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IN USE OF AN EXISTING BUILDING ONLY. SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES OFFICE OF WASTEWATER MANAGEMENT 360 YAPHANK AVENUE SUITE 2C YAPHANK NY 11980 631 852-5700 For Office Use Only Health Department Ref* No* APPLICATION FOR SEWAGE DISPOSAL FACILITIES AND WATER SUPPLY SYSTEMS FOR OTHER THAN SINGLE FAMILY RESIDENCES This application is for check all that apply New Construction Addition to Building Extension of Existing Permit Food Establishment Change in Use Revision of Approved...

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