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Home My WebLink AboutVitale �.,�®�ogOFFO(,�co G ; JUDIJH T.TERRY ►�_ y<: Town Hall, 53095 Main Road TOWN CLERK t y Z P.O. Box 1179 ‘11.O t Southold,New York 11971 REGISTRAR,OF VITAL STATISTICS ®y Fax(516) 765-1823 RECORDS MANAGEMENT OFFICER `T► MARRIAGE OFFICER '�O a� i� Fax (516) 765-1800 1 FREEDOM OF INFORMATION OFFICER � �� OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 3531-R Residential X Non-Residential Fee $ 10.00 New Existing X Name Of Owner VITALE, ANTHONY J. Mailing Address 1 1 HOAGLANDS LANE Mailing Address 2 City St Zip OLD BROOKVILLE NY 11511.5-0000 Property Address 1 1775 EAST CEDAR BEACH Property Address 2 (470 INLET WAY) City St Zip SOUTHOLD NY 11971-0000 Owner Telephone No. 516-759-0690 Tax Map No. ,section 92.00 block 1 lot 8.000 Cross Street CEDAR BEACH ROAD Issue Date: 10/22/96 Judith T. Terry Southold Town Clerk (TOWN SEAL) OFICE OF THE TOWN CLERK �FFU Town-of Southold Application Application Ne--J 3/ Judith T. Terry, Town Clerk �' {; Town Hall, 53095 Main Road "� -� $10.00 - Residential P. 0. Box 1179 u' , µ ' ' i $25.00 - Non-Residential Southold, New York 11971 Telephone 01 .1*, (516) 765-1801 TOWN OF SOUTHOLD • SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ DATE /© -/�� OWNER NAME: /4217-/02/1 / OWNER MAILING ADDRESS: �e...0 ,� /te L1 /t J)G,7' OWNER PROPERTY ADDRESS : /77c: Ca �J Q (-4t7c2 //Z '7" 4/40i) OWNER TELEPHONE NUMBER: 5; 4 f''7—o‘70 r2,--'TAX MAP NO. : Section Block / Lot_ CROSS STREET:- TYPE OFS.SYSTEM: Septic -Tank_ ._ New Existing Cesspool -New Existing Residential Non-Residential =-� 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.) f Signatur) .' Applicant RECEIVED,BY: Et E • Town CTeerkks Office - DATE: - 0 CT 2-2 1996 Southold Town Clerk 9 fi1 ,•' —\ s .W71 S 8 5'57't. _� 1rn , a� Lr o .a•p �= c rn < s I. 2 4p IN rG `y6°3� s.44 NV1 / ' �j " E1` J�� O � S n R�PJ V i o04� ' -to o�•j�Z � / !/ him \ /V160 �3°3.z•, = PI 9=• - N / 1 t�,.„0,......„0.z.---- CHAIN LINK FENCE 0 D OS Z. i - �`N'*" �� \B OO / La N�¢ 'T. FISH POND / VL. 733 , \ j0/4= Si° OV�PJFP •03O OO, \N,o. 21 S' i OG , s EDGE pF C •o- \ _�� •-- Ct 7' z . TYPE 'I ` �oco DECK N.88°00' 0"E l 7 2 SmRr 1 �% Lot 92 s 90.00' u FRAME HOUSE • -�` _ STONE ae n �bo 'p Zg� LA 1L/ �� 20s ?CO' 0 ° b N 7.N -J• T WOOD I 2Ta - wp00 D C``0.cI.'" %.0 t0 FT . .. o h BULKHEAD WOOD CHp'N CC\ a� 8. (D '0' :— i.,. % DECK BO d...k.�9. A •Z Area_ 53020/ r /.// s.f. Lot 9 4 ? I • �T� �� 06 3�W• I nEL/N : ' Lot 93 i s N.770/1,1 , X13 ,w EgLONG 4PPgOX Nww I /r ') I (P / Lot 95 / �4S 24' 3 N.7 °21 ,1 1,.w ,i 'o°o 1 N SURVEY FOR—____:._ __________L _________±._ / . , ..i.,.,._a X87 48, THONY VITALE SHORELINE AS PER FILED MAP,/ ' / . AT BAYVIEW .• PECO/1//C B r TOWN OF SOUTHOLD , SUFFOLK COUNTY, N.Y.