HomeMy WebLinkAboutWHITE, ROBERT FHa~ 4;
Dear Pit. '~,~ite~
~¥e are returning your application to the
Southoid TO%eh Trustees for permit to erect a
Dual{head at high water aark on your property at
Leeton ~
=,,.~ive~ Southol~, Ne~~ York.
ir~asmuch as this bulkhead appears to be
above high e{ater mark and on the shore of Long
Island Sound0~ the $outhetd ~e'wlo. ~.~r~s~ees~ '~ ~ m~a~se no
'~ ~nms ~tter ~
jurisdictzon in ~ :
Very truly yours~
FORi~I NO. 1
TOWN OF SOUTHOLD
BOARD OF TOWN TRUSTEES
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Exatnined ................................ 19 ..... Application No ...................
Al)proved .
.............................................. Permit No. . .........
Disapproved a/¢ .................................................. ........................................ ...
..................................................... chairman, Board of Trustees
APPUCAT[ON FOR PERMIT
INSTRUCTIONS
A. This application to be completely fi]l~cl in by lypewritcr ox' in ink and snbmitted to the Town Truszees 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 favour of project must be drawn on diagram which i~ part of this
application.
C. The work covered by this application may not be commenced before the issuance of a permit.
D. Upon appro'val of this application, Town Trustees will msue a I)ermi~ to applicant. Such permit shall be kept on
the premises and available for inspection at all ti~nes.
E. Applicant shall notify the Board of Trustees upon completion of the work covered by permit'.
APPLICATION IS HEREBY MADE to the Board of Trustees of the Town of Southold, Suffolk Countv, New
York, for the issuance of a permit pursuant to the laws. Ordinances and regulations governing construction ofldocks,
piers, bulkheads, jettys and dredging in, under, and over the waters of Town of Southold. The applicant agrees
to comply with all applicable laws, ordinances, regulations anti conditions specified by said trustees· and to hold the
To~vn of Southold, and all To~vn o~icials free from li~))ilitv and damages of any kiud. '.
Name of Owner of Premises ~..~:~-c/~ ~'~' .~..~(~)
Street Address of Prooertv 7~:~;~'' _~/~;/)~7~,'' ;~:~'~'/}~/'~' '~5'~ ....... ' .... :: ............
. ~ , · ........... ,., ......... ,,~,-~... :c:~v~:5+~.~ at...tf.' ............. _ .... .......
/ / j/.~ ' ............................ -,-~...,r~ o ''~5 ' ': .....
Creek, Bay or Harbor Fronting Property /~'~ /- ~'~f~-f~.~/~,~.~/: 7'' '
;'7 .......... ~.~- .., . . ~;~-e'
Permits Reques~ced To:.-'.~~>/~~i ..~/~ ~;..~.~..~. ~C~.',/./~?~.~ ~ .
Size of Proposed Work: Length ~·7,~../ ........ Width :d,Q7. ." ...... Heighth Above High Water
]Depth Below Low YVater .../.~.../ ...... Average R~se Iu Ti(lc...~.f.'. ...... Yards to
Width of Canal, Creek or Bay Fronting Property . ........................ Depth at Low Tide .... ~ .............
Is This For Private or Business Use ? .... ~...~~.~. .... . ........ Area Zoning ~: .~M~.~
Complete plol plan to be drawn on reverse side of this application.
STATE OF NEW YORK )
)s.s.
COUNTY OF )
· · ........ being duly sworn deposes and says that he is the applicant for the ~ibove described
permit, and 'thai all statements contained herein are true to the best of his kno~vledge and belief; that the work
will be done in the manner se't forth in the application and as approved by the Board of Trust'ees of the Town of
Southold, and the applicant agrees to hold the Town of Southokt and sa'~d trustees harmleis and free from any and
all damages and claims arising under or 155, virtue og said permi't.
Sworn to before me this ..~.
/
;./' JOSEPH G. SHIELDS
Notary Public, State of New York
No. 4~-8973550
Qualified in Queens County
~.erm E.,Xl~r~ March 30, 1.972