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HomeMy WebLinkAboutSidor (5) I 11-* eaLqb fr,ry � Town Hall, 53095 Main Road' cam® O n, P.O. Box 1179 � � Southold, New York 11971 JUDITH T.TERRY = - rii111����, FAX(516)765-1823 "��� TELEPHONE(516)765-1801 TOWN CLERK REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 1344-R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X New Existing X Name Of Owner SIDOR, THOMAS Mailing Address 1 BOX 730 Mailing Address 2 City St Zip MATTITUCK NY 11952-0000 Property Address 1 COUNTY ROAD 48 Property Address 2 City St Zip MATTITUCK NY 11952-0000 Owner Telephone No. 516-298-9615 Tax Map No. section 108.00 block 2 lot 1 .000 Cross Street ELIJAH LANE AND MILL LANE Date Of Last Pump Out 0/00/00 Issue Date: 12/18/89 Judith T. Terry Southold Town Clerk (TOWN SEAL) .,9/OFFICE OF THE TOWN CLERKc VF01A- Town of Southold � ;- CQG' Application No., /() Judith T. Terry, Town Clerk a $10.00 - Residential /�'� Town Hall, 53095 Main Road P. O. Box 1179 A1 f $25.00 - Non-Residential Southold, New York 11971 O ® ` �1 Telephone �( y `I\ • " (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL • Operation Permit No. Fee $ DATE /0 /3c-3/19 OWNER NAME: IhomA s S( (Dpi • • OWNER MAILING ADDRESS: 1 73 O r /14f (, c,(Cr �, 5 1,�i2S� OWNER PPO9ERTY ADDRESS: ® L 141 OWNER TELEPHONE NUMBER: 9 6 (5 TAX MAP NO. : Section / 0 F Block c,2 Lot l CROSS STREET: .E/(j A 1 /144.e (n( (0 //lee° TYPE OF SYSTEM: Septic Tank ✓ New Existing Cesspool ✓ New Existing tr- Residential Non-Residential DATE OF PREVIOUS PUMP-OUT: oL/ � 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.) -<eL0/61 Signature of Applicant RECEIVED BY: RECEVED. 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