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HomeMy WebLinkAboutThomas P.-- m Town Hall, 53095 Main Road %+'® � . . :1 P.O. Box 1179 44, -__ ®1 Bit �`�/•• • Southold, New York 11971 JUDITH T.TERRY ----,,,,,100'' 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. 798-R Residential X Non-Residential Fee $ 10. 00 Septic Cesspool X New Existing X Name Of Owner THOMAS, CHARLES Mailing Address 1 P. O. BOX 306 Mailing Address 2 City St Zip EAST MARION NY 11939-0000 Property Address 1 TRUMANS PATH Property Address 2 City St Zip EAST MARION NY 11939-0000 Owner Telephone No. 516-477-2387 Tax Map No. section 31.00 block 13 lot 2.000 Cross Street ROUTE 25 Date Of Last Pump Out 0/00/00 Issue Date: 8/25/88 Judith T. Terry Southold Town Clerk (TOWN SEAL) • OFFICE `OF THE TOWN CLERK 'SVFFU(,('.'` Town of Southold , 'S C'®�' Application No. Judith T. Terry,,' Town Clerk ,` r _ :1 Town' Hall 53095 Main Road ' Residential Ps. O. Box 1179 6n 47 ' i ; Non-Residential Southold, New York, 11971 Oma® Telephone ' 44 `��� 1° , (516) 765-1:801 -; TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT RECEIVED AUG 121989 APPLICATION .Sown CletlK Southold _ _ fo `- T- OPERATIONaPERMIT' • e SEPTIC TANK or` CESSPOOL Operation Permit No. Fee $ 10; �- DATE 73-- OWNER --OWNER NAME: AANjo' OWNER MAILING ADDRESS: ?c x., 3 (34 . E . 'wttAnA A-4 U( L l cts ? OWNER PROPERTY ADDRESS: �'oI •-444_4AJ2-4— OLAA OWNER TELEPHONE NUMBER: ,,5—/ /0 .. �! "] "] a- �� ;�• TAX MAP NO. : Section 31 Block t3 Lot 7-- CROSS -CROSS STREET: RAMIL. ZS TYPE OF SYSTEM: Septic Tank New Existing Cesspoo ' New Existing )c Residential A Non-Residential • DATE OF PREVIOUS PUMP-OUT: /lam L LuiLL W LOCATION MAP: Must` be attached hereto before permit may be issued. t'`R612 (Locate building and system; give north arrow and feet of distance, approximately, to building and closest road.) 1 f 6' f2 f�-'� © rU r� V ��� 561060A hex_44-ta..).co 5 ! Signature of Applicant RECEIVED BY: RECD'°:'IA Clerk's Office DATE: AUG 251988 Ion Clorh Southold :r ., . r , )t /*IP ---.... ......... f,0 P 13 „ 351 \141.1.4.1 \, ...i .... z... Oci . Ew =, I- -,.1,,, d 9(.1 � r *; i c repo 1...\ _ ., , 5� SPRc . ,„,r. ...-0'fu ,-- ,.. • "i - , _ _ _ . , , „ . .. , ., , . .... ., . . ,.:, ., . .. .. . . .. , .9 :.• '3Fy.a. a�C:f r,