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HomeMy WebLinkAboutRendel f••, I� O 0 t buFFOI. JUDITH T.TERRY e�� t Town Hall, 53095 Main Road TOWN CLERK ; y _ P.O. Box 1179 v. rrt 1 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS O � MARRIAGE OFFICER %�� �1 Fax(516) 765-1823 RECORDS MANAGEMENT OFFICER ®,( 40.0.0 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. 3636-R Residential X Non-Residential Fee $ 10.00 New Existing X Name Of Owner RENDEL, CHRISTINE Mailing Address 1 300 CEDAR BIRCH LANE Mailing Address 2 City St Zip ORIENT NY 11957-0000 Property Address 1 300 CEDAR BIRCH LANE Property Address 2 City St Zip ORIENT NY 11957-0000 Owner Telephone No. 516-323-1366 Tax Map No. section 150.00 block 8 lot 25.000 Cross Street ROUTE 25 Issue Date: 5/22/97 Judith T. Terry Southold Town Clerk (TOWN SEAL) } Jo, • ��• OFFICE OF THE TOWN CLERK se "• Town of Southold -r;*; CQG Application No. 5' - Judith T. Terry, Town Clerk . ,fit t y .1 Town Hall, 53095 Main Road 4.< -4 I $10.00 - Residential P. O. Box 1179 cr) $25.00 - Non-Residential Southold, New York 11971 Telephone (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICAT ION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ DATE 51 ) {) /( 1 / OWNER NAME: Ch i5h oQ (Len C -Of OWNER MAILING ADDRESS: C'cto r Sl (c- Lcr-)Q_ O(i ep -- ivy (1&.157 OWNER PROPERTY ADDRESS: OS %,60iterC:)_ OWNER TELEPHONE NUMBER: 32 �j t '247).b TAX MAP NO. : Section J5-- Block ? Lot CROSS STREET: 2. '-Q 2,3 TYPE OF SYSTEM: Septic Tank i New Existing c,/- Cesspool /Cesspool ,/ - New Existing Residential t✓ 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.) �1 _ Signature 0 Applicant RECEIVED BY: Town Clerk's Office DATE: . ,.. , . .. „3 ..,.... ...... ,. ..,..„,,.,..,,:,. ..,:,,. .... . • 1 .. :-....?:..EI•- 1.0_16 . _W. : . • .64%.....4%6"'..4%. %CO •,:;.•': 8 . . . ... ... . .. :• „:,.:,...,..,„: ty3 . . . . e ILO .. . .• ,. „ 41 '.. i'-'V;'' '.- .12.1.11. .'..4':7;1\1%:A;":7:14."-‘1;:st.:. ' IlAr • • • • .1Z, • 1:,;..4-4.,,s,-:- .• •••:-.. •••• _ •`. ta,. 0. ,,.-. •..,.•...,' • ,'y rr�: . _ t . ;—` ;,•;.�: -ti; • .- -'Cy i.'1• •... ! ,,, i• ` fPi.•`J^�,,'.• 1� fti'J✓- • . 4 ` '�' '' •_tea rt.•ry t^ • rJ •i`"" •• { • ,•s,.. .-' Yi'•i,. , ;.,.•.•• * 411` tf,-`:s % :'•t`+ '�•S'0""�' ,.: •,f• :ti, --;.•)'....:41:714",.��y!`w_. tom" k• .( r• !{. �\ . , - , _ • • " 16- ,l• r'- • •• ,' '1.1 .;. :•i•;(.;:'::''•••'‘.17'.' 11'-`y:r4,' y'Jd:' -(,': + #2 •, • r �•� -t A• i .r, ._ " a •,y�, f r, '1i;17Z ;;---;'' k:;'.4. ..i::...:......:,....1::::,..;;,.....,. '�+f:,�ti .,r ,•••••• ''�` J•,l+ ' - 4k••4''l I`•1=Y41'• •� �y• -":741•;f/.1/4`. � ���' „i:.• 'a. t STC}1Y �� • p .4...".....4 .-. , m • ,. • 8 .. . " . . . . . .. ... •._:,,..1...,..•4 S• •• . rit4 /`�.ye� •., �. , •' •: 'r•.• i'. �..• _.'�': ..•,;:.];''-'1+- ♦'1t,•�ai y: Jtr• :• _ .:.•• _a,..,� r •r�J-'t.i J - V } ........:{1••%::;_f - •K' ''•,• J. r .• •. ,- ,l .► .,• .• SMS -'' l•,_271"• A. , • • - • • T.:.:.,`�.�.,,--•-•••;--• _ _ • ',rr v Y r •. •' '• .,y 4, • -• -•'• cr,.,lt• .,`.,p;.`• • ��'• .,lclt{G yk,�f?-''• - _/ ' - .1 , 1 ''�+.1 .~..S`:. "� '.,•-4'4�'..c. •`, +�••.4-1`'I•- - •' •--'IV • .1 .I. x-,`"'-./••• '',.1.,';'• '•1!!!.•! 1 '• '•fdtt'.-411 91Y-'lt�j 'T '�.}�*7�'''•r'�'� ,• h.,. ,i ( • • ..� F r. •i. F`� •' • 3 a + 'F• 1 . -�} ft`s:• 1.. 93'-, C7 it1,11<;) aporl--L.Lre, , ( 6:I:P ) / 1n L 2 0 i '2 X f-/tiJ Doo Oy am 7 �1 �� - Qr'I�r�,, 1, . 1 .1 cl civ i- b l 0 G c/ct,9c Spac.,2:- 0o/-.) '1 --- 7 /9 tip fo 6 l0-t, r-1 d C- �. Pr 3 c�F-sht nc ) 1-4,.1-s'1 ' I D'I/Ls/L(1 - ` '2" s 90 0 - - r Cb'lo/!) - rr---- ------) Ill,ii" . I 7771C.f2-11 I-TIFET- '-71 1 •V-, �7 ,I2 (14 I , _Y J e-