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HomeMy WebLinkAboutMilovich OFFICE OF THE TOWN CLERK Town of Southold Judith T. Terry, Town Clerk %l •-t , Town Hall, 53095 Main Road P. O. Box 1179 r, Southold, New York 11971 11.•=Q Telephone . 01 * (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 152± Residential X Fee $ 10.00 Non-Residential Septic Cesspool X NAME OF OWNER: Joseph P. Milovich OWNER MAILING ADDRESS: P.O. Box 345 Southold, New YOrk 11971 OWNER PROPERTY ADDRESS: Oaklawn Avenue Southold, New York OWNER TELEPHONE NUMBER: 516-765-2644 TAX MAP NO. : Section 63 Block 7 Lot 3 CROSS STREET: Main Road or Jernick Lane TYPE OF SYSTEM: Septic Tank New Existing Cesspool X New Existing x Residential X Non-Residential DATE OF PREVIOUS PUMP-OUT: 1983 Judith T. Terry Southold Town Clerk DATE: November 17 1986 (TOWN SEAL) • - - . _ 'iii..' • OFFICE OF THE TOWN CLERK %THU( Town of Southold • �Q Application No. /502 Judith T. Terry, Town Clerk "�N _' Residential Town Hall, 53095 Main Road ®c P. O. Box 1179 Ln ik . • ' Non-Residential Southold, New ""York 11971 O ® ' °"' : 49e Telephone 1 y (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. /,Sri Fee $ DATE i7, & c OWNER NAME: ",) ,o eivier p F7//d•v/c/7 R.0.6. 34/6— OWNER MAILING ADDRESS: QI7e</VwJ v Sa v `to l <-(1_ I17 / OWNER PROPERTY ADDRESS: OWNER TELEPHONE NUMBER: '76 ‹!(7 TAX MAP NO. : Section 6' 3 Block 7 Lot 8 CROSS STREET: a o ,u ? c f„r J,e)ciVick L-4"Nr TYPE OF SYSTEM: Septic Tank New Existing Cesspool ,/ New Existing Residential Non-Residential DATE OF PREVIOUS PUMP-OUT: q 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.) pp Signature of Applicant g RECEIVED BY: � �<< Townerk's Office DATE: gyp(RECEIVED i -`,..,,a.'.."- , .,... ,�-. ,:r�•- - . a . • _ 'V,. "''l - .;` _ .:. - •_.,� ', n ae ..y . • 5 •• _ •• tea. ''-:::./.; '...,7,... 1.,.."--.—-y .• ..7.-:-.31.-,,,,o -S{ •t n ..,rg rY. F- .,r,:,...,,,,, ',t '1 - ?Y..- r'3 - `}.. - _ _ ,•,.,,,,-.:„.1y -S h w•®tsj.. • l}R >. f, - -:,- S,• -�• • Q 1. ;s -"' . _ :, .... :: ::. II >. ^I• , 4 ---Yi ..:+4=.•M'r••.0."�n 1w�rely •. . • .+A :�� �.,T ti ;: Y_. P+';:,•'::::..:1-; - 14--;,---,- - +•'�>.f dam•.^ j pM�OipII�My`�.i•I Vapn•�.•`.�*��...-yM�Y���_T� =X:•-;.i-.., .`�i,�M1- • • M• • q .y `�„�-1_ •,_ r/:. •:h.�r _ , 1 T - - J'. - ; +-S lF'4'1: r� UkY.ta /-ttikt1/i v_ , i7"•r"-1 ,e':^,+ �•.-• • i �• ./. *1 ; .•1I Cie-'.''.6 6 -_y 1+. N T� '_ 1n ''C I •�. *, •,�, • ` }• .!, .. 'I, ro , iI X71,.' •-.y - N i - a + ;I ,T4 '1RFn.1:r�'E i _ _ _ - it}��Y 1i►I - ) .fes -)V •- . - + •i.. -� - ; ....... S; •� . u �.,_ .rte c �✓ r, 1 Y'' r © ` C ITit.tlk4?Ot*E•__ \ - I ' . . O o -v ; ct- _ 1V�il�E SSt • ;=: ." SuRif&Yk� '1.o Q = . . _., .. 7'. TIT l.� N.. 13-s- 03404 , •._t �... J�JJ,J)i /IA\\\ t{ L3O'L[LTILLADDITIO - ••X11' �= ` + , , . 7* /� /jy .TO THIS SURVEY IS A VIOLMION OF �c�sq�a�T&Eb To Tui cu�teGo iT��- o ._ '/ `"' • r, ,4 - .- •_ SECTION 7209-OF THE NEW YORK STATE INS U got L' Lo �� A� • ��To ,_,-......;_•:.;.. .,„- << = ,:' : ' INS fel y A Taw ' r' ` ar•, ,,t-4•- :,off :,...` 4ti Y: ;FDUCATION LAVJa:, }� 1 t y~ rti 1'rt . To oth......„- ;`"3 o f SURV Y MAP NOT;BEAR�NC V i --/`,�%� tt ,{�ij�A ' 1•r,1 f�i-°r) •`-,4, _ ' : ti • S .� oYCW -i'ld 44s �}/Y�,�� _ :3. e yw•-% •^. {. yr �- '• 5,,,;COPIES•OF• ED SEAL OR - _ }' Ir Lt� 'r� ? `t /� $� 'r' .THE'LAND_SURVEYOR'S•INK ` ' ,_ -- (� `� }� s-, •�•- :'Dti�{°..�f _?Y� -}A;: =1 -'1• CONSIDERED; -S� Vr. .b'•+ es ..D illy ?Aihm ru4. ��ti-t3. ., �'w+s_ «n`3-.4". z- �' •�� -- ' EMBOSSED_SEALSHALi NOT 8E _e ::r "•s:• ' TO Bt A�/ALtD'iRUCOPY. - ; L'Ritt< 1 � �•�`.,y 1•(-_ I `3-'Z i,.,-:-;` - ---Z*, " GUARA*ES_iNDICATED.HEREON SHALL RUN• i s- Ly', r 1 +j.,,,.�.-=_ < ,f,'"• ,,, ONLY TO THE PEPPSON FOR WHOM THE SURVEU, ;y�,{,'_• .,,..1,,....!:::,...:,,c,;:::,-,,,,:::4„.,:,,,,,,.....; � `•'``°",*, '- =yT., �':�"" - IS PREPARED,AND OkV HIS CEFiALF TO THE ';;`,�`" '° ,::' VERNMENTAL AGENCY A - -• :Si�1< i• t,•_ x'' TITLE COTdPANY;u0. L 5i, _z...,s. -.7-'''..-..I4; :' ." LISTED HL'PEON,AND L`�n 1e �1�tn,Jp . ' 7s.'t 3' "»z =3v. W.`,..,-'`,...-.r r t;._ a LENDING INSiJTUTION; i�4C-1'6.--LANb iOikvby� r`•,•- :. . r:i ,.; _ 1,!..,9::*; .! a -_`"' - ATO THE AS3:G EES"QF THE LENDING [WW1-^ t,. - ;-- ^. _- - ti, .`' - 1:'TUTION,-GUARANTEES ARE NOT TRANSFERABLE iA /� •�* 1 1E1 d4 I/ - • ti4 .• :,, • - '-q$ IT TIONS •R SU$SEQ JJ�� wv tt 1l CC`YY yogi(