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HomeMy WebLinkAboutCarita JUDITH T.TERRY � � ,: Town Hall, 53095 Main Road
TOWN CLERK ; gog, z» P.O. Box 1179
F
- rwlyi Southold,New York 11971
REGISTRAR OF VITAL STATISTICS ``� ' wie "- 4`
, " '� Fax(516) 765-1823
N.
MARRIAGE OFFICER ��, "
RECORDS MANAGEMENT OFFICER - {JQ �• Telephone(516) 765-1800
FREEDOM OF INFORMATION OFFICER .00
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 3554-R Residential X Non-Residential
Fee $ 10.00 New X Existing
Name Of Owner CARITA, ROBERT AND SHARON
Mailing Address 1 14 SAN JAUN DRIVE
Mailing Address 2
City St Zip RONKONKOMA NY 11779-0000
Property Address 1 10185 OREGON ROAD
Property Address 2
City St Zip CUTCHOGUE NY 11935-0000
Owner Telephone No. 516-979-0597
Tax Map No. section 83.00 block 2 lot 19.001
Cross Street DUCK POND LANE
Issue Date: 11/25/96 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
P .
/I III
OFFICE .4)F THE TOWN CLERK SOMA'r,"-
J Town of Southold �o BOG=\ Application No.556 ,
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road %� I $10.00 - Residential X
P. O. x 1179 r� $25.00 - Non-Residential
Ne
Southold, w York 11971
01 * ��
Telephone '
•
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.=
Fee $ 10 .
DATE NOVEMBER 20, 1996
OWNER NAME: ROBERT & SHARON CARITA
OWNER MAILING ADDRESS: 14ISAN JUAN DRIVE, RONKONKOMA, NY 11779
- OWNER PROPERTY ADDRESS: -10185 OREGON ROAD - -
CUTCHOGUE, NY
OWNER TELEPHONE NUMBER: 979-0597
TAX MAP NO. : Section 083 Block 02 Lot 19.1
CROSS STREET:- - - DUCK-POND LANE —
TYPE OF SYSTEM: ,S.eptic ~Tank New X Existing
Cesspool New X Existing
Residential X 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.)
ST SLE CITOI BUILD RS, INC.
Sig , . e of Applicant
• • • RICHARD OP' y' SANO, PRESIDENT
RECEIVED BY: _ _ __ _ -
-• - Town Clerk's Office
DATE: 11/c7.6 - -
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