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Home My WebLink AboutBarker (4) '�,ooc��Ff Ol�c®G_;_ JUDITH T. TERRY '� Town Hall, 53095 Main Road TOWN CLERK T k P.O. Box 1 179 REGISTRAR OF VITAL STATISTICS • �� Southold, New York 11971 MARRIAGE OFFICER Fax®�' ,, Fax (516) 765-1823 ----AR/ jai /1D 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. 3012-R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X New Existing X Name Of Owner BARKER, LOIS W. Mailing Address 1 P. O. BOX 1458 Mailing Address 2 City St Zip MATTITUCK NY 11952-0000 Property Address 1 775 LEGION AVENUE Property Address 2 City St Zip MATTITUCK NY 11952-0000 Owner Telephone No. 516-298-8845 Tax Map No. section 142.00 block 2 lot 2.000 Cross Street PACIFIC STREET Date Of Last Pump Out 0/00/00 Issue Date: 4/29/93 Judith T. Terry Southold Town Clerk (TOWN SEAL) OFFICE OF THE TOWN CLERK •c3\\FFULA' = Town of Southold � . CQG' Application No.\ 42.) Judith T. Terry, Town Clerk _� Town Hall, 53095 '.lain Road _ a'- $10.00 - Residential - � rs y P. O. Box 1179 cn ` 'F $25.00 - Non-Residential Southold, New York 11971 Q 3.Y�:.: �•�`� � Foy.• Telephone • (516) 765-1301 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL ,DISTRICT APPLICATION for - OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Peri it No. Fee $ DATE 4-7-D -13 OWNER NAME: pld � 5 Z(Jr l,4,ffr'h ,f OWNER MAILING ADDRESS: A# G' �f- A OWNER PROPERTY ADDRESS:- -(11J OWNER TELEPHONE NUMBER: o?fi- oP(rY.6— i -'- ii-y3 TAX MAP NO. : Section 3�'e Block Lot CROSS STREET: TYPE- OF SYSTEM: Septic Tank - - New Existing Cesspool ✓ New Existing L Residential Non-Residential DATE OF PREVIOUS PUMP-OUT: 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.) PRI1/4-1--5--- Ltii-?"2)N Pri.17-- 2b , Al ,,,,/--:,,-- ../4, 7 , , 'i/,.../ ,.../7,/ Zr, - 2,,r . / l' . III r ' . 4' .. H T ...., (c-scsPooL / ' ,'/' *4'), — _,,::: -7•Z 1 . -,-- , 41"',7 - _ ,2 _ ,,,r, , ,.. . , 160,„ ... 7&/f ' tc;.., , I N % 1 ‘•'.- -"—. -_ - ;.,. _,-.- c .,„..........-_-„-_--- .. ... . , . , ,.. , , ...,, . , , ..........., -•,, 7'1 7,/ ,---7------7--' -- -. . .. , , , .. , . _ . . .:_,,,,,,,,,,..„..,.:,;,,,,, ,_..,,,, ,,_„.„,,,.,,-,,,,,„.„,.:„,,,,,,,, , ,,,,•._,... „,, :::„.., ,y ,,,,.„ . „ ,, ,.4.„ ,,.;, -, ,„.„,,-, p,:..,,.,.1;,-, .(•[..,-,',— ).:-•,,,,,,,-i•-*,;-•( ,!;•/,>,,i, . ., lt,....„7_.•,• ,A.,••i:::,. ;.:,c,.,,;<•.„-ii t'''-'1:-;i' •1:.:1:,•••,-., -.:1,(••i: ••,. ,t '1 I r',i'; .t'c's,::.':,'' (—:-.0C-"- 0"VW.,-....- ,1-=-.? r7:6171—, G.t&tl l,11 F,,:- . .),..,:,....,, ,- • • -pleopE-- 7- . . .6,F- - z__0( x/,, i3z---12k CR' ' ( I' -,,.- -''...r,, :,r '-•', .--,..1':, :"i,'':"...'%i`114`;';,.:..',,":. ',,,',.1`.', \-/— ,'' -•3/4,,)-' , '':. 0 p 7--o ic,( . r ' 9'1)(17----- ,,,,-„,,,,-...,;,-,,,,,,,,,--i,,,,,,,,,, :„1..,:,,,,,,.,1,),,,..,,,f):::,,,.,,,,,.,,, ,.-,,,,,H ,t,,.,,,:,.,,,::..,,,f.“:„)..,,}7, ,;:;;_ ;,.--,,,,,..`,-,,,,,,,f);„i Jt.,././104(..r,•-r71—C,r6/44.01fs.lAi,Ki,:,.;•,:li:,E' 01 ' , ''': -., f ,4',,4,7,.3889, /I 5= I I—15 - - , k-,,,;•...-;,-..,,,,,-.,-.,7 ,. . ,.% 6 r -• -.. — '-•'•, '•-...:: ,• ., , - ••' ',. • ' , ''•' '', ' '• • 1 ...._... •_.'• - '• •. •1.7•-•.; 'r... ceitif; :,..! - ,,—"." .,•1.,• : -';,,W.•';',..:.•,. :"— ev t•.• ;•71,;-,,••••,,-. ,..,= P-:• •••r, - • , • • • i • . ' . • ' . . , . . . . , • - • . , . .