HomeMy WebLinkAboutRysko (2) OFFICE OF THE TOWN CLERK •c0FUU(t)
Town of Southold � _ •. y
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, New' York 11971
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Telephone = .
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(516) 765-1801 _ '"
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 253 Residential X
Fee $ 10.00 Non-Residential
Septic Cesspool x
NAME OF OWNER: Stanley Rysko
OWNER MAILING ADDRESS: Box 76, Main Road
Cutchoque, New York 11935
OWNER PROPERTY ADDRESS:, Main Road
Cutchoque, New York
OWNER TELEPHONE NUMBER: 516-734-6059
TAX MAP NO. : Section 97 Block 1 Lot 13
CROSS STREET: Bridge Lane
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool X New Existing x
Residential x Non-Residential
DATE OF PREVIOUS PUMP-OUT: January 6, 1987
Judi-11;1'T. Terr
Southold Town Clerk -
DATE: March 31 , 1987
(TOWN SEAL)
OFFICE OF THE TOWN CLERK S§FFD(,p -
Town of Southold C' Appli—cation No.
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road a - 7 Residential
P. O. Box 1179 , - Non-Residential
Southold, New York 11971 O � �`
Telephone
(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: J.44444r „.i427.1.---0
OWNER MAILING ADDRESS: i/ 13e/4' 24 ,, l. 7 //73-5—
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OWNER PROPERTY ADDRESS: 2 I � •_ //fid✓
OWNER TELEPHONE NUMBER: 73'f 6. 0 5- 9
TAX MAP NO. : Section y7 Block A Lot 1 3
CROSS STREET: 4
TYPE OF SYSTEM: Septic Tank c— New Existing
Cesspool New Existing
Residential Non-Residential
DATE OF PREVIOUS PUMP-OUT: J.01-71...), 4 i f g1
LOCATION MAP: Must be attached hereto beforepermit may be issued.
(Locate building and system; give north arrow and feet
of distance, approximately, to building and closest road.)
ignatu of Appli ant
RECEIVED i q 9,frr,44- a-6IG-- d•
Town Cler 's Offi
DATE: BAR 3 5 1987
Town Clerk Southold
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