Loading...
HomeMy WebLinkAboutCavaliere ` 01SOFFOL/�' JUDITH T.TERRY tisS= G'yl Town Hall, 53095 Main Road TOWN CLERK - P.O. Box 1179 ta, �� Southold,New York 11971 REGISTRAR OF VITAL STATISTICS O �� Fax(516) 765-1823 MARRIAGE OFFICER aTelephone (516) 765-1800 RECORDS MANAGEMENT OFFICER i .( 11 FREEDOM OF INFORMATION OFFICER a,,°1�� OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 3676-R Residential X Non-Residential Fee $ 10.00 New X Existing Name Of Owner CAVALIERE, FRED Mailing Address 1 C/O MODULAR HOMES BY HJR Mailing Address 2 1691 NORTH HIGHWAY City St Zip SOUTHAMPTON NY 11968-0000 Property Address 1 440 BENNETT'S POND LANE Property Address 2 City St Zip MATTITUCK NY 11952-0000 Owner Telephone No. 516-298-9506 Tax Map No. section 113.00 block 13 lot 5.000 Cross Street WESTPHALIA ROAD Issue Date: 8/13/97 Judith T. Terry Southold Town Clerk (TOWN SEAL) •r , • II- OFFICE OF THE TOWN CLERK c •'- Town of Southold 0�� r �Q •_� Application No. -3� Judith T. Terry, Town Clerk rtyryy;;,;^a. f Town Hall, 53095 Main Road _> ,_;.;, -� $10.00 — Residential X P. O. Box 1179 u' 4" �;' $25.00 - Non-Residential Southold, New York 11971 OO aF 0`rise�Telephone ( (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Jb3il Fee $ 10 .00 DATE V/I/7 OWNER NAME: CAVALIERE, FRED OWNER MAILING ADDRESS:C/0 MODULAR HOMES BY HJR 1691 NORTH HIGHWAY, SUTHAMPTON, NY 11968 OWNER rkurtK i Y ADDRESS : 440 Bennett ' s Pond Lane Mattituck, NY 11952 OWNER TELEPHONE NUMBER: ( 516 ) 298-9506 TAX MAP NO. : Section 113 .00 Block 13 Lot 5 .000 CROSS STREET: Westphalia Road TYPE OF SYSTEM: Septic Tank • New Existing Cesspool X 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.) Sig ture of Ap icant eA- © -a--�-.M -MP RECEIVED BY: KAPYk's Office DATE: AUG 13 1997 Southold Town Clark - MODULAR HOMES' ' ' - - • BYHJR 1691 NORTH HWY SOUTHAMPTON NY 11968 - (516)283-1441 s TELEPAO1J ; (516 263— 144,1) PAX # (516 283-1974) ' CV)ffij: /) ' ' IT C).. ,\ k4 LiC -------- ' 'C .A .(T‘°D-c11 COJJ ca i,e,..c-,Q, -, . . _ 1,(0037 . -fro c----.-....:_._.___-----------1--,......k, -, , , ' \n o u_c-Q, . 41t . - tri ki- , , , , - 24-3 '41. -3qt c1( , , o \Iv dr 64 A ,n_ . ' :° , `t, 41110,40 _ \.�-S k- us u\ X12 CL'( -a oc 4Q_,jA-g, . - a oca- V oc S IOU -C- n