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HomeMy WebLinkAbout879 TOWN OF SOUTHOLD, NEW YORK ACTION OF THE ZONING BOARD OF APPEALS DATE June, 30� 1966 Appeal No. 879 Dated June 19, 1966 ACTION OF THE ZONING BOARD OF APPEALS OF THE TOWN OF SOUTHOLD TO Marion L. Szymanski, and Others Appellant Strohson Road Cutchogue, New York at a meeting of the Zoning Board of Appeals on Thursday, June 30, 1966 the appeal was considered and the action indicated below was taken on your 1 Request for variance due to lack of access to property Q{ ) Request for a special exception under the Zoning Ordinance t ) Requcst for a variance to the Zoning Ordinance - - ) 1. SPECIAL EXCEPTION. By resolution of the Board it was determined that a special exception ( ) be granted ( ) be denied pursuant to Article .............................. Section ..........._............. Subsection ............._......... paragraph .....I......_............... of,the Zoning Ordinance, and the decision of the. Building Inspector ( ) be reversed ( ) be confirmed because - - 10: 50 P.M. (E.D.S.T. ) , Upon application of Marion L. Szymanski, Strohson Road, Cutchogue, New York, for a speical exception in accordance with the Zoning Ordira nce, Article III, Section 300, Subsection 10, for permission to retain a name plate sign. Location of property: corner of Baldwin Place and Little Neck Road, Cutchogue, New York. 2. VARIANCE. By resolution of the Board it was determined that (a) Strict application of the Ordinance (would)(would not) produce practical difficulties or unnec- essary hardship because SEE REVERSE (b) The bardJAp created (is) (is not) unique and (would) (would not) he shared by all properties alike in the immediate vicinity of this property and in the same use district because SEE REVERSE (c) The variance (does) (does not) observe the spirit of the Ordinance and (would) (would not) change the character of the district because SEE REVERSE and therefore, it was further determined that the requested variance ( ) be granted ( ) be denied and that the previous decisions ED the Building Inspector ( ) be confirmed ( ) be reversed. LU Y�r \ ZONING 130ARD OF APPEALS FORM ZB4 Ch. it", Goaid of Appeal Barbara C. Dittmann, Secretary After investigatinn and inspection the Board finds that the zpplicant request permission to retain an identification name plate sign. The Board finds that this sign is used to identify the people who live on this laxommg private road. The Board finds that this is helpful toothers 3 € visiting people along this private road. The Board finds that the public convenience and welfafe and justice will be served and the legally established or permitted use of neighborhood propqrt3� and adjoining use districts will not be permanently or substantially injured and the, spirit of the Ordinance will be observed. Thxeiore, # was RESOLVED that Marion L. Szymanski, Strohson Road, Cutchogue, New York, be granted permission to retain a name plate sign on property located on the corner of Baldwin Place and Little Neck Road, Cutchogue, New York, subject to the following conditions: 1. This sign shall be located at least five (5) feet from any property line. 2. No future name plate shall be larger than the ones already erected. 3. No future name plate shall be erected any closer than three (3) feet from ground level. �y /J TOVFN ~O~ S,OUT~OLD, ~ YORK APPLICAT,I~ON FO,I~ S~OIAL F_~i~T~O~ TO ~iX-IE ZONi~tG B~OAILD OF APPEALS, SOLrI~OLD, N. Y. Name S~,re,et and Numbe~ .............. ~...~..E~...~..t...~..~..~. ................................................................................. ~.~........~-.