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HomeMy WebLinkAboutProfy a6t 11 ft JUDITH T. TERRY ; Town Hall, 53095 Main Road TOWN CLERK ® P.O. Box 1179 REGISTRAR OF VITAL STATISTICS .�` Southold, New York 11971 MARRIAGE OFFICER O ��. Fax (516) 765-1823 V474 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. 1944-R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X New Existing X Name Of Owner PROFY, ALBERT & CAROL Mailing Address 1 255 LAKESIDE DRIVE Mailing Address 2 City St Zip SOUTHOLD NY 11971-0000 Property Address 1 255 LAKESIDE DRIVE Property Address 2 City St Zip SOUTHOLD NY 11971-0000 Owner Telephone No. 516-765-3856 Tax Map No. section 90.00 block 3 lot 11 .000 Cross Street CEDAR POINT DRIVE EAST Date Of Last Pump Out 0/00/00 Issue Date: 7/17/92 Judith T. Terry Southold Town Clerk (TOWN SEAL) OFFICE OF THE TOWN CLERK 'c.SFO(,r - f �lS� Town of Southold �Q • Application No. / Judith T. Terry, Town Clerk ,4 3ry Town Hall, 53095 Main Road) �C 7 $10.00 - Residential o , t„ c Cf7 ,r4/: �tY3V a, p. O. Box 1179 ': " t:14 i $25.00 - Non-Residential Southold, New York 11971 ® ® � Telephone j ® " (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ • . DATE 7/6 /92- OWNER NAME: 1-13 F-11 // r 24i 6 L ,/6/Roi'- ' OWNER MAILING ADDRESS: 02 <5-5 . l�f�l'�S'�b� ,)/e . 7 0 // �7/ OWNER PROPERTY ADDRESS: dS/1/4g' • OWNER TELEPHONE NUMBER: ,S/( - 66- - 3g TAX MAP NO. : Section D �0 . Ud Block 03 . m Lot 2 /7- 000 CROSS STREET: C'EJ/9,( %o(ti%,),P. TYPE OF SYSTEM: Septic Tank V New Existing Cesspool New Existing Residential j/ Non-Residential DATE OF PREVIOUS PUMP-OUT: 6/-�A.Z., 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.) igna ure of Ap. / RECEIVED BY: Town Clerk's Office DATE: 77/171//G �/ • • • : . :,It.. Aft_ _�_=' =. 1-..--�'•�,: = °. • 1 t-5T ?SOLE- ° r'' � - • .D2 -- > '"� S = .� }' _} t 7 '• . ' lig 1.-: - - ,...._ i - -..:.- - •'--- i `Y • Q - a t• A • ` �q,.�5'.%L .a .• ®• = ✓� _ cOT 1 s ��5 ▪ F :May' �~s- - .._ .. - 4ITUA'T tk1 . 'r• . .Q -, M�;;�_>- .uttpea •copi rii -.,, •. ••,.r te. S VL�,R_`1 \! LD NA ' .t -f��(� 1�r rp{f 1;p� �� 1\1.Y, i �j U UFNO ���y,,. --y,!•-•!...„•2:9.-• - _ ' ' _- ..,i L`.To W N uF' 601511 LO 2V.], SERfON 72R� 15 �� rQ�V O_p-.,,,',� t O �7 CF T:;e ' . �:-"•- f-'.,. _'t:, •sr z:.r. -'• YA' •�-'` - - �. - - CO CATION l.�W. ,�y{ YJ:.K S?'A� f. L'`'' `' 'i�' _ -rnr,,%'=%'.- F�%. ➢C.:.� .*., _ t = ..• .. _ T FIES CF iN1S cU�V�Y M 1 _ r'-`• i'.1:x_~'.� _ ,...."-•-•::-'•t`-+•,_ k• 'C'''- tJ ` • c � - - HE LAhD S.;:::v.....-.t.t.s., AD NOi � i ., 1`✓- . •_ '.v•-- 'q�:�13'N •i' • _ FM90SS:DSLA °t41 °R• } LC;� , ls rt •.' .p `F,'� � y�/f /A� t( 1�+ r )p r ro A r,_. _ if. �- x ;r.••_ -!t .i' •`.-" -• - - - Y. J V i�� {. -� V �- 6CE A YAL1E �IDE{�_ ^ a _ 1 a VIR T u ° s 1�Foac..s ,- ,q...-"` ,e,, -- ,` •` 5.'tszp:2. 4/ `� - - _ 4z1�•�4Na7/AINE SLytViS-'-t..A4 0 ' - -_4krt,-i-i A-•>wry' • -, t ;,! -_ .- ce��,n,n /rs=�=u. •:�a' ]a �" ta3� -a.�.r.,a. .ro rye 'i�4•� 1.0. -'f Vrii-`4"---i,,.n�, .4�-'.- �J �•�11 ��Y''•S-_ t ' ';.•'- - - - (1ST ♦ �.",,,;4):..i. ,,,,,:: ••_4:::::,kt_ .2.4,..‘,.,-,,,,.,---, • , _. ,• .,...,,,,_,-,,,-A--:,-• J. . .. , •• I� - v, :F?'.:.. _ _1,i + _Ci�17 j � • '{ p � A� �::icr`.�~-.�-: +Y�- y +fit �°'[C�SlI....._.r --f 'i^fire-._�:•••�.+: __. - ,..... I" _ -; . '. '_ - (Vacc�o-it\-.., fr, { 7------:::—.-- - • . _J- el RAPJTE. p T( 5Gu•TNOLU :A':,i,.•;> � pY S 1 /) V ,1 . si: . . .. N.- ;'•' Ye SYrr. 7 M1 IMI-41(-AND SND 'ia7t�� Gl4�G 1�0 TITCH Irv;U✓?*�4G� f� ' �� - • • _ �-- - GOIA'ANY 4URV ' t e A U Ct. t 4 ,t G46:tr • :•,,e1-1 ,••-i, . . • • ., . • _ ; •.,- . _ A N T.uY >- •>: �rr1ti �▪-ria•::� =, • �_ too,: 2ICu v �. P. c t<s �v • J en is `�} ; ,1!, js S. �fi9 17, ' 1 R•�`TV"AAP ' ' ?,f ^•�'�= G �,�, i .�.� j;1 sZ r' r1:4(.101 AW1W11$414.14; A.I� ; TkI}r 4111'f�� 4UP/0CX U• R-1 • •',-, ';'' �•`• , . LIGAN LA - 61.t14!45. -' 's ;,:,.:,• Y '''::11;'. .,.''' S 5cS¢�erEYO.-s ! -- __ _ brM ' 1,( - 90' CrxrtN"ur•� !! '-