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HomeMy WebLinkAboutApadula ofFoLt00 JUDITH T.TERRY Town Hall, 53095 Main Road TOWN CLERK ; y 2 ; P.O. Box 1179 Pr/ Southold,New York 11971 REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER 'E , ,..l Fax(516) 765-1823 RECORDS MANAGEMENT OFFICER --:41 � Telephone(516) 765-1800 FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 3438-R Residential X Non-Residential Fee $ 10.00 New Existing X Name Of Owner APADULA, FRANK AND MONIKA Mailing Address 1 18216 ROUTE 48 Mailing Address 2 City St Zip CUTCHOGUE NY 11935-0000 Property Address 1 18216 ROUTE 48 Property Address 2 City St Zip CUTCHOGUE NY 11935-0000 Owner Telephone No. 516-734-7792 Tax Map No. section 102.00 block 1 lot 1 .004 Cross Street DEPOT LANE Issue Date: 2/21/96 Judith T. Terry Southold Town Clerk (TOWN SEAL) COMA' .o '� � IIII.. {OFFi .E OF THE TOWN CLERK - Town of Southold \��. /‘. _-..v, Application No. 3 Judith T. Terry, Town Clerk -, Town Hall, 53095 Main Road a 3 -< $10.00 - Residential !✓ P. O. Box 1179 U' M,' $25.00 - Non-Residential Southold, New York 11971 D . *$. Telephone ®j 114 A`a I" (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ /01°- DATE g--/ 0o© DATE --!/ a - 7‘ OWNER NAME: 'ieRI/ 7/i iki 4PD1-17 OWNER MAILING ADDRESS: /19.14 Rai,(, Li? ecaTGH'oA fg) MY, in n 3 OWNER PROPERTY ADDRESS: l " -4 )vtA%( LiF 6u1Gl-klAld yo 1/q3 ' OWNER TELEPHONE NUMBER: '7 311-77 9g-- TAX MAP NO. : Section I 6®p- Block / Lot b. CROSS STREET: be-P0 1 LI kV TYPE OF SYSTEM: Septic Tank New Existing . . Cesspool X New Existing X Residential X Non-Residential 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.) .4/14. a // S'ignatur of Applicant RECEIVED BY: Town Clerk's Office , ° . • DATE: _ , , , , . . 61 DWels 1-' n‘,...1 (,_ . , 0....._. . , , , : . , , , . , . . , 3. , , ,! ,:ti-,,,,,„ivt;,(9gekl . . ,.‘ ht i. , _ . , , , ,. . 1 1 . ,, . _ . . ,, ,.. . I . ,- . , , , . i „ , . . ., , . . , _ , r i ' I , , I ' r j ; j - • . :, .. _.... . . ,. . .i , i , . . . , . . . , , . , , , . , , . . , , . . . . . , . , . , .... . i ,- , . I I , , I . I , I ..0001/ , , GI sp— , ki, , , , it - ., _ , , , , , . ,, , . .., , , . . . , . . , . . , ,, . . . . . , ..... , ,. . j . , j . , - . ,. . . , . .. , . , , . . _. . ; , , . _, ... _. ._. ,. .._ . . . . . . . . . , , . . . . . . . . . . . I . ' .. , . . , . . . . , . . , r, . �, , � , . 2d q,11,0‘ , r , • UK) I M P WA -