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HomeMy WebLinkAboutWilliams (4) Wire;®� • JUDITH T. TERRY % �� Town Hall, 53095 Main Road t. TOWN CLERK • P.O. Box 1179 REGISTRAR OF VITAL STATISTICS : rri Southold, New York 11971 MARRIAGE OFFICER � Fax (516) 765-1823 �® d 4ii•V Telephone (516) 765-1801 det OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 1712-R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X New Existing X • Name Of Owner WILLIAMS, JEFFREY S. Mailing Address 1 P. O. BOX 463 Mailing Address 2 City St Zip SOUTHOLD NY 11971-0000 Property Address 1 BAY AVENUE Property Address 2 City St Zip EAST MARION NY 11939-0000 Owner Telephone No. 516-765-1408 Tax Map No. section 31 .00 block 9 lot 7.003 Cross Street LAKEVIEW TERRACE Date Of Last Pump Out 0/00/00 Issue Date: 6/27/91 Judith T. Terry Southold Town Clerk (TOWN SEAL) / S.. OFFICE OF THE TOWN CLERK •0�1;FQ(at�'= Town of Southoldct� 5 CQG' • Application No. 17/2- •Judith T. Terry, Town Clerk $10.00 - Residential Town Hall, 53095 Main Road P. O. Box 1179 $25.00 - Non-Residential Southold, New York 11971 Telephone 401 . • (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. hl Fee $ `0 --- DATE OWNER NAME: ��F2RF`j S. )40ILL/ A►'.-6 OWNER MAILING ADDRESS: (2p' ' 4Aa 2 OWNER PROPERTY ADDRESS: A'-/ L - AST -RIor) OWNER TELEPHONE NUMBER: (61I-) 705 -I 0 8 TAX MAP NO. : Section 31 Block C31 Lot %-7. 3 CROSS STREET: • Mff*J JL 4 LAYNE Vl ieiQ c TYPE OF SYSTEM: Septic Tank ✓ New Existing Cesspool New Existing Residential ✓ Non-Residential DATE OF PREVIOUS PUMP-OUT: LOCATION MAP: Must be attached hereto before permit may be issued. 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