HomeMy WebLinkAboutRaso OFFICE OF THE TOWN CLERK •c.OFU[/(`,-
Town of Southold �� _ 0�-
' Judith T. Terry, Town Clerk � x h
Town Hall, 53095 Main Road
P. 0. Box 1179 v' , " ti � •
Southold, New York 11971 0` �� $•�
Telephone \-70 i
(516) 765-1801 ''
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 241 Residential X
Non-Residential
Fee $ 10.00
Septic Cesspool x
NAME OF OWNER: Joseph F. Raso
OWNER MAILING ADDRESS: Box 209
Southold, New York 11971
•
OWNER PROPERTY ADDRESS: 425 Horton Lane
Southold, New York
OWNER TELEPHONE NUMBER: 516-765-2229
TAX MAP NO. : Section 63 Block 5 Lot 1 R
CROSS STREET: Main Road (Route 25)
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool X New Existing x
Residential X Non-Residential
DATE OF PREVIOUS PUMP-OUT: November 1986
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Judith T. Ter
Southold Town Clerk -
DATE: March 31 _ 1987
(TOWN SEAL)
L- ,.. „,„„I� '
OFFICE OF THE TOWN CLERK COF�(,Y /
Town of Southold .�0 ,...%--- Application No. �`�
Judith T. Terry, Town Clerk . 1
Town Hall, 53095 Main Road ~ "" "` ..0 7 Residential
P. 0. Box 1179 -�; >
‘4‘ ‘• �� �� �;: �i��`; Non-Residential
Southold, New York 11971 ` • "�`
Telephone Oj' �+ .'
(516) 765-1801
TOWN OF SOUTHOLD ,
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for '
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 02C.//
Fee $ / CY--
DATE 114-1. .. . It 6 ile7
OWNER NAME: IO .EP!I r 7 .icis 0
OWNER MAILING ADDRESS: .'dX c/07
Sb U rH o Lp hu y H77 ,
OWNER PROPERTY ADDRESS: '(VS 7410/27-0,41.1 47 Ai t~
�SOJ TI I L,O N Y ,/y. 7 ,
OWNER TELEPHONE NUMBER: ..106 -- 7g J .1...2. al
TAX MAP NO. : Section 6 3 Block Lot /8.
CROSS STREET: MA J JJ ) )01A,D Pi: asf
TYPE OF SYSTEM: Septic Tank New Existing /
Cesspool 17 New Existing
Residential Y Non-Residential .'
DATE OF PREVIOUS PUMP-OUT: ' ,k e /. / 7 C
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.)
1
,t. , _
deSignature of Applicant
RECEIVED BY:
RE` ` '`T`: Mown C rk's O fife ce
DATE: MAR 2 6 1987
Town Clerk Southold