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HomeMy WebLinkAboutKatz OFFICE OF THE TOWN CLERI1 • c.IFQ `►. Town of Southold Judith T. Terry, Town Clerk � , 2 , -" Town Hall, 53095 Main Road z4 P. 0. Box 1179 ` ,, ' " Southold, New York 11971 `� �°`..' l,`��� .. Telephone i ®1 (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT • OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 376 Residential X Non-Residential Fee $ 10.00 Septic Cesspool X NAME OF OWNER: Albertson and Katz OWNER MAILING ADDRESS: Main Road Southold, New York 11971 OWNER PROPERTY ADDRESS: 615 Hummell Avenue Southold, New Yo rk OWNER TELEPHONE NUMBER: 516-765-3800 TAX MAP NO. : Section 63 Block 2 Lot 19 - CROSS STREET: Youngs Avenue and Boisseau Avenue TYPE OF SYSTEM: Septic Tank New Existing Cesspool X New Existing X Residential X Non-Residential DATE OF PREVIOUS PUMP-OUT: Unknown • Judith T. TeC✓y Southold Town Clerk DATE: August 3, 1987 / (TOWN SEAL) h...�.....--, 3-r.) OFFICE OF THE TOWN CLERK �S�VFair -- Town of Southold % C Application No. >! '��' Judith T. Terry, Town Clerk Off. ate �G pp . .. Town Hall, 53095 Main Road "s; 1 ' Residential o P. O. Box 1179 cn }� a Mi ‘' Non-Residential Southold, New York 11971 O -'�' ���` Telephone _ �.( �N�0 '' (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICAT ION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. �7% J ')6' Fee $ J D � . > DATE ) 7 i OWNER NAME: , , . a_rii% j...5--,,,, .: OWNER MAILING ADDRESS: ,j 27 /t .sem �� ,, 0 . 77/ • !tom71 OWNER PROPERTY ADDRESSP5--- ,`� �i®o -- --- .o--. 0DIF OWNER TELEPHONE NUMBER: 4-- 7‘5,- ..------ ,Er. TAX MAP NO. : Section ©- Block `2- - Lot J , CROSS STREET: TYPE OF SYSTEM: Septic Tank a-- - New Existing Cesspool New Existing �..--- Residential Non-Residential DATE OF PREVIOUS PUMP-OUT: 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.) i f , r /ff j `��, Signature of Applican RECEIVED BY I/,,,, ,.__ I/ ,..s,A , R C To own C/ k's Off ce DATE: AUG 031987 Town Clerk Southold • i Ale-"1-i 7 A ses,-6,t.R. , tl Ly g Tp IPE � R D-P a2 141E *46310 • 30 f�.it N.66 66• z• tt5• tj, o� N N ;D. gas, f, • fE'0 I GI lf- ffoa, N 00 6'i iG' i.1"� je 4 F14a FR N R. c:' z. GAR No \t 301 W O= \ 'V W. z big • f '°" n Z 0..P�10 Z. P �✓4,1 , -31 = is 4 b Z f DI p • t+ js. C R1 4> 21/2 5�� `` r C Z ®°m RES• N N v_ R O d o F . O O 33 24 - - '71 \, x.w 1> O O , Co 0 i' IN _ \ 045' 30 1. D P ,PE 5 66 5630 < 6IO FSI AV . 7 � 51. HUS CERTIFIED TO SOUTHOLD SAV/NGS BANK FIR* AMER/CAN TITLE /NS. CO. TITLE N' 605-5-0028 OF NY.. PECON/C ABSTRACT /NC. ALBERT U 'ALBERT ON MAP OF DONALD B. KATZ DESCRIBED PRA°ERTYk AT SOUTHOLD e W• DON9c'Q.f- donack associates TOWN OF SOUTHOLD ; i -, °- 313 west main street SUFFOLK CO.,NY. '� Q ,•-- , `� "� - 11901 (; ~ -°a riverhead , new york ;C4 (516) 369-1717 AREAS /2,260 ��ZSFO 0. 4926 ,/ Jan. 26 ,1984 Job No. 84-431 0.28/ ACRES LAND ,..‘3,-, 1-000-063-02-19: Scale :111;: 30'