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Home My WebLink AboutVanden Bosch, Eugene �FFot,� ELIZABETH A.NEVELLE,MW �.y0� ry Town Hall,53095 Main Road TOWN CLERK P'.O,Box 1179 Z Southold,New York 11971 REGISTRAR OF VITAL.STATISTICS � � .Vv Fax(631)765-6145 AGE OFFICER Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER www.southoldtownay.gov FREEDOM OF INFORMATION OFFICER RECEIVED OMCE OF TIDE TOWN CLERK TOWN OF SOUTIIOLD 0 E C 2 0 2021 APPLICATION SINGLE NUTOMOBILE-TRaAILER OR HOUSE C o�OuthOC .1'O il� ��1, Fees: ___ $,250.00(for maximum of six(6)months)Must be submittal with application. Z$100.00-(for maximum of-6-mouths)for-trailer on land-used-iu jgdSultural- _ production (see attached,proof maybe required) Fee must be submitted with application. Please check one: New Application( ) Renewal( Permit No. Received Date: f 2 L ' ,� Issue Date: Expiration Date: a Name of Anplignt: (4 Ar L4 00 Va Mailing Address: Telephone No. i Applicant is:(4&ner ( )Lessee ( ).Agent for Owner( )Agent for Lessee Name of Owner of Premises �G- =-{ �`'►`t C_ ' 6 C. �=o �` If owner is corporate,signature an 'tle-of duly authorized officer: r Number of Qccapants .,,1 &Names:ivve_2A k �- MailittgAddress kJ50 10 71 c. Y, ZT i Telephone No.: - - " Employer of Occupant NaA V)Lir t 2,Z100-C- Ckk `te_ (Naffie) (Address) (Telephon Nu et '�, Property Information_ Street address of land on which trailer will be located: 9. 1®o C KA6 " �C- ScTM#: ...t ba Permit wiII not be issued if the SCTM#is hot provided ; Existing use and occupancy of premises and intended use and occ panty of prop d 'er: 1. Existing use and occupancy KekiP. a 1 vt r� 2. Intended use and occupancy r 3. Name(s) &Title(s)Occupants e. .lam.. ( ) Owner ( er,indicate relationship V�%jYW - 4. Perio of - e ler is to be located on premises: Lot Size: Front 2 Rear Depth ' Date of purchase or lease of land Zoning District for premises: Does proposed use violate any zonin ordinance or law? (IRo ( )Yes If yes, explain on separate paper. Trailer Information: Length .5`O Width Height 8 Registration No. Se I No. _ke 440 - Method of Sewerage disposal r Source of Water Supply Source of Electricity n IMPORTANT Copy of survey showing location of existing buildings and existindproposed trailer must be attached to this application. State of New York --- County of Suffolk - ---- -- -- being duly sworn, deposes and says at that(s)he is the applicant named above and (s) he is authorized to make and file this application; and that all statements contained in this application are true to the best of(her) his knowledge and belief; and that the trails will be located in the manner set forth in the application filed herewith. (Signature) Sworn to before me this day of (Notary Public) SABRINA M BORN Notary Public,State of New York , No.01 B06317038,Suffolk Cour, Commission Expires Dec.22,20 _ ` , ► T 4 51 f SIG o �XCfr 4 to L' S st0•3/,�� Av lvsr - 3 � � I MA LA � rorasamvETaA dt •UWA T!C!w tad eetw TOT%E1•AM TQi1CATtpM NW E T:7w ti—iibV WRr ` @O/dtL Cf TMJs 9lmFdr�41DtS►"Aeft uvams '.stetI:STtat k A VAM Mt CJST: '! 4CXATO Iry dMil MM +� TO AU�_:TG- It IOt VA.-Oft m 3IA1 Y^rr -• ` 7 a eFe+a.r `�xe=�AM1W TOM I akEcp O. mo umft Am 4vjrF9)&9 oftt 151.Y. ' Grt�7tQtl 7t to �4me�iii7c T s-frrs i rscG Rudee ck bGq 7w P pe-. Town of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 12/20/21 Receipt#: 288950 Quantity Transactions Reference Subtotal 1 House Trailer Permit 114 $100.00 Total Paid: $100.00 Notes: Payment Type Amount Paid By CK#1548 $100.00 Northeast, Nurseries Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: Northeast, Nurseries P. O. Box 1158 32100 Cty Road 48 Cutchoaue, NY 11935 Clerk ID: SABRINA Internal ID. 114 Born, Sabrina From: Born, Sabrina Sent: Monday, December 27, 2021 9:35 AM To: Baylinson, Lester; Bloom, Arthur; Bunch, Connie; Burke,John; Duffy, Bill; Hagan, Damon; Mirabelli, Melissa; Neville, Elizabeth; Norklun, Stacey;Verity, Mike Subject: Trailer#114 Renewal Appl. Attachments: