HomeMy WebLinkAboutSkuro OFFICE OF THE TOWN CLERK ' 'OF Nir ,'
Town of Southold � c•
Judith T. Terry, Town Clerk � Z 'X ` ��
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, New York 11971 =`Y ; ,° .
Telephone _ Ol * l d
(516) 765-1801 '`
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 244 Residential X
Fee $ 10.00 Non-Residential
Septic Cesspool x
NAME OF OWNER: Rose Skuro
OWNER MAILING ADDRESS: 305 Marlene Lane, Box 52C
Mattituck, New York 11952
OWNER PROPERTY ADDRESS: 305 Marlene Lane
Mattituck, New York
OWNER TELEPHONE NUMBER: 516-298-4406 - Home or 516-548-3137 Work
TAX MAP NO. : Section' 143 Block 3 Lot In
CROSS STREET: Route 25
TYPE OF SYSTEM: . Septic Tank New Existing
Cesspool X New Existing X
Residential X Non-Residential
DATE OF PREVIOUS PUMP-OUT: January 17, 1987
•
Judith T. .Terry
Southold Town Clerk -
DATE: March 31 , 1987.
(TOWN SEAL)
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OFFICE OF THE TOWN CLERK �SOHU(
-
Town of Southold CQ Application No. 2
Judith T. Terry, Town Clerk �Moa
Town Hall, 53095 Main Road .{. ; :c Residential
P. O. Box 1179 cr30i ; Non-Residential
Southold, New York 11971 O z �o ��`
Telephone *4 0 t.
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
QS"
Fee $ /1`'
DATE 03-26-87
OWNER NAME: Rose Skuro
OWNER MAILING ADDRESS: 305 Marlene Lane Box 520
Mattituck, New York 11952
OWNER PROPERTY ADDRESS: 3C)9 Marl PnP T,anP Rnx S2C
Mat-ti tnrk, NPV Ynrk 11952
OWNER TELEPHONE NUMBER: 516 Home #298 4406 Work# 548 3137
TAX MAP NO. : Section 143 Block 3 Lot 30
CROSS STREET: Rte. 25 & Marlene Lane
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool x (7) New Existing x
Residential x Non-Residential
DATE' OF PREVIOUS PUMP-OUT: January 17, 1987
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.)
Si ature of Applicant
RECEIVED BY:
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E® Town C rk's 0 vce
DATE: HAp 2 7 7387
Town Clerk Southold
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REVISIONS YOUNG & Y® �rP�`�� OF ryF�`
• 400'OSTRANDER AVENUE, RIVE E' ',/ O EW YwOR16. wr'F ' , 'E" -
ALDEN W. YOUNG - ' 1,;. .D SGA OU G4 _'
_ - - PROFESSIONAL ENGINEER AND _ - ' - - /' -. E'®•
. - LAND SURVEYOR, N.Y.S. LIC. NO, 12045 .V�- 1I,C. NO. 5�9��;:4"3-
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' SURVEY FOR: - -,3:..
UNAUTHORIZED ALTERATION OR ADDITION TO ROSE SKURO 8 ANOTHER e, ° 45893• _`'
THIS SURVEY ISA VIOLATION OF SECTION ce.
7209 OF THE NEW YORK STATE EDUCATION - �s�d SND wRVEy�Q• _ 1
LAW -
COPIES OF THIS SURVEY MAP NOT BEARING _
THE LAND SURVEYOR'S INKED SEAL OR -
EMBOSSED SEAL SHALL NOT BE CONSIDERED
TO BE A VALID TRUE COPY ATMAI T/TUG,/( GUARANTEED TO:
GUARANTEES INDICATED HEREON SHALL RUN .
ONLY TO THE PERSON FOR WHOM THE TOWN OF SOUTHOLD
SURVEY IS PREPARED,AND ON HIS BEHALF ,
TO THE TITLE COMPANY,GOVERNMENTAL
AGENCY AND LENDING INSTITUTION LISTED N.Y. BY }��/ �/
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HEREON,AND TO THE ASSIGNEES OF THE SUFFOLK CO., N. 1. �v. 1 , t 1. �-/ -
LENDING INSTITUTION GUARANTEES ARE w[•. `
N TITUT ONS OR SUBSEQUENT ADDITIONALNOT TRANSRABLE TO OWNERS. SCALE: f' "l 0' I DATE: FEB. 3, /975 I NO. 75-53 .a
K&E 17 5153 9-74 40913• / -