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HomeMy WebLinkAboutBzezinski JUDITH T. TERRY Town Hall, 53095 Main Road TOWN CLERK ® r � P.O. Box 1179 REGISTRAR OF VITAL STATISTICS q.P Southold, New York 11971 MARRIAGE OFFICER ,r' Fax (516) 765-1823 �® 4!' Telephone (516) 765-1801 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 3044-R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X New X Existing Name Of Owner BZEZINSKI, JOHN R. Mailing Address 1 17 TACOMA LANE Mailing Address 2 City St Zip SYOSSET NY 11791-0000 Property Address 1 80 WATERSEDGE WAY Property Address 2 City St Zip SOUTHOLD NY 11971-0000 Owner Telephone No. 516-496-4996 Tax Map No. section 88.00 block 5 lot 54.000 Cross Street RAMBLER ROAD Date Of Last Pump Out 0/00/00 Issue Date: 6/25/93 Judith T. Terry Southold Town Clerk (TOWN SEAL) • • • S.. • OFFICE OF THE TOWN CLERK ' �SFFOUr Town of Southold Qom-. Application No3 0 Judith T. Terry, Town"Clerk' Town Hall, 53095 Main Road $10.00 — Residential P. O. Box 1179 cn . r+ Y�. Southold, New York 11971 0 ® x++ : ��� $25.00 - Non-Residential Telephone S " l#0• (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for • OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee .$ • • DATE ?•-•I 'OWNER NAME: ,301-4 N ► B-zEL OWNER MAILING ADDRESS: r7 -t' MA L ( S`}/ ` f1 y. a t791 OWNER PROPERTY ADDRESS: vI' GE 'Kat .SLaLDJ NI .y, t 49- 1 OWNER TELEPHONE NUMBER: WORK,; (Slim) 29c --37-1 , 1•40t► :C6I,o,' 9.to-459L TAX MAP NO. : Section se Block 15 Lot 54 CROSS STREET: 12.A it4E3 2 TYPE OF SYSTEM: Septic Tank New v/ Existing Cesspool I New / Existing Residential Non-Residential DATE OF PREVIOUS PUMP-OUT: I\JJA- 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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