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HomeMy WebLinkAboutMoore (3) a " . , JUDITH T. TERRY , � Town Hall, 53095 Main Road TOWN CLERK t P.O. Box 1179 ge• REGISTRAR OF VITAL STATISTICS : T ,i; Southold, New York 11971 Fax (516) 765-1823 MARRIAGE OFFICER ' Telephone (516) 765-1801 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 1696-R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X New Existing X Name Of Owner MOORE, GEORGE AND EILEEN Mailing Address 1 8420 MAIN BAYVIEW ROAD Mailing Address 2 City St Zip SOUTHOLD NY 11971-0000 Property Address 1 8420 MAIN BAYVIEW ROAD Property Address 2 City St Zip SOUTHOLD NY 11971-0000 Owner Telephone No. 516-765-2444 Tax Map No. section 78.00 block 4 lot 35.000 Cross Street SMITH DRIVE SOUTH Date Of Last Pump Out 0/00/00 Issue Date: 6/04/91 Judith T. Terry Southold Town Clerk (TOWN SEAL) �r iii OFFICE OF* THE TOWN CLERK c�v�Ff1(,t�'" �� Town of Southold �O_ _-,'- '''',.. 44-7. Application No. Judith Terry, Town Clerk "" E Town Fall, 53095 Main Road :'. } $10.00 - Residential ‘..------- p. —p. O. Box 1179 FA tik -'` , "" �% $25.00 - Non-Residential Southold, New York 11971 O ';®'f, �� ••�` Telephone 6 �o . 1 (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT • SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ \(). b() — DATE MTh, ) \C-G OWNER NAME: c\ 3, VDO,r-1 `C 11 Cj OWNER MAILING ADDRESS: ),-\\<9.0 mit . _\- . OWNER PROPERTY ADDRESS: \,SO < an > 0\, - U, tt OWNER TELEPHONE NUMBER: ' 1.dED -B\--\"\ • TAX MAP NO. : Section df cK-,C,C) Block ems-(.. (j Lot(:)% .c c o CROSS STREET: _____=.1)-)-c.--(=d/i-- (121,/ . ` TYPE OF SYSTEM: Septic Tank New Existing Cesspool New Existing \— Residential ._,------ Non-Residential • DATE OF PREVIOUS PUMP-OUT: LOCATION MAP: Must be attached hereto before permit may be issued. (Locate building and system; give north arrow and feet of distance, arpprox mately, to building and closest road.) Signature of App 'cant RECEIVED bc.5_ ).7c.e..-4„..±... own Clerk's Office DATE: L.5-1/4_,4 •\ \/ ', ` ' • 4 ~ ', , , •- ' - ' v` ' „ e ' • • 1, �• , wrwi••.PYs2R'-..!+••^N^r+..w?�°'.'n'^;`..,.,-5--. s ..•-v... -- +rr.t.x�n,l•:��.aA'n...:.n•+„'wi'.,.4'Ra1Mne wr�+M•..-•Y4-=.a•rJ ,+.�w�rf.iaH»�n.+.w;w� ';',"2,1;;-',;;::2_:.""'1, c,': �`fry tR:a"4s r:l'¢r"Stan , ! - - , _ .- e• r �r;rl aC-�.c,t:s^aa•s +sr+•s"r saaPs a� .N- - - - - _ ",.� - - ' ' S`-Via' 7:b:7,e:dre;sir.13.,.itriusoh*CtrrItzt; yor's inkco e - Ez€+cr<rssi �" _ ,r = _Noss� - ;;,;`a _ sn�scn hs t sarareeeayY,ersara,cr vhatr :+F.. N;{ �as�ratr� �,cSanhas ;s^to' „'a' �+ , s;'c re°yrs,=+ . 3a"aesn o:• 1 + _ . ;! • / R $a,,�•!c:3s.uY+rtri Sig=' icr ,:.,,,,,,..3... „ 7^ ” - • - ' to the C^ a.j:;e^.dn 'We a;ct.Gc^.a:::,',`_, ., - - - • , ;. y 4'1' + _ + , '4•4L3:::=-11:.-7,....'"..:;e, +ia'+ 6:.Iu, E•w'^� �,r,sLiJ35tIi3Lt1i y x - - '.i 4'i , • ! 7 yV` _ l . 14 s a .. • •tet"` . +u �� � • ,' t:;`, • i ` , : 117. e. liar; ' . - �a. `' y - i 1 , " +,` `. r-'^" Ua�':(d'�I �63�' - , _ _ _ - _ ` 0 / T , 6 wiriA) —z. fJ - 21/' . . ' , • v , _. ,. ,,, , ,.. ,. • . . , , . i ' . , . • . r : ' -..,. . - 4 ��otic '� � Gt • : ' ' \ --....41,0.4-: .I,;f F"',' - �/"" may,C " 'a,''' - t -, _ , ' 1(V q. ,1 'moi r- - _ _ - _ - /"rte i, ` - ,` 1�6vD`'��' , G-c�.;1r�`C& - t s�. Af'�°r 1_ • ,, .L i_' `�-F•N O�) La:.::' 3 e.-,.?...0.--r ,•• -- M - , . J� . . • - ,,,, ,"•••.-.--,,,,,,,,,' -, .;4 _ 0Yry/ fit4{ - r • , ar 4 ' ,,`-„,, i. ” ,: : ir - - -s• - ++dw ; f' � -, E ` • .- +r.:,• t '�Y.,o[ „ - . -� g - - n, .- ' - ' - , e _ /— -`,rt j,,,. J+ ,, „.-..-1,--..2.,,,,..,:-..,..:„„6-,,-.•'<'.4,,f . ` p :.,..:„„:"' '<'` • ',p` •j'i 7i-.r, a�'T,- -:,,,;' i - 1 „' ` -_ - 1 CA:47 r'Z'r.•. Y• -Aa^4:e941. .'.4: