HomeMy WebLinkAboutMulhall (2) OFFICE OF THE TOWN CLERK .; vf6111'"
Town of Southold g.,e4t4,713t4"
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Judith T. Terry, Town Clerk �
Town Hall, 53095 Main Road 8
P. O. Box 1179
Southold, New York 11971 O,y� ''�� �,
Telephone _ of t'
(516) 765-1801 -
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
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Operation Permit No. 94 Residential XX
Non-Residential
Fee $ 10.00
Septic Cesspool xx
NAME OF OWNER: - John F. and Frances J. Mulhall
OWNER MAILING ADDRESS: 460 Clearview Avenue West
Southold, New York 11971
OWNER PROPERTY ADDRESS: 460 Clearview Avenue West
Southold, New York
OWNER TELEPHONE NUMBER: 516-765-2679
TAX MAP NO. : Section 70 Block 8 Lot 49
CROSS STREET: Gardiners Lane
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool XX New Existing- xx
Residential XX Non-Residential
DATE OF PREVIOUS PUMP-OUT: June 1 , 198.E
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Judith T. Terry
Southold Town Clerk
DATE: October 16, 1986 -
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(TOWN SEAL) - .
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OFFICE OF THE TOWN CLERK •c.0FUl14 /
Town of Southold Application No.
Judith T. Terry, Town Clerk . Z 4
Town Hall, 53095 Main Road c �" ` , :� Residential
P. O. Box 1179 ' �•` Non-Residential
Southold, New York 11971 O
.�t.,. Off- �•
Telephone A to
(516) 765-1801
RECEIVED TOWN OF SOUTHOLD
OCT 1 5 1986 SOUTHOLD WASTEWATER DISPOSAL DISTRICT
1oWi Clo k Southold
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 9
Fee $ /(
DATE 60 8/$�
OWNER NAME: Joii-tv
OWNER MAILING ADDRESS: q4O G +J .4-P-VIl31 J Aug Wesr
(5(, it-4 , N ll°,1U
OWNER PROPERTY ADDRESS: S4*i L A-s A- ve
OWNER TELEPHONE NUMBER: (576) 76S --,167e7
TAX• MAP NO. : Section 7Fj Block Lot 4"-'q
CROSS STREET:
TYPE OF SYSTEM: 6eptic Tank) New Existing
(Cesspool ) New Existing
CResidential) Non-Residential
DATE OF PREVIOUS PUMP-OUT: 6,0/1/k1-1
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.)
Sign.ture of Applicant
RECEIVED BY: ( Cyc( — -)
Town glerk's ffice
DATE:
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