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HomeMy WebLinkAboutWells • JUDITH T. TERRY Town Hall, 53095 Main Road TOWN CLERK P O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER Fax (516) 765-1823 Telephone (516) 765-1801 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 1609-R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X New Existing X Name Of Owner WELLS, DAVID B. Mailing Address 1 BOX 1259 Mailing Address 2 City St Zip MATTITUCK NY 11952-0000 Property Address 1 410 CEDAR DRIVE Property Address 2 City St Zip MATTITUCK NY 11952-0000 Owner Telephone No. 516-298-2179 Tax Map No. section 106.00 block 10 lot 19.000, Cross Street BAYVIEW AVENUE Date Of Last Pump Out 0/00/00 Issue Date: 1/17/91 Judith T. Terry Southold Town Clerk (TOWN SEAL) • • ii, OFFICE OF THE TOWN CLERK 'c�vFFD(,- - Town of Southold � .xt CSG; Application No. /(,27 Judith T. Terry, Town Clerk y Town Hall, 53095 Main Road x{ : [ , , , (i.'. ' , &,; ;ix , o\ Q 4 .. . - I, ; %I; sZ 0 q• •. .L • dam' 0 0 F, r51 441 �,: , • t' \ / +4 & 1 , .0' -9 rt o^ To. 9 ,� `, _ ,- ...41. -_� �._ ..,, .:.�••"�-ice,,,,`:= �,, rt J" �_=k^;"S.ver'�r,2jlFtt-"��'`.a-^s^"'x'33'""° tri. •.�.. -K"`" X44 ,l N.. ;op 0 ko N -per 5, • ,t L, 'S. f j N. 7. f', 4, , ; It_ \ .i 3 n } ' { =5h Ily {. [ 4; 1 i MONUMENT' ;; •D/V/S/ON MAP FILED IN THE OFFICE z THE CLERK OF SUFFOLK COUNTY ON ;' Y/, /923 AS FILE NO.776 SURVEY FOR - ,rFOL K CO TAX MAP i T 1000 SECT./06 BL.10 LOT 19 DAVID B. WELL ,i 4L AREA=/5000 S.F LOT NOS. 8 8 , 'MATT/TUCK DEVELOPMENT CO, /NC. f : AT MATT/TUCK DATE : 1 ,;. TOWN OF SOUTHOLD SCALE: I ' SUFFOLK COUNTY, NEW YORK O. *UNAUTHORIZED ALTERATION OR ADDITION TO THIS GUARANTEED TO: SURVEY IS A VIOLATION OF SECTION 7209 OF THE OAV/D 8 WE NEW YORK STATE EDUCATION LAW. *COPIES OF THIS SURVEY NOT BEARING THE LAND CH/CAG•- EEMSIIvRi SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL SONY AS'= ' -- ' •-rt , NOT BE CONSIDERED TO BE A VALID TRUE COPY. rry *GUARANTEES INDICATED HEREON SHALL RUN ONLY TO 4elt `O 4 t THE PERSON FOR WHOM THE SURVEY IS PREPARED, Q ` G AND ON HIS BEHALF TO THE TITLE COMPANY,GOVERN- ,1lt Z MENTAL AGENCY AND LENDING INSTITUTION LISTED `E HEREON,AND TO,THE ASSIGNEES OF THE LENDING xr - INSTITUTION.GUARANTEES ARE NOT TRANSFERABLE 4, t TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. •/•,f! ' ..,.