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HomeMy WebLinkAboutPeix 1/. r- .: T:oit JUDITH T. TERRY : ' Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS 6?s Southold, New York 11971 MARRIAGE OFFICER V® Fax (516) 765-1823 0 •��� Telephone (516) 765-1801 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 1809-R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X New Existing X Name Of Owner PEIX, J. DOUGLAS Mailing Address 1 BOX 333 Mailing Address 2 City St Zip SOUTHOLD NY 11971-0000 Property Address 1 50605 MAIN ROAD Property Address 2 City St Zip SOUTHOLD NY 11971-0000 Owner Telephone No. 516-765-5123 Tax Map No. section 70.00 block 1 lot 8.000 Cross Street ACKERLY POND ROAD Date Of Last Pump Out 0/00/00 Issue Date: 11/20/91 Judith T. Terry Southold Town Clerk (TOWN SEAL) OFFICE OF THE TOWN CLERK S\\FFoU, Town of Southold0�� CQG�; Application No. /I 7 Judith T. Terry, Town Clerk ' ,x • y Town Hall, 53095 Main Road ` -'� $10.00 - Residential P. O. Box 1179 cryo 3t �` $25.00 - Non-Residential Southold, New York 11971 0�; t � Telephone .( la' (516) 765-1801 • TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ 0.06 DATE NOV 15 1991 OWNER NAME: JD,[ / FiS P JX OWNER MAILING ADDRESS: BO,K 163 c t47 D A N I/971 OWNER PROPERTY ADDRESS: 6-0620s- M1 frJ , ll`I '7' OWNER TELEPHONE NUMBER: ( "b) , ,5`5/Z3 TAX MAP NO. : Section 0-0 Block / Lot e9 CROSS STREET: Oji Tti.i ,iU f9/JD g1' �. TYPE OF SYSTEM: Septic Tank New Existing - tr n!t f'C,L.-E'W792_ TO /i% YOGt (0/U3/ Cesspool 1/ New Existing V /QE- 77-ic: '7,V\14. Residential V Non-Residential G 5 poDATE OF PREVIOUS PUMP-OUT: WI i l/J j 'flJ 1/ ' S LOCATION MAP: Must be attached hereto before permit may:be issued. 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