Loading...
HomeMy WebLinkAboutCappello agiFtitit k* 4EF•Z JUDITH T.TERRY 1 d • Town Hall, 53095 Main Road p ra TOWN CLERK ` yrz �r P.O. Box 1179 REGISTRAR OF VITAL STATISTICS % %' $ Southold,New York 11971 ARRIAGE OFFICER . ® � f� Fax(516) 765-1823 M RECORDS MANAGEMENT OFFICER = 1-1 � �i� Telephone(516) 765-1800 FREEDOM OF INFORMATION OFFICER ,,'s// OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 3737-R Residential X Non-Residential Fee $ 10.00 New Existing X Name Of Owner CAPPELLO, RICHARD Mailing Address 1 3020 BRIDGE LANE Mailing Address 2 City St Zip CUTCHOGUE NY 11935-0000 Property Address 1 3020 BRIDGE LANE Property Address 2 City St Zip CUTCHOGUE NY 11935-0000 Owner Telephone No. 516-734-6252 Tax Map No. section 85.00 block 2 lot 21 .000 Cross Street MAIN ROAD Issue Date: 12/02/97 Judith T. Terry Southold Town Clerk (TOWN SEAL) • OFFICE OF'THE TOWN CLERK �FFO Town of Southold &�®w :*, eta-- Application No'.3 7`�7 Judith T. Terry, Town Clerk F' `. `� $10.00 - Residential Town Hall, 53095 Main Road g P. 0. Box 1179 crs ,+' a` `) $25.00 - Non-Residential Southold, New York 11971 vii5�Jo Telephone "0 I° (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. I p (�� C11 ) Fee $ (0-(9° DATE 01q9 OWNER NAME: ( CAkMD CAi$ OWNER MAILING ADDRESS: 3®?.o Afti, e,e C/I4 Co A'C.,(AM /cry ki ?!5 OWNER PROPERTY ADDRESS : OWNER TELEPHONE NUMBER: 6 (b- 3 y-6 TAX MAP NO. : Section Block Lot CROSS STREET: 14/14.(\N 461 -i TYPE OF SYSTEM: Septic Tank New Existing v/ Cesspool New Existing Residential Non-Residential 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.) • . licant ( reofp RECEIVED BY: Town Clerk's Office DATE: • ..,. --.,....., ,... 71- / ..---:.1:7 47.-j-"" V' (Yq ,./....- , `‘,....,... ,..., 55, N., /..2•:./..7: Ca= / k... 5,--$ J., tft:1 ,,,, i rt "t.., , - Z...0+ I i ___ ./. . • ,.' 0 ,0 to ' ..---",, ..---,, n•-• it ir././ --,----- _____ --- ,7 ,, __ ----•.(5s tcl '_ U T.-• ii 4 , ,.., -..e‘C. ..„../' ID ..„ ." \4: Al. . ...,.. - • ,, V ., n ! .--„ .c.......' c .froolsi ) w •J . , Ail e i, ... /1. ; , `,, , ,, fP,- •••J• c 7,,I-A-' tat/k. e; .... i'e • N.1 . . ,, ,,,,,,,00..... , i ...9 ,. ec ,. N - ..3":5. / • 0 2- 5-int-lj bricL .. •, Lk: ID l'roule •••• , • r-h-n.„-.12' ',,..s• - r L hot.Je!" ..b... -1 cif), r rot,)C`3I3f f-liceei. 4'1 1 h! brick '--. -------) .41.' '7 , Tulle 1\k_ Sr, - . corm./ . -.-.• 0 N • -t ' • • . 1 , -.a 1 . -- (1) •'' --46 - •: "•••.- ' " _.- Ai - ' ck''% -i".:/- ' WC11 . - '6 .."--.trl 14 I N9 to <• ) / 1 ; .; V•;-, ' 0 ' :t ' ". ..'.,•ri',..".,C. ,,CP,'), '/ :-b1 :1 . wet1-6 • /_,.Tbulat. mom . - _ ,7, - , 4• _.---......-.....— ---.--,-..,--..--..---, e V.—45-4fr /A 140 I'it• 13 5. 0 - 6 rg-1;)V- • -; Cr: i' '..-., :i •-•'' /0 1,!.,;' ,,e_:.-7.- L A A/ --- : . . / 0 o op.- 'I- . ..: , . ... ..., . . , . . , . , \ , . ,.,-- I. ( (..:or; 74:-;(/v s -e-`,1,`0 vvr., 1.,:?-•t'.4.v- it,. -f eve....-t tmtc.I re 1.(ct- 7‘r - /Ilea. PI SCL2 , ... - , e&vised