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HomeMy WebLinkAboutCorwin (3) C) tba vGlp Town Hall, 53095 Main Road P.O. Box 1179 14/1 lb Southold, New York 11971 JUDITH T.TERRY „„i/ r' FAX(516)765-1823 TOWN CLERK TELEPHONE(516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 1040-R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X New Existing X Name Of Owner CORWIN, WALTER Mailing Address 1 1670 JACOBS LANE Mailing Address 2 City St Zip SOUTHOLD NY 11971-0000 Property Address 1 1670 JACOBS LANE Property Address 2 City St Zip SOUTHOLD NY 11971-0000 Owner Telephone No. 516-765-3179 Tax Map No. section 79.00 block 7 lot 30 Cross Street NORTH BAYVIEW ROAD Date Of Last Pump Out 0/00/00 Issue Date: 3/08/89 Judith T. Terry Southold Town Clerk (TOWN SEAL) • iii OI�CE OF THE TOWN CLERK 'S f F �FFO(,�� Town of Southold ,�; ,� CSG- Application No. 0 Judith T. Terry, Town Clerk �` £<. `i;!:_.4.; y = , Town Hall, 53095 Main Road x � £ ;< I Residential P. o. Box 1179 Li" ;w =r-: : hi Non-Residential Southold, New York 11971 O0 �0���` Telephone j -h '� (516) 765-1801 - TOWN OF SOUTHOLD SOUT,HOLD WASTEWATER DISPOSAL DISTRICT • APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. /D t-)v «" Fee $ /0 DATE /C/c?� • OWNER NAME: IJ-)RLt-e r CO tw i&) OWNER MAILING ADDRESS: 16 76 S I .('®kf L Jv2` soul' k. .2 / OWNER PROPERTY ADDRESS: S 1 vx -c OWNER TELEPHONE NUMBER: f TAX MAP NO. : Section 7cf , Block 7 Lot 3 6 CROSS STREET: 0 . TYPE OF SYSTEM: Septic Tank New Existing Cesspool New Existing Residential Non-Residential DATE OF PREVIOUS PUMP-OUT: P-010-C 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.) ea4-- Signature- of Applicant RECEIVE_ D BY: Town Clerk's Office DATE: • c r . -.....,,,,o,---- - r,,,,,-_-•• , , _.} Q oSf Fri: i v 4 .SUFF, coa1-te-09z3'P! Q 'r fi:' ?Y ear L.� ,Y- i f4 S.tv[), 4 '• ' 14/02).L:76/2ATO/t' - 1.� . ; r� -,,, _ SUFFOLK COUNTY HEF LTH :,,. X710 r. o :Y!�/rtig i i DEPARTMENT tr • l�. 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