HomeMy WebLinkAboutMulrain owl,firisfj,_,
• Town Hall, 53095 Main Road
e3 o P.O. Box 1179
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N:10 4/32 Voi..� Southold, New York 11971
JUDITH T.TERRYFAX 765-1823
TELEPHONE)16)765-1801
TOWN CLERK
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 1233-R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
New X Existing
Name Of Owner MULRAIN, EDWARD AND JANE
Mailing Address 1 P. O. BOX 113
Mailing Address 2
City St Zip MATTITUCK NY 11952-0000
Property Address 1 475 ROSEWOOD DRIVE
Property Address 2
City St Zip MATTITUCK NY 11952-0000
Owner Telephone No. 516-298-8550
Tax Map No. section 113.00 block 2 lot 10.000
Cross Street COX NECK ROAD
Date Of Last Pump Out 0/00/00
Issue Date: 8/25/89 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
•
OFFICE OF THE TOWN CLERK c0re(it. '=
Town of Southold � . ti `�j Application No. Aa3 3
Judith T. Terry, Town Clerk �` r�r 0 14-4. `
Town Hall, 53095 Main Road -e s :'(,� Residential
P. O. Box 1179
Non-Residential
Southold, New York 11971 O '®. JrO�'��J
Telephone !*°,1*--. ��
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $ •
DATE O —/02 8F
OWNER NAME: jM _ -Ttsune A L(r'I�
OWNER MAILING ADDRESS: `V 9, \
OWNER PROPERTY ADDRESS:_____ -5L � {Q
OWNER TELEPHONE NUMBER: + '0 0 7Z J 9
TAX MAP NO. : Section 1, I,� t Block Lot `�(9 ,, �c--/
CROSS STREET: C c *- Q c \ \SPVINJ
e-
TYPE OF SYSTEM: Septic Tank New / Existing
Cesspool New Existing
Residential \/ Non-Residential
DATE OF PREVIOUS PUMP-OUT: NSU -: Ali2, LU ' / e
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.)
1,107.41.L.!
Sif nature of Applicant
RECEIVED BY: •
Town Clerk's Office
DATE:
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_ _ SURVEY OF €D)
•Weil
ii MAP OF ROSEWOOD ESTATES " ss '
FILED JAN. 24 , 1969 FILE NO . 5240
AT MATTI TUCK R-25 53'
TOWN OF SOU TH O-L D L39 57'
SUFFOLK COUNTY , N . Y .
1000 - 113 - 0 2 - 10 \,
SCALE 1 " = 40' $
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NOV. 19 , 19 86 �G
MAY 22 , 1989 ( u.c.)
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CERTIFIED TO
AMERICAN TITLE INSURANCE COMPANY
SOUTHOLD SAVINGS BANK
EDWARD MULR AIN
JANE MULR AIN
y��ANON
``�• � cfr. A.otic G-2
., •�i �1 AREA = 20 , 007 SQ.FT.
• riAc 70 1 •
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9 4.. A- . Y. S . LIC . N0 . 49668 P Pre arod in accordance wish tho mit,:main
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c•mckuds for title surveil; as rrt:l'.iii.i; d by
1.1,9 L.1.A.L.S. and approvod and adapted
! ECO N ' :��• Y0 R S ENGINEERS , P. C. for such use by The New York State Land
C- 5 I'6 ) 765 - 5020 Title Association.
P.O . BOX- 909 ,
MAIN ROAD
SOUTHOLD ., N. Y. 11971
/0-i7-86 13.0•.1.