HomeMy WebLinkAboutBartolomeo Y A
Town Hall, 53095 Main Road
�) P.O. Box 1179
1i\
® ®I�� Southold, New York 11971
JUDITH T.TERRY ��� . 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. 3672-R Residential X Non-Residential
Fee $ 10.00 New Existing X
Name Of Owner BARTOLOMEO, MICHAEL
Mailing Address 1 106 HORTON AVENUE
Mailing Address 2
City St Zip VALLEY STREAM NY 11581-0000
Property Address 1 395 BRIGANTINE DRIVE
Property Address 2
City St Zip SOUTHOLD NY 11971-0000
Owner Telephone No. 516-765-5144
Tax Map No. section 79.00 block 4 lot 46.000
Cross Street HARBOR LIGHTS DRIVE
Issue Date: 8/08/97 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
OFFICE OF THE TOWN CLERK •c3\\FFOLA-
Town of Southold �� y. Cp ';, Application No.
Judith T. Terry, Town Clerk �� s; *�z �`1 $10.00 - Residential
Town Hall, 53095 Main Road `s
P. O. Box 1179 �_ • K:y , �' $25.00 - Non-Residential
Southold, New York 11971 O ' �i�`,
Telephone 0( 411 y►�
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $ •
DATE 4/3%-)
OWNER NAME: i`,4 ,9 Co ")
OWNER MAILING ADDRESS: /04- /Z1�X01^'
e./0/1€7, ,1"(
OWNER PROPERTY ADDRESS: 39r -OR/ ��✓T n�
soy/ N/
OWNER TELEPHONE NUMBER: 7' S"--- S70/ 51/- ()On—
,
TAX MAP NO. : Section 6-2 Block 6 V Lot 091,
CROSS STREET: j2s
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool New 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.)
Signature of Applicant
RECEIVED BY:
Town Clerk's Office
DATE:
09/25/99 AI 09:27 FAX 5 6 5 9673 MUSCARELLA & TOMASDNE Cou._
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SURVEY FOR
WILLIAM J. O'DONNELL
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NOTES 1 OF FOUND OF LOT 33
°~PIPE FOUND "HARBOR LIGHTS ESTATES, SECTION ONE"
SUBDIVISION MAP FILED IN THE OFFICE ®AY 1 E W
OF THE CLERK OF SUFFOLK COUNTY., ON' TOWN OF SOUTHOLD '
JUNE •, 1565 AS MAP NO.4!62,
SUFF. co., N.Y.
SCALE I"= 40I
'® SOUTH®L® toBANK
MAY 2. 1966
MAY 4 1966 tI�ewa��g
LAND SURVEYOR H. •E UC,NO 2
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