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HomeMy WebLinkAboutCrawford 61161c,31 OLA JUDITH T. TERRY Town Hall, 53095 Main Road TOWN CLERK OT P.O. Box 1 179 REGISTRAR OF VITAL STATISTICS CP �� Southold, New York 11971 MARRIAGE OFFICER Q � Fax (516) 765-1823 Telephone (516) 765-1801 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 2024-R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X New Existing X Name Of Owner CRAWFORD, CHRISTOPHER Mailing Address 1 510 BAILEY AVENUE Mailing Address 2 City St Zip GREENPORT NY 11944-1207 Property Address 1 510 BAILEY AVENUE Property Address 2 City St Zip GREENPORT NY 11944-0000 Owner Telephone No. 516-477-9475 Tax Map No. section 34.00 block 4 lot 12.000 Cross Street CHAMPLIN PLACE Date Of Last Pump Out 0/00/00 Issue Date: 12/23/92 Judith T. Terry Southold Town Clerk (TOWN SEAL) OFFICE OF THE TOWN CLERK s�U�F�A.�'- (/ Town of,. uthold � z CS ' Application No. ,::20c2- Judith GoZJudith T. Terry, Town Clerk {, Town Hall, ,t5-t095 Main Road '�`�''. ''� $10.00 - Residential p. O. Box 1179 P:Kr i • $25.00 - Non-Residential Southold, New York 11971 O ® _'' •�` Telephone _ ( '• • (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for' OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. - Fee $ • DATE /4//7/9,2... OWNER NAME: eiLk)57-Dpi-4:7Z, C-42,0 u13 0160 OWNER MAILING ADDRESS: LS/D J �A� �� A1/0 ( 776T) .: OWNER- PROPERTY ADDRESS: - ... __ OWNER TELEPHONE NUMBER: 57t 147.7 .7E 7s3 ytit TAX MAP NO. : Section Block CROSS STREET: 6dx/o►'l/ 0 , TYPE OF_ SYSTEM: --Septic-,Tank- _.= _: New Existing Cesspool _ New Existing Residential _1 Non-Residential DATE OF PREVIOUS PUMP-OUT: 00 0 it ..c o L&o . acro 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.) A40001110 Signature of p. icant RECEIVED, BY;:;. ,J __ To n Cle /k's Office _- DATE: - (7 Z- '-'\ - PREPARED BY 0Z IQ - J - - � FA 1=1'1 �S/ /' ^). i '- °. - ------4 k� ~ ~ '~- , / 11-/ a , � / IiLy - _ '--__ _ _ ` e ' - __ --- - - '' - __ _'. . . --~-. --~'_.._ _' _ �� _- - -- ' - __� 3 J _ -_-- - - . ' -- ' -_- ' _ - -- - _- - -- -' ----' - ._/ 4 ' / - _ -_- r --- ~_- _ __ . _- _ - - . - _' '\ ' - s ' -1 ~/ ���� - -- - -__1_,-.. -- --- - __s . -_-' - - � - . 7 - - --- ---� - - - ' -- - - -`- . ' ' - -- - -- --�'— u `/ ' ' - --- -- '__ ' , '_ ' '_ -'-_- . e 85-4-42., ' . - >~ g ~m-t 1O -_ ��-- - - / 11PooL ' -- -_-'- ' - 1u /�� -_ - _ / ` _- � 13 ` 14 ' -- - - -' -- - 15 1TT__ - -- -_ --'' _ '-- _ - - -_- 17 / - - -- -- - - - — - - 18 _' -- - . ' ' ��'�. - _ - � '___ ___ ' 1y - _ _- --- -_ - - ' 20 . got _ -- _ - - - `-- -__ - - --_-' ' ��- - )� D-� - . . ' / � � `� ) | _- '_ _ --- Um _ - --'' - - - - -' �^� - ��L ' -- '� �/' --- - - .�J uo ' -� - -- _ - ' --- --- - -' ---- L _ '\ _ ' , u t ~_ ' . - - - --- zw __ - --- - _- _'_- _- - -- '--_- _-_' - '__'__ - - '_ -_ _'---/ _ - ~�`�``- ', us � ' _ _-- N __ --_ - - �-_'- -- -' _ -- - - -- ���_--_-� _ _ ��_�_ __-' -, � - -. . . 24 . . - ' _ _ '-' _-�- ---_' '_ _'_ '' '__ _ ' . � ' ' _-_' - � 2' y � . ] � ' ' _ ' � _ _' __ . _ _ '-- _ /_ '- _ � '_' ' � � ` . . 2s Is._' ' _ _ __ � _ ___ execu/i=® ' ��� �� C �� \ �~ \s-'6` -k-\ / � 6/ 0 r `