~-~(~. ............................................. M~c~pal~ty S~a~ ~eby apply to T~ ~ON~ ~AP~ OF APP~LS fo~- a ,SPECIAL EXC~ON ~ ~o~dan~, w~$h the ZO~ OR~IF~CE ~C~ ~ SECTION ~ ~ THE SPECIAL EXCePTiON ,IS i~tEQ~FESTED BECAUSE ;STATE ,OF 1QEV~ YfYI%K ) ) ss COUNTY OF Suffolk ) Signature FOR~ ZB2 LEGAL NOTICES NOTICE OF IIEARINGS Pursuant to Section 267 of the Town Law, and the provisions of the amended Building Zone Ordinance of the Town of ,Southold, Suffolk Cour~try, New York, public hearings will be held by the Zoning Board of Appeals, of the Town of Southold, at the Town Office, Main Road, Southold, Hew York. on June 30, 1966, on the following appeals: 7:30 P. M. (E.D.S.T.), upon applica- tion of Robert Kart, Riverhead, New York. a/c Appolonia Kirchgessner, Camp Mineola Road, Mattituck, New York, for recognition of access in ac- cordance with the State of New York Town Law, Section 2g0A. Location of proposed access: east side Camp Min- cola Road, Mattituck, New York, bounded north by other land of Kirch- gessner, east by James Norris Estate, south by other land of Kirchgessner, west by Camp Mineola Road. 7;40 P. M. (E.D.S.T.), upon applica- tion of Joseph and Mary Kirwin, Bay Avenue, Cutchogue, New York, for a lng Ordinance, Article III, Section 303, Article X. Section 1000A. and State for permission to divide land with less than i00 fact frontage and for approval tion of Arthur and Edna Antonison, 10 Winthrop Street, Brooklyn 25, New with the Zoning Ordinance. Article III, Section 305, for permission to build an addition to an existing dwellh~g with insufficient set back. Location o~ prop- erty: west side Hiawatha's Path, Southold, New York. bounded north by Path, south by William Uhll~orn, west by C. H. Wickham. 8:00 P. M. (E.D.S.T.', upon applica- tion of Joseph Diaz, Wilmarth Avenue, in accordance with the Zoning Ordi- nance. Article III, Section 300, Sub- section 6, for permission to build an accessory building in the side yard York, lots No. one half of 35~ all of 36, and one half of 37, in Washington Heights, subdivision, Greenport, New York. 8:15 P. M. (E.D.S.T.', upon applica.- tion of C. F. Van Duzer Gas Service, Inc., Route 27A, Southold, New York, with the Zoning Ordinance, Article IV, Section 408, Subsection B, for permis- sion to retain a wall sign. Location of property: north side Route 27A, South- old, New York, bounded north by H. E. Tuthdl, east by Ronald W. l~yan, south by County Route 27A, west by II. E. Tu' 8:30 P. .. (E.D.S.T.), upon applica- tion of Caberon Properties, Inc., Cases Lane, Cutchogue, New York, for a O~ SU~O[-[< special exception in accordance with~ NEW ¥O[~[~ ! SS: the Zoning Ordinance, Article III Section 300, Subsection 10, for permis- sion to locate a directional sign on the property of Edward Munson, located on the south side of Main Road, Cut-C. Whitney Booth, Jr., bein9 du~y sworn, soys chogue, New York, bounded north by Main Road, east by J. A. Hand, south is the Editor, of THE LONG ISLAND by J. B. Sommer, west by J. B. Sour-. mer; and for permission to locate aR - MATTITUCK WATCHMAN, o public news- directional sign on the property Ointed at Southold, in Suffolk County; and that Case Bros. location of property: north west corner of Cedar's Lane and New! of which the annexed is a printed copy, has bee~ Suffolk Lane, Cutchogue, New York. bounded north by F. M. Corwin, easl in said Lan9 Island Traveler-Mottituck Watch- by New SUffOlk Lane. south by Cedar's Lane, west by Caberon Properties, Inc. ~ each week for .... ~ ....... w~e~ 8:40 P. M. (E.D.S.T.), upon applica- // tion of Walter Rowland a/c Cutchogue, - ' .W, ~ommencm9 on the .............. ~{.:-~ ................. Red Barn Antiques, Main Road, Cut- chogue, New York, for a special ex- ~4~ n · w~ / f ception in accordance with the Zoning,...~.i.~A~..~...../Y... Ordinance, Article IV, Section 408, ~,'~ ~ ground sign with insufficient se, back. Location of property', north s de ........................................................................ '"T- ~'"' Main Road, Cutchogue, New York, bm!nded north by Paul Koloski-Ka- pusta, east by Kuhlman-Koloski, south by Main Road-Beebo, west by Ruth Coyne-Dickey. 2..~.,. 