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OFFICE OF THE TOWN CLERK cl\VF111I-C • • Town of Southold O��x` z � •� Judith T. Terry, Town Clerk s9,` -_ { _, Town Hall 53095 Main Road ti- P. O. Box 1179 u .. t.• Southold, New York 11971 '®.ttt �0�-��� Telephone 'f=0/ (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 447 Residential X Non-Residential Fee $ 10.00 Septic Cesspool X NAME OF OWNER: George Wieser OWNER MAILING ADDRESS: 1415 Harbor Lane Cutchogue, New York 11935 OWNER PROPERTY ADDRESS: 1415 Harbor Lane Cutchoque, New York OWNER TELEPHONE NUMBER: 516-734-56312. TAX MAP NO. : Section 97 Block 6 Lot 10 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 of row • Judith Southold Town Clerk DATE: September 29, 1987 / - \�(TOWN' SEAL) •`il OFFICE OF THE TOWN CLERK �FFO(,r�'= �� Application cation No. Town of Southold � ;.� CQG _, pp 9� Judith T. Terry, Town Clerk . . Town Hall, 53095 Main Road o . Residential c/ P. 0. Box 1179 531 Non-Residential Southold, New York 11971 O ® s �•` Telephone • (516) 765-1801 RceTOWN OF SOUTHOLD SEPT 81997 SOUTHOLD WASTEWATER DISPOSAL DISTRICT 4own Clerk Southold APPLICAT ION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ t4° DATE /l° /7 OWNER NAME: 6Ct?4 M- OWNER MAILING ADDRESS: ��/S may( Cerhilvei 51,0-ye./6_ As:eiss OWNER PROPERTY ADDRESS: ;4✓' OWNER TELEPHONE NUMBER: / - 73 V-3-63/ TAX MAP NO. : Section fQ Block 92- e Lot / CROSS STREET: 1€ TYPE OF SYSTEM: Septic Tank z New Existing Cesspool N/ New Existing Residential Non-Residential DATE OF PREVIOUS PUMP-OUT: LOCATION MAP: Must be attached hereto before permit may be issued. (Locate building and system; give north arrow and feet of distance, approximately, to buil e ing and closest road.) ti j Si.naa "re of App icant C RECEIVED BY: p Recwn CTllerk's Office � DATE: SEP 2919 Town 'Mork Sou#1I6Id /d,x...y 1 - _ .-1-• Vt. . . .., ..• _ • , - ' 4 - r : •i i . . \I- 'st• i ..... --,-.. i _ _-'s ..- _ Ai, LC 7 " "-. . ....-,.. • , • - • - 7'17 ., . . . ...-. .... . i -,. ...1 , . .., f Sired i ' 1‘•:, - • 1 . --ft-' -- •-1 . • ° i er- 15 ••-1- •• I •, / ; ,0 . •1 N % . ; 4 • -, i- ... .,.. • , 4.- .• 4, - • 1 ,) f t-0•11-4,t, -.dr 4. .. •••• --'-.. • ea:.k. ,1 .,1 . t , " . • .. • ---, • I i . 1 v: . • .:r,r•.--''e' i Y,1''''' ''''•il \V...-. tea., ' -'. r-1,-• .a .,0 '''': , :....../ ..... , . . , _ . . . - f••1 !.-..; I... ,, 1• - %. . .... .. - ..- • i , c:.i.-7.'''4\ 'I 'I • 1 'Ve\''•01..'. '1 P • ` I - , i-\ • 1 ' I • ' ‘1' -. - •• : - -•.4 r-r- , -. • , • , . ..... %, ,,- P1\.,‘ •:‘ •.7. 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