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Home My WebLink AboutTyrer (2) . • 1 8 if., ' ' Town Hall, 53095 Main Road ;°�® cir 9', P.O. Box 1179 ®i ifs ��I� Southold, New York 11971 JUDITH T.TERRY '��ii,� r4� 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. 799-R Residential X Non-Residential Fee $ 10. 00 Septic Cesspool X New Existing X Name Of Owner TYRER, KENNETH Mailing Address 1 31 SUNSET LANE Mailing Address 2 City St Zip GREENPORT NY 11944-0000 Property Address 1 31 SUNSET LANE Property Address 2 City St Zip GREENPORT NY 11944-0000 Owner Telephone No. 516-477-1418 Tax Map No. section 33 . 00 block 4 lot 47. 000 Cross Street SUTTON PLACE Date Of Last Pump Out 0/00/78 Issue Date: 8/25/88 Judith T. Terry Southold Town Clerk (TOWN SEAL) OFFICE OF THE TOWN CLERK c„\\VFOtii-�'- Town of Southold � ? C'�G- Application No. Judith T. Terry, Town Clerk �` s�� .,; y Town Hall, 53095 Main Road Y o w�� r. Residential • P. O. Box 1179 cr3 `' � o � Non-Residential Southold, New York 11971 O ® Q�- e�, Telephone (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ • DATE d cf—e' OWNER NAME: f//I !L /c 7W f 7Ie5A OWNER MAILING ADDRESS: 7/ ,fuA7s``— 00 -i/iodei/ vy l /9�� OWNER PROPERTY ADDRESS: 5;1? Me OWNER TELEPHONE NUMBER: s1 ,72?-77: SG/cr--". TAX MAP NO. : Section it Block Lot CROSS STREET: TYPE OF SYSTEM: Septic Tank — New Existing '— Cesspool �� New Existing e� Residential Non-Residential DATE OF PREVIOUS PUMP-OUT: 1Jf1/k/I/0cu ,C✓ /0 /9a c 61.g 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.) • A / Signature of Aplicant RECEIVED BY: RELEVE4lown Clerk's Office DATE: RUG 2 51988 Lown Q;►eTI Soathoid ` . 1 � / ' � � � / �� . ' � � ' ^ ,, / ~' / - .- ,. ..- j-- - ..j - �4 -,'c.1.`"`+ ••+'_ __ __ .- _ _ _ _----_----______�'-_--�-- __-_-__- ' 2113- . - ' -- - ` �---- __�__- '| , 1 .-i'll . ' , lb , ---� -- --- -- - ---��---*� - ^�--<- -�� -----'---''�----�-------- -_. '-_--- ii: 1111 _., � ` ��N��` �/�/� y,,'-'^___ �'��__�___ __-_ __ . ' � | _ __ ! `----- - _ _---''___--_____L_ __— ' ^ ` � ` i / � ---_ � � _� __� -_-___ ^_ _- __-__ - __ ________________----e— . _-- _ -__--_ ______ _ --__-__-___-___---__'-_____--�=`_.__-� ' | � _--_ ----'_ _-_-+_ _--_--___-__._—___ 1 ^ �- � � �^ � /^��/?/l7- __ ___- -��-_-__�' '_ �'_-'_----- �--�_� --'_-___-__-'_- _- - -___-- -_ -- � � _- -. _ ��-_-___~_' --- _ '.- � [_-�----_-_--_-- _-- _____-_-___ �� . � ^ -'-__- -'~ ------_'~_-. -__` '-____'_____. -__'- --__---__-_-__- �'__. � |^^ � -' _-_._ - _ _ _ ----'___-_-__-__--_______'_ _- '_--_- } ' , . � ! .. � . 4 �'~1/�.� -3 �r-'