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HomeMy WebLinkAboutTerzis p. 107010 407' \VOLire JUDITH T. TERRY o i Town Hall, 53095 Main Road TOWN CLERK P.O.7* rffZ Box 1179 REGISTRAR OF VITAL STATISTICS - � Southold, New York 11971 MARRIAGE OFFICER �® ® -tFax (516) 765-1823 ed?". •Oes Telephone (516) 765-1801 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 1750-R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X New Existing X Name Of Owner TERZIS, COSTAS AND HAROULA Mailing Address 1 15 WEST 55TH 3T4 Mailing Address 2 City St Zip NEW YORK NY 10019-0000 Property Address 1 765 DOGWOOD LANE Property Address 2 City St Zip SOUTHOLD NY 11971-0000 - Owner Telephone No. 212-980-9530 Tax Map No. section 54.00 block 5 lot 32.000 Cross Street SOUNDVIEW AVENUE Date Of Last Pump Out 0/00/00 Issue Date: 9/13/91 Judith T. Terry Southold Town Clerk (TOWN SEAL) OFFICE OF THE TOWN CLERK •cSFOCA'�'• Town of Southold 14 Application No/7'3O Judith T. Terry, Town Clerk y / Town Hall, 53095 Main Road - I $10.00 - Residential V p. 0. Box 1179 to * `' � �, • • 159 � � $25.00 - Non-Residential Southold, New York 11971 O ® �0r •��` Telephone :0( • (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT ' s SEPTIC TANK or CESSPOOL Operation Permit No. / 75 Fee $ l0 • DATE 4/./0/9/ OWNER NAME: GosTAS 4 )1Aeou,G.1 715z- OWNER MAILING ADDRESS: /5 WEST c5Tif S�• How �oog / Af. Y. ivoiQl OWNER PROPERTY ADDRESS: 760 DDGWOOP L.AA,IE SovTh' L/' , N. V. ,//q7/ OWNER TELEPHONE NUMBER: ZJS - qgp - 953© TAX MAP NO. : Section 451/' Block 5 Lot 32 CROSS--STREET: S01.11.1D ✓/.EW ,4 d TYPE-OF, SYSTEM: Septic Tank .New Existing Cesspool ,V New -- - - • Existing Residential l/ Non-Residential DATE OF PREVIOUS PUMP-OUT: Oww 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.) Si atu of plicant RECEIVED BY: . TownRana, QClerk's Office DATE: SEP 13 199r1- Town Clerk Southold • I • • • :" a • . ' :DOGWOOD'''.LAVE i, y'. • i ' • • 1 • • 'I t j. l • -�;4-:.vrEW we. iti . _ , ' + .. • • 1 ...y▪ ••w•,•J'1�.' W i! ,f• • 1 �'I J'I I.I I •. •%.r.t • .. #.• • • `� •• . ',1 I I' I`' I411* Z. ? ' ��tti',,.:�...'' ' '! �' I ' ,t rn• . t'.. ..► .t‘4....41•...1 .. . • • 11, I I '' 1 • 1 i ,. ±.• f;� • j ` )▪ STDQY FR. .. ;. 1. • `{ • f •_ -..• 4' • + • • T•• • • . , .•G YY.L :;„J •l ••� .... • ?_•rte• _ - _ _ -,•.-,--..-•.,..,.,-,–_—_--,.-_-=-4=_ _ (_t!:-.' _ '•P 7.0 • %. • ., j '••: • : •: •... ''••. f:• • I .' N ••fit . ry,. ••.. V.'s.. .. I'4. *All 7....... ..., .{• •_o.• I-ITT -, , ,. 4 fi ;• •• f'1. •,,••i •<••,'.•••..', •.••.• ' ,..• ...L.,' y •... '• •• '.7 ' f•'1 Lew -2; A ''..",:;..,..1.:::t:•: .r �•.. :•y.•..'......,...,...•.! t^ Lr L.1 ..1;-.•'�•'* '•'•Y. •••: T•t i.•r••••%• •r :. • ••,•. ,•• ! •'�•: v •'1 w.f '•7 • .i • t'.�'.r'•���.. • .+h,r. . (. '•.yam• '.?4••• I •by.,:•i. :1•tlls••I, • • k t•' •. •.i':I � ••y . •••�, ... { ,,. •r:a T•y' • w r� •t..•. ` D .• •��}'', _� ./ { . ��r'���■.•••�. • { �t • `•tip =z'' I 'r •• .': •' I•••..S.42603`_K?'E,.� c-•... ,:• ,. • • v`�•• .,.•„•,•.•••••I ;' ••*.,.1.•..� IOO.c r. ;1, • �; •'•t•'w'•'.•=•:• i i �; II I I, !r1' II I I1 ;III 1; ', 1 I 1 I I I', III i I,' it ,Il "I n, 'j I I t I I' 'I I' III I , , 1 , , ,i 1I, I, 1'11 . t ! Il, ', l ` ,I { i I I t I ' I. I' ; I,' I I iI I' ' I I„ �, i ,i ` 1 1 I I I.', {'li�' I„ I; I� ,I I' I ; J .. I i I. 1 I Ir 1'1, I I II I t ,•l �I, ,a II' III t 11 i1 �,,,I � 'I I I' I, _ i � ,i1,,'„I i ' I ,I h i ji, rl' ' 'I ,E { I .� I„ I P'' li