HomeMy WebLinkAboutMeredith OFFICE OF THE TOWN CLERK r ' •c��FFOL4 ,Z
Town of Southold ,� � �D
Judith T. Terry, Town Clerk °^. •
Town Hall, 53095 Main Road c3�'
P. O. Box 1179 % c.r3 fi
Southold, New York 11971 4 -
Telephone --40 4 't '
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
OPERATION PERMIT "' "-'"-`
SEPTIC TANK or CESSPOOL
Operation Permit No. 34 Residential XX
Non-Residential
Fee $ 10.00
Septic Cesspool XX
NAME OF OWNER: Elizabeth and Lyle Meredith
OWNER MAILING ADDRESS: 770 Shipyard Lane
Southold, New York 11971 -
OWNER PROPERTY ADDRESS: 770 Shipyard Lane
Southold, New York 11971
OWNER TELEPHONE NUMBER: 765-3382
:TAX MAP NO. : Section 64 Block 4 Lot 20 -
CROSS STREET: Landon Lane
TYPE OF SYSTEM: Septic Tank New Existing -
Cesspool XX- :New Existing XX
Residential - Xx Non-Residential
DATE OF PREVIOUS PUMP-OUT: July 1985
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eAge„;:e1400,. ...d.
Judith T. Ter
Southold Town Clerk
DATE: August 29, 1986 -
(TOWN SEAL)/
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OFFICE OF T.HE TOWN CLERK ���FQ�.', _ /
Town of Southold t•� '2 .- Application No. �T
Judith -T. Terry, Town Clerk , --..-4c1) Residential
Town Hall 53095 Main Road 8f, .
P. O. Box 1179 ." f �`' Non-Residential
Southold, New York 11971 O ° ,- ^ O��`
Telephone _ .� ,
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for •
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 2/71,
Fee $ /6 as
DATE -2r/-17,i,r /9f
OWNER NAME: , //,��dfI� a.iv a7/ f t4r1` /'
OWNER MAILING ADDRESS-0D f a_C01 .0 y4,-/-44,?Atf
- SCJ 1114addl‘tr /i9 7(
OWNER PROPERTY ADDRESS: ScafrtE
OWNER TELEPHONE NUMBER: 26 x--33
TAX MAP NO. : Section 4Q Block Lot C)1U
CROSS STREET: .L 4,/Ib// 4,2
TYPE OF SYSTEM: Septic Tank lV New • Existing ✓
Cesspool 1/ New Existing
Residential £/ Non-Residential
DATE OF PREVIOUS PUMP-OUT: ` ac, (lir"
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.)
/gnature of Applicant
RECEIVED BY: C> eiXw
Town
9:gre/rkTi'sCs O
ffe
DATE: U
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