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Home My WebLink AboutNordstrom ie /ioi Of F0`4 JUDITH T.TERRY t� �• Town Hall, 53095 Main Road TOWN CLERK tP.O. Box 1179 PPP Southold,New York 11971 REGISTRAR OF VITAL STATISTICS 1� MARRIAGE OFFICER z t ®'or Fax(516) 765-1823 RECORDS MANAGEMENT OFFICER ®i �� 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. 3695-R Residential X Non-Residential Fee $ 10.00 New X Existing Name Of Owner NORDSTROM, JANE Mailing Address 1 595 CREENFIELDS LANE Mailing Address 2 City St Zip SOUTHOLD NY 11971-0000 Property Address 1 RAMBLER ROAD Property Address 2 City St Zip SOUTHOLD NY 11971-0000 Owner Telephone No. 516-765-2813 Tax Map No. section 88.00 block 5 lot 37.000 Cross Street MAIN BAYV I EW Issue Date: 10/03/97 Judith T. Terry Southold Town Clerk (TOWN SEAL) O,FF,f1C-€ OF THE TOWN CLERK Town of Southold O�VFF�� OG=� Application No. Judith T. Terry, Town Clerk �` y Town Hall, 53095 Main Road a -< $10.00 - Residential P. O. Box 1179 tri t., `' $25.00 - Non-Residential Southold, New York 11971 Telephone �j * (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION 17 ,E � / �^ for A tL ' re Jtf42M 6 OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ • DATE OWNER NAME: Jane Nordstrom OWNER MAILING ADDRESS: 595 Greenfields Lane Southold, New York 11971 OWNER PROPERTY ADDRESS: Rambler. Road i Southold, New York 11971 OWNER TELEPHONE NUMBER: 516-765-2813 TAX MAP NO. : Section 88 Block 5 Lot 37 CROSS STREET: Main Bayview TYPE OF SYSTEM: Septic Tank New Existing Cesspool New X Existing Residential X 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///t-OZtiA Signature of Applicant RECEIVED BY: RECEIVED Town Clerk's Office DATE: OCT 21997 Southold Town Clerk - -----------------_____________ : .,..e ‘ _ • . .. • . / . op' ....A• ,, A' ' * / . - , . .' • . •A. "••• ' a 43/ 'Z' rtiiv- ,. • . A \") -..is •Iii' 0.i\o''1! ''.: ....1.1.,..t. .C).4 ': .. 43 / X 1V41. ..' .\)Slc:ke .1)t . .? • '.. 1 V.t'*96 '. 4 ,,^ OVe t. •• c."••' -03 A 3.45' _ _ ........ —g -- ----— ARENZroLS VISTWIG ' . 4 . . )).)4.. ..9 • , • . . . j . 4 -- -- -- 71 ' 1 b ,r __I y--ass ?---. • . -- -- 0 5 •• • 9% if. 7. --0, sz .— 9( it". :...,.• • ...,.. ......•' • Y ' .444.'14,44‘. 4 : z 1NE A4' - .1 .4... :• -- -- -,." ad Ifi 6.0; • — fEL Is) DasT114°*ELL •_.:-. ,' Z.Y ,-;=ioi a-VE..s., ,,1 • ...... . . , s., :. • \ il ... '.'..v '„-:,.' . To..,„...P.,A„P„i• * „...,...,,,,A,••,•`...„)•:,•..••..4,0311••• ,.--• ' 1 — _ • • .., -,-7. • .1;:\:..t1V.i4e17;•":e i. • 2°c-p‘' 6,?- —II r - ‘ IL\ 1. • .4-t+,0,:••:41:,..,,A,z‘ ,-,1,''I •,,,:' ' Pita'05V0 2' Hai , CONC. WALL / TS. t,1 • ., •i•'"••••‘I''•. '17..1,A.V:i4:5.•;:i..‘"•", .. r,.\ . :-s''''A.,' * 41:1. 5 4"OP'‘,....i".A.•' ..-TIrilk ., ,•-• la .. ,.,,,,t,:a.• Al:. , ,„:0*,\.,„-a r,,c.,„1.-.,..4,,,.1144it , ,, •••vo‘,.,•x , • e,,,On‘'..m.'''.' 1- 10041111111' / 0. V%..'• . `4,. .1.44;.t.1":1k Ib'i\reN'''''''...;;Ahrj."1.4- t3 I _..---- 1 0 *- . s..,.. i'...1. ,411.16',A1.01541..1/41;'t • .,,+.•,,- •,..41,, r,,,ore".5!,:e,,,,amoy• La o z : . `,1;;;1000. :'' 'i r 41FAVdt arIS ii ... o 4 o • q— - — --5 • __. — , 5 .0 \ S ___Acl __ \ le __ _m. __ C) ? GI4--- ----- \-- — — — \ rb \ cPC-4- -4, 6 1 -- --3 fr( VC ;rC16114 ' \ — - ____ — — 14) ot.s,stscovytfaDoti JU — — — t4 14.4 1,1E1%14) ' \ — — — ___. -- , • 3_ --- \ N \ \ illi. itk- .... t llk,„, \ 2., _.'2- ,'• ss \ A 0 9' 114- ilii- AtiL ., *0 \ COV AIL - 41L , ip„ ,Ni 5' wEIU44cis it-- ill, wog- ilk DosiliG wELL . , AL ilk HASIFT '4K- Ilk.AL iiiL n AT 4 tkc N . . ' • . . • S - ...-... • • • .