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HomeMy WebLinkAboutSmith (2) OFFICE OF THE TOWN CLERK ' •Sv�FQ/K Town of Southold 4 - Judith T. Terry, Town Clerk Town Hall, 53095 Main Road g `=" ' ' '=``' .` < T P. O. Box 1179 ♦ t ' Southold, New York 11971 4` *e. ►` Telephone : .( ifft 11/4 (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 11 Residential XXX Non-Residential Fee $ 10 . 00 Septic Cesspool XXX NAME OF OWNER: Joan R. Smith OWNER MAILING ADDRESS: 3615 Vanston Road Cutchogue , New York 11935 OWNER PROPERTY ADDRESS: same , rrs" OWNER- TELEPHONE NUMBER: 734-6966 TAX MAP NO. : Section 111 Block 11 Lot 1-7 CROSS STREET: Carrington Road TYPE OF SYSTEM: Septic Tank New Existing Cesspool xxx New Existing Xxx Residential XXX Non-Residential DATE OF PREVIOUS PUMP-OUT: July 1986 Judith T. Terry Southold Town Clerk DATE: 8/15/86 (TOWN SEAL) $ • I �� ���i 4. iOFFICE OF THE TOWN CLERK .cOFQ(ir Town of Southold �� ; �QG Application No. / Y Judith T. Terry, Town Clerk � �,� - � � Residential 1/".Town Hall, 53095 Main Road o �_ - ` i P. O. Box 1179 ��� �. KNon-Residential � ® _.�. Southold, New York 11971 O ;0�,•• Telephone _0 � (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL - Operation Permit No. 1/ Fee $ / 6•D DATE - OWNER NAME: 3 0 9,- S vvk VAI OWNER MAILING ADDRESS: 3 11c d VISIva J. c .,140a a_0( `� 1 t� SSS OWNER PROPERTY ADDRESS: S tow it OWNER TELEPHONE NUMBER: (.510 1 3'I-- 06 TAX MAP NO. : Section t t .. Block 1 %. Lot CROSS STREET: �wrY:A 1.6ve, TYPE OF SYSTEM: Septic Tank New Existing Cesspool ✓ New Existing Residential ✓ Non-Residential DATE OF PREVIOUS PUMP-OUT: l �, tQ t c 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.) e R. 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