HomeMy WebLinkAboutRysko OFFICE OF THE TOWN CLERKFO
Town of Southold Qc)�FG
Judith T. Terry, Town Clerk � ;4.3, 44
Town Hall, 53095 Main Road
P. 0. Box 1179 cn .. � w,
Southold, New York 11971 \�,yy, ' -°•�
Telephone �j %
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 448 Residential X
Non-Residential
Fee $ 10.00
Septic Cesspool X
NAME OF OWNER: Philip J. Rysko and Karen Jean Rysko
OWNER MAILING ADDRESS: Box 624
New Suffolk, New York 11956 •
OWNER PROPERTY ADDRESS: Oak Road
New Suffolk, New York 11956
OWNER TELEPHONE NUMBER: 516-734-6320
TAX MAP NO. : Section 117 Block 2 Lot 3
CROSS STREET: New Suffolk Road
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool X New Existing X
Residential X Non-Residential
DATE OF PREVIOUS PUMP-OUT: March 1987
oirgedieorze .
Judith T. T rry
Southold Town Clerk
DATE: September 29, 1987
•
(TOWN, SEAL)
J.'' t .
OFFICE OF THE TOWN CLERK S\FFD(,
Town of Southold off% elQ Application No. 954/
Judith T. Terry, Town Clerk ` � t , `'I Residential
Town Hall,
53095 Main Road o 1 -
P.
-P. O. Box 1179 c.r3 � w + �� Non-Residential
Southold, New York 11971 O kr
®�`° "'.F
0.(
Telephone 4- 0 °.
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
MUM
SEP 1 5 1907 for
Town Cork $eutft�ld OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 7
Fee $ /01
DATE 01/F7
OWNER NAME: flild :,4‘; 4 i / , id'
OWNER MAILING ADDRESS: 2ri
;LW % 4 6p_/
p Lat //9g4
OWNER PROPERTY ADDRESS: O A9a52CY.),
)Uw ,e, // 9 -6,
OWNER TELEPHONE NUMBER: 7. ®
J TAX MAP NO. : Section ( � Block Lot
CROSS STREET: J Jv - a LcL Ca—D_
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool 7 New Existing K
Residential Non-Residential
DATE OF PREVIOUS PUMP-OUT: )/2?a1).&k /91(r7
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 an• oses oad.)
AI,"
eFiliir, dr"41 i I II r i b.,
if Nitiiiiiiime
SI furl. .plican'
RECEIVED BY:Qec _
Verk's O. fic �
f e
RfCEI n .
DATE: iEPu1987
Town Clerk Southold
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