HomeMy WebLinkAboutReichJUDITH T. TERRY
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
Town Hall, 53095 Main Road
P.O. BOX 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1800
SOUTHOLD WASTEWATER DISPOSAL PERMIT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 3655-R Residential X, Non -Residential
Fee $ 10.00 New Existing X
Name Of Owner REICH, HOWARD AND OSINA
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Mailing Address 1 P. 0. BOX 207
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Mailing Address 2
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City St Zip EAST MARION NY 11939-0207
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Property Address 1 180 BAYVIEW DRIVE
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Property Address 2
City St Zip EAST MARION NY 11939-0000
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Owner Telephone No. 516-477-2041
Tax Map No. section 37.00 block 4 lot 3.000
------ --- ------
Cross Street
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Issue Date: 6/30/97 Judith T. Terry
-------- Southold Town Clerk
(TOWN SEAL)
Oar
OFFICE OF THE TOWN CLERK
Town of Southold
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, New York 11971
Telephone
(516) 765-1801
TOWN OF SOUTHOLD
Application Noy'6S
$10.00 - Residential
$25.00 - Non -Residential _
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
Operation Permit No.
Fee $ / U✓�
OWNER NAME:
OWNER MAILI
OWNER PROPE
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
DATE
NG ADDRESS: O
�0
RTY ADDRESS: r
OWNER TELEPHONE NUMBER: �t � �—
TAX MAP NO.: Section Block Q Lot_
CROSS STREET:
TYPE, OF SYSTEM: Septic Tani-, New Existing
Cesspool X 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 road.)
Signat of Applicant
RECEIVED BY:
Town Jerk's Office
DATE: C,
TITLE NO. EC4 /,j y-//
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'•Unauthomcd eltcralm or KWIlion In a a,rvcyt -Z> c r \ 1 �t .!a -
map
map bearing a liccn_scd land wrvcyt)r•s seal ice �i a\ �• r N_�
violation of section 7209, sub-dinsion 2• of on
New York Stale Education Law."
"Only topics from II>c nngu,al of due a,ln•cy nn -
markcd with an original of the land .wmc)w*%
c,,,N,\scd' seal Jell be ccxvc,dcrcd to tz valid live
topics."
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"Ccnlficalrons ind,calcd hcrrnn signify dell oils\ x E- � P•?• �!? 1/•f'`� L•f•W
curvcy was prepared in accnulaoce w,Ih the es•
IsUnF Carlc of Pradtcc for land Survryc Nk,plcd
by Ili New York Slate Asst-cimxn of pmfcec,cx,al
lan,l Surveyors Said cMlficanons J .JI mn ady
In the Person for whom the u,rvcy n prrywrcd.
e,xl on his Wt3lf to dlc lulc c,xvriny. guccmwcn•
Ud agency and lctxling immioax n llUccl 1Krroo, and
In de acsipx'cc of d,c Icrxhng Ina,o,orn Ccrv6ca.
bom arc nor Irandcnhlc to Nldru, oal insUWOons
ur subscyuent owners -
PROPERTY SURVEY OF BLOCK 0¢ LOT 003 SECTION o3 7 OcST,Picr i000
LOCATION: e ors 123l' It f o v-141,VP 0- ,!`--Orion/ 2-
�A ED ,,t/ t� of NEW r
SCiFFOC C Co vn/Ty (E t' f S Or/ is E s
"1Bo Bvyl-iFH' DC Fit S% /�froN Crx�t/T/ of SVFFcC r C�rYj SAvrL�or- �/EYV o t�NSE P��c
GUARANTEED 70. E '/1G e�,11- S7viN�S DAVt .T;4Y �O2A'
,!�'o 2-1 G ///C„Cr o 7-17-1-&--
1 ter � �" ,�•
Al ililCLE E PFSCE J% �J'� S LIC NO 04L�365 DATE OF SURVEY:
CIRCLEUALf_ I_ANc HOt-BRnf)K Nr -w vi -in, ,.,.,