8:50 P. M. (ED,S.T.), upon applica- Sworn to before me this .............. day ot tion of Newton Robbins, Capt. Jim's Fishing Station, Third Street, New Suf-.:~.A.~.~..~.~.~ ...... folk, Hew York, for a special exceptior f in accordance with the Zoning Ordi-,~ nonce, Article III, Section 300, Sub- ~-~ directional signs on the property al /' said applteant located on the north east corner of Th rd Street and a Notary Public '~.~F' Street, New Suffolk, New York, bound- ed north by Helen Aponik, east by west by Third Street; and for per- mission to locate a directional sign on the property of Mrs. Susan Pugsley. Location of property: south east corner of Jackson 8tx, set and Third Sstreet. bounded north by J~ckson Street, east by Second Street, south by Peconic B~y-N. Robbins, 'west bY Third Street- N. Robbing. ~:00 P. M. (E.D.S.T.), upon ~pplica- tion of S0uthold Lumber Company. Inc.. Youngs Avenue, Southold, New York, for a special exception in ac- cordance with the Zoning Ordinance, (Continued on Page 12) ception with the Zoning Ordinance, Article III, Section 300, subsection i0, for permission to retain off premises directional sign on the property Frank Machinehich Estate at the fol- lowing locations: 1) south side MainI Country Club, south by Lydia F. Cadu- gan, west by C. Jablonski; 2t on the; County Route 27A, west by Johr Ma- :slapotu e~JqJ. 'slu~mq~ pue u~I Jo el~um eplt& LEGAL NOTICES for permission to retain an on pram- COUNTY OF SUFFOLK h STATE OF NEW YORK ¥oungs Avenue. C. Whitney Booth, Jr., being duly sworn, soys tion of Cutchogue Free Library, Main,that he is the Editor, of THE LONG ISLAND special e×ception in accoraance with TRAVELER - MAI-rlTUCK WATCHMAN, a public news- the Zoning Ordinance, Article IV, Sec-paper printed at Southold, in Suffolk County; and that east by Sacred Heart R. C. Churcl~ published in said Long Island Zroveler-Mattituck Watch- property, south by Beebe .oldin O°" west by r. H. Case. man once each week for ........... w~el,~ tion of Clayton H. Clarke, North Road, successively, commencing on the .............. ~..'~....:....~.. Ordinance, Article IIL Section 300, .day of ...... f,~./Z~.'.~.f¢..~.....//..., I/~.?..~ SubsectiOn 10, for permissinn to retain : an on premises ground sign. Location __' IZllk~, t"-/^L.~P'/7 of property: north side o~ ~orm goa~L lion of Claudio's Restaurant, 111 Main Street, Oreenport, New York, for a specie~l exception in accordance with j the Zoning Ordinance, Article III, Sec- tion 300, Subsection 10, and Article IV Section 408, Subsect on A ~or per- tional signs at the following ocatinns: i 1) on the property of S. Ci~ci~ Estate,, located on the north si~e Main R~d, Greenport, New York, bounded north ' by LILCO, east by Chapel Lane, south ! by the Main Road, west by LILCO; and i 2) on the property of R. Grattan E~tate, located on the south side i Gounty Route 27, Mattituck, New York. 'bounded north by County Route 27, least by Lipeo Road. south by Avenue, west by L. Milowski. 10:00 P. M. (E.D.S.T.), upon applica- :t~on of Lawrence V. Waltz, D.V.M, i Maill Road, Southold, New York, fei' special exception in accordance with l the Zoning Ordinance, Article III, Sec- lion 300, Subsection 7, for permission to retain an oversized on premises identification sign· Location of prop- erty: north side Main Road, Southold, New York, boun~ed north by Railroad, east by L. P. Booth, south by Main~ Road, west by H. M. Cardinal-Railroad. .10:10 P. M. (E.D.S.T.), upon applica- tion of Pinecrcst Dunes. Inc., Sound- view Avenue, Southold, New York, for a special exception in accordance with the Zoning Ordinance, Article lion 300, Subsection 10, for permission to retain an on premises identification sign. Location of property: north side Soundview Avenue, SouthokL New York bounded north by Long Island Sound ,east by other land of Pinecrest D~lnes, Inc., south by Soundview Avenue, west ~ by C. W. Booth, Jr. and Ano. 10;20 P. M. (E.D.S.T.), upon applica- tion of David S Strong, Camp Mineola