HomeMy WebLinkAboutCaggiano JUDITH T. TERRY { '` l Town Hall, 53095 Main Road
TOWN CLERK i' a " K,7 P.O. Box 1179
REGISTRAR OF VITAL STATISTICS ?.,71 Southold, New York 11971
MARRIAGE OFFICER 3_• a m', Fax (516) 765-1823
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. 1595-R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
New Existing X
Name Of Owner CAGGIANO, RUDOLPH
Mailing Address 1 7410 MAIN BAYVIEW ROAD
Mailing Address 2
City St Zip SOUTHOLD NY 11971-0000
Property Address 1 7410 MAIN BAYVIEW ROAD
Property Address 2
City St Zip SOUTHOLD NY 11971-0000
Owner Telephone No. 516-765-1064
Tax Map No. section 78.00 block 7 lot 52.000
Cross Street COREY CREEK ROAD/CEDAR DRIVE
Date Of Last Pump Out 0/00/00
Issue Date: 1/17/91 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
OFFICE OF THE TOWN CLERK 'cOFOUr
Town of Southold C, _ Application No. /59C5—
Judith T. Terry, Town Clerk ` P-,...y�<<h <';:5xc - y
Town Hall, 53095 Main Road 8 :c $10.00 - Residential
p. O. Box 1179 cn •` ktL"%F $25.00 - Non-Residential
Southold, New York 119.71 1�`� $
Telephone 701 `��•
� ��
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $ 10.
DATE December 6, 1990
'OWNER NAME: CAGGIANO, RUDOLPH' •
•
OWNER MAILING ADDRESS: 7410 MAIN BAYVIEW ROAD -
SOUTHOLD, N.Y. 11971
OWNER PROPERTY ADDRESS: - same - -
OWNER TELEPHONE NUMBER: 765-1064
TAX MAP NO. : Section 78 Block 07 Lot 52
CROSS STREET: Between Corey Creek Road and Ceder
TYPE OF SYSTEM: Septic Tank X New Existing X
Cesspool X New Existing
Residential X Non-Residential
DATE OF PREVIOUS PUMP-OUT:
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.)
41A1 4/0
Signat fre of Applican
RECEIVED BY:
/ �-
0 Town Clerk's Office
DATE: /�2//O /f°
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