Trailer#114-Northeast Nu_20211227093438.pdf Good Morning, Please see the attached trailer renewal application for#114-Northeast Nurseries. Please let this office know in writing if it is ok to renew the trailer permit. Thank you, SaAwdwaw Deputy Town Clerk Southold Town Clerk's Office 53095 Route 25 P.O. Box 1179 Southold,NY 11971 Ph: 631-765-1800 ext. 1226 Fax: 631-765-6145 i Born, Sabrina From: Baylinson, Lester Sent: Tuesday, December 28, 2021 2:05 PM To: Born, Sabrina Cc: Mirabelli, Melissa Subject: RE:Trailer#114 Renewal Appl. HI Sabrina, it is ok to renew trailer permit#114 NE Nurseries and#41 Steele farms. Have a good day 1 From: Born, Sabrina <sabrina.born@town.southold.ny.us> Sent: Monday, December 27, 20219:35 AM To: Baylinson, Lester<lesterb@southoldtownny.gov>; Bloom,Arthur<arthurb@southoldtownny.gov>; Bunch, Connie <Connie.Bunch @town.southold.ny.us>; Burke,John <johnbu@southoldtownny.gov>; Duffy, Bill <billd@southoldtownny.gov>; Hagan, Damon <damonh@southoldtownny.gov>; Mirabelli, Melissa <melissam@southoldtownny.gov>; Neville, Elizabeth<E.Neville@town.southold.ny.us>; Norklun,Stacey <Stacey.Norklun@town.southold.ny.us>;Verity, Mike<Mike.Verity@town.southold.ny.us> Subject:Trailer#114 Renewal Appl. Good Morning, Please see the attached trailer renewal application for#114-Northeast Nurseries. Please let this office know in writing if it is ok to renew the trailer permit. Thank you, Deputy Town Clerk Southold Town Clerk's Office 53095 Route 25 P.O. Box 1179 Southold,NY 11971 Ph: 631-765-1800 ext. 1226 Fax: 631-765-6145 1 ELIZABETH A.NEVILLE,MMC Town Hall,53095 Main load TOWN CLERK P.O.Box 1179 Southold,New York 11971. REGISTRAR OF VITAL STATISTICS Fax(631)765-6145 MARRIAGE OFFICER Telephone(631)765-1.81111 RECORDS MANAGEMENT OFFICER ` wwxv.so tholdtownny.gor FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD APPLICATION SINGLE AUTOMOBILE TRAILER OR HOUSE CAR Fees: 50.00 (for maximum,of six(6) months) Must be submitted with application. $1.00.00 (for maximum of months)for trailer on land used in tcultor l production. (see attached roof may be required) Fee must be submitted 1N ith application. Please check one: New Application O Renewal(0 Permit No. 1 h 124 Received Date: Issue Date: Expiration Date: t: ' �" C- Name of Al�l�li Mailing Address: ' �- - Telephone No, ' - Applicant is: (✓ &ner ( )Lessee ( ) gent for Owner( )Agent for Lessee Name of Owner of Premises W If owner is corporate,signature aid"titl ,o'f duly authorized officer: Number of Occupants i &Names aili.ngAddressR�-40al Telephone No.: � E to cr of ccu art �' . zza :- ca (N ) (Address) (Telephone'C bei- Pro a Infor ation Street address of land��Which trailer will� located:� A 0(' Permit ill not be issil if the SCTM#i of provided Existing use and occupancy of premises and intended use and usepanty f pi-�apased railer. 1. Existing use and occupancy t' t 2. Intended use and occupancy 3. ,Tame( ) &Title(s) Occupants , w O al (t indicate relationship Vrtif Owner they,in 4. Perio of me t ,a' er is o be located on premises: sw Lot Sipe. Front Z-1 I Rear Depth Date of purchase or Iease of land ZoningDistract for remises y ordinance Does proposed use violate an zone® p e or law? (-)No Oyes If yes,explain on separate paper. Trailer Information: Length__5�� , Width_ C3 eight_.. Registration No. g r Se al No. Method of Sewerage dis osal1W V Source of Water Supply Source of Electricity `® IMPQR_TANT Copy,of survg showing location of e sting buildin 3s and existin ro osed trailer must be attached to this avolication. State of New York County of Suffolk being duly sworn, deposes and says that that (s)he is the applicant named above and (s) he is authorized to make and file this application; and that all statements contained in this application are true to the best of(her) his knowledge an belief; t trails ill be located int set forth in the litherewith. (Signature) Sworn to before me i -dad. of (Notary l ) /1 .. u i \ �. 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