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HomeMy WebLinkAboutMetz, Kenneth kl Michael J. Domino, President oE SOUJgiO Town Hall Annex John M.Bredemeyer III,Vice-President �� l0 54375 Route 25 P.O. Box 1179 Glenn Goldsmith Southold,New York 11971 A. Nicholas Krupski • Telephone(631) 765-1892 Greg Williams O Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD NON-JURISDICTION INSPECTION DATE OF INSPECTION. INSPECTED BY: Go 1 dsr,) Ch. 275 Ch. 111 COMMENTS: I per© " eco �s uC►Sd►►cttor�al 1e55 �har) 100 ! �roM /e4lanc5 Measuv&A 143' �rocn coiner ;s1,-ed +o Edgg_ oT tine f ano/s. AAM; n1$7coA1Ve �ecr�►t r�Co���no3eod . 1,31,19 % x. ILK 444t &A Go JAN 1 6 2019 48 14. lkh 5.0 0. 50,10 � 4 ,Is 5.10 ®r 0 en Norr. 3 s MONUlB19ENr I' SL/ROIVISION MAP FILED IN,ME OFF/Cr °/ ; OF ME CLCRK OF SUFFOL K COUNT r ON OCI7JMN OP WZLLS AND CE'SSP00Zq JUNE 24, 1925 AS MAP AO 577 ° JR1O E12EIN.'SFIE FI,OIv!FIFI.n OBS1:RVd4TlOfiTS ? yetis"y o o /Ort I�eOM DA"TRA 002ArlOM tYED I"IIOM OZliEItS R ^4q � ! REdisi0a�ffi _ YOUNG � YOUPRE F r 6 f. °� � �'�'. NOV //,1576 400 OSTRANDER AVENUE, RIVER AD pY �O s .p cs WALDEN W.YOUNG O� +' RROOICSSIONAL ENZINIMR AND L V � 0�4 89' LAND RURVEYOR,N,Y.O. LIC, NO, 12840 N Y Al T104j To SURVEY FOR: AUR 0,A R' mpOP,®ICPTION A®ELPHI ( i $D, OATIOM LMd'YD is®�/�. Iy .� ` ��"1�r 4[ LN7'dl/® 45439'' D ?i a YOKS AP KH�u� Q�ARI►IO I/6 APIOE A PGJ, �d SND SURv"'����' d f LL� '�4A ' >, 8, 0411,61: TUBE: P1�IpRE`0 ;•; 'j13X,jii' { AT GUARANTEED TO: A S A!icy Ie' eA ON"SPAL4;RUN M���I�I✓�� d°I�l/k'E° P/TLE®I!//S/ON of CN/Ca6Cs®, ' ' RNOIN'l ea 8c } r�rLd-/N 6' Q A P 1 �'iite' TOWN ©� S!/R.QIVC CO a as 41 ` >,,SYFFOLK CO:.' N.Y. �Y .k,• ;y'� `1 vr.�4fil� '' •,7 ;; a B 8+ N@lII R0!^' SCALE: d°,,,•��;d' DATM• N®. '� JA 27,/976 - iii ad ®'n{ar one'ems. �� I' .<'•:+% ''I'..'; 'r, �.. •I >a — - N Co i a 61 ` `` , -a -, 9 Z `M ai, ay )1 a \ a s 'SWc' is o/ �. _ z 9 J ®, 2g''a• ,® m IV GQ- 9 � � a E e" r (211 "" ------ �1°` __fp1__ __" _ ® NOTICE �prou° COUNTY OF SUFFOLK © E °F SOU1HOlD SECTION NO . G .. 2 .wmexwce.w�unnn v.Eoa uv;e ov E a 0 o,.�,w Real Property Tax Service Agency v zits .nv,ra..me,a,Nrneai 139 ✓.... _ _ w F 1000 - - PROPE)iTY MAP „".-.m,.. ""• ""; Sg,_..Um"r�s _ c .c -�'va-Sa--rtAF+.::.:mi:,..:ww" - _- Txva..",r..a^:..e ?'.r.'�r ":•"?fst�''.,i',x'-i-4 49+;n°k'�'�:..Y'ta]i+'�E0.�.'©!��i.,�:a��a'_ 777 - i-it-97 s .`-...`-.•L°o- _...-..:n.-.1.-_-»_?�__- ..... � :_ .. .V..:».,...�'^ _ .e- a .-. .._ ._..._. .,�-_.. _ ____ _ _ •'A.°v.�:w'.a=aYat:-T r yes o k N-)Q, 7T kALN g- -4\% Q % S d o+ o� V S7i Lc.I►U� D_v�--�I�L� i� z AFL, V rvC JSA( Ij JAI( 16 2019 - � o ii I I Board of Trustees Appli.c,- - '.on AFFIDAVIT BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. Z� Tj�na re�&Property wner ignature of o erty Owner SWORN TO BEFORE ME THIS DAY OF jj4 o✓v 2 20� N•f- �i Notary Public DIANE DISALVO NOTARY PUBLIC-STATE OF NEW YORK No. OID1475593 Qualified in Suffolk County My Commission Expires April 30, 2o 22-