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Home My WebLink AboutTuthill (10) AO�0p A- ,'; Town Hall, 53095 Main Road �' P.O. Box 1179 '-%.—di 11%-••••°� � Southold, New York 11971 JUDITH T.TERRY -'%- FAX(516)765-1823 TOWN CLERK �� TELEPHONE(516)7654801 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. 1224-R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X New Existing X Name Of Owner TUTHILL, MARY B. Mailing Address 1 P. O. BOX 797 Mailing Address 2 City St Zip ORIENT NY 11957-0000 Property Address 1 370 MUNN LANE Property Address 2 City St Zip ORIENT NY 11957-0000 Owner Telephone No. 516-323-3725 Tax Map No. section 17.00 block 4 lot 1 .000 Cross Street MAIN ROAD Date Of Last Pump Out 6/00/88 Issue Date: 8/25/89 Judith T. Terry Southold Town Clerk (TOWN SEAL) r ti OFFICE OF THE TOWN CLERK '�� I��'' • .Town Southold Judith T. Terry, Town Clerk �� •41r---.'t,cry Application No. /oZ� Town Hall, 53095 Main Road ~ f' '•1 _ :�,� $10.00 - Residential } '`�.' tx fir. p. O. Box 1179 cn �. �`� �l"a, . $25.00 - Non-Residential Southold, New York 11971 O <® '•`=* ��$Telephone `J�� (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT • APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. iaz, Fee '$ j©�� ' DATE( 213 OWNER NAME: A Ag ,uT fI 1 LL OWNER MAILING ADDRESS: PO ej #7477 op_ t€ Y i1ci51 OWNER PROPERTY ADDRESS: 310 A 0A/iv Ort-e,x-r- __Air ki OWNER TELEPHONE NUMBER: SC, --' 32.3— -72,„6".. TAX MAP NO. : Section / 7 Block Lot CROSS STREET: *LW get Qs ) ,41,4 PAP, LAAie- Off) TYPE OF SYSTEM: Septic Tank New Existing 1! - Cesspool New Existing Residential ✓ Non-Residential ! DATE OF PREVIOUS PUMP-OUT: Of 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. ature of Applicant RECEIVED BY: ‘...4._ D / / = ., .r . ., ot n - ler v 0 ice DATE: e /#' -6 •, lip SO f -u, r, Cs4; , . . . , . . . , . . , . • . . . . . \ARLL . .. „ . , . . . - . . , 4 _ .. ..6•X' '4. . . . . 7--- . .. -------- ' . , • . __, • . i '..- Cli falt." . „. , ---- i . . . . 1 , . ' • 0691`• - • C0,5 , , . . . . _. . . ________'.---------I-'- . . , ...' . _ . . , , , r . . . , . . ., . • , . . .., , . - . , . . . , , . . . , . • . • . • . . . _ .. .. . , . , . . , . . • , . , . . . -,...., . . . . , . . . , . . . E. . _ . . 1 , .