HomeMy WebLinkAboutZingaro OFFICE OF THE TOWN CLERK $ �FFUCki0
Town of Southold lj
Judith T. Terry, Town Clerk ' ° -at,A �
Town Hall, 53095 Main Road = '
P. 0. Box 1179 q �•,
Southold, New York 11971
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Telephone
411
Telephone
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 326 Residential X
Non-Residential
Fee $ 10.00 -
Septic Cesspool X
NAME OF OWNER: William and Linda Zingaro
OWNER MAILING ADDRESS: P.O.Box 306
Cutchogue, New York 11935
OWNER PROPERTY ADDRESS: NE CORNER OF Pequash Avenue and Route 25
Cutchogue, New York
OWNER TELEPHONE NUMBER: 516-734-7656
TAX MAP NO. : Section 102 Block 3 Lot 7
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
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Judith T. Terry
Southold Town Clerk
DATE.: July 14, 1987
(TOWN SEAL) -r
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OFFICE OF THE TOWN CLERK c0FD(,r "
Town of SoutholdCOG Application No.
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road ` *., ` Residential
P. O. Box 1179 n Non-Residential
Southold, New York 11971 O
Telephone ®1 *
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERAT ION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $ 96
DATE '4\0 itii'1
OWNER NAME: U��LPrcv` �,LNs�i� \sJ
OWNER MAILING ADDRESS:
tzi. ovrcz
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OWNER PROPERTY ADDRESS: rc)eco,),,pyE . �S
N\- \\. 3S-
OWNER TELEPHONE NUMBER: `1
TAX MAP NO. : Section )074, Block 0 Lot oc j
CROSS STREET:
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool / New Existing a✓
Residential v/ Non-Residential
DATE OF PREVIOUS PUMP-OUT: UNN �
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.)
/ /
ignat , e o' A.g Iicant
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RECEIVED BY:
Town Clerk's Office
DATE:
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