HomeMy WebLinkAboutCavagnaro OFFICE OF THE TOW CLERK
Town of Southold Oc��FFULkC�G
Judith T. Terry, Town Clerk �,
Town Hall, 53095 Main Road
P. 0. Box 1179
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Southold, New York 11971
Telephone 0.( (
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(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. Residential X
Non-Residential
Fee $ 10.00
Septic Cesspool X
NAME OF OWNER: Richard Cavagnaro
OWNER MAILING ADDRESS: 338 Second Street
Greenport, New York 11944
OWNER PROPERTY ADDRESS: 338 Second Street
Greenport, New York
OWNER TELEPHONE NUMBER: 516-744-0902
TAX MAP NO. : Section 1001-4 Block 6 Lot 24
CROSS STREET: Center Street
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool X New Existing X
Residential X Non-Residential
DATE OF PREVIOUS PUMP-OUT: Unknown
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Judith T. Ter
Southold Town Clerk
DATE: April 7, 1987
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(TOWN SEAL)
OFFICE OF THE TOWN CLERK cII IIIIFOLir =
Town of Soutnold ,-,' '''.,,A7- ,' Application No. cW6-0
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road o A ' .. Residential
P. O. Box 1179 cn _ ,' ^ t ��' Non-Residential
Southold, New York 11971 O ' 'rrs, ' .$
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Telephone 4,...,,z.„.:4-..r....
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(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for '
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $ \Q Q \oo
DATE /3 /67
OWNER NAME: , h I? (3 CAVA /V4tO
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OWNER MAILING ADDRESS: 3 2 g V s�(,pr�j( c�
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OWNER PROPERTY ADDRESS: ..2,4/l,�
OWNER TELEPHONE NUMBER: CW--- 1-2/7 7 0,?O2--
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TAX MAP NO. : Section Block Lot 7 9 j
CROSS STREET: e,5 , /Z ST
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool )< New Existing X
Residential )( 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.)
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Signatof Applicant
RECEIVED BY:
Town Clerk's Office
DATE:
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