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Home My WebLink AboutSheehy 'i Utire JUDITH T. TERRY Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER Fax (516) 765-1823 60410/ 0. Telephone (516) 765-1801 ED 07 lip, OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 1957-R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X New Existing X Name Of Owner SHEEHY, JOHN AND MARY Mailing Address 1 P. O. BOX 1260 Mailing Address 2 City St Zip SOUTHOLD NY 11971-0000 Property Address 1 355 YOUNGS AVENUE Property Address 2 City St Zip SOUTHOLD NY 11971-0000 Owner Telephone No. 516-765-311.89 Tax Map No. section , 61 .00 block 4 lot 35.000 Cross Street MECHANIC STREET Date Of Last Pump Out 0/00/81 Issue Date: 8/14/92 Judith T. Terry Southold Town Clerk (TOWN SEAL) OFFICE OF THE TOWN CLERK c31FO(,r = Town of Southold �� ,. CQG' Application No. f Judith T. Terry, Town Clerk �� 0 ` i`� y 53095 Main Road Town Hall, � rr , . $10.00 - Residential P. O. Box 1179 cnmom. :v $25.00 - Non-Residential Southold, New York 11971 Oy, �� •• � Telephone -:(// (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ • DATE ,l/ . A"j /9V7..--- OWNER NAME: ZJzi/1"7 le ,5/ OWNER MAILING ADDRESS: 6 . 3 7 (oa .3 u-,w Gze.25exiTt ( / _ 1 rzy7/ OWNER PROPERTY ADDRESS: .3 SS � i_zr at4. , \oar/6- 7/ OWNER TELEPHONE NUMBER: TAX MAP NO. : Section c / Block Lot CROSS STREET: /77 ' 4'9f? / GTYPE OF SYSTEM: Septic Tank New Existing r/ Cesspool New Existing Residential j,/ Non-Residential DATE OF PREVIOUS PUMP-OUT: /98/ 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 ot.Applicant RECEIVED BY: Town Clerk's Office DATE: •LJP_L'6 o 1 D Jt2' �t . , F I _ - AUTHORIIEO ALTEPATION OR ADDETIOI iQHtLITi _ mg.) ` rte = , /� l'/__--.._..__ �_�1 tG-....,...._._...� I SECTIOM•7209 CF ThE NEW Yv.1K SLATE' E[SUCAT1pN'LAW' _ r—ll I - ' COPIES OF THIS SUBV:1 MA?PX�T.$EARIt- (� _ THC LA,C SUEVcY;;;,'S ,EEE-1)5:.41 OA;,_ 3/'�C E�t_ 1©`-,r W - - - EMBOSS-0 SEAL ShAU N.JT BE CONSID*E t/� J l T ! �l I TO BE A vAhD T.;U6 COF1 aJIcf-OL_L. –00NT,N.4.7. _� GUARANT:CS:if•n'^.Ai HEREON SH 411�t t ``�, ' t O'.LY TO TNS A S .i, F k W,:oAk-lit 611 - IS PRE+AMC, A\L J: H S L:},ALF TO;THE j TITLE CCM,',NI,G EW.-FiJ=PL\tAL A:jEM9i I f LENDING INSLTUE1,7, a LIS11;hE.CD+d;-A;& �____, ,•�- ---.__�_- _-__-_ -•-•---_-__—'_ i0 THE ASSIGNEES OF THE LENDI\`G 1NbTF • TUTION. GUARANTEES APE NOT TRANSFER, TO ADDITIONAL INSTITUTIONS OR SUDSEQ I //ri OWNERS, - t�Yi�'Cl-1�•'31\•I C ST ?L_E:--7— '/ cJ ' ! I • , . // , . . I N,Ger 02'10"E. 150.0 if • Scarff.'-4fl' 'l" — 1 y I • p hfi¢t ttJf2? s'f�' • / . . . ., , -,-., . .. , , i N +1 i t j J I -� roofed r TiI i • 1 .11 �° rl - -sfy. 74-x. In I. L r '\a�r`c�l' „pjy, ( colic wall - / w I J Q 9aF-c,�E 3r': 1" `) Cu , i4--CCnC. skit) t'.} I —_ --- e D he ctz Bete (I) !• � - • • ,- j I . . ! T'i-tile No, 1!1 S= 7 �. 5.660 s'0'0Q VI 1-49.9E5 ' i Guctrr�rt•T•feed fa' e Firms- °; Amer/caul TY4-1e.(tisurcuice Com im] 'r+1 I �! � tv4�: ;