HomeMy WebLinkAboutNorkelun (2) cf, x
Town Hall, 53095 Main Road
S P.O. Box 1179
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�� Southold,New York 11971
JUDITH T.TERRY '1���11„ '•• FAX(516)765-1823
TOWN CLERK TELEPHONE(516)765-1801
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. 953-R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
New Existing X
Name Of Owner NORKELUN, MICHAEL J., JR.
Mailing Address 1 P. O. BOX 592
Mailing Address 2
City St Zip SOUTHOLD NY 11971-0000
Property Address 1 MAIN BAYV I EW ROAD
Property Address 2
City St Zip SOUTHOLD NY 11971-0000
Owner Telephone No. 516-765-3479
Tax Map No. section 78.00 block 4 lot 37.000
Cross Street SMITHS DRIVE
Date Of Last Pump Out 0/00/00
Issue Date: 12/13/88 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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OFFICE OF THE TOWN CLERK �c3\\VH ,(
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Town of Southold , �..� -„ Application No.
Judith T. Terry, Town Clerk IV 4 y
Town Hall, 53095 Main Roada sc wr, V :
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