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HomeMy WebLinkAboutMuradyan -411(10 JUDITH T.TERRY Town Hall,53095 Main Road TOWN CLERKt 41r.:1"j, P.O.Box 1179 REGISTRAR OF VITAL STATISTICS •` • �, Southold,New York 11971 MARRIAGE OFFICER \44, ip ��� Fax(516)765-1823 RECORDS MANAGEMENT OFFICER : ®� ED ,," Telephone(516)765-1800 FREEDOM OF INFORMATION OFFICER �„ ,,• � OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 3372-R Residential X Non-Residential Fee $ 10.00 New Existing X Name Of Owner MURADYAN, ISTEPAN AND SARAH Mailing Address 1 645 TASKER LANE Mailing Address 2 City St Zip GREENPORT NY 11944-0000 Property Address 1 645 TASKER LANE Property Address 2 City St Zip GREENPORT NY 11944-0000 Owner Telephone No. 516-477-0260 Tax Map No. section 33.00 block 4 lot 25.000 Cross Street SUTTON PLACE Issue Date: 8/09/95 Judith T. Terry Southold Town Clerk (TOWN SEAL) s t.ti / 'I .r.. OFT/ICE-':OF THE TOWN CLERK �SWFU4. i"-- Town of Southold V-, Application No. 3 3 7°� &% c Judith T. Terry, Town Clerk •` �� t/ Town Hall, 53095 Main Road -� $10.00 - Residential P. O. Box 1179 to ' `� $25.00 - Non-Residential • Southold, New York 11971 4 ���1`, Telephone iirc (516) 765-1801 =01 f ' TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for ' OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ tp, n,, DATE OWNER NAME: /cT6/341l/ 3,)2/x# M caip.2y/W OWNER MAILING ADDRESS: , ,fes -7-71...rte L.r'J- C/42i'-eit/l/ber APe (75.4'54 OWNER-PROPERTY ADDRESS: s' `ALfe OWNER TELEPHONE NUMBER: 4' 77 © 4 "73gYF TAX MAP NO. : Section 3-3,_ 4 4 2Block Lot 4 CROSS STREET: ,.s0 777 4/ (244-aa-- TYPE iTYPE OF SYSTEM: Septic Tank - New Existing Cesspool New Existing i/ Residential �� Non-Residential 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.) ��` Mb, Signature of A.plic= t RECEIVED BY: i Town Clerk's Office DATE: /37-E7WAr .{ 6.Me4-e/ /14 6/A09 °911./ .. A t, ..,e, . ' I . I -- I 0 1 _______ 0 LA in -7Z ).---)_.., , 'l 1 ! -.5 N, (I- 1 \ I 4 { 0, Q LI) J 1 . 6 L7 /2. g- ' g r 1 < 0 7 1 4 1 1 l< ! il, Q) I t4 '' 9 1 0 • .