HomeMy WebLinkAboutTrentalange \
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` _ x s Town Hall, 53095 Main Road
e:�� C �� X P.O. Box 1179
_ ' ,°, lif -ri - -D Southold, New York 11971
JUDITH T.TERRY - II, FAX(516)765-1823
TOWN CLERK TELEPHONE(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. 1020-R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
New Existing X
Name Of Owner TRENTALANGE, MARY .
Mailing Address 1 1400 STILLWATER AVENUE
Mailing Address 2
City St Zip • CUTCHOGUE NY 11935-0000 '
Property Address 1 1400 STILLWATER AVENUE
Property Address 2
City St Zip CUTCHOGUE NY 11935-0000
Owner Telephone No. 516-734-7225
Tax Map No. section 103.00 block 7 lot 9.000
Cross Street WILLOW STREET
Date Of Last Pump Out 0/00/00
Issue Date: 2/15/89 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
OFFICE OF THE TOWN CLERK c;VFFO(,r�'=
Town of Southold i CQG Application No:/°,22-4)
Judith T. Terry, Town Clerk ��#:014r;
7 Residential
Town Hall, 53095 Main Road �<s_
P. O. Box 1179 " cr3 rW Non-Residential
Southold, New York 11971 _ ��`
S°1414'.
yo1 , . �.
Telephone '
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $ 1U.
DATE Z`" 'V/
OWNER NAME: (NI, t uU� M- EOWNER MAILING ADSS: 1 tO cc(IIuJAj7 41)iff
qt-dpcbm_ ikaU IN15
OWNER PROPERTY ADDRESS: c5; lalr_____
OWNER TELEPHONE NUMBER:(i(""p)
TAX MAP NO. : Section /d 3 Block '7 Lot
CROSS STREET: WdlOt)04-:
TYPE OF SYSTEM: Septic Tank / New Existing
Cesspool ✓ New Existing C/f
Residential l./ Non-Residential
DATE OF PREVIOUS PUMP-OUT:
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.)
(dd
Signature of pplican
RECEIVED BY:
Town Clerk's Office
DATE:
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