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HomeMy WebLinkAboutScanlan I / ' s �, .... ofFatir JUDITH T.TERRY ®� #� ‘‘ Town Hall,53095 Main Road %TOWN CLERK Rei g % P.O.Box 1179 • O 1,� Southold,New York 11971 REGISTRAR OF VITAL STATISTICS Q 1 MARRIAGE OFFICER Fax(516)765-1823 =_� \��,111 Telephone(516)765-1800 RECORDS MANAGEMENT OFFICER ED V o� FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 3390-R Residential X Non-Residential Fee $ 10.00 New Existing X Name Of Owner SCANLAN, JOHN AND CAROL Mailing Address 1 1800 WUNNEWETA ROAD Mailing Address 2 City St Zip CUTCHOGUE NY 11935-0000 Property Address 1 1800 WUNNEWETA ROAD Property Address 2 City St Zip CUTCHOGUE NY 11935-0000 Owner Telephone No. 516-734-6003 Tax Map No. section 111 .00 block 4 lot 23.000 Cross Street OLD COVE ROAD Issue Date: 10/05/95 Judith T. Terry Southold Town Clerk (TOWN SEAL) '17 1 OFFIC Q"F_rTHE TOWN CLERK c0FU(,� 'CTown of Southold 1 , � CQ�=� Application No. -3 376 Judith T. Terry, Town Clerk J►1 S. Town Hall, 53095 Main Road $10.00 - Residential P. O. Box 1179 «n *��� $25.00 - 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 $ 0 DATE /eir ?s. OWNER NAME: n4:4,111 04- aieo L J C% A// OWNER MAILING ADDRESS: /PO?) litioA v ll/ 79 .0 T J 6 a c./.4.- Aft- 9 - - OWNER PROPERTY ADDRESS: �/�1 79 - - OWNER TELEPHONE NUMBER: t..574.— 7g41 TAX MAP NO. : Section /1/ Block 41 Lot CROSS STREET: TYPE ,OF, SYSTEM: Septic Tank __� V New Existing Cesspool New Existing Residential 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.) Signatu e of Applicant RECEIVED BY: Town Crk's Office DATE: OCT 5 1995 a de.A/i., ,</ /p dc? urt/A/A10eveti9 A110 ' d 2.,r‹L_©c ui /v`': , • fi 1\ o, \, CA ® w ( ,e® ill) fuii tiu o,,� I