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HomeMy WebLinkAboutWood (2) 2 n_ 11//G,f��F0U1 '' it•r L B �� Town Hall, 53095 Main Road -04 •* P.O. Box 1179 ®1 %• 0.�� Southold, New York 11971 JUDITH T.TERRY ---.....0i,001° TELEPHONE TOWN CLERK (516) 765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD • SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 684-R Residential X Non-Residential Fee $ 10. 00 Septic Cesspool - X New Existing X Name Of Owner WOOD, PAUL F. Mailing Address 1 665 BAYSHORE ROAD City St Zip GREENPORT NY 11944-0000 Property Address 1 665 BAYSHORE ROAD City St Zip GREENPORT NY 11944-0000 Owner Telephone No. 516-477-1791 Tax Map No. section 53 . 00 block 4 lot 20.000 Cross Street ISLAND VIEW LANE Date Of Last Pump Out 0/00/00 Issue Date: 4/29/88 Judith T. Terry Southold Town Clerk (TOWN SEAL) -4 V..' OFFICE OF THE TOWN CLERK c,\FFO(if( Town of Southold ® .{ CQ _ Application No.'7FY Judith T. Terry, Town Clerk . /7 g ms's Town Hall, 53095 Main Road v.c Residential P. O. Box 1179 =- Non-Residential Southold, New York 11971 ®r+ o Telephone .l (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ DATE dGGLICAl Gir OWNERPA NAME: Gv U o CJ at OWNER MAILING ADDRESS: tC 1 ,4 ��e;f, /67( IML/ 7/P11 OWNER PROPERTY ADDRESS: ����4/ o/l� /(afert 3�" 6 S 6-wax (nrr--/v �O ftl�LT Z.27 A-/ /W/z OWNER TELEPHONE NUMBER: r - V77 /7/ 7 TAX MAP NO. : Section Block Lot 2/&"4- ra // y 407- c/K CROSS STREET: /s/,/ „/ � � / /4? l/ TYPE OF SYSTEM: Septic Tank New Existing Cesspool New Existing Residential Non-Residential DATE OF PREVIOUS PUMP-OUT: '//1.(?` /jiyer 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.) 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