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Home My WebLink AboutWachsberger 0" eaffi Lit ®ELIZABETH A.NEVILLE t Ate .04; Town Hall, 53095 Main Road •TOWN CLERK , ® P.O. Box 1179 2 Southold, New York 11971 REGISTRAR OF VITAL STATISTICS �0 Fax(516) 765-1823 MARRIAGE OFFICER :� w �1 RECORDS MANAGEMENT OFFICER L 04 "ti'` t® i Telephone(516) 765-1800 lig � 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. 3769-R Residential X Non-Residential Fee $ 10.00 New Existing X Name Of Owner WACHSBERGER, CLYDE Mailing Address 1 P. O. BOX 307 Mailing Address 2 City St Zip ORIENT NY 11957-0000 Property Address 1 VILLAGE LANE Property Address 2 City St Zip ORIENT NY 11957-0000 Owner Telephone No. 516-323-3976 Tax Map No. section 25.00 block 2 lot 4.010 Cross ,Street MAIN ROAD Issue Date: 2/23/98 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) I 011I, ,11. ' OFFICE OF THE TOWN CLERK v$FU(,(� ' 2 - Application No. �l 76 TOWN OF SOUTHOLD ��. COIj ' PP ELIZABETH A.NEVILLE,TOWN CLERK i.. i _ $10.00 Residential ,/ P.O.BOX 1179 =,:,i.... ` SOUTHOLD,NEW YORK 11971 ;'� 411 .1, �� $25.00 - Non-Residential Telephone - j 'i (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ • v DATE 'b 1)\rU 6)1CVW OWNER NAME: C t /41e Uj --Ci'A \.s ,-- Ga--e___ OWNER MAILING ADDRESS: 60 0 jl�L � Lit 0 RAS )1,9a OWNER PROPERTY ADDRESS: RD- OWNER TELEPHONE NUMBER: 32Z (31-7- (.0 y TAX MAP NO. : Section �‘ Block -2 Lot 'qt. 0? CROSS STREET: ly) /9 /N Ra- TYPE OF SYSTEM: Septic Tank - New Existing \/," Cesspool New Existing Residential \Z 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.) 39/ k@ctil -____- . Signature of Applicant RECEIVED BY: Town Clerks !) DATE: FEB 1 1998 Sotadd T©W1 Mark A4 SET srX 41 a h 0.. of NEwY o 20 `So ll� �� 5 ) N.88 Or �,• �/ E, __ 46 SET 1� - .,• /R� 1r14o• STK. W E� • �- R A p R _ �F,/,s ��• 4926'' ,4,, f r A 8 O F° CA MD SSS N ct MAI ENDEI-I- - 098 MAP OF W _ N / 60.04'�_- 23'' - . - - DESCR/BED PROPERTY e GA GE - 1. ,,E FR' RA I AT OR/ENT • K o 920 f x F0�„ a S $3 3 I 3 TOWN OF SOUTHOLD O L.O/E r- EiCORNER �'`41 I _ 0 '1;t S UFFOL/C CO. N. Y. t b coNc los3.0 ' �Q �' of \i APRO J • X00' . W O V r l�0 >, CO O ,0 . x % ^'s. y K. = , = - PR/V Y - \ SET k a' =', 85558 ' STK Q • ECE�yr. _- b0� 5/ X N v �-a3s' 325'0' I X� ,, ser57.% 2.7 •.- - . N. 720 48,30 W CERTIFIED TO : - 1_ I " -.o' N �.� „ 4- l4 6':. US L/FE TITLE INSURANCE CO. STY. H :a o N F R = CLYDE WACNSBERGER 2 1. . - C ' •7 i 2.66' 1-_, 1'• 4j ° FR. HSE I ti sz.° R •i SH-ED,:!', - + N m 9.0' -_N.SHED SET STK. - • - /6.2' __ -_- - donack associates - Q b __- - `� CELLAR. STY. FR. ,. '' ._ -/25' ?, .\ . ` O C ENT.1 D l• E"CEp L• X� �0 .4' _ 1'_ 313 west main street . .1 r o4�r I _923`�x w oti5 F:R �Np JR• riverhead, new york 11901 ....,_____N_ —,9-3 4 —� A A R ,0.60 _R_ M G (516) 3 69-1717 (212)746-3020 2 o0T30��w' S,PH _ L{' AREA =/3,49/ a , �� ' - sEr ors N.. - ;JOE - ' • Feb. 23, 1983 Job N° 83-210 O3097ACRE STK. i N/F - I000-025-02-04.1 sca1e • 1"=20'