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HomeMy WebLinkAboutBennardo � �� Town Hall, 53095 Main Road JUDITH T.TERRY ® ti,, 74 TOWN CLERK '7', i P.O. Box 1179 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS ` ' 44- MARRIAGE OFFICER ` � A.. Fax Fax(516) 765-1823 RECORDS MANAGEMENT OFFICER : ®4 0:0,0 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. 3684-R Residential X Non-Residential Fee $ 10.00 New Existing X Name Of Owner BENNARDO, ANTHONY AND LOIS Mailing Address 1 75 ABBEY ROAD Mailing Address 2 City St Zip MANHASSET NY 11030-0000 Property Address 1 10375 NASSAU POINT ROAD Property Address 2 City St Zip CUTCHOGUE NY 11935-0000 Owner Telephone No. 516-734-6489 Tax Map No. section 119.00 block 1 lot 15.000 Cross Street SKUNK LANE Issue Date: 9/04/97 Judith T. Terry • Southold Town Clerk • (TOWN SEAL) OFFICE OF THE TOWN CLERK OFD(,r�' ,iC . �/ �q Town of Southold � CQ ' Application No Judith T. Terry, Town Clerk _0 •'1 Town Hall, 53095 Main Road $10.00 - Residential �O P. O. Box 1179 LT3 tS, ' ► ; $25.00 - Non-Residential Southold, New York 11971 O • `X "' .• Telephone Telephone 0 ,( • (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ /0•' (57-) DATE F � / /(11-11-627(X1 / o / 5 e OWNER NAME: OWNER MAILING ADDRESS: 75 46 / /d =-- OWNER PROPERTY ADDRESS: jib7V 0 %r < / OWNER TELEPHONE NUMBER: TAX MAP NO. : Section / ( Block / Lot /3 CROSS STREET: / - TY:PE,'O.E SYSTEM: Septic Tank v `"-New Existing Cesspool New Existing Residential 1/ Non-Residential DATE OF PREVIOUS PUMP-OUT: 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.) 1 Signature of Applicant 1 , RECEIVED: BY: • , :_` ' ' '- ;.r • RECE 4 "® Clerk's Office ' } DATE:- . _ : •-.- ,. • -- ----AUG, 0 7 1997 - - • -Southold To Clerk < 3 r a•, .`g ce°ji�1j50 0' , .13,/s\. c. 6,4.... Lii • .,,. te.9 N 0VJ ' / i OVrt ..pry c, .ti/! 01 /. ..,-. • 1. 1 N -7 jA --)1.6-7 / • ci - Q '� /7' . N''. v ,*, ey f �.) J o' ' lr s,R 3 ^ LA ti �.J T4::::_.\..........._ Jr JG -% 1 ,D f rt Illt \•‘,, .M• o J . / ( \I J • )e5 , / :••• '• Er`: 3 • > •,% °'o ,‘..vr- /. ,.,;t4 - 4,t.. :),,it‘•. ./. . ;tt,.. • . F"!.Y i 4 , •`, `I --A.\ 7 . 4 .4 • p ♦ °'` a tiT"� e V - -`� 1 a'�` � AREA 1.®423 acres''� c,. 'to-tie lilies \` $UR.LY . 'OF . •: . __ / 2 a-'. --°e-- (f------Al / • . ,----. aial -, . • ' PROPER,T • �` • AT NASSAU:POINT' ' ,' .., ' • , TOWN.,OF $OUTHOLL] • • .,• ' • SUFFOLK cOUNrY, N:Y:. • TLE CORP. ' 1000 419 01 15 ' • • lNC. Scale:. 1": 40 ' . Nov. 3, 1992.. . '• . . ' .. ,