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HomeMy WebLinkAboutPappas zf , - • ' 1 Town Hall, 53095 Main Road cf." i Iris �` P.O. Box 1179 =_® ® . �®y1�'1 Southold, New York 11971 JUDITH T.TERRY = 1 / 1�" TELEPHONE TOWN CLERK �''�ii�ii (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. 763-R Residential X Non-Residential Fee $ 10. 00 Septic Cesspool X New Existing X Name Of Owner PAPPAS, ERNEST AND JUNE Mailing Address 1 75 CEDAR POINT DRIVE EAST Mailing Address 2 City St Zip SOUTHOLD NY 11971-0000 Property Address 1 75 CEDAR POINT DRIVE EAST Property Address 2 City St Zip SOUTHOLD NY 11971-0000 Owner Telephone No. 516-765-1284 Tax Map No. section 90. 00 block 3 lot 8. 000 Cross Street CEDAR POINT DRIVE Date Of Last Pump Out 0/00/00 Issue Date: 7/19/88 Judith T. Terry Southold Town Clerk (TOWN SEAL) r l} OFFICE OF THE TOWN CLERK COFU Town of Southold a , CQ ' Application No. / �J� Judith T. Terry, Town Clerk �., • �► �� ,;;4+ Town Hall, 53095 Main Road K Residential P. O. Box 1179 Non-Residential Southold, New York 11971 "10 • 0"..• Telephone * (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION MEM - for JUL 111988 OPERATION PERMIT Itre MK Seethe SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ DATE --1 e'Si • OWNER NAME: e,„),S 4.' e As • I n OWNER MAILING ADDRESS: S 09,411-12._ -k ti Sco&&olal. kit( t (.q ? OWNER PROPERTY ADDRESS: c /3 -� OWNER TELEPHONE NUMBER: � Lc TAX MAP NO. : Sectionb Block Lot 406, CROSS STREET: Cp.A PF. bre, DR, E. TYPE OF SYSTEM: Septic .Tank New Existing Cesspool '✓ 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 -- v - of distance, approximately, to building and closest road.) Signature of Appl �t RECEIVED BY: Town Clerk's Office DATE: —T 7.1.-ilfe..p.,:i.:15.,C7."-,'",--• :,;-'-'"rft'-'7f4: ''?".--.r.-;-."-_,--:•r-'---,...,-:__ -.'"5°.,-.1Z..-W-Tra-----Ttrr.-A,;.„2--.Fe'7--":"rt.„-":4--S.Vr---',•.'._------','_a-;:A-'-,*.7.cr3.-•-•v-.,--.7-r-r..;z,71-,-•144,_-: i,•,- _-....ettlp-firT--,...0.2.•=3,7476.-3,-:-....-_,,V- WK:ft-,:-_,z-•-&p:.:-_,;,---,a..f..;?-4.-..-••••.-f-tr.. -;• -•:,7.-i- ---;t,---F,.-••,,r..-,-;,--,,,--,-„7. -:----1--,-,.'.v%-t-ti-4._..,‘,-4.-,-----.7.11.-,,r,,,../..,.,.., . ----- 4-. _, ._ .4., - -4- ...,,,,-,c-',....%.,.z.„-t,-,-„-,4T----t-,..,t-2,-;:,--,44....t,.4z-,---q.::•44....", I,'..'-',-17. -Z=.4-:;'„,,,-..".r'4-..(4f'V'',.:':-.4t41.P.,r&i.5,...4..3.1`7.-.7*- 7-4.:,-,..-4...„;:4-.,,;.- , ,....-,4.s.---,..17-- .2 ,. . - ' - .. --,- - , .,•.'. ,-,._,..,,,,, - 1..--, -,,,, Applican-t. shall prepnre neatly -drawn sketch. See -Depa—rtment of Health `'• 1 - i instruction notes for aid- in making sketch and completing application form. . , c , , _ , . _ i . . . . . . ......... . .• - _ ,• . .. ,. . • -• : . , , • _ . .. ........ . . . . , , • -- - ,• ' - . • ' . .-- , 4; , • ...y,,,.._..- , .. . , .- . . . , , , • 4 _ _ . . ... . (*-6 - . . •...:)i..e. ' vr)....-- ,..:.. (D . . . .., . . . . . . .4. .. . t,- . ty ' . . . 4' - • ' r _ - • _ • . . . . ' , •' • • `CI) . ..... - . . - . • • . •.. _._. _ ... . •-..:< '.- • • 4 : ' .., . A-'''' -. ' • — . _ ,. . . _-. . . .. . • . ... , . . - .! . . . • ,.- -..., <._ , 1-, 7t. f" , • .,. .. • • • • • /1- '''''''`- •l'..) Cl ; Gi . ., • . . l'e . . 1 11 _ .- .• . ._ . _ - • i ktf , • ' HOUSE , . t'). • 1 , Q . . .. , . . _.,.. . .... .. ._ ' -• _. - • 7 .... .. ..: -- •' ' . . ., ._ ._ ., • , ,,., , •,-....'- ' ' ' .... 1.' ` . •••.Q . , N.Q. • , , . ' 11 . _ . . . : i-‘ •' , . • . ..- . - _ 1-- c- . ' P \. . . - , ) . . , • • - - --, - ,.s.-: 'Zi• ‘0, . - . . . _ .. . 1..- a0' , will• .,i1,. ) .• - - .. h, . . - . • .• _ ... , . .. . . .. , ,- , . • 14- 2.siri --4) , . ,k,„ . , • ___..... _ - k, .. .... .. _. _ . . . . .. • . .. , . : •.- .. .- . •- • 1 - - - ........... .... . 1 ... __._._ . .„.._ , . ._,_ . . . . , .1, 4 . . . . .. .. . _ .. .. .. _ _