HomeMy WebLinkAboutOhlmann kAre
04 14,0
Town Hall, 53095 Main Road
®� /' P.O. Box 1179
0� Southold, New York 11971
JUDITH T.TERRY ���r"��� TELEPHONE
TOWN CLERK (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. 674-R Residential X Non-Residential
Fee $ 10. 00 Septic X Cesspool
New Existing X
Name Of Owner OHLMANN, JOHN
Mailing Address 1 FOUNDERS PATH
City St Zip SOUTHOLD NY 11971-0000
Property Address 1 FOUNDERS PATH
City St Zip SOUTHOLD NY 11971-0000
Owner Telephone No. 516-765-3172
Tax Map No. section 64. 00 block 2 lot 3 . 0,00 3i
Cross Street KORN ROAD
Date Of Last Pump Out 0/00/00
Issue Date: 4/27/88 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
OFFICE OF THE TOWN CLERK
Town of Southold �® - �d•� Application No. 6 7
Judith T. Terry, Town Clerk ` Residential
Town Hall, 53095 Main Road ,
P. 0. Box 1179 � ` if Non-Residential
Southold, New York 11971 0-1;:`5 .1Y°_,5$
Telephone 10 � •�.
p , .
(516) 765-1801
TOWN OF SOUTHOLD
APR 27 1988
Spu f a Von Melt
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $
DATE/4JP/1 /fK6s'
OWNER NAME: VIZ-7,7z a .�7%r�2.-
OWNER MAILIN/ADDRESS: T7. z -z(Lriaj
OWNER PROPERTY ADDRESS:
OWNER TELEPHONE NUMBER: 764$T_- ,3/7 7-
TAX MAP NO. : Section 6 4-/ Block Lot 3()
CROSS STREET:
TYPE OF SYSTEM: Septic Tank c7c New Existing
Cesspool New Existing
Residential Non-Residential
DATE OF PREVIOUS PUMP-OUT: fiarri4 /78' if
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.)
Signature of Applicant
RECEIVED BY: ,� 64-1IL A-74-/5
.wn Clerk's Office
REMY
DATE: APR 2-7 1938
low Slott Southold
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