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Home My WebLink AboutAnasagasti • I OFFICE IOF THE TOWN CLERK ' �cVFMir Town of,Southold 6 % CSG Judith T. Terry, Town Clerk rr - Town Hall, 53095 Main Road P. 0. Box 1179 cin ' .`� Southold, New -York 11971 �. .t Telephone -A10 [ 1(516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT OPERATION PERMIT SEPTIC TANK or CESSPOOL 1 Operation Permit No. 65 Residential XX Fe $ 10.00 Non-Residential Septic Cesspool XX NAME OF OWNER: Charles A. Anasagasti OWNER MAILING ADDRESS: 345 Private Road #21 Southold, New York 11971 - OWNER PROPERTY-,ADDRESS.: _345 -Private. Road.#2.1 Southold, New York OWNER TELEPHONE NUMBER: 516-765-1930 TAX MAP NO:: Section 78 Block 9 Lot 40 • CROSS STREET: North Bayview Road TYPE OF SYSTEM: Septic Tank New Existing Cesspool XX New Existing XX Residential XX Non-Residential DATE OF PREVIOUS PUMP-OUT: September 1985 4,40441,40740,„..„.....00 Judith T. Terr Southold Town Clerk DATE: September 24, 1986 (TOWN SEAL) I '.I OFFICE OF -THE TOWN CLERK cOFO(,(°'= Town of Southold Application No. 66 Judith T. Terry, Town Clerk . * ' y% Town Hall, 53095 Main Road �,, G Residential u yam1- P. O. Box 1179 Cl7 z Non-Residential Southold, New York 11971 O-�v 0�� Telephone : I (516) 765-1801 TOWN OF SOUTHOLD RECEIVED SEP 24 '986 SOUTHOLD WASTEWATER DISPOSAL DISTRICT Town Clerk Southold APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. �6 Fee $ l o' #- i DA T E4 oe/ //fig OWNER NAME: git-ee.e...) dx...„4„Leva- OWNER MAILING ADDRESS: his' 7/ v-``ey� "7` ./v/ //171 OWNER PROPERTY ADDRESS: ��/S i0/ wax_, c r`f / OWNER TELEPHONE NUMBER: /ef'713O TAX MAP NO. : Section 7,p Block % Lot CROSS STREET: /;1-2,,- Z> TYPE OF SYSTEM: Septic Tank New Existing Cesspool / New Existing Residential Non-Residential DATE OF PREVIOUS PUMP-OUT: ,11"�_,- / 7cr 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.) C �/ Signature!Oof Applicant RECEIVED BY: Town Clerk's rfice DATE: _1_6- 1� t�1�c >��i 79 - . . .; ~ il 11 .II ' / 1 ' i ^_/ ' . `�� / � � Y _ � � . �/ \- ' ' . ' � / | ' ' . , �� | : /~4,^�� / /��'�^�� ~ �7' ��' � | ��- '- - • -- . /�. �� -��.` .� _ . '_� �' ' ��~r~~��r~'^-� ' ' - | / � _- ' - - - __ ._ __ - __ - - . 1 • ' - -_ - - _-__~__-_. . . / | �~�' 7,7- '------,�' -- - ' - - .-_--___' � - - - ' , - - ' ' [1 �v~- / �^- | ' /-/ v2�� /'/"-- _ '!^ --- .- _ - - -_��, ' - ' '� /- ' � ! � � \ ^^ � ' y _- ' - ' ^ I . �| - '- - •' il - -- - - -' - ' - ' ' .� 1 . . - _ -_- - __ ` __ - -' '_ � | | � . ` �-- ._ __ '' -- - - ' ` ' - - ' ._ . - ' (- -- -' - . - .- _ -` - - _i ___. - - | ' -' -- ,_-__'' _ - - -. - __ ___ 1 . _ -_[ --'_-' - - -� _-. -_ - ' _ ` _ ' _ - / � / ' � | -�--'_ '_ - '� ' _- -' _ ~_ | • '. . _~ _ � -_-- --- ' ' _ - - _ - - - - ' _ ---- ' ' � - �� --- _' - ' -- - __ -- - _ -_ ' - i - - ---- - -~' -' ` -'' | . � - - ' - | 1 . � __| ^ ' . '