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HomeMy WebLinkAboutVail if ecru , % 041 trA Town Hall, 53095 Main Road /� P.O. Box 1179 � Southold, New York 11971 JUDITH T.TERRY 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. 1568-R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X New Existing X Name Of Owner VA I L, I N EZ B. Mailing Address 1 P. O. BOX 177 Mailing Address 2 City St Zip SOUTHOLD NY 11971-0000 Property Address 1 3195 WELLS AVENUE Property Address 2 City St Zip SOUTHOLD NY 11971-0000 Owner Telephone No. 516-765-3797 Tax Map No. section 70.00 block 4 lot 9.000 Cross Street OAKLAWN AVENUE Date Of Last Pump Out 0/00/00 Issue Date: 10/23/90 Judith T. Terry Southold Town Clerk (TOWN SEAL) • OFFICE OF THE TOWN CLERK S�FFO(,��'- Town of Southold � L�G Application No./56/ Judith T. Terry, Town Clerk Town Hall, 53095 Main Road ax :� $10.00 - Residential Y" P. O. Box 1179 u' -_t'f . r-`:." i �� $25.00 - Non-Residential Southold, New York 11971 O'�f � �'`, Telephone 0j ;11(' Ygt '1" (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ • DATE AD— — �v 'OWNER NAME: Y L/ _ • • OWNER MAILING ADDRESS: /7© Poy / 7 7 OWNER PROPERTY ADDRESS:-. 37 s ve_. • OWNER TELEPHONE NUMBER: 7, s 3 77 7 TAX MAP NO. : Section Block Lot CROSS STREET: j - TYPE OF SYSTEM: Septic Tank New Existing Cesspool New Existing Residential Non-Residential DATE OF PREVIOUS PUMP-OUT: 7// 7/ b LOCATION MAP: Must be attached hereto before permit may be issued. 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