HomeMy WebLinkAboutTR-31-13-3 GFBoard Of $outhOld 'Town Trustees
SOUTHOLD, NEW YORK
PERMIT NO..31-z.1.3-3 ..... DATE: ..!.-_28-93 ........
ISSUED TO ........................ ff. ohn ...... .~.illi~m.~ ...........................................................
Au 'horiza io.
Pursuant to the provisions of Chapter' 615 of the Laws Of
the State of New York, 1893; and Chapter 404 of the Laws of the
State of New York 1952; and the Southold Town Ordinance en-
titled "REGULATING AND THE PLACING OF OBSTRUCTIONS
IN AND ON TOWN WATERS AND PUBLIC LANDS and the
REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM
LANDS UNDER TOWN WATERS;" and in accordance with the
Resolution of The Board adopted at a meeting held on
19 9.3., and in consideration of the sum of $...e×empt paid by
of ........................................................................................ N. Y. and subject to the
· Terms and Conditions listed on the reverse side hereof,
of Southold Town Trustees authorizes and permits the following:
Grandfather permit to replace bulkt~ead damaged from storm.
all in accordance with the de+ailed specifications as presented in
the originating application.
IN WITNESS WHEREOF, The said Board of Trustees h,ere-
by causes its Corporate Seal t'
be subscribed by a majority o~
be affixed, and these presents to
~.~dBoard as~fthisdat~e.
TRUSTEES
John M, Bredemeyer, III, President
Henry P. Smith, Vice President
Albert J. Krupski, Jr.
John L. Bednoski, Jr.
John B. Tuthill
Telephone (516) 765-1892
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
SCOTr L. HARRIS
Supervisor
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765- 1800
GRANDFATHER APPLICATION
Name of Applicant:
Mailing address:
Tel. No:
Tax Map Number: 1000- O3/-/3 -5 Approx.yr.of construct: /?~O
Prio~ owner if known: .~0~6/ ~ f/~ ~c~/cc~
Diagram of existing structures, including all dimensions, must be
included with this application:
Indicate on attached map: Location, ie; reference point, telephone
pole number, adjacent property owners, etc.
Signature of applicant//: _- _ - Date: ,
Please note, there is a~one time fee of $50.00 for filing this
application.