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Home My WebLink AboutNelson JUDITH T.TERRY tt, e -69e4..v, Town Hall, 53095 Main Road TOWN CLERK ` ; P.O. Box 1179 Q Southold,New York 11971 REGISTRAR OF VITAL STATISTICS etoo MARRIAGE OFFICER ��® •e®��7" Fax(516) 765-1823 Telephone(516) 765-1800 RECORDS MANAGEMENT OFFICER °°.° Tele p FREEDOM OF INFORMATION OFFICER of OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 3609-R Residential X Non-Residential Fee $ 10.00 New Existing X Name Of Owner NELSON, ANN MARIE Mailing Address 1 P. O. BOX 596 Mailing Address 2 City St Zip GREENPORT NY 11944-0000 Property Address 1 1420 NINTH STREET (SYSTEM 1) Property Address 2 CHERRY LANE FARM City St Zip GREENPORT NY 11944-0000 Owner Telephone No. 516-477-0549 Tax Map No. section 45.00 block 6 lot 9.000 Cross Street ROUTE 25 Issue Date: 4/23/97 Judith T. Terry Southold Town Clerk (TOWN SEAL) #,�..� oil coFFOLA- e •A. e JUDITH T.TERRY �� Town Hall, 53095 Main Road TOWN CLERK 4 P.O. Box 1179 oar �r i Southold,New York 11971 REGISTRAR.OF VITAL STATISTICS MARRIAGE OFFICER ‘4° 1�'� ei� Fax(516) 765-1823 RECORDS MANAGEMENT OFFICER = � �°�®• Fax (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. 3610-R Residential X Non-Residential Fee $ 10.00 New Existing X Name Of Owner NELSON, ANN MARIE Mailing Address 1 P. O. BOX 596 Mailing Address 2 City St Zip CREENPORT NY 11944-0000 Property Address 1 1420 NINTH STREET (SYSTEM 2) Property Address 2 CHERRY LANE FARM City St Zip GREENPORT NY 11944-0000 Owner Telephone No. 516-477-0549 Tax Map No. section 45.00 block 6 lot 9.000 Cross Street ROUTE 25 Issue Date: 4/23/97 Judith T. Terry Southold Town Clerk (TOWN SEAL) omit co JUDITH T.TERRY ��$ 1 Town Hall, 53095 Main Road TOWN CLERK c P.O. Box 1179 PryREGISTRAR OF VITAL STATISTICS Southold,New York 11971 MARRIAGE OFFICER ‘4. 4i44- Fax(516)765-1823 RECORDS MANAGEMENT OFFICER \.1.1 *to"� Fax (516) 765-1800 FREEDOM OF INFORMATION OFFICER 0,01 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 3611-R Residential X Non-Residential Fee $ 10.00 New Existing X Name Of Owner NELSON, ANN MARIE Mailing Address 1 P. O. BOX 596 Mailing Address 2 City St Zip GREENPORT NY 11944-0000 Property Address 1 1420 NINTH STREET (SYSTEM 3) Property Address 2 CHERRY LANE FARM City St Zip GREENPORT NY 11944-0000 Owner Telephone No. 516-477-0549 Tax Map No. section 45.00 block 6 lot 9.000 Cross Street ROUTE 25 Issue Date: 4/23/97 Judith T. Terry Southold Town Clerk (TOWN SEAL) • ' IIS / OFFICE OF THE TOWN CLERK ` � Town of Southold &,% 14%14 Application 1\12541/ Judith T. Terry, Town Clerk Town Hall, 53095 Main Road r4. $10.00 - Residential ./ P. O. Box 1179 $25.00 - Non-Residential Southold, New York 11971 O .,Telephone ./ * 0"/ (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ DATE CLAM , 2, ' b QtR, OWNER NAME: /44//V 'OA ` /V5 7 &J OWNER MAILING ADDRESS: d Igo->G b 411 OWNER PROPERTY Auuiw S: ` ` aQ � ' 1 g4-J}� -ck OWNER TELEPHONE NUMBER: St ( 1 7 7 O of TAX MAP NO. : Section © 45 00 Block 0 {p dCY) Lot 00 9 rOO s,C12O8S STREET G,- TYPE OF SYSTEM: Sep`tic:Tank_. `-Q ..New Existing - Cesspool yte%,'i5 New Existing 4 Residential /46?,5 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.) • 0)--CULYNCS1)\;—Q. (.\) gb8-41-7"\ Signature of Applicant RECEIVED BY: ,0,---04,601 , { , Town'•Cle k's Office DATE: :;°, ; 2 : = _ • : : _ :.::- �. 1. _ l ' 5•... .' ; , .•- - . _ ' ' ' ' ^ - L t . ` = tl� - '�. - - •.moi I - i . " $ , _ { w• , 11 l -ti: - _ .•fes - ! D•S -" ;-- a - , v ; si �,. VE tiMAY o '�'` '. . , i • . . II- ! .'Cegia:MNIGIFAC,112111.e ,,, /,'" 't jig:•' - 111 CS VI ` L } , �L3 . ? I f • i'l jt r e r 7 1� 'Q`r 0 t L�aS G 'r COAT t-�G. C7 r1 r `o� —1 ,....\;‘ • i \s.,::4.1...- :::j ER \----f LLI �_ _ h-'1 F' • ' 1 W ~' ' 10 GQ�y,�ATECE. i i 'i S -)- q i ----___ ..._....., •I- ,; i s ' `s ( 7-7-E f hi ~` 40' .