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HomeMy WebLinkAboutAvondet Town Hall, 53095 Main Road ® P.O. Box 1179 4 �1 Southold, New York 11971 JUDITH T.TERRY �`•mi"`o;.s TELEPHONE TOWN CLERK (516) 765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 3590-R Residential X Non-Residential Fee $ 10.00 New X Existing Name Of Owner AVONDET, CHARLES AND DEBORAH Mailing Address 1 24 BERGER STREET Mailing Address 2 City St Zip RONKONKOMA NY 11779-0000 Property Address 1 3755 GRAND AVENUE Property Address 2 City St Zip MATTITUCK NY 11952-0000 Owner Telephone No. 516-467-1979 Tax Map No. section 107.00 block 1 lot 5.002 Cross Street GRETON COURT Issue Date: 2/25/97 Judith T. Terry Southold Town Clerk (TOWN SEAL) n ° OFFICE OF THE TOWN CLERK '%IFO(,( Town of Southold CQGt. Application No .6 719- Judith T. Terry, Town Clerk y . Town Hall, 53095 Main Road ~ •, ,� $10.00 - Residential x P. O. Box 1179 `' u' • �� $25.00 - Non-Residential Southold, New York 11971Q4` , - 22� R Telephone "5$ 0( , ,%'.,' if E;) LS' L5 ff -I (516) 765-1801 1: i i. . FEB 2 0 1997 ''.I TOWN OF SOUTHOLD I • BLDC,,DEP-IFS EPT SOUTHOLD WASTEWATER DISPOSAL DISTRICT �r?!NPIOL QwL.^, . J APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ 10 • DATE February 11, 1997 OWNER NAME: Charles & Deborah Avondet OWNER MAILING ADDRESS: 24 Berger Street , Ronkonkoma, NY 11779 OWNER PROPERTY ADDRESS: 3755 Grand Avenue Mattituck, NY OWNER TELEPHONE NUMBER: 467-1979 TAX MAP NO. : Section 107 Block 1 Lot 5.2 CROSS STREET: Greton Court TYPE OF SYSTEM: Septic Tank New X Cesspool New X Existing Residential- 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.) • >6)P . Signatur:V' A ppiicant Richard Oppe'I .- o, President EAST ISLE CUS c BUILDERS,INC. RECEIVED BY: Town Clerk's Office DATE: ,.„„xi,,,,,,hi,•,„4,-,.. a....44-,.0.4,.„,..-4,,,,, 4..,r1:0-0•1,-y,r,,-,,?zfoligir,..TIO•mVit•-14141,4,,1144%-g:•••,. .04917e,r*WP., 11, ti•WkAt4" 000'i•,;,‘,- '..'*' ,I..-:•••-eiltfil*Wt`tiT':,f1A4'iciwil,,.,40-•P,,,,.,•1„,?r,,,..„Hr-;,.:1A1A(vb.ii..10, ,,4....iwp.ty,e41.,. ,,,,a,"„, ..?;:,,,,,f,i,hp,?„#1.4)42,4,,b,ksit...,.., , .1,..,, co ily,:i„,,,z,;_i.ei., ,.., ,,..,4;1\ .4.1,04.,,,,,m,„:4,v,d,,,,,,,,,,,;: ..,,,.. ..,,11....•1.-,1,...,:.„•,;,..p,,..• .., . 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