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HomeMy WebLinkAboutVictoria • OFFICE OF THE TOWN CLERK Town of Southold ��FC� Judith T. Terry, Town Clerk --- Town Town Hall, 53095 Main Road c P. 0. Box 1179 � g : Southold„ New York 11971 Telephone �( "A" (56) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT OPERATION PERMIT • SEPTIC TANK or CESSPOOL Operation Permit No. 179 Residential X Fee $ 10.00 Non-Residential Septic Cesspool X NAME OF OWNER: John and Dorothy Victoria OWNER MAILING ADDRESS: Box 1086 Mattituck, New York 11952 OWNER PROPERTY ADDRESS: . Corner - Oak Street & Horton Avenue Mattituck, New York OWNER TELEPHONE NUMBER: 516-298-4719 TAX MAP NO. : Section 1141 Block 1 Lot 11 CROSS STREET: Corner - Oak Street & Horton Avenue TYPE OF SYSTEM: Septic Tank New Existing Cesspool X New Existing X Residential X Non-Residential DATE OF PREVIOUS PUMP-OUT: 1978 or 1979 • coreoteaVg.0...0000.---0" Judith T. Terr Southold Town Clerk DATE: December 16, 1986 (TOWN SEAL) 1 1/ 1/ t1.e. dis, f yV G 0. OFFICE OF THE TOWN CLERK 1FO1 Town of Southold Application No. Judith T. Terry, Town Clerk ��, A; + �► Town Hall, 53095 Main Road c Residential P. O. Box 1179 11-V �� Non-Residential Southold, New York 11971 O;$' ci ‘*-$ Telephone Telephone 6.( %N • ��• (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for ' OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. / 7 av Fee $ / 9 DATE id-//- OWNER NAME: v 64A Dfi.)"dTz y yok k OWNER MAILING ADDRESS: eO)( 10,76 e --/7 jc , 1 1i0• / //9-5") OWNER PROPERTY ADDRESS: a'/-ft/C2r 011 St. Fa Qt/e OWNER TELEPHONE NUMBER: (---7&) d 9' '/7/7 TAX MAP NO. : Section /WOO Block O/ea Lot 0/k¢"" CROSS STREET: ON'ler OQ OKTGN Q Ue . 6ir 4/1/ TYPE OF SYSTEM: Septic Tank New Existing Cesspool C/ New Existing Residential f Non-Residential DATE OF PREVIOUS PUMP-OUT: PAX 6(1 %dam (F/ /'eyAs 4 ja LOCATION MAP: Must be attached hereto before permit may be issued. (Locate building and system; give north arrow and feet � fin G/���� distance, approximately, to building and closest road.) o, - Sig ture of Applicant RECEIVED BY: Town 6Zlerk's O fice RIMMED DATE: Town Clark Southold _ - ....-...-.- _ .- ' - -..:=_--...:,..-,-,-,-e=,.--,_-.7;- � ::' -':- -- - sem-+ -1/4-;-.--),1/43-74.".4X.:4_,4• - '- - . � / ::i _ pmo _. - .�s . _�_:. .:-_• f - - - . � " - • o :G: `:J.kYt: -:�%' w . � / / / tdA:-/,,, anal /-y�(�n A Te. v l r..e1 /f ' �'/'yO_',/Y�//1n�' C^ Cli o��Y •e`` aiiiiii. /w/,/J'I� // 0 •• 6-x 7S' `STP /'✓/{,(wr ', /\r�tli��%/ a�P�(: �%� `a ,l'F' J e-u ex Wf Aittilb Arir....liaL - i, --i-Ayti-ti , T e3 / ��� ; 2e.. q• • 22 • / .. /* Cf. z salcl /, • --; -,:'''': - '' " 01,41,41rOlp I pJ� 2 ? • WES7PHA•« °' r o 6~ ,4.4.9'‘.90,0 Q.._ I e ��� LIA AVE..ar.IJIn �-3 Y� • ?,a00 •ilp 1. b• m AJ4... -A . . 1 II 4" s ''�va /J°' - I - , " %` NORTH FORK v '° \:,UtVP' Pj4' a°y ' } BAPTIST CHURCH ill/ 9G `'P ut vJO 2 ,• �° / 20 qt \sb\ 2 OA f TO,400•''' 1 { to‘,.. ,�, 21.1 ' • - • P14.° S6 i ''3O., 0 S e al c I °\9 eT FCN+SPC'. Ts 2.1 _ VI o° 158(c) pdE ! • , MAT iIIUCK I y . tE' .• PRESBYTERIAN C,AWCN l� lI 9� ,110 �i{ORZON 15 .\6\c SNEy1 yO SOUND '' (meq\; � O 12A1c1 ' i so'. V. It'4A v r ::: ck° } ( I {. Ba p SB , v% •O - IOAIcI ---- ,1 ,1 1J I w.l O • / VC, - CEUETEPI 6 t' 0 1111‘., P\ O ���. ,iP c b PpL5gY1EP,AN` ( " So u ,a '� PQ\ `l, 7'•, '/ CNLPCN•. .r. ]9`- - ? M1- • OR PARCEL NO• .. vab SCC SEC .:0 102 • Z OP\c\ • / \qe.111 _ .EMASCn SLC SEC NO 112E -- ^-Z/�A pN0E 5[[4C ` ' 6' uN0 NO 122-01-021.1 S°°'° n . \44141/1.1Pfl'i N I AMISS HAIM MK A API ICI 1 °°8i �/\ _ u..iiiIil a 1 ,r _ sc.,.` ..V 1• Din "_ I °"C AO.I OA ----� -`"fJ -Z"' -- SA Id,/Whit Mt Yin it 0A1Antbill V Alf YU Legend KEY NAP - © NN OF SOUTHOLD _ SECTION ND TO COUNTY OF SUFFOLK _ — u1C11AEL tlakFR lR �- InD ,PF,,,,, n.+..n[v.w O.,.r L.,L+. --- v...D.•u.0 4r --•-- R.Iva.D.•u.0 4r R�- D..J D+.•um „ .--�"'' Real Property Tax Service Agency VILLAGE OF _.-._ .- 141 N .D (r..u..t.... YLJ.n,a,Wt„ .._-• v.lm,.l.m �---- L.A.Dmm�L«. --.L- &.pq OI },INn"m•.a "J• ua .+. _ SCLLlmrlII CDunly Center DISTRICT Ho 1000 V,.M.. n..v.Me • • •. Y -. rf.,y.•• V.u. - 3 n _,L J . . yr v__I - -�_ - -..--- -