Loading...
HomeMy WebLinkAboutBogden OFFICE OF THE TOWN CLERK t, • 4 FOS ' Town of Southold �� -- - C4 Judith T. Terry, Town Clerk Town Hall, 53095 Main Road ;` T • P. 0, .Box 1179 Southold, New York 11971 r Q O�-0.. Telephone( t /t (516) 765-1801 ',- TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT OPERATION PERMIT SEPTIC TANK or CESSPOOL • Operation Permit No. 208 Residential X Fee $ 10.00 Non-Residential Septic Cesspool X NAME OF OWNER: Michael C. and Catherine Bogden OWNER MAILING ADDRESS: P.O. Box 233 Orient, New York 11957 OWNER PROPERTY ADDRESS: 600 King Street Orient, New York 11957 OWNER TELEPHONE NUMBER: 516-323-3514 TAX MAP NO. : Section 26 Block 2 Lot 36 CROSS STREET: Orchard Street TYPE OF SYSTEM: Septic Tank New Existing Cesspool X New Existing x Residential X Non-Residential DATE OF PREVIOUS PUMP-OUT: 11 /19/86 dre4074;zeedook,...0, Judith T. Terry Southold Town Clerk DATE: February 3. 1987 (TOWN SEAL) OFFICE OF THE TOWN CLERK Town of Southold �� :- �Q ' , Application No.0201 Judith T. Terry, Town Clerk Y ��� Residential u Town Hall, 53095 Main Road " l ?. - P. O. Box 1179 ' ' z Non-Residential Southold, New York 11971 O _ Telephone (516) 765-1801 1 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. -( 2,0? F'ee $ fU 129 DATE % 02q 1 gc4? OWNER NAME: Mi1' - . 1 . 51,7' re/,rte, RevorjekeOWNER MAILING ADDRESS: �c © , X3,3 6 OWNER PROPERTY ADDRESS: Q O )C jA ' 1-1- nei7- OWNER TELEPHONE NUMBER: v5.J6 "3J3 TAX MAP NO. : Section Block Lot c-J CROSS STREET: TYPE OF SYSTEM: Septic Tank New Existing Cesspool New Existing Residential � Non-Residential DATE OF PREVIOUS PUMP-OUT: Litot.., 9 , /7-c' 6 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.) Signatur= of Applicant RECEIVED BY: ( ..ecc— c9- own Jerk's Offf'ice DATE: ED p2 1987 Town Clerk Southold *st* ��^�- JeEcJc., laz ' P' ' -_- \ '--- -v� -- /�!� � / _�-� /��/1 / 6+^ ,D__ --' --