HomeMy WebLinkAboutRedfieldJUDITH T. TERRY
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 3191-R Residential X Non -Residential
Fee $ 10.00 New Existing X
Name Of Owner REDFIELD, HOLLAND L.
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Mailing Address 1 P. O. BOX 941
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Mailing Address 2
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City St Zip CUTCHOGUE NY 11935-0941
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Property Address 1 2145 WUNNEWETA ROAD
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Property Address 2
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City St Zip CUTCHOGUE NY 11935-0000
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Owner Telephone No. 516-734-6765
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Tax Map No. section 111.00 block 8 lot 2.000
Cross Street OLD MENHADEN LANE
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Town Hall, 53095' Main Road
P.O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1801
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Issue Date: 4/14/94 Judith T. Terry
-------- Southold Town Clerk
(TOWN SEAL)
7
QFF?CE OF THE 'TOWN CLERK
` `I Town of Southold
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road
P. 0. Box 1179
Southold, New York 11971
Telephone
(516) 765-1801
TOWN OF SOUTHOLD
Application No.
�
$10.00 - Residential
$25.00 - Non -Residential
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
Operation Permit No.
Fee S
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
DATE �, 1 l rl `t
OWNER NAME:
A)
r -
OWNER MAILING ADDRESS:
OWNER PROPERTY ADDRESS: ?;
OWNER TELEPHONE NUMBER:
TAX MAP NO.: Section Block Lot
CROSS STREET: 0 I mef-) hczz�Zh ley
TYPE OF. SYSTEM: Septic Tank New Existing
Cesspool 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 rnad _ )
RECEIVED BY:
Town Clerk's, Office
DATE: �a
Signature of Appli&dnt
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