IS A'VIOLATION OF ,•, t� 7- V SE 10 7269 OF THE NEW YORK STAT . 4. , 9�• +.+., "� ED CA'ON LAW 1 , 041 C pIS I--,— ,�- 1 0N r C••EPIE'L ND OF SU%1'THIS SUROR'VESYiNILIU h1AP NOTSCAL ()CERA SEA'R .HG 0 y o • EY- . T BO SED SEAL SPALL N II CL CO�4SIDi ED %., 1 O B A VALID Ti U: CLAt. • • ICOE 0 • G,f ANTEES INDAIID IItTE 'SHALL PUN _ ON i0 THE JE S::,i F05 X1,1 Hit SURVI • IS 'REI ATED,A.D J,I KS C-:•MF 10 IC �.• ry QQ 'A :" TI COMTAI:Y,v'UV_Oi:Ylf IAL ALAI -Y At - J'. ./ .T 9 /.5.f,..1-0" ,1/.' /6-4).0' LENDING INSE 117UTION.L SILO HsL:01i, I'D TO THE ASSIGS:FLS GF I.*iE!,I)I,•.(,It It. , 1 _, . _ V_.."-�33 '.�4 • 111111074.GUARA2 T5 S AWT i-1GF IC• •It'A61 -, • TO AHx11101JAL L%SL111311)AI$OR , L.a f' /9 0110E3II. • (� f�Di7�Itt? i7 T Sthfe = / ,' 'MAP' Q� PPOPE 7"f " .Ti+1.e N5, 7:E=S ote- -." , ' . .`5'C,/f?WE"Y a©: /J'orl pipe pe�' PO8ER T C. ANO Da ROT-M-' NEE-Sc- , , AT , • CUTck-{oGUE N.Y . ' • ,GNwe'd H f eet* to file-Ckic"aaga • ;Title {wsNvatvice Ca. 4 to the. Note : L401L neinthers s howil rear in -,'soufHcld Sovirl s Book as ' ItMaio di' Su/?h( -Shores ?' r lNY Ve 1p)a -0C+. 17,19'YS . �/ ��� ��h -- g2vbat2icu'Vats 'Tuvu,P.C. -71-he Stec-calk DL, 7�r f e Y�c �S 0-61,..cerr,.,.b..' /� 05 Map Mffrnbee 32:31. rt-','- • "L.it eued Lar({ rye cera • , ; : .6reeriparf, l1/ rk