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HomeMy WebLinkAboutMoritt OFFICE OF THE TOWN CLERK • •elf[K`;' Town of Southold � �lj Judith T. Terry, Town Clerk � � -gy *4, Town Hall, 53095 Main Road a P. O. Box 1179 to Southold, New York 11971 p '` ,' •`� Telephone Ol (516) 765-1801 `, •- TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 200 Residential X Non-Residential Fee $ 10.00 Septic Cesspool X NAME OF OWNER: Fred G. Moritt OWNER MAILING ADDRESS: P.O. Box 55 Mattituck, New York 11952 OWNER PROPERTY ADDRESS: Private Road (Harbor Farms off New Suffolk Ave. - South, Mattituck, New York OWNER TELEPHONE NUMBER: TAX MAP NO. : Section 116 Block 4 Lot 14 CROSS STREET: New Suffolk Avenue TYPE OF SYSTEM: Septic Tank New Existing Cesspool X New Existing X Residential X Non-Residential DATE OF PREVIOUS PUMP-OUT: Unknown Judith T. Terr Southold Town Clerk DATE: January 13, 1987 1 (TOWN SEAL) II III OFFICE OF THE TOWN CLERK - . C3��FO(�'C;' : I' �00 Town of Southold p. Ql/ Application No. Judith T. Terry, Town Clerk Town Hall, 53095 Main Road c =,. - ' ! Residential X P. O. Box 1179 (74 ' ' •' : Non-Residential Southold, New York 11971 O � • "$ Telephone ®.1 7' (516) 765-1801 TOWN OF SOUTHOLD ®EQ 09 es SOUTHOLD WASTEWATER DISPOSAL DISTRICT Tow► Clerk SOtAthOid APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. oZOU Fee $ IC,—• DATE .1)E-C• 1886 OWNER NAME: FRED 6 . MDR ITT OWNER MAILING ADDRESS: P•O.B • 55 c.)CV t52 OWNER PROPERTY ADDRESS: 'i; '.I1T Pte➢ H14Ri3OR c--)•RtiS o New FoLL. -SovT+� OWNER TELEPHONE NUMBER: TAX MAP NO. : Section i Block 4 Lot 1 4 CROSS STREET: OP- UP-WI �� . :k_ ) Lo cu,1- lie_ Vt / 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, approximately, to building and closest road.) i Signature of Applicant RECEIVED BY: f REcl�v�®Townrk's Of, ice DATE: JAN 13 19 e Ir 2-6 Town Clerk Southold • P r` ?.;i-.. - •r ,; <, _. . • .t h ,--i f - -- r• ,. _ ` s+tiw:. °.1[s:mf+M ,.-e w•-RA.a dti-ra.`»�, 7+=aeWxw+wa r+.w....++..�.. it. 7,}�: , ' ,....v.ii�y i�i, ,.7.. .f+R mow.: , , - _ . _ `' •• 1 ,� Y u4`�*! ` ,.',',qtr' ie., , ,s!, a ' •.`S. 71I.rte, $ , f{ • ` ':i ps'-' �+r`�'� f0 i /00.Q • .1\\--N. • 'y } �� CAtj;, , i. • . .) N... '''t 11,7,1 a; it 7• _ n Zi;� _ •v0 �. - } 3I "4 4 ; -s,• _� . A. , , .,::,. ,..,. •., , , . .., IR 4 ,, . A' . i -?-,i ; ,,,,%,, . . .., . , -....1\--- • ..., , ,z5v, ,i2i_....1 .„... . % . s \ till 111(3 \ . i , 't - op 14 1 t. xa i 'i/; t- y�• 1 1 i d.G �.'�Q KW Z 4.. 3 VJVt 1 11, ;'A,: 'Y. . ' , as 89 '30 VJ ci.\ 0 -- 11. ,l ;j�- _ > _ __-� _- 1._ __.._ �._. _ +..} _ { \ 1. " ' ° Pig o f\ ,,. ' ,. ° - v 1. 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