HomeMy WebLinkAboutSaccone ,I ,,/////ilii
JUDITH T. TERRY z Town Hall, 53095 Main Road
TOWN CLERK p T P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
� • Fax (516) 765-1823
MARRIAGE OFFICER
.� Telephone (516) 765-1801
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 2010-R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
New Existing X
Name Of Owner SACCONE, MARION
Mailing Address 1 145 SUTTON PLACE -
Mailing Address 2
City St Zip GREENPORT NY 11944-0000
Property Address 1 145 SUTTON PLACE
Property Address 2
City St Zip GREENPORT NY 11944-0000
Owner Telephone No. 516-477-0277
Tax Map No. section 35.00 block 1 lot 2.000
Cross Street SOUND ROAD
Date Of Last Pump Out 0/00/00
Issue Date: 12/02/92 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
0 \
OFFICE OFfTHE TOWN CLERK Of�FFO
Town of Southold X05 , _. Application No. ') O
Judith T. Terry, Town Clerk �y �'y�°��1' y., y J
�;�„ ,. . � $10.00 - Residential
Town Hall, 53095 Main Road a -
P. O. Box 1179 u' `,' ' ►�� $25.00 - Non-Residential
Southold, New York 11971 O '` �O
t;.� *�`
Telephone 5 ?i
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(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for RECEIVED
OPERATION PERMIT NOV 23 1992
SEPTIC TANK or CESSPOOL Southold Town Clerk
Operation Permit No.
Fee $
DATE ///d/�
OWNER NAME: iri0 /V SAC'cot/t'
OWNER MAILING ADDRESS (9) VS UTTard
44,76e, Yo' //9,1
OWNER PROPERTY ADDRESS: S /'9L ,4- S K213d U L
OWNER TELEPHONE NUMBER: �/G 41'7/7— 77
TAX MAP NO. :* Section Block / Lot 02.
CROSS STREET: 1 its DP PgoPevz7/1- S'OiJd 1;64j)
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool X New Existing
Residential Non-Residential
DATE OF PREVIOUS PUMP-OUT: /1/4?
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.)
r- i' a-- 27 /41,1--/-
Signature-of Applicant/
RECEIVED BY. 10111,- Spm. .
own lerk's # ice
DATE � `j 19 c7o�-
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