HomeMy WebLinkAboutComando OFFICE OF THE TOWN CLERK • S.OFO(irC'�
Town of Southold
Judith T. Terry, Town Clerk ._
- �
Town Hall, 53095 Main Road o {c
P. 0. Box 1179 "T ' "
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Southold, New York 11971 \ � o0�-�•
Telephone ,( � •
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
OPERATION PERMIT '
• SEPTIC TANK or CESSPOOL
Operation Permit No. 488 Residential X
Non-Residential
Fee $ 10.00
Septic Cesspool X
NAME OF OWNER: Michael Comando and Nanette True
•
OWNER MAILING ADDRESS: 10950 Sound Avenue
Mattituck, New -YOrk 11952
OWNER PROPERTY ADDRESS: 10950 Sound Avenue
Mattituck, New York 11952
- OWNER TELEPHONE NUMBER: 516-298-9304
TAX MAP NO. : Section 142 Block 1 Lot 17
CROSS STREET: Walnut Place
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool X New Existing X
Residential X Non-Residential
DATE OF PREVIOUS PUMP-OUT: Unknown
t . T ry
Southold Town Clerk
DATE: November 20, 1987 •
/ (TOWN SEAL) \'
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OFFICE OF THE TOWN CLERK �FFair "-
Town of Southold �� s� CQG' Application No.
Judith T. Terry, Town Clerk T `
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Town Hall, 53095 Main Road n piaw
7Residential
� � . • �: -P. O. Box 1179 C. �`' Non-Residential
Southold, New York 11971 O
Telephone (' Y
(516) . 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for •
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $ /G
DATE
OWNER NAME: i 1ICJi CDY4'SJO /\JU I�i// i e
OWNER MAILING ADDRESS: /O?1 i SoAl '7uL..Q
mai � N //q62
OWNER PROPERTY ADDRESS: 3aJ
OWNER TELEPHONE NUMBER: / q.so
TAX MAP NO. : Section /42 Block / Lot / 7
CROSS STREET: 1/0Q(/) , aci
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool x New Existing /�(
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Residential X Non-Residential
DATE OF PREVIOUS PUMP-OUT: -----
LOCATION
----
LOCAT ION 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.)
Signature of Applicant
RECEIVED BY: `� ccs
REC own Cl rk's Off ce
DATE: NOV 2 0 1987
Town Clerk Southold
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