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HomeMy WebLinkAboutSmith (11) 00100 Mir JUDITH T.TERRY ©�® -. �� • Town Hall,53095 Main Road TOWN CLERK '' g � �_"� _ � � P.O.Box 1179 • E _�" ,�� Southold,New York 11971 REGISTRAR OF VITAL STATISTICS = 1 Fax(516)765-1823 MARRIAGE OFFICER �' ® 11 RECORDS MANAGEMENT OFFICER .� L os�II Telephone(516)765-1800 FREEDOM OF INFORMATION OFFICER ,011° OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 3324-R Residential X Non-Residential Fee $ 10.00 New X Existing Name Of Owner SMITH, THOMAS H. & BARBARA J. Mailing Address 1 P. O. BOX 1183 Mailing Address 2 City St Zip CUTCHOGUE NY 11935-0000 Property Address 1 3 BANKS STREET Property Address 2 City St Zip CUTCHOGUE NY 11935-0000 Owner Telephone No. 516-598-1042 Tax Map No. section 97.00 block 3 lot 18.008 Cross Street EUGENES ROAD Issue Date: 5/09/95 Judith T. Terry, Southold Town Clerk (TOWN SEAL) OFFICE OF THE TOWN CLERK •c,VFFD(,t��= Town of Southold � CQG' , Application No. .334 Judith T. Terry, Town Clerk ' u , � $10.00 - Residential Town Hall, 53095 Main P. O. Box 1179 ,��`Road • � ' $25.00 - Non-Residential _ �.` Southold, New York 11971 .�; Off- �• Telephone �( (516) 765-1801 TOWN OF SOUTHOLD • SOUTHOLD WASTEWATER DISPOSAL DISTRICT, APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ 10 ..00 DATE - 5- 9- 9.3' OWNER NAME: Thomas H. & Barbara J. Smith OWNER MAILING ADDRESS: 3 Banks St P.O. Box 1183 Cutr..hng]p NY 11735 OWNER PROPERTY _ADDRESS: __ Same as above _ __ Note: Prior to C.O.- 242 So Ketcham Ave Amityville NY OWNER TELEPHONE NUMBER: 516- 598-1042 97 . 00 3 18 . 008 TAX MAP NO. : Section Block Lot Eugenes Rd. CROSS STREET: TYPE OF SYSTEM: Septic Tank x New x Existing Cesspool x New x Existing Residential x 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.) Signature of Applicant • RECEIVED BY: OV Town 's Office DATE: 670.) „ • _ - ! --5.'•5, x• 'A,Y F,, - •. - r .'� ',.•-•''''' _ • ` ; 7i�17 ` _ r - . I r r '' • rl. . Y 1,. R' _ -, 51��],[. r1' 4.• " <•+�• r`n.. • i , - . , L, ,„ ,5 ,,. . . - -, . ;_,, . ., 5 1. .. . , .. ” . . 11 BAPJ3S� H c: -x.72�E26E_ -, is �, ` . : - - - ' sr_ THE wATER -�, 1 \4u _, • 'n�'�- �'�, £� -;Cr+:4 t'7'° •° . k,-. . .stu�� ?!.��c C: AFT . \ . . . . . P. ' ^� SUFFQU( ,>' ---- ......._7 ---.1 \-,---,:e t 0'-' . ' kl> ''''''''--;.,, . , 49IC.0>Z'1 >0Z---. Fi 11 . -r.1,-1. •', . ,,,i .5i> - -•, . . .' .... : \, ' '. ��?44,e �` DATE; 65 Q..\.:.. • 4� :�, y 2�X85 • ` `,-;,`' . I'�j - ...II.,re J°,--•�� .2' '� F A�� �I i�/ rt .f l �1' ��? `� ./ �. • if # + • ` OWNERS . A Tl $g, aufFcws1„.1 . . Rai FAMILY LLfNG ONLY . t�. /` Approval of c:o+ ruohd Wade ' 5 - „ ; - / , . . • . • T H rpt APB 0 6 1995 H.B,ii poi,;?,'! f� ?"-t ( ( �!• -- — w ,\� i 1 , and!mind to be salliriaolocy. . r f • i n � t Office of Wades and Wastewater ' , " - .� I Liait?M•