HomeMy WebLinkAboutUeland OFFICE OF THE TOWN CLERK 'cOfOUQ "
Town of Southold - Olj
Judith T. Terry, Town Clerk f •
Town Hall, 53095 Main Road cm
P. 0. Box 1179 _ � �
Southold, New York 11971 \ Q,y� `c-
Telephone 1 4i
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 620 Residential x
Non-Residential
Fee $ 10.00
Septic Cesspool x
NAME OF OWNER: AUDREY B. AND ARTHUR E. UELAND
OWNER MAILING ADDRESS: 208115 Soundview Avenue
Southold. New York 11971
OWNER PROPERTY ADDRESS: 208115 Soundview Avenue
Southold, New York 11971
OWNER TELEPHONE NUMBER: 516-765-2726 -
TAX MAP NO. : Section 51 Block 4 Lot 14
CROSS STREET: Clark Road
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool x New Existing x
Residential X Non-Residential
DATE OF PREVIOUS PUMP-OUT: Unknown
• - Judith T. Zerry
Southold Town Clerk
DATE: February 25, 1988 -
_ (TOWN SEAL)
•
ie
OFFICE OF THE TOWN CLERK cirtfO(x
Town of Southold `QG' Application No.d
Judith T. Terry, Town Clerk . F3r y Z/
Town Hall, 53095 Main Road � z `: " Residential
P. O. Box 1179 �' ,:; teg " . Non-Residential
Southold, New York 11971 O ,�`� =
Telephone -5f:0.( Y► • ,1
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
Cur
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 6080
Fee $/L F °
DATE t , ) 7 gg
OWNER NAME: 4Adj,e� Or IQ
r `' ll�cflt,udG✓ ()le
1
OWNER MAILING ADDRESS: 'LfSSouidieco
[J-11761415 0(yr /1971
OWNER PROPERTY ADDRESS: :4_0 0 1)--v-42
Gu-r14_0 1-4
OWNER TELEPHONE NUMBER: ,c/ (P J c .>� t�
TAX MAP NO. : Section 5 / Block u Lot / 4/
CROSS STREET:
TYPE OF SYSTEM: Septic Tank Z New Existing
Cesspool New Existing
Residential Non-Residential
DATE OF PREVIOUS PUMP-OUT: // 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.)
•
• PlitdIV-A.,
Signat re of Applicant
RECEIVED BY: L ,t '>
Town /Clerk's Office
DATE: W°7 1d'
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