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HomeMy WebLinkAboutNeville OFFICE OF THE TOWN CLERK cgFe Town of Southold ��� Judith T. Terry, Town Clerk Town Hall, 53095 Main Road ��, 14 P. O. Box 1179 Southold, New York 11971 , , � • 0 Telephone ./ Ai l° (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 375 Residential X Non-Residential Fee $ 10.00 Septic Cesspool x NAME OF OWNER: Elizabeth A. Neville OWNER MAILING ADDRESS: 4330 Oaklawn Avenue Extension Southold, New York 11971 , OWNER PROPERTY ADDRESS: 4330 Oaklawn Avenue Extension Southold, New York OWNER TELEPHONE NUMBER: 516-765-2054 TAX MAP NO. : Section 70 Block 9 Lot 45 CROSS STREET: Custer Avenue TYPE OF SYSTEM: Septic Tank New Existing Cesspool X New Existing X Residential X Non-Residential DATE OF PREVIOUS PUMP-OUT: 1983 Judith T. Terry Southold Town Clerk • DATE: July 29, 1987 (TOWN SEAL) A as OFFICE OF Ti�E TOWN CLERK ���Fp�. 875'_ Town of Southold , �� '�QG'_, Application No. Judith T. Terry, Town Clerk � �� Residential Town Hall, 53095 Main Road u P. O. Box 1179 cn z" Non-Residential Southold, New York 11971 Telephone ''' (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT • SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ • ' DATE 7/ 8 OWNER NAME: E//2a_./0z OWNER MAILING ADDRESS: �A3d alc/lzuwAVeNzie. C"'.69-lya 1r1 Nevi( yolk W171 OWNER PROPERTY ADDRESS: z,_m OWNER TELEPHONE NUMBER: 7 LL' - 0,; TAX MAP NO. : Section 7 Block Lot S _ CROSS STREET: A ✓E A nt •= TYPE OF SYSTEM: Septic Tank New Existing S Cesspool New Existing Residential Non-Residential DATE OF PREVIOUS PUMP-OUT: q g 3 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.) / ' 474/ // / Signature Applicant RECEIVED BY: Town Clerk's Office DATE: Ire - 1 Clii I,:e•-4l YX••,,c F`-" ' i., I`�' • . • 6.83°48'00"-C-. .....• 150.0 fp..a., 11,,,, ..,...:.. LIi i; N . �,- - �"-_ ....o _...____ < incl 0,r, �. IA L,,,• ;,--, ' 3'48'00"0 v '` = . .• . ' GK. eQ.VI r 1 ,111 ' Y. fh - M11 1' '�i 'yy • ••,\ • . mAp Or: LAkib , .. r aa� 'as•r.r_��M;�ss'i.w���_a �taa=s�:_�ss� _� nl 4 �"? ; 7 • .-y� 9BE T NL V I 1�t ;alp ,t�k�.;; , .1 , •'40,• C,ueae�ly b TO Tui Cueczea�Tt~ 'a Tc rr DtVf 4 1.,„t otx,('iZokl-plp� II ��ttr2lG��t tTz tr�5urznJ F T l w ,1;: T Co6.n eUy Apt Ta.r - • OUTt oLG 6nvC�58� . c•'r'';ri6i: M01,1 %.46LIr rrJ ( Vyb \ / /Iey { „. , . 0 e ' g , .i` ",,,, 'fis t : . ' . . ik 1,, • • , d " .j.,., ,,, y . t f ,+ L `fir d •i �}'''c,; �,n," '; t`�F:';ft;• Y`e'•,t^J'!',itSn,r”. .r .�Ria '• Y. ' ;•,+. •�t.f©Ut�, 5U vV E '+� °'f°+ • � 1..�n7aa,,,cdi1 �„•4 TM,! ,tt'tl' re'!�'1Cti`�'1r9:}ef(v¢ ,.�-, } ;y1�`�,`41.y” l �4.. •� (`�+•lg}I /r�q(�•,I�' p1Y�Ki:3,', ' , :-i' t�i+'q�`•ry�, '•i1_v` , V.Y.iYr - ''., , •r�YI`C'M1i I..I'�./ ,�fi yo/7f t + ny'i' '. �'.,, -,Ey,V" -: Ki+.,•'. 'i ,,P 3 4.,, i` f1c' .,�- s ,& f' �' '.°".".. ,,. l e1 II�, I^^L4ny' 1a :t r, ,' li '�..i,i "uYY•Yityo,, P;I .,r,`..,`•t ttif�•,.,r,, ,go.1.4..i Y`1k ,��'1l; -j• ",`+" .. �':1,'S'�t,"'1 ,: 'v;`s, s:Y,.- ., a - ,., •skin'', f.;, '.ten