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HomeMy WebLinkAboutRadziewicz fr Oil WOO' JUDITH T.TERRY `r 0, J �� Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS r� MARRIAGE OFFICER a®� Fax(516) 765-1823 r RECORDS MANAGEMENT OFFICER ': ®� *sale" 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. 3730-R Residential X Non-Residential Fee $ 10.00 New Existing X Name Of Owner RADZ I EW I CZ, EMILY Mailing Address 1 P. O. BOX 121 Mailing Address 2 City St Zip PECONIC NY 11958-0000 Property Address 1 1005 MILL LANE Property Address 2 City St Zip PECONIC NY 11958-0000 Owner Telephone No. 516-765-2976 Tax Map No. section 74.00 block 2 lot 11 .002 Cross Street Issue Date: 11/24/97 Judith T. Terry Southold Town Clerk (TOWN SEAL) • I, „ "I.'' OFFICE OF,.THE TOWN CLERK S�FFo� town of Southold Application No. 37 �lJ Judith T. Terry, Town Clerk . .` - Town Hall, 53095 Main Road �) $10.00 - Residential P. O. Box 1179 cn $25.00 - Non-Residential Southold, New York 11971 O 0 �1`, Telephone 01 * se , (516) 765-1801 TOWN OF SOUTHOLD • SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERAT ION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. oo Fee $ / DATE )'-) 0 tr: ( 9q• OWNER NAME: E M/1-'1 CR'AO Z I OWNER MAILING ADDRESS: P o ,'3 U K 124 PEc6fic. rY-y; /lis g� 01L1 OWNER PROPERTY ADDRESS: I 0 0 5- MILL L, PC-co Nic, A(.L(. it 11/45-g- OWNER 15s-g- OWNER TELEPHONE NUMBER: c5f ) -765- ?- .'"7 7_3g g TAX MAP NO. : Section 11-a-l0,' Block Lot //a CROSS STREET: TYPE OF SYSTEM: , Septic Tank New Existing Cesspool _ New Existing Residential l" Non-Residential LOCATION MAP: Must be attached hereto before permit may be issued. 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