HomeMy WebLinkAboutSonner OFFICE OF THE TOWN CLERK I 4\V 1.,
Town of Southold
Judith T. Terry, Town Clerk .1' ;',:•1+ `,-A
Town Hall, 53095 Main Road
P. O. Box 1179 �� tis urs :
Southold, New York 11971 `�' `�•�
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Telephone .(
(516) 765-1801 `-
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 173 Residential X
Fee $ 10.00 Non-Residential
Septic Cesspool X
- NAME OF OWNER: Doris Sonner
OWNER MAILING ADDRESS: Bay Road, Box 506
Greenport, New York 11944
OWNER PROPERTY ADDRESS: Bay Road
Greenport, New York
OWNER TELEPHONE NUMBER: 516-477-1146
TAX MAP NO. : Section 43 Block 5 Lot 8
CROSS STREET: Sandy Beach Road
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool X New Existing X
Residential X Non-Residential
DATE OF PREVIOUS PUMP-OUT: July 1984 ?
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Judith T. Terry
Southold Town Clerk
DATE: December 9, 1986
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OFFICE OF THE TOWN CLERK �/�FFO �'
Town of Southold �% CQG Application No.
Judith T. Terry, Town Clerk .ti.„,,.... , i-F y 2/
Y. � ��' _ < l Residential
Town Hall, 53095 Main Road 0:,_ , -�
P. O. Box 1179 cn =� V Z' Non-Residential
Southold, New York 11971 O�% l �`�
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Telephone _ .( ',
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. / 73
Fee $ /0 v
DATE .1C.• 10) IV)
OWNER NAME: .L aJ Oif i S • J v (NoitwAtc
OWNER MAILING ADDRESS: (kb . 'BS6
1Q (NY 0 LI i‘ Tic, 4. -
OWNER PROPERTY ADDRESS: .0.,11V1e
OWNER TELEPHONE NUMBER: 61 (Q 14 7 7 114-6
j TAX MAP NO. : Section +3• r.5 "'4g Block Lot
CROSS STREET:
a
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool f New Existing V
Residential / Non-Residential
DATE OF PREVIOUS PUMP-OUT: T//4 (?)
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.)
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Signat re of Applicant
RECEIVED BY: (// ri raq__,4, , , ,
movED own CI' rk's Of e
DATE: I! % II !, long
Iowa Clark Southold
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