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HomeMy WebLinkAboutTR-206TOWN OF SOUTHOLD BOARD OF TOWN TRUSTEES Pursuant to the provisions of Chapter 6t5 of the Laws of 1893 of the State of New York and Chapter 404 of the Laws of 1952 of the State of New York and in accordance with the resolution of the Board of Trustees of the Town of Southold adopted at a meeting o.f said Board on ......... ~Z?AI~..a.O.~....~.~.G..~ ....................... and in consideration of the sum of ~ o Tollewood $...j.,~....%~.., lawful money of the United States, paid by .... residing at .............. ..~..a..t;.~i...~..tLc..k..:...~.:..I...* ........................................................ , New York, the said Board of Trustees of the Town of Southold, Suffolk County, New York, hereby T_ollewood Community authorizes and permits said ....... '.....~..O,.~.e.~.~_..~..O.~..O.....&....O...t..~..~.~. .............................. to /~-/~ ~ 7~~ er~c~ ~ ~o~k a~ ~loat a~ t~ foot o£ Illinois Avenue, Mattituck, L.I., all in accordance wi~3a the application Dock and float to be constructed on the extreme westerly side thereof) The said ..~.~.~.g.~q~...C,o~.D.~.~. ......................, as part of the consideration for the issuance of this permit does hereby release the said Board of Trustees and the Town of Southold from any and all damages, claims for damages or suits that may arise or occur directly or indirectly as a result of any operation carried on under and pursuant to this permit, and will at his own expense, defend any ,and all suits which may be brought by third parties as a result of any operation carried on pursuant to or in accordance with the terms of this permit, and assum~ full liability with respect thereto to the complete exclusion of said Board of Trustees and the Town of Southold. THIS PERMIT is subject to the following terms and conditions: 1. That there shall be no unreasonable interference with navigation as a result of the work herein authorized. 2. That there shall be no interference with the right of the public to pass and repass along that portion of the beach between low and high water mark. 3. That the work shall be subject to the supervision and approval of the said. Board of Trustees or its agents. IN WITNESS WHEREOF, the said Bcard of Trustees of the Town of Southold has caused its corporate seal. to be hereunto affixed and these presents to be subscribed by a majority of the said Board of Trustees, the day and year above written. seal (, ~~.~,...~ ..~.~<:~ .~. ( L S.) "~ ' ;:-( ...( . S.) STATE OF NEW YORK ) SS: COUNTY OF SUFFOLK ) ON THIS .... ~.~.~ ...... day of ........ ~g~.~. .................................. , 19..~.~.., before me personally appeared Emmons Dean, Frank D~Son, John ~hiiip ~eiler and Alv~uh ~oldsmi~h, all personally known to me, who, being by me duly sworn, severally said that they each resided in the Town of Southold, County of Suffolk, State of New York, and were members of the Board of Trustees of said Town of Soufhold and constituted a majority of the same; that they knew the corporate seal of said Town of Southold; that the seal affixed to the foregoing instrument was such corporate seal; that it was so affixed thereunto by order of the Board of Trustees of said Town of Southold and that each one signed his name thereto as a Trustee and by like order. Notary Public ELOISE BOWDEN NOtary Public, State of New Y. or~ R~siding in Suffolk Coun~ No. 52-0367800 ~.~' C0mmJssi0~ Expires ~ar(~/ll ~ ~ ~ ToWN OF SOUTHOLD BOARD OF TOWN TRUSTEES TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined .-~-~~....~i.~ ....... .. 19~.'.~.... Application No .............. .... A roved '/./.~.~.~.~i~.. ~-~..~...~,.~-~ Permit No ¢>~) ~. PP ', ...... · ~..-~ ~..~.~ .... ~ ............. . ....................... Disapprovec a/c/~. ......................... ~ / ,~---'~,~ ............................................................... ................... ~/~~~:_~~~r,~q~ ..... chairman, Board of Trustees /APPLiCATiON FOR PERMIT INSTRUCTIONS A. This application to be completely filled in by typewriter or in ink and submitted to the Town Trustees in dUp- licate. B. Plot plan showing location of lot and buildings on premises, relation to adjoining premises, public, streets, parks, etc., and giving detailed description of proposed layout of project must be drawn on diagram which is part of this application. C. The work covered by this application may not be commenced before the issuance of a permit. D. Upon approval of this application, Town Trustees will issue a permit to applicant. Such permit shall be kept on the premises and available for inspection at all times. E. Applicant shall notify the Board of Trustees upon completion of the work covered by permit. APPLICATION IS HEREBY I~[ADE to the Board of Trustees of the Town of Southold, Suffolk County, New York, for the ~ssuance of a permit pursuant to the laws, Ordinances and regulations governing construction of: docks, piers, bulkheads, jerkys and dredging in, under, and over the waters of Town of Southold. The applicant agrees to comply with all applicable laws, ordinances, regulations and conditions specified by said trustees, and to hold the Town of Southold, and all To~ officials free from liabi, li~ and damages of any k~d. . ..... ............ ...... ............. , ..:. ,.~ ,~ : ~ . ~ ~ , ~reer ~oaress or rroperry ........ : .w.. t .................. ~ ..... , ..... ~ .......... Home address !f Other Than Location .../~.W. (~..' .~&~..~a~q~4<~..~'~~. Permit Requested To: ~~~..~~ ......... Depth Below Low ~Vater ..... ~..'...~ .... Average Rise ~n Tide...;~.~...Yards to Be Excav~~... Width of Canal, Creek or Bayg Fronting Pr~erty. ;~¢~.~g.~..Depth at Low Tide ..................... !s This For Private or gusiness use .... ~ .... Zoning ........................ ~- ~rea Complete plot plan to be drawn on reverse side of_this,-~aPplicatio~ ~ ~ -n STATE OF NEW YORK ) //-- cou~r~ o~ ~ ) _//. / ~ ~m's~~it, ~nd that~~ all statements contained herein are true to the best of his knowledge and belie~; that the ~ork ~ill be doXne in the manner set forth in the application and as approved by the Board of Trustees of the Town o~ Southold, and the applicant agrees to hold the Town of Southold and said trustees harmless and ~ree from any and all damages and claims arising under or by virtue of said permit, ~- ~ (.~pplicant)