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HomeMy WebLinkAboutRoss 4.ectf Wire: Eel '' 141v Town Hall, 53095 Main Road P.O. Box 1179 \- ® ED 'N 00' Southold, New York 11971 JUDITH T.TERRY FAX(516)765-1823 TOWN CLERK TELEPHONE(516)765-5- 1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 1467-R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X New Existing X Name Of Owner ROSS, DANIEL C. AND KAREN R. Mailing Address 1 1450 WOODCLIFF DRIVE Mailing Address 2 City St Zip MATTITUCK NY 11952-0000 Property Address 1 1450 WOODCLIFF DRIVE Property Address 2 City St Zip MATTITUCK NY 11952-0000 Owner Telephone No. 516-298-5236 Tax Map No. section 107.00 block 8 lot 2.000 Cross Street GRAND AVENUE Date Of Last Pump Out 0/00/00 Issue Date: 5/18/90 Judith T. Terry Southold Town Clerk (TOWN SEAL) " „I • OFFICE OF THE TOWN CLERK c,\FFD Town of Southold y' 9C� Application No. /4I( 7 Judith T. Terry, Town Clerk Town Hall, 53095 Main Road $10.00 - Residential r/ Litt} P. O. Box 1179 v' s_ tiY ,� ::- . � • $25.00 - Non-Residential Southold, New York 11971 O Tai TelephoneOj' ,�� )\ • (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ • DATE 57619-6 OWNER NAME: Doo-j. L C RISS AND k,f-nlv' ROSS OWNER MAILING ADDRESS: 1,450 (.3o(>0 L�FF 4i Y�lnThrirTlit_C!L /J-t), ) 19'r? OWNER PROPERTY ADDRESS: 14 L)060 )Iica OWNER TELEPHONE NUMBER: `a% �� TAX MAP NO. : Section 107 Block Lot cd . CROSS STREET: GRnNQ TYPE OF SYSTEM: Septic Tank New Existing Cesspool , New Existing X Residential )'\ Non-Residential DATE OF PREVIOUS PUMP-OUT: kci 1,77b 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.) tir Signature of Applicant RECEIVED BY: Town Clerk's Office DATE: .„'''',04,,-.;';'"?..,•.N.i'r,•..*'•••-%".7i.'ts,.., _ ..-...,,,,Nkr.g•••4;•^;"tt•-•-1.3Y,7,7.''''`ra..V1.;"AP,"e4",-3.' t'",-4-.,',/,'-,,,A,"1-' ! '-'" -'- "" - -"7 . --'"Ir,,,,,,•,.lc;,:. .-,,--, `.,.. .-;"-..7.,-'.,:---;',.e.v.,,..e"' •,-.--,'-"...,"- .--t-r_..'''.:_"::..., ,---",,''-' .-, 1'4'4-.7 'IP" --...; -..,- !'• •-•.....7.....-,-.........--- . •)'•"•• •-,A. ,,,.. --14-.: • --: A . ___ ,__ . . .:• ,./.... v. • .. • .„ . ,,,..,...!. . . .,, , , ,. ..... ..:, . ..,.... . .,-- 7 . --• rV•Cl."'Y.- • • .• .'. . • • • • : • . • ••••••••••"‘""• • r•''''. ••s••t•cr",.7r••T-r,T-•.77 - - TT -7". .. .,:' • ;.; (. ' , • . .,.•,F‘,,; ,,,s, ,,'.;4.• , ? 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