HomeMy WebLinkAboutCrescent Beach Condo (2) 1 £
Town Hall, 53095 Main Road
��- P.O. Box 1179
NV�k.* Southold, New York 11971
JUDITH T.TERRY „ ` TELEPHONE
TOWN CLERK /pi"' (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. 912-R Residential X Non-Residential
Fee $ 10. 00 Septic Cesspool X
New Existing X
Name Of Owner CRESCENT BEACH CONDO . ASSOC .
Mailing Address 1 P. 0 . BOX 542
Mailing Address 2
City St Zip GREENPORT NY 11944-0000
Property Address 1 MAPLE LANE
Property Address 2 UNITS 5 & 6
City St Zip GREENPORT NY 11944-0000
Owner Telephone No. 516-477-9852
Tax Map No. section 3$':` ,01 block 1 lot 5 . 000
Cross Street CROSS ROAD
Date Of Last Pump Out 0/00/00
Issue Date: 11 /09/88 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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OFFICE OF THE TOWN CLERK �\FFp '-• 9a
Town of Southold Q h - • '�D�',, Application No. 1 / 3
Judith T. Terry, Town Clerk .� .u�;. ° y
Town Hall, 53095 Main Road a i' r ' :•'• ;'< :4 Residential
P. O. Box 1179 trl A ''' r
� � ,��,; , � Non-Residential
Southold, New York 11971 O .' f '` " . $
Telephone OI $-•Icr
(516) 765-1801 '
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
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APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $ �0", o 0
DATE /e/d /7
OWNER NAME: C/ /c /l/,, C 1is Co,t/JS a , ,9-dy'a/ ,
OWNER MAILING ADDRESS: /o_/av �f ,7 - Gil-AZ � /o•e/ 0i
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