HomeMy WebLinkAboutSchondebare •
A'" ` Town Hall, 53095 Main Road
r P.O. Box 1179
® 0. 4%I Southold, New York 11971
JUDITH T.TERRY ,iii
i TELEPHONE
TOWN 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. 887-R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
New Existing X
Name Of Owner SCHONDEBARE, JAMES A.
Mailing Address 1 P. O. BOX 1018
Mailing Address 2
City St Zip SOUTHOLD NY 11971-0000
Property Address 1 SOUNDVIEW AVENUE
Property Address 2
City St Zip SOUTHOLD NY 11971-0000
Owner Telephone No. 516-765-5344
Tax Map No. section 50.00 block 6 lot 2.000
Cross Street LIGHTHOUSE ROAD
Date Of Last Pump Out 0/00/85
Issue Date: 10/17/88 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
4
OFFICE OF THE TOWN CLERK cjVFHU( - yFR77
Town of Southold ' � lD •• Application No.
Judith T. Terry, Town Clerk �` Y �„; y
Town Hall, 53095 Main Road ° £�_` . I
Residential
P. O. Box 1179 cn : ;= ; Non-Residential
Southold, New York 11971o; �0�'/���`
-;'
Telephone
1
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $
DATE _ cfer3, 1988
•
• OWNER NAME: .James A. Schondebare
OWNER MAILING ADDRESS: P.O . - Box 1018
Southold, New York 11971
OWNER PROPERTY ADDRESS: Soundview Avenue
Southold, New York 11971
OWNER TELEPHONE NUMBER: ( 516 ) 765-5344
TAX MAP NO. : Section 50 Block 6 Lot 2
CROSS STREET: Lighthouse Road
TYPE OF SYSTEM: Septic Tank • New Existing x--
Cesspool
Cesspool New Existing
Residential X Non-Residential
DATE OF PREVIOUS PUMP-OUT: 1985
1 /
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.)
J!�atur o '• p:'cant
RECEIVED BY:
Town Clerk's Office
DATE:
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