HomeMy WebLinkAboutWebb (3) OFFICE OF THE TOWN CLERK 0 'cs\WFOir fvo
Town of Southold OHO •
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road t $ '
P. O. Box 1179 'A ul
Southold, New York 11971 Q t
Telephone 7.0,/
(516) 765-.1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
•
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 459 Residential x •
Non-Residential
Fee $ 10.00
Septic Cesspool X
NAME OF OWNER: Linwood S. Webb
OWNER MAILING ADDRESS: 26 Sound Road
Greenport, New York 11944
OWNER PROPERTY ADDRESS: 26 Sound Road
Greenport, New York
OWNER TELEPHONE NUMBER:- 516-477-1321
TAX MAP NO. : Section 35 Block 1 Lot 13
CROSS STREET: Route 25
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool X New Existing x
Residential X Non-Residential
DATE OF PREVIOUS PUMP-OUT: Unknown
Juui y
Southold Town Clerk
DATE: October 13, 1987
(TOWN SEAL)
OFFICE OF THE TOWN CLERK SFFpir
'-- `/
Town of Southold �� CQG Application No. 7
Judith T. Terry, Town Clerk
::<") Residential
Town Hall, 53095 Main Road a ` r -
P. O. Box 1179 �' `F,u "` =r' `' Non-Residential
Southold, New York 11971 O ®41%-.-t- .4%
Telephone
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
To r
OPERAT ION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $ /O, O7
DATE /4
OWNER NAME: x/,(4.1)
OWNER MAILING ADDRESS: 2c ,SS//Jv ,el)
//9VV
OWNER PROPERTY ADDRESS:
OWNER TELEPHONE NUMBER: 676 4/77 73Z/
TAX MAP NO. : Section (J Block / Lot /3
CROSS STREET:
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool r/ New Existing f/
Residential Non-Residential
- DATE OF PREVIOUS PUMP-OUT: ,/lic,Weil
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.)
Signature o Applicant
OCT 131987
RECEIVED BY:
�ev�iiok 6diitres Office
DATE: ,.a„.
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