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HomeMy WebLinkAboutZupancic OFFICE OF THE TOWN CLERK .c0FO(,-Z- Town of Southold Ca "-- Application No. Judith T. Terry, Town Clerk �` t'� Residential Town Hall, 53095 Main Road c � - P. O. Box 1179 v' ► ; Non-Residential Southold, New York 11971 O Telephone : 1 ,► (516) 765-1801 TOWN OF SOUTHOLD RECEIVED SOUTHOLD WASTEWATER DISPOSAL DISTRICT AuG221986 APPLICATION Town Clerk Southold for OPERATION PERMIT SEPTIC TANK or CESSPOOL ` Operation Permit No. CYO Fee $ /0; Ofd DATE 8/20 /9096 OWNER NAME: FR 1} IIID z Uf L1/vc/c OWNER MAILING ADDRESS: 5'/ PAcif/G' 5 RF_ rr p 4819X QA ? iN1A7-n roc�( OWNER PROPERTY ADDRESS: s,' , P/? C/F7CS%R 'FT MM77-i17vc/1 N1 y, OWNER TELEPHONE NUMBER (, /6) 98— 11,5-30 TAX MAP NO. : Section pori/-.23 Block Lot CROSS STREET: FR C/ /'/ C TYPE OF SYSTEM: Septic Tank New Existing Cesspool Y� s New Existing YES, Residential �S Non-Residential DATE OF PREVIOUS PUMP-OUT: .JO L )/ '% , 19,8b LOCATION MAP: Must be attached hereto before permit may be issued. 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