HomeMy WebLinkAboutCappasso OFFICE OF THE TOWN CLERK • c�UFFO `+�
Town of Southold ��s; ��;t' �
Judith T. Terry, Town Clerk , .
Town Hall 53095 Main Road
P. O. Box 1179
Southold, New York 11971 Qom`; • _ ��% •
Telephone v10/ %16'0
(516) 765-1801 -
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 595 Residential x
Non-Residential
Fee $ 10.00 V
Septic Cesspool x
NAME OF OWNER: Gennaro and Teresa Cappasso
OWNER MAILING ADDRESS: P.O. Box 353
Peconic, New York 11958
OWNER PROPERTY ADDRESS: Sound Ay enue
Peconic, New York 11958
OWNER TELEPHONE NUMBER: 516-765-5313
TAX MAP NO. : Section 67 Block 2 Lot 1
CROSS STREET: Mill Lane
TYPE OF SYSTEM: Septic Tank New ' Existing
Cesspool X New Existing x
Residential X Non-Residential
DATE OF PREVIOUS PUMP-OUT: Unknown
Judith T. T ry
Southold Town Clerk
DATE: February 10, 1988 _-
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--(TOWN SEAL) - -
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OFFICE OF THE TOWN CLERK wcFOLe --
Town of Southold ®�% -_-.. eQG' , Application No.`r, _
Judith T. Terry, Town Clerk ',
Town Hall, 53095 Main Road ® , � 't - Residential
P. O. Box 1179 r Mz' Non-Residential
Southold, New York 11971 ® A
,-T- ®�0
Telephone -J./. * V
(516) 765-1801
TOWN OF SOUTHOLD
JAN ®D 1987 SOUTHOLD WASTEWATER DISPOSAL DISTRICT
Invta Cork Southoid
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. c?$-.
Fee $1 /,
DATE //I
OWNER NAME: (f 7if/Qep 9--/�Tefe"" " („;),0, -s-'-b
OWNER MAILING ADDRESS: /,G0. 3J-3
/
OWNER PROPERTY ADDRESS: 00/4/ a/ e
OWNER TELEPHONE NUMBER: Nr----- S-3 /3
TAX MAP NO. : Section 6 7 Block 2, Lot /
CROSS STREET:, N((,/.._ 1.../1-70-
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TYPE
/1-7 --
TYPE OF SYSTEM: Septic Tank New Existing
Cesspoolew Existing L,,../..--
Residential
/�Residential 11:4-S 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.)
Signature o l',"i icant
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RECEIVED BY: 4 ' I G'
To n CIe I 's Office
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