HomeMy WebLinkAboutPeterson / /'////• ilii -
iffh
tr.SVPM•619
JUDITH T.TERRY 1 r Town Hall,53095 Main Road
TOWN CLERK , ; P.O.Box 1179
e� �$ Southold,New York 11971
REGISTRAR OF VITAL STATISTICS ®
MARRIAGE OFFICER •aY ® 11 Fax(516)765-1823
RECORDS MANAGEMENT OFFICER = � •sill Telephone(516)765-1800
FREEDOM OF INFORMATION OFFICER "�
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 3411-R Residential X Non-Residential
Fee $ 10.00 New Existing X
Name Of Owner PETERSON, DOUGLAS AND WIFE
Mailing Address 1 220 KNAPP PLACE
Mailing Address 2
City St Zip GREENPORT NY 11944-0000
Property Address 1 220 KNAPP PLACE
Property Address 2
City St Zip GREENPORT NY 11944-0000
Owner Telephone No. 516-477-5015
Tax Map No. section 34.00 block 2 lot 12.000
Cross Street MAIN STREET
Issue Date: 11/24/95 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
OFFICE OF THE TOWN CLERK �` FO
.-'-
Town of Southold , 0�� CQG Application No.
udith T. Terry, Town Clerk . 14;
:�
Town Hall, 53095 Main Road • -< $10.00 - Residential
P. O. Box 1179 cn ►moi �" $25.00 - Non-Residential
Southold, New York 11971 O *-$Telephone .( * 01$'d►
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
fo'r
OPERATION PERMIT
' SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $ • •
DATE To®t/ 1'3 i iq5-
OWNER NAME: (re, 5L �5 7au 'a. Pe.-Ie�r. r r
y _
OWNER MAILING ADDRESS: .VO / tat fp 1 �•
OWNER PROPERTY ADDRESS: "50(ne 6_,S` J11as if Cn� '-cic e55, -
OWNER TELEPHONE NUMBER: 40-7-- 5-6/5-
TAX MAP NO. : Section V Block .4a " Lot /a
, CROSS STREET:.
TYPE OF SYSTEM: , Setic Tank' ,, :i .
p New Existing
Cesspool v" - New Existing
Residential �/' Non-Residential
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.)
•
Signature of Applicant
RECEIVED BY:
Town ,Clerk`s Office
DATE: I PcEIV-E0
NOV 'l 3 1995
.Southoid Town Clerk
•
't
• v " 1 •
NIOIF gROWN a„ ,-y
R•
7 4'gip.00 o�. /
N til �d.
mid• { 0
--- ---- \"11
\"1l`O. i
V. ft V 0
"r0:77,,,,,,--'oy
2 Z•-t. a F \& „ ki
N :, 9- y
01.
' 0,„ 1(j\''Of‘lo tP 0 \
_ • �. o
- - "S• 1,
y0N , "w r�P < <
2 Cj1 b 5 6 �0 to � `�
al
1;1' ..c. -1- ,6,,
0 1
•1' —A O
a.
ra
N Stoop
\ nd'• ' 40�� •
rnon• 44
v 43 i C
sAA•• •81` S• 40.la 00 G 6•
PLP
P PP
‘,041°‘ ')
- Prepared in accordance with the minimum
standards for title surveys as established by
the L.I.A.L.S. and approved and adopte J
for such use by The New York Stale Land SURVEY ®F
Title Association.
PROPERTY
AT GR EE N PORT
TOWN OF SOUTHOLD -
SUFFOLK COUNTY, N. Y.
1000 - 34 - 0 2 - 12
• SCALE 111 = 30'
DEC . 17, 1985
CERTIFIED TO : ,i June 19, 1991(update)
A R C S MORTGAGE INC.
STATE OF NEW YORK MORTGAGE AGENCY
SOUTH BAY ABSTRACT INC.
DOUGLAS A. PETERSON
1 JUNE F. SCHNEIDER
ek LANDS
lid.�N't. MO- G•9.
,4 o
I
i
lir r �'�;; 1 7I1
•�'�� '2 o' .� sQ/�:��', i N. Y.S. LIC. NO. 49618
Prepared in accordance with the minimum `�` •��
, standards for title surveys as established PECONIC" SURVEYORS, P.C.
by the L.I.A.L.S. and approved and adopted
for such use by The New York State Land (516) 765 - 5020
Title Association. ' P. O. BOX 909
MAIN ROAD
SOUTHOLD, N.Y. 11971
•
35 - 431A •