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HomeMy WebLinkAboutAuerbach �'Vit' s\NtfUdAre JUDITH T. TERRY 'trs, Town Hall, 53095 Main Road TOWN CLERK c=0 P.O. Box 1179 REGISTRAR OF VITAL STATISTICS rgrb .�` Southold, New York 11971 MARRIAGE OFFICER k cO 'i!. Fax (516) 765-1823 r�� ® �! Telephone (516) 765-1801 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 1846-R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X New Existing X Name Of Owner AUERBACH, GERALDINE Mailing Address 1 P. O. BOX 729 Mailing Address 2 City St Zip CUTCHOGUE NY 11935-0000 Property Address 1 2600 WUNNEWETA ROAD Property Address 2 City St Zip CUTCHOGUE NY 11935-0000 Owner Telephone No. 516-734-5903 Tax Map No. section 111 .00 block 7 lot 15.000 Cross Street CARRINGTON ROAD Date Of Last Pump Out 0/00/00 Issue Date: 2/13/92 Judith T. Terry Southold Town Clerk (TOWN SEAL) • ..� OFFI6E -OF"THE TOWN CLERK oc�VFFO11' ,/ Town of Southold C' /Cp�� Application No. Judith T. Terry, Town Clerk fir, y Town Hall, 53095 Main Road µ = -'� $10.00 - Residential P. 0. Box 1179 $25.00 - Non-Residential Southold, New York 11971 O ®;' `. `O�•�` Telephone (516) 765-1801 " J TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT , APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ OWNER NAME: ��� 0/01/L it U (_A /1-G l7' OWNER MAILING ADDRESS: 6 0"76 W 0-1110 q`d' 7G),1 C v 7"Q4 0G-u(-F) 6/, ', o3J--- OWNER PROPERTY-ADDRESS: W-c) 4/#17&`''.G06-7?" TE,hvjvg> it OWNER TELEPHONE NUMBER: r( 6) 7J 7 6 TAX MAP NO. : Section l l Block 7 Lot ` 5 CROSS STREET: 0 L > l l lam`/V 44 (�E'V i— ki2,111/ -r,,v TYPE OF SYSTEM: Septic Tank _" New Existing Cesspool New Existing 1 " Residential V Non-Residential DATE OF PREVIOUS PUMP-OUT: It / I 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.), Signature of Applicant RECEIVED BY: - Town Clerk's Office DATE: /0 741- 3�7 rte ' � ti -, ,y -"I -c` .. S cel c' ..17 'E- - � /\. 1-,:iii 0 ii) ' 7' . o ....-14 . - ..µ•aur— „6.-------- �1 i ;`�a l "e31-14 .34Z9 't0 t � , i i �` e 14 ti, .1„i,,,1 )4,4 , cti • • (� 1%,9.4r fir,. ® �� f�ROOEf?T3� /X a gai ` ' 1 mssr,t' {}:+N �I ' : �,.9t st ,r E I—EASIOI - VANECEK I . • C L $ v �a°, ti iut. I j u � , c ( • AT i n �r `�`_ • jN�`7s ieJ J/ w, ��9 _ °s i'l,,iiii:-1,1;',:i'i,ii:1: yS ,�• Y 'J,.*-ki ®/��i�• /�. /�/, Y i.� JrIt � r',.9;5i+"}'ty� '- h'� 1• Scar ie .5p' /N � ' ?tife, <-t.;�-,.,•. } � .4'�ti ii.. ,x•t,a,aK.. rc'tt' ,3. .44e.` y b — '1 . ,4 , �.225tnc< IPLC — //yd��nyeACN6 N � ;r,,,---,0; a• ' ,�} ,Itr /map c:574'p� S c�o b n c�v�£1 �1 77iR/�, �ci�ts� • �.�7/'c! %� -t,, %=_ r, '' `` j ��q ` t-- ,S /itlC. ; 's-/ %co //'r -/r-Ire �7 C!�7r..0 , _,itT W _.. , X;° y.'o. 'a•, + t4n- -�� •` - ,0;10444,� hr-.s �' Sri.r• /�i/ f • �,/ r /r•'tir R _ {, ,,�?�x• w,Y"',� f �, =�y4 •r r.;,a r ;•... R- ''c},. I� GS C .. QJ'^ �� /VO, ©®v. - Lro,11"4..`• ca r 1 .--0 eN4=., ,, -,I,*-,,. + w c t u•a _ -. - , �/ _ -n ri s' - z s -,n., ten..,,4..,a,},,,3 tu"t. .e, ' i,".;.;,,,,.:,...-ga - - �. i ^i„�, • , :,t• 4,,,, 'r, '2,�e {•ry 'c':4, ' Y .•,.Q ?g, - a 1, eIi ll i. e _ .u” ' `' tt f 1 Fpm' .t te`wp} Q -''i,'')'4' `.: l•, - .. .' _ ,- '.`4::.:----,L1.--'-' ' i o-.... ,1• ,;,,tet},il +'si _ - - '[ f ..,.._:" a 7'=>'*y e n,..';::Liy4 r"1, e-,.-'>- -, ` - -.- ,}.t`;v,n• - = y,e'x'"`- ±•..:>., t�;�",E:"mr4 :�i7;-i "rr yy.. �s4��t s"�, �.t:•-' '':r•�,,,`G;ti 1;".a` ..x�,..�_- .`!�` .t.a! -Y...fi`!;i••uq':i -��,n� �•k .:` -' , 11'f 'i:tlp)7:'!: will r" w .'' _ ,+_3 s:. r.• .vlw ptiy4 - ,M1 , "�'{tr •�,n;�i..• G+.,•:.y. �.,'.�- ' � i�I:• � x41{!IRiR-�r1 , � �'A t<a�. � i s.�._- ,�4M�''.+# 4�+�. ° � �. t;Sl (, „j' r •. + i b'.--t r ,.,f.,•;tom_.4-g,r il.�` s, 1`�"+' ,,,.,t ,F^�"r '{4" _� ,4,-,,,,,,,,a ° e-_•; A �+T,,..� ^fir^ .s;rih' r,�" r li.it _ hM ,., eH,"• •n»..'n. OIL , • '?,,.-14, e.,, kr-v.' 4,,i tfa Ih4;' -:,fsj`a,-,,-.3.;,;4,11.., 2',•+£>=:';t:•t, . - - ,:-,'_w> ;'