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HomeMy WebLinkAboutConstant (2) ' l JUDITH T. TERRY Town Hall, 53095 Main Road TOWN CLERK P.O Box 1179 trs !� Southold, New York 11971 REGISTRAR OF VITAL STATISTICS Fax (516) 765-1823 MARRIAGE OFFICER .se RECORDS MANAGEMENT OFFICER = .' O. Telephone (516) 765-1801 Pa- FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 3216-R Residential X Non-Residential Fee $ 10.00 New Existing X Name Of Owner CONSTANT, EDWIN AND ETHEL Mailing Address 1 P. O. BOX 316 Mailing Address 2 City St Zip ORIENT NY T1957-0000 Property Address 1 200 VILLAGE LANE Property Address 2 City St Zip ORIENT NY 11957-0000 Owner Telephone No. 516-323-3669 Tax Map No. section 18.00 block 5 lot 7.000 Cross Street ROUTE 25 Issue Date: 6/07/94 Judith T. Terry Southold Town Clerk (TOWN SEAL) 'i•G �gy�pyy THE TOWN CLERK .c�VFF�(�'�'` wn of Southold Oma Application No. /` Terry, Town Clerk s aIl, 53095 Main Road 8 'x ;r . - I $10.00 - Residential t- <p. 0. Box 1179 �' y . ' i z $25.00 - Non-Residential Southold, New York 11971 O ; �40-0. Telephone : .t (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ • DATE OWNER NAME: A )jWjw fi `� T� L C C0 ildr FI AJr OWNER MAILING ADDRESS: ' O® [If! L/-0A VX &�t ,ewc' /\)-1, / / 9 r.7 OWNER PROPERTY ADDRESS: -S AVO(J OWNER TELEPHONE NUMBER: (s','c) 3 ,6 — 3 t' TAX MAP NO. : Section oisi Block ,r Lot 1 CROSS STREET: TYPE OF SYSTEM: Septic Tank New Existing Cesspool New Existing e3 Residential V 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.) �o�C.fbt Signature of Applicant RECEIVED BY: wn Clerk's Office /P9y DATE: • i j - .1. • - • . w"Z• 4• .. .--- -• ._ - ': :. , ''.'",:.-40-.1 • ••op4,.,114to%,4t.". yy.. •C't�•/ V -'417 --^ i''',1 }•.." '•"ice• rrridrpt`_ �y !� � _. C )TAO S - — � f�• • .` 1i;¢�a{ :. — I i______________J. ,r- -- yairt- s�ri . ..2..v..**:- 4-.2,. D vi 4 _�_ r "�''f•+�'7�1 .,y.w lhfa • rft'Ik�C..i,.L�•hVg ��r..�ty :: ". ..::..--4.:-..r.“*.• -'••• 4F.,i,1,9,_4 r • tr. ,VVV , T r,_ •;:-..,4„t•• ,!�.f�� ` 'r .'3-- , � _. , I --,,•.14:-••••r �, .• d' '1'▪t ro i NvooDOOD _ .---. ..'; .:-*- , ..i:::::ii:-„;.'„,t--• .'... ...,..-,...-A--,-i•::tr:i,:-.t_:.,----;R:f.,-„z,-,:...ifsiet.-qjht-tr.A-r-.-, _ •_,:-,-:, •.........1..7„.,._ .....,,g . . : 4 ..., -.'',',•.,..',-, -. - ••• . . -"ad-9 kir. -..kem•'‘I.T"'•-• •-• ,t,Qiir-—.--- ..-40.-:, . , ^SG.j.i',M $..--,..,.--,c,..,•..1.7,.,,, 2. .4...,.j/•Yji•"�, a • iy i • } 'ti••,...ds . .'F Y, tom' t._i r�'A':.•'''.;;:' J � ,i f f • s rKa7 �� .'�'4 \• c� :,,,..,..• ,-,2 y`�� .'�jS'!f tMr Yc4;G-"+�' J•/QJ i. t;,,, , 4 , 2§..e•a„o .:•--1:3 j,+.,,'e a- .ter{ter •k� � _.�,.' `Y .x.c.•pp��... 'S'ii_4"',c' �-'y;3 i4y ......,..:t Sp . ie. ,s_.;•,3',. �� a� .;",:e,y �:z;_M-Q,.,,▪ <.;'.: �'+:(^�':443:„..,:t...-,-, � ''` -� rte;. fY , _ � 'fir . . ^C••. `4- .....•...•dr-r.•�y •I \ , - '>.•• M•' ` '"`▪ r•~�t. ++'r+ 'Sw ,=�'';C� C ,x a37.�'�`- `r,� •��,-�f {s��� r ril .• . . \ ', ,• , •,., ,.., ..,_ . ,....", ,.,., ,. t __,..... •,•,,,,,,,,,.-.: - ° #7-.%?*--a. -1-_- ;,-,..„,„. „ 4.2.• !mo . t} '„ ..,1..' ; % i. -j ' `- l� \ \ • •\ r• .ha ? ' \ - ::!:-...,,k*. s,%4••:"..:‘'''"..'..«....-.''''.- '''''''”'41 t.' Zri. 4.s? - •-• . + •� te �r\ y •» • ^ r ~' i•iyJ - 1_tri • . +-•\ • , . , ` a\ ... . � .i, ki� ,,.. .,_ , . \ ' • , ,dtv:•3! ,...•ayy -7: y . 4 �' r , � A - • ................„...........,..„...............„..---"1\ ,-... :.. -,.., • ',- ib :.•-•. ,' .:,.` '°`i.,.4• � r