HomeMy WebLinkAboutPietrodangelo (2) OFFICE OF THE TOWN CLERK ' •c,51FO
Town of Southold � &
Judith T. Terry, Town Clerk ;; -, , L
Town Hall, 53095 Main Roada r
P. 0. Box 1179
Southold, New York 11971 Or •
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Telephone = yr
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 207 Residential X
Fee $ 10.00 Non-Residential
Septic Cesspool X
NAME OF OWNER: John and Mary Pietrodangelo
OWNER MAILING ADDRESS: 1585 Hobart Road. Box 516
Southold, New York 11971
OWNER PROPERTY ADDRESS: 1585 Hobart Road
Southold, New York
OWNER TELEPHONE NUMBER: 516-765-3102 or 4040
TAX MAP NO. : Section 64 Block 2 Lot 13
CROSS STREET: Landon
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool X New Existing x
Residential X Non-Residential
DATE OF PREVIOUS PUMP-OUT: 1979
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Judith T. Terr
Southold Town Clerk
DATE: February 3. 1987
(TOWN SEAL)
OFFICE OF THE TOWN CLERK �FFO
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Town of Southold ��� . BOG'_, Application No. c=-96-7
Judith T. Terry, Town Clerk �` �r � y
Town Hall, 53095 Main Road c 4 ' 7 Residential
P. O. Box 1179 cn %�, fir► :` Non-Residential
Southold, New York 11971r f 0"/
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Telephone 151°_ 1
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. a 67
Fee $ Z D
DATE /s-'7
OWNER NAME: Ja.,( ofth41-kf Pi 67"RD 3.4-5,0 Go
OWNER MAILING ADDRESS: B„/
2ov D OL yr A Ji 1
OWNER PROPERTY ADDRESS: kt -�
OWNER TELEPHONE NUMBER: 2 - 3 /0-2' 766-4540
TAX MAP NO. : Section 6 9 Block Lot /3
CROSS STREET: 2-. )f): I #1'44'q-eb.e.v
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool New Existing �~
Residential v Non-Residential
DATE OF PREVIOUS PUMP-OUT: 7,
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
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11.041e7-
RECEIVED BY:
4kENG., rk's fice
DATE: FEB 0 2 1987
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