HomeMy WebLinkAboutUlmet a:66'444
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Town Hall, 53095 Main Road
0 P.O. Box 1179
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;04� Southold, New York 11971
JUDITH T.TERRY �� '/�r'.��� 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. 1016-R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
New Existing X
Name Of Owner ULMET, WARREN W. & MARIA
Mailing Address 1 4150 OLE JULE LANE
Mailing Address 2
City St Zip MATTITUCK NY 11952-0000
Property Address 1 4150 OLE JULE LANE
Property Address 2
City St Zip MATTITUCK NY 11952-0000
Owner Telephone No. 516-298-4991
Tax Map No. section 122.00 block 4 lot 33.000
Cross Street KRAUS ROAD
Date Of Last Pump Out 12/31/86
Issue Date: 2/10/89 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
OFFICE OF THE TOWN CLERK �FF[]
Town of Southold , 0NY }f - CQ Application No./0/� ' -•.
Judith T. Terry, Town Clerk �► .
Town Hall, 53095 Main Road e- <k ) Residential
cp
P. O. Box 1179 s4..,. .
ji�;' Non-Residential
Southold, New York 11971 O ' -
Telephone .7e./'
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(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
•
Operation Permit No.
'''' Fee $
10 00
DATE February 10, 1989
OWNER NAME: Ulmet, Warren w. & Maria
OWNER MAILING ADDRESS: 4150 Olejule Lane
Matti tuck, New York 11952 ''
OWNER PROPERTY ADDRESS: 4150 Olejule Lane
Mattituck, New York 11952 -
OWNER TELEPHONE NUMBER: 91 6-79R-4991 f
TAX MAP NO. : Section 122 Block 4 Lot ,, 33
CROSS STREET: Krauss Road
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool 3 New Existing 3
Residential xxx Non-Residential
DATE OF PREVIOUS PUMP-OUT: 12-31-86
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.)
Signature o Applicant
L
RECEIVED BY: L( )/W46A-'"----1-:1
)1..
own Clerk's Office
DATE: g //0/0`0/ .
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