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HomeMy WebLinkAboutSabat ti \ Town Hall, 53095 Main Road P.O. Box 1179 \1�1, ss-zz �® %J Southold, New York 11971 JUDITH T.TERRY �,` 1 3 TELEPHONE GOWN CLERK (516) 765-1801 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. 3600-R Residential X Non-Residential Fee $ 10.00 New Existing X Name Of Owner SABAT, BRUNO G. JR. Mailing Address 1 P. O. BOX 690 Mailing Address 2 City St Zip MATTITUCK NY 11952-0000 Property Address 1 1185 ROSEWOOD DRIVE Property Address 2 City St Zip MATTITUCK NY 11952-0000 Owner Telephone No. 516-298-8797 Tax Map No. section 113.00 block 2 lot 4.000 Cross Street COX NECK ROAD Issue Date: 4/07/97 Judith T. Terry Southold Town Clerk (TOWN SEAL) I Imo' o OFFICE OF THE TOWN CLERK 'c3\\FF��. "- Town of Southold � 14=-.\ Application No.3 9 Judith T. Terry, Town Clerk , y • Town Hall, 53095 Main Road 8 .< $10.00 - Residential p. O. Box 1179 cry ' $25.00 - Non-Residential Southold, New York 11971 O 0��1`, • Telephone s O! Y►� (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation- Permit No. - ' .Fee $ • :r M1 DATE '7 X192 • OWNER NAME: 'BRI{No � 5,9,Q/1 • �d. OWNER MAILING ADDRESS: Pa Quit 190 /14.-7--77 Ili etc /1/% 112SR --o 'IC OWNER PROPERTY ADDRESS: //65 (A'S-igloo-0D Da. M'rri raC& /✓_ 1/ q�� OWNER TELEPHONE NUMBER: 5/(p --0298- 8'777 TAX MAP NO. : Section j/3 Block Lot CROSS STREET: Cox RD. TYPE,OF -SYSTEM: • Septic'Tank- • -New Existing ,C Cesspool New Existing X Residential X 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 A licant - - -- - RECEIVED BY: .. , 1 , Town Cle"rk's Office DATE: _. . ; . . . .._ - ' ✓T' �/xL Z,,, OOo CI t ��,M C% , . , / �t • I —, d 1i.,w. ' / ' „ 1 ,. r �.I hi:¢iV . : , A Gym+"•+' Iny •J ,,.e+ �,' ,' ti� la , , „ .. . . :„..: . .., „ , , , .. . . , , , , % . 1\11 ,, ,,, , ,,, . , . . , o7., , , , . rf- . , . 2 , \ , ' ' � ' , , ` . - • .' ' -_ . 12..i �. " ., ,.. ...., . m ;\:, .:.,., ^ ia, .,: ., •- iii , ' �/y///� •.'.. ,,� � - "i' ,, �`� ",5�_�, , 'r' i s 'Y Y (S-��. �Yi n , J N. '4, ,-' ,�i�, ss i�+ �r �.3 - (� \ 'meq ` "• S''. .,<.,,,li. I' ' '-"(:::''', ' a::. 41.-t .9. .-..1 , - . • \IN, • -,',' ' • : -'�: } >, ,, �hnll run only to•the; • , '�.. , '''r` Certification'`intrrc fed,harenn,. his ` ' repave h and on Q � tt:. sl' • '' ' ° -. 'Per)"'fOr e;+Ilam itli:':di(vf,r ,• �1% ,�J - ;� ;_` , , t ,• ''''I:! ;,ru,;,n�+,1;!'�+�'•rnmenlal agency - , •,.behalf 0't::e, i •r.,: ;• the 4c. -,:,;- lUR.01MLliT.,_ SI ' lig=,•„, n,.end;.t0 ;a` F ..M-U• }.1HE:.` ",,”` 311u i„,0101.,,..,1,11,,,,,,I,..,,...,„, y;Iification iS Lil(1 f„l.i' „ r, I t „ 'l'' SI101'Jil 1:1.1(AN! " ..ts, '.,'I' -tC!:Lr r �\ STiiU1'IU6L , ,` s'` !', r !!;i Iliti0U 0f ', -i ' :' -- ''',',)"-'`. ..','".;::;"•;`,,- iv,,C.1"....•':-,-'11.i.,:,,1:1'::"-':11-:',1,1'.:1:1,t.t:',1'`'°,1:1):E.EE:1,';:::;!'2.1:,41-2'7"5,„ljg,'-v,',1:::':.''.,:i."'":::-;;,11;:-,'.:-,11 '!:,.:i'''''',...,:i.:':,,'" ::-,:''',.1Y,`-- 17 ;';„,'-.''t,-,':',';''''i,::,':',''ir'..-:-,-',.,:',',.r.,:,,,li,1Z '''''''r':t',,:::::'::_.:: , ,,:',;::''ri:',,,jr:,,,,i'1).1:::'''':'''' ,':L 5.:''j:t:''''t' ',4 , '' ,K' '-,, . ,• his .rve IJ - 1'r /1+ • , ti( r; TI1,.�'I�•,,1�1 pAfIOS.'9, ,_,•,,,'' .!'. ,:� ,i,,.t Of�'t. Y . S, '-`ii'd,:i.4U''1i,..Ll�i,l'(iUL:i, _ U11,",t. .1.. �l :'. t�i!:4' YO(it State ('C�Lq� -,-,,,i,,:,',:,;,,,,:::::,:.;r'' Iii+G Y,IaiAJ, AUUIIIUN'TO {: ;a 'J!,�il'.' • ” y' . f liu, OTHER, . ' \ '' . „ BUILUIII�S-' Un. A(JY EItUL.ltl';, , , '1`. + CONSInUCf1UN.' f ' •• . ,C ,ot t'' .. 1.1.p n^t bearing the Land of I`ey "I' '`: - ed t shall not be ;' lill.l $_;I UI l'IPI,(15".' SCu Stnveyor5 ('N j ' considered tu'be`a valid true copy.- - : ' M /AP OF DROPRRTY , . DONALD �' �wN oaka.r f _ -_'' ' ``_J'OC/Th/OG — — - �.� - — SUCCESSOR T,O -- S„ffolkCo.,oly. N. Y.:' - C\\• _ ` ” 1/ iC1-1ARI) 1R/ IL.H L.P " A,FAS �. tkayb S ', JRYEYED '._t'' -A.1/91/''-./7 if/7B'_ '-'. r��' �<;O���l� , - LICENSED LAND e '12 '9,11$::' � f�f., �R_-_� �/���� � ��.��I:-Q?�`GJ� Center,Moriches, N. Y. 11934 • Br- ,"ood,,,N. Y.,•1`.:, .% '``; , 'GUARANTEED 70.`C3S :.'''.. ‹Ni" , , ,, - - - ,Tal. 878- 20, ,- * •P..73-•3163) '� �' s J, '1CU.�/1y T./,TGG .L E.Ca�f, �fi �� •.: _ • ' I'' �.i • • PER • n- r_;y.. , " /`�GJ�,��, Autho i d S..113,it` - .0I�. fir `