HomeMy WebLinkAboutAdams OFFICE OF THE TOWN CLERK 6 FQ
Town of Southold kgifitht4"
CJudith T. Terry, Town Clerk �
Town Hall, 53095 Main Road ,P. O. Box 1179 kcr2at,, m
Southold, New York 11971 p ®..
Telephone j
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 8, Residential XX
Non-Residential
Fee $ 10.00
Septic Cesspool XX
NAME OF OWNER: Antone C. Adams
OWNER MAILING ADDRESS: P.O. Box 286 •
Mattituck, New York 11952
OWNER PROPERTY ADDRESS: Main Road
Mattituck, New York
OWNER TELEPHONE NUMBER: 516-298-4976
TAX MAP NO. : Section 115 Block 4 Lot 13.1
CROSS STREET: Cardinal Drive
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool xx New Existing XX
Residential xx Non-Residential
DATE OF PREVIOUS PUMP-OUT: August 29, 1986
Judith T. Ter
Southold Town Clerk
DATE: October 6, 1986
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OFFICE OF THE TOWN CLERK
Town of Southold � , ;