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HomeMy WebLinkAboutSepenoski figs,,, i,,, cf M ; Town Hall, 53095 Main Road �. *. P.O. Box 1179 __®1 `�i�®ii Southold, New York 11971 4. JUDITH T. TERRY *,i, so. 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. 1104-R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X New Existing X Name Of Owner SEPENOSKI, MARGARETE Mailing Address 1 P. O. BOX 1175 Mailing Address 2 City St Zip GREENPORT NY 11944-0000 Property Address 1 9 SHORE DRIVE Property Address 2 City St Zip GREENPORT NY 11944-0000 Owner Telephone No. 516-477-2510 Tax Map No. section 47.00 block 2 lot 24.000 Cross Street SILVERMERE ROAD Date Of Last Pump Out 0/00/00 Issue Date: 5/10/89 Judith T. Terry Southold Town Clerk (TOWN SEAL) OFFICE OF THE TOWN CLERK ,c�1FOUr '= Town of Southold ® 4a Application No.//O V ` y � Judith T. Terry, Town Clerk W Town Hall, 53095 Main Road Residential P. O. Box 1179 crl -. 411t4; Non-Residential Southold, New York 11971O5 ?1 * s1 .. Telephone • (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ / 7 DATE OWNER NAME: "MA GAR rE S C PC'II/®,SKI OWNER MAILING ADDRESS: 9 $/,O, L .7/Q I V6. ARI P . 8Dx /I75" OWNER PROPERTY ADDRESS: SA w1 OWNER TELEPHONE NUMBER: 117 7 - 2. 570 TAX MAP NO. : Section 47 Block a. Lot if CROSS STREET: sib(/C-12 M C RC /Q„2j, TYPE OF SYSTEM: Septic Tank New Existing to/ Cesspool New Existing 4/ Residential V Non-Residential DATE OF PREVIOUS PUMP-OUT:J14j). .�9 Fe.E. A3.81/ mita 2i. ''t, Qfiere,(®d-8' d r 3•g9 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.) 1#4.0540 s9 4„,4; Signature of Applicant RECEIVED BY: Al q ,� �•*p � �lerk's O fice DATE: SAY 10 11509 • • ,{• • .GQ :JL - •- `MARc/ Rfl:E5EPENOsi\<J :'7 : - _ - •.. ..•,.,���°ti'1 *I ...if, .....•M;t V trr•� t"'i 4r R..1.eF� i'.•4 rv's•' 1. : ' _ d ria,� • Y;: .7.8Jq'4"".T' Li.• i:•- c , 17.41! r..._ _ _ . ~t; ., r __ 1 • , ,,.,_t'x.1.':, -7: •, Ei. , ,,,,t'-^. ,. 1.re c •AL.OIJCe.,Ll '•• $. . 8 _ '[ ,t • ,,,, IJ DQIV�. .. �+vtWF - �!7 - :. - ,. s• J iyi' (t. ,r w 5 i ' r..• CAR ?i2T' ,^ _ (�. ,f r�NAUiHORIZED •"=,z.1^3 _ • �tJ'"{`J�• y�1•.; : , - +'- ,; THIS S A:i-6 TION OR ADOlg4N' .- -P - - y ~' '-'\:;r:' ,�'` '_ .• .�,`•,.•:.`� �' y SCCTIO URVEY IS A VIOLATION OF � .l", • ' - _ •� ... 3"" i '<:„..) 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