HomeMy WebLinkAboutVanora OFFICE OF THE TOWN CLERK • �
Town of Southold O (0
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road
P. O. Box 1179 �� :
Southold, New York 11971 7 ••
Telephone � ' •
0/
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 492 Residential x
Non-Residential
Fee $ 10.00
Septic Cesspool X
NAME OF OWNER: Jerome A. and Mary F. Vanora
OWNER MAILING ADDRESS: 2130 Marlene Lane
Mattituck, New Y6rk 11952
OWNER PROPERTY ADDRESS: 2130 Marlene Lane
Mattituck, New York 11952
OWNER TELEPHONE NUMBER: 516-298-5154
TAX MAP NO. : Section 144 Block 2 Lot 30
CROSS STREET: Peconic Bay Blvd.
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool X New Existing x
Residential X Non-Residential
DATE OF PREVIOUS PUMP-OUT: Unknown
- 0101411449.
TCidt ry
Southold Town Clerk
DATE: November 23, 1987
(TOWN SEAL)
OFFICE OF THE TOWN CLERK �cJ�FHUI'
Town of Southold ��® _CQG',. Application No. 4/72
Judith T. Terry, Town Clerk ‘ 4u.,' ,Fi
y ` t %, Application
Residential
Town Hall, 53095 Main Road r
P. O. Box 117 9 i' a `' `'.�_.x �q,, .r� �� Non-Residential
Southold, New York 11971 O '. - ` ' ii
Telephone 4,04,—,,,#-•••'
(516) . 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
sy ����
�
Fee s/O sc•66 L
DATE NO �� �
OWNER NAME: IsiNo.rdme-X, 4 Har /a1oorQ
OWNER MAILING ADDRESS: g1: Q .r-=/ J ?_
k•a�s1 e--
/X / tC4f /Vlyr / /`g::--
OWNER PROPERTY ADDRESS: Jr,ry)e 67.9 ,=L j0v--e_,
OWNER TELEPHONE NUMBER: ( 76 ) ,52_67g--- 3 6�
1 $ rce/ 117 A/73 '
TAX MAP NO. : Section /4/246 Block F Lot 3 0 _
/' /1z-(7; c` c, q-7 ,
. CROSS STREET: �o/3/+2 ger X'c 1-X Coot/b•_ /33-6
-
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool f New Existing i.------
Residential `."-- - Non-Residential
DATE OF PREVIOUS PUMP-OUT: /0/ 0/57
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
• i-v— /L-( a 174`''L ��
nature of Applicant
RECEIVED BY:
REC WW®,Townclerk's ffice
DATE: Nov 2319 7
Town Clerk Southold
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REVISIONS YOUNG & YO' °.N =. `-;= .
400 OSTRANDER AVENUE, RIVERH perew YORK
• ,
LDEN W.YOUNG �``' • AR 4,'-O G
PROFESSIONAL ENGINEER AND 1,3Uja'�p"
LAND SURVEYOR.Ky.,.UC. NO.12545 . ,_ -.45813
SURVEY FOR: i.
UNAUTHORIZED ALTERATION OR ADDITION TO
SECTION
THIS
OF THE NEW YORK SVEY IS A IT TEON �EDUCATION JEROME A. VAN*ORA 8 MARY F. VANORA -
LAw .• )
COPIES OF THIS SURVEY MAP NOT SEARING - ,
THE LAND SURVEYOR'S INKED BEAL OR _
EMBOSSED SEAL SHALL NOLLRE CONSIDERED
' TO BE A VALID TRUE COPY . AT HAFT/TUCK GUARANTEED TO:
SOUTHOLD SAYINGS BANK
GUARANTEES INDICTED HEREON SHALL RUN ' THE TITLE GUARANTEE CO.
ONLY TO THE PERSON FOR WHOM THETOWN OF OUI �O�D
SURVEY IS PREPARED,AND ON HIS BEHALF
TO THE TITLE COMPANY,GOVERNMENTALAGENCY TEDy �/ yR
HEREON,AAND TO THE ASSIGNEES ND LENDiNG NOFISTHE SUFFOLK CO., N.Y. BY I/`� _ 7 -
LENDING INSTITUTION. GUARANTEES ARE /9�1 .%6u!/'�Al 1
NOT TRANSFERABLE TO ADDITIONAL SCALE: ' IS S DATE: c NO.
INSTITUTIONS OR SUBSEQUENT OWNERS. I40 FEB.�j A.9T6 6-9/ '
K&E 175159 9-74 40913•