HomeMy WebLinkAboutCardinale (2) rri :
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'f N Town Hall, 53095 Main Road
x4Y ' `� P.O. Box 1179
�® ? ' Southold, New York 11971
JUDITH T.TERRY __'�
$1,90:.
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- TELEPHONE
TOWN CLERK 'oviverrr-I (516) 765-1801
REGISTRAR OE VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 918-R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
New Existing X
Name Of Owner CARDINALE, ALAN A.
Mailing Address 1 P.O. BOX 77
Mailing Address 2
City St Zip MATTITUCK NY 11952-0000
Property Address 1 BRIDGE LANE
Property Address 2 NASSAU POINT
City St Zip CUTCHOGUE NY 11935-0000
Owner Telephone No. 516-298-4223
Tax Map No. section 118.00 block 1 lot 9.000
Cross Street BAYBERRY LANE
Date Of Last Pump Out 0/00/00
Issue Date: 11/14/88 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
-71
•
OFFICE OF THE TOWN CLERK 0CSFUL '�'=
� Q No:_ ' ��
Town of Southold � _ CG Application —
Judith T. Terry, Town Clerk '-
Town Hall, 53095 Main Road t,,:• :,�> -� Residential
P. O. Box 1179 L ti Asa .. art
�� Non-Residential
Southold, New York 11971 OO ,� `= *�`
Telephone _ l i Y►
(516) 765-1801
TOWN OF SOUTHOLD
RECEI SOUTHOLD WASTEWATER DISPOSAL DISTRICT
VED
01 i i 1986 APPLICATION
low Glatt Santhald for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $ /42--
DATE /o
OWNER NAME: %L,g A .Z eo/.y'49C,6.
OWNER MAILING ADDRESS: /Q. 49/' '7 7
CI , ,y_ /Gg
OWNER PROPERTY ADDRESS: al?/b4E ,`,p,c,e. ",t. -
Cce Te%e.® 6ctE //9JC
OWNER TELEPHONE NUMBER: 4-/i'- 7`Y9- S/Zz 3.
TAX MAP NO. : Section Block Lot /—
CROSS
—CROSS STREET: ty,.16;eicg L�✓•
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool t7" New Existing
()) Residential ,/ Non-Residential
f/ 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.)
N
g of Applicant
i
RECEIVED BY:
Town Clerk's Office
DATE:
1