HomeMy WebLinkAboutSponza •
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JUDITH T. TERRY ; L Town Hall, 53095 Main Road
TOWN CLERK v P.O. Box 1179
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS Fax (516) 765 1823
MARRIAGE OFFICER
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(516) 765-1801
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 3167-R Residential X Non-Residential
Fee $ 10.00 New Existing X
Name Of Owner SPONZA, ANTHONY J.
Mailing Address 1 BOX 204
Mailing Address 2
City St Zip ORIENT NY 11957-0000
Property Address 1 1655 RYDER FARM LANE
Property Address 2
City St Zip ORIENT NY 11957-0000
Owner Telephone No. 516-323-3564
Tax Map No. section 15.00 block 4 lot 1 .000
Cross Street NORTH SEA DRIVE
Issue Date: 2/04/94 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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' OFFICE OF THE TOWN CLERK •c,\\�F�(���,
Town of Southold Application No. I L-7
Judith T. Terry, Town Clerk A.6
Town Hall, 53095 Main Road $10.00 - Residential
p. O. Box 1179 trA'e°' $25.00 - Non-Residential
Southold, New York 11971 O�ywO �r.
Telephone _ lad
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPL:C 110!- - - •
RECEllif
for
OPERATION PERMIT JAN 2 4 1994
SEPTIC TANK or CESSPOOIhold Tam Ciao
Operation Permit No.
Fee $
DATE
OWNER NAME: T6 (7- 0 sn Poiq�
OWNER MAILING ADDRESS: /4 cr . �,4 C%orf fvl 1,14e4;-
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OWNER—PROPERTY-T ADDRESS: • /� - - - �-
OWNER TELEPHONE NUMBER: 3 2-3 3u(-4
TAX MAP NO. : Section Block Lot rY
CROSS STREET: /yd ,X 7" S Afi
l/
TYPE OF SYSTEM: Septic Tank New Existing r/
Cesspool New Existing
Residential 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.)
J �
/e
ure o Applic=nt
RECEIVED BY:
Town Clerk's ffice
DATE: / 9Z2V/i' cl
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