HomeMy WebLinkAboutMoran OFFICE OF THE TOWN CLERK •
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Town of Southold ' �O �G
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road
P. 0. Box 1179 cr3 ' ` r
Southold, New York 11971 N- d
Telephone 1 *`�
(516) • 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 259 Residential X
Non-Residential
Fee $ 10.00
Septic Cesspool x
NAME OF OWNER: Andrew Moran and wife.
OWNER MAILING ADDRESS: Nakomis Road and Hiawatha's Path
Southold, New YOrk 11971
OWNER PROPERTY ADDRESS: Nakomis Road and Hiawatha's Path
Southold, New York
OWNER TELEPHONE NUMBER: 516-765-9288
TAX MAP NO. : Section 78 Block 3 Lot 17
CROSS STREET: Corner of Nakomis Road and Hiawatha's Path
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool -X New Existing X
• Residential X Non-Residential
DATE OF PREVIOUS PUMP-OUT: 1980
Judith T. Ter
Southold Town Clerk
DATE: ' April 7, 1987 , • _
(TOWN SEAL)
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