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Home My WebLink AboutPapadakis 'i' Town Hall, 53095 Main Road ;�'® cc., �� '`�• P.O. Box 1179 - ®f �� Southold, New York 11971 JUDITH T.TERRY �.�,001110° FAX(516)765-1823 TOWN CLERK TELEPHONE(5I6)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. 1218-R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X New Existing X Name Of Owner PAPADAKIS, POPPI Mailing Address 1 BOX 28 Mailing Address 2 City St Zip ORIENT NY 11957-0000 Property Address 1 26-125 MAIN ROAD Property Address 2 City St Zip ORIENT NY 11957-0000 Owner Telephone No. 516-323-3879 Tax Map No. section 18.00 block 3 lot 23.000 Cross Street PLATT ROAD Date Of Last Pump Out 0/00/00 Issue Date: 8/25/89 Judith T. Terry Southold Town Clerk (TOWN SEAL) OFFICE OF THE TOWN CLERK ��``!, Town of Southold �� r&z Application_ No. /a) Judith T. Terry, Town Clerk sh =`�.��•�{. 1 I Residential Town Hall, 53095 Main Road - P. 0. Box 1179 Ln _ Via` �� Non-Residential Southold, New York 11971 O i} _ �` Telephone o.( �� 1 (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION NAY 1 5 1989 for Ion Givi BMW OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. • Fee $ 10.00 DATE Mot, I (i I ‘1S` OWNER NAME: A-Q Ps-17Akc--k OWNER MAILING ADDRESS: k2-).0X Q-,p-‘a2/c o c\,..,\\ , /`I 1 9 c 7 OWNER- PROPERTY ADDRESS: 6-7-t . -.jj,o ® ne n'( 1 l OWNER TELEPHONE NUMBER: ( IG) ,R11 • TAX MAP NO. : Section O . 00 Block 03 .©0 Lot O23 , 000 CROSS STREET: I(e/A G L0 TYPE OF SYSTEM: Septic Tank New Existing Cesspool v New Existing Residential Non-Residential DATE OF PREVIOUS' PUMP-OUT: 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.) �• ./L;. /110•1"— Si.nature of Applicant RECEIVED BY: Town Clerk's Office DATE: • J r.t`•. ,j.- 1+ ,. ' r. J , o a , `� •}f• - _ r`r,'' ✓,"y a • , _ �r.t ,_ r , , r.` , -n '. � • }, >' •_ - ,• - ' ' ` " _' ✓ - " • er. ,`{A — • '1' - I At K ♦v ..-.�.•- J a"J �V W C.d.W •r • 1 t - - } y �• �+�y �`�,�'•: �^'� '';',‘• :l ',,t r! 4Y v=/'1+'1 ,�'. • { ';r• ;• Ta'u'C + 7;y - ~r: _,, _ • � `r ^{'• - , x, ` _ * - r}i _ r ±�G �:� ` ' fCJr LC,y� lssy�r. - Y �F" rr: � sh„=rr,::•t.r: r'n. 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Y' ?,3•••' i , ' la proaared,end an his behalf to th®-, c`_ cJ �j i �, aloe cempany.;poaernnoeri4al a�eniy:and v. . ., ...s-(� 24"1" ,�.y.f17—e r:,A':, ) _ .„ j • /, f lending institution listed hereon and , o ' / r 'ta the Designee.6f the ien�in�irisii- •!; a~ • ,Nr' ' / r� :1 ' tution.Guarantees are riot transferable^ f rf td sciditionai indtitutiaria or subs ueirt6 , rte2::::'1•11,,•,'•:".„,.- r ` - •, '--"-' - • ,i'r� - x- r y I oWd9P.S3. Y-- ti ' ? - r r {}1 ,F'.' c �. • ' l'f/1� - i-- 4C)',•••.--P-Y' .J rl f• ,• ;+`1{: :1' — .._-'^t• r • { 1r�J�7,S r+3 • �� rr. • . . ,F ✓ - ',f-3j,!A" < C , tr, - w, r *' ` . "� irrc6lYf7�"t3 ' :`' • :a>tr• ' r _ <, � - . +C- t � a` j, { / fri;" a _ 7 j ` I` i , .T Vit. ^ --- ` d E i _ r - 1 , ,r; =u; .n _.c --. a. 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