HomeMy WebLinkAboutTortora 110
Town Hall, 53095 Main Road
ttP P.O. Box 1179
'74--t—'576(12
_ y® ��® �� Southold, New York 11971
JUDITH T.TERRY —. i!!, 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. 889-R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
New Existing X
Name Of Owner TORTORA, SALVATORE AND LYDIA
Mailing Address 1 106 LUTHERS ROAD
Mailing Address 2
City St Zip MATTITUCK NY 11952-0000
Property Address 1 106 LUTHERS ROAD
Property Address 2
City St Zip MATTITUCK NY 11952-0000
Owner Telephone No. 516-298-9408
Tax Map No. section 106.00 block 3 lot 5.000
Cross Street EAST ROAD
Date Of Last Pump Out 0/00/00
Issue Date: 10/18/88 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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OFFICE OF THE TOWN CLERK ��FFe(i.�'=
Town of Southold - CQ ' • Application No.L�
Judith T. Terry, Town Clerk ` r3
Town Hall, 53095 Main Road 8 P: Residential
P. O. Box 1179 cn V.W3r: z Non-Residential
Southold, New York 11971 O10141%`�j 0��.`
Telephone : '°
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
•
for -
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $ /7)
DATE /?)'
OWNER NAME: ‘c4(/ I31l‘€i C dci CTO �� =
OWNER MAILING ADDRESS: JUS 6 (A)TOP-J; Z0
OWNER PROPERTY ADDRESS: 5i114/1/
OWNER TELEPHONE NUMBER: 2qg qq o
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TAX MAP NO. : Section O Block 99 Lot O
CROSS STREET: FA-S/7"
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool l/ / New Existing
Residential Non-Residential
DATE OF PREVIOUS PUMP-OUT: - ;s
LOCATION MAP: Must be attached hereto before pe it 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:
SECy,.wn C 'sO ilerkce
`A.`
DATE: tkii 131989
Town Clerk Scaffold
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