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ELIZABETH A.NEVTLLE 10, ®�.y y Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
Southold,New York 11971
REGISTRAR OF VITAL STATISTICS $ Fax(516) 765-1823
MARRIAGE OFFICER ®�1 Telephone(516) 765-1800
RECORDS MANAGEMENT OFFICER ® *tool
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. 3790-R Residential X Non-Residential
Fee $ 10.00 New • Existing X
Name Of Owner ORLANDO, JOSEPH J.
Mailing Address 1 33595 MAIN ROAD
Mailing Address 2
City St Zip CUTCHOGUE NY 11935-0000
Property Address 1 33595 MAIN ROAD
Property Address 2
( City St Zip CUTCHOGUE NY 11935-0000
Owner Telephone No. 516-734-7687
- Tax Map No. section 97.00 block 1 lot 23.003
Cross Street DEN-KEL LANE
2.4 " _
Issue Date: 5/18/98 izabeth A. N-ville
Southold Town Clerk
(TOWN SEAL)
OFFICE OF THE •
TOWN CLERK ••C§WFD ���
TOWN OF SOUTHOLD Application No.
LIZABETH A.NE
FILLE,TO
VWN CLERK }, `
r :" - � � $10.00 - Residential ✓
P.O.BOX 1179 _ '
SOUTHOLD,NEWYORK11971 p. ,,; <' ��;' $25.00 - Non-Residential
Telephone * I
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APP_LI_CATLON
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $ /n -
DATE B-9E
OWNER NAME: �r5 � L �l
OWNER MAILING ADDRESS: 'o cis- moil I2i�
. OWNER PROPERTY'=ADDRESS`: "
- -
OWNER TELEPHONE NUMBER: "")(p -734- 76,9'7
-!rp—33.3
TAX MAP NO. : Section Block Lot
CROSS STREET: AFxii -klEL �y E
TYPE OF- SYSTEM: Septic Tank New Existing
Cesspool k " New Existing
Residential V 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.)
Signature of Applicant
RECEIVED. BY: - -
Town Clerk's Office
DATE:-
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a �TOWN OF SOUTHOLD 'V+ (0
SUFFOLK COUNTY,N.Y. . ,
1000 - 097 - 01 - 23.3
SCALE 111 = 50'
NOV . 12 , 1987 CERTIFIED TO
NOV. 17 , 1987
SOUTHOLD SAVI NGS BANK
- JOSEPH. S. ORLANDO _
• ,ELIZABETH ORLANDO
PECONIC ABSTRACT, INC ,
A.)4,06:-'1:t. ,
�� -�`�� Prepared in accordance
o O N.Y. S . LIC . NO . 49668 with the minimum •
fr standards for title surveys as established by
' ii°t/P, ttl';^9i 74
P'I't� !�° t/�+ 1 the L.I.A.L.S. and approved and adopted
I E �(�/ S a ENGINEERS , P .C, for such use by The New York State •
( 5\.. ,jF .645688 ;,',,/ 0 Title Association. '' t 1
MAIN � LOT NUMBERS REFER TO !MINOR
SOUTH OLD , N. Y . 11971 SUBDIVISION MADE FOR WILL IAM L. a -
MURIEL A. MURRAY
87 - 854