HomeMy WebLinkAboutAlliegro OFFICE OF THE TOWN CLERKD(ite,
Town of Southold r4:•7,07' ��
Judith T. Terry, Town Clerk ti ^ M
Town Hall, 53095 Main Road c
P. 0. Box 1179 u-3 �, � •:` 5 �
Southold, New York 11971 Q rte_ M
Telephone 7%��
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 5187 Residential x
Non-Residential
Fee $' 10.00
Septic Cesspool x _
NAME OF OWNER: George M. Alliegro
OWNER MAILING ADDRESS: P.O. Box 2312
Lake Ronkonkoma, New York 11779
OWNER PROPERTY ADDRESS: Pete Hill Road
Orient, New York 11957
OWNER TELEPHONE NUMBER: 516-737-3050
TAX MAP NO. : Section 17 Block 4 Lot Mq
CROSS STREET: Main Road
TYPE OF SYSTEM: Septic Tank _ New Existing
Cesspool X , New X Existing
Residential X Non-Residential
DATE OF PREVIOUS PUMP-OUT: NA
Judith T. T y
Southold Town Clerk
DATE: January 27, 1988
(TOWN SEAL)
OFFICE OF THE TOWN CLERK SlFOCA-
Town of Southold 4 + = 11Q --- Application Application No.
Judith T. Terry, Town Clerk `44') Residential
Town Hall, 53095 Main Road
P. 0. Box 1179 cn ; Non-Residential
Southold, New York 11971 O�yw1(Iti
Telephone = 1 'o
/
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $ •
DATE JA/JUila% ZS) 1S eB
OWNER NAME: da/`. ALL_t�
OWNER MAILING ADDRESS: P.O. )®A( 23 Aa
LASE ;Zak" sofa /44 J .'./ .• 1) 77 9
OWNER PROPERTY ADDRESS: Pe-re 14
®rzsGk Tr . y• 11,46-7
OWNER TELEPHONE NUMBER: cf%O 7,37- 30,5'0
TAX MAP NO. : Section n 7 Block 4- Lot Pc Li 19
CROSS STREET: M INI il`1 P.oA S ( IOO'± ma-, t bF M!!-I tea)
TYPE OF SYSTEM: Septic Tank ,)` New X. Existing
Cesspool New Existing
Residential ›e‘ Non-Residential
DATE OF PREVIOUS PUMP-OUT: k?
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.)
/ /Sig ature of Applicant
RECEIVED BY: •
IVECti1'oClJerk's Orfice
DATE: JAN 27 t':
Mum Clerk Southold
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