Road, Mattituck, New York, for a )ecial exception in accorOance with! ~ the Zoning Ordinance, Article III. Sec- sion to re6ain off premises directional ]. signs at the following locationsl the property of Malcolm Tuthill, lo- cated on the corner of New Suffolk Avenue and Camp Mineola Road, bounded north by New Suffolk Avenue, east by Camp Mineola Road, south by J. Schiller, Jr., Est., west by O1, Jule Lane; and 2i on the property of J. Boucher Est., located on the east side of the Main Road, Mattituck, New York. bounded north by J. Boucher. J. Wickham, G. Munn & Wf., east by G. Munn ,~ Wh-Canal, south by James Creek, Lucas, Pantateo, & Others, wahl by Main Road. 10:35 P. M. (E.D.S.T.), upon applica- tion of Marie Grant, 75 Cedar Drive, Southold, New York for a special ex- ception in accordance with the Zoning O~'~'inance, Article III. Section 300, Subsection 10, for permission to retain a directional sign on the property of Patrick Stigliain. Location of peoperty: north side Bayview Road, Southold, New York, bounded north by J. broski-Schade, east by James L. Grant, soutlx by Bay view Road, west by J. Zebroski. 10:50 P. M. (E.D.S.T.), upon applica- tion of Marion L. Szymanski. Strohson Road, Cutchogue, New York, for a special exception m accordance with the Zoning Or~in~qce, Article III, Sec- tion 300, Subsection 10, for permission to retain a name plat sign. Locat~ n of property: corner of Baldwin Place and Little Neck Road, Cutchogue, New York· 11:10 P. M. (E.D.S.T.), upon applica- tion of Edward L. Nidds, Main Road, Southold, New York, for a special ex- caption in accordance with the Zoning Ordinance, Aqticle IV, ~ect~on 408, Subsection B, for permission to retain a wail sign. Location of property: north side Main Road, Southold, New York, bounded north by R~ilroad, east by Arthur Haan, south by Main Road, west by E. F. Britz. [ lion of Patrick P. German, Depot Lane, Sworn to before me this .......~...."~... ......... day ct ..... ...... , ........... ...... Notary Public / ! _'FILE SUt_ ,,)LK WEE'a"Ly TLtd~-s~,, GREENPORT, 14. Y., FRIDAY. ,,W.]'NE 24, 1966 N~OTIL'~ OF HE~RINGS bounded north by ~. M. Corw~, e~t ~ ~ ~ by New Suffolk ~ne, muth by C~r'~ ~su~t ~ ~tion 267 of the ~wn I ~e, west by Ca~ron Pro~rtles, Inc. 2~ Zone Ordin~ of ~e ~wn tion of W~r Rowland, a/c Cutchogue yos~ ~bHc hea~s w~l ~ he~ ~ cho~e, New Yor~ for a s~ial ex- ,he ~ ~r~ o~.~p~a~, ?_the, cep~lon in accordance with ~he Zoning ~ ~, ~hol~, ~ew Y~k, ~n Sub~tion A, for permission W retain ~:~ P. M. (E~.T.), u~n ~ppHca- [ ~ck. ~aflon of pro~rty: north ~de York, ~/c Appoloni~ ~c~e~er,] ~und~ north by Paul Kolos~-Ka- Cam~ M~la ~ad, Mattlthc~ Ne~ { puste, east by Ku~n-Kolos~, ~uth ~ork, for r~nitlon of ~ ~ ac-. by Ma~ Ro~-~, west by Ruth ~rd~ with the S~ of New Yo~ [ Coyne-Dickey. To~ ~w, ~ction 2~A. ~a~on [ 8'~ P. M (E.D~.T.), u~n applica- pro~ acee~: e~t ~de C~p ~-~ tio~ of NeWton R~bi~, Capt. Jim's ~ ~, ~attituck, New Y~, ~ ~hl~ Station, ~d Street, New Suf- ~unded north by other land ~f ~c~- [ folk, N~ York. for a ~ial exception g~er, ~t by James Norns ~ta~ ] ~ accord~ce w~th the Zo~ Ordi- ~uth by other l~d of ~chg~er, nance, Article III, ~tion 3~, Sub- west by Camp Mineola Road. 7:40 P. M. (E.D.S.T.), upon applica- tion of Joseph and Mary Klrwin, Bay Avenue, Cutchogue. New York, for a variance in accordance with the Zon- ing Ordinance. Article III, Section Article X, Section 1000A, and state of New York Town Law, Section 280A, for perml~ion to divide land with leas ~han 100 foot frontage and for approval of access. Location of property: lot number 105 in Nassau Farms subdivi- sion, Cutchogue, New York. 7:50 P. M. (E.D~.T.), upon applica- tion of Arthur and Edna Antenison, 10 Winthrop Street, Brooklyn 25, New ~York. for a variance in accordance with the Zoning Ordinance, Article III, Section $05, for permission to build an addition to an existing dwelling with insufficient sot back. Location of prop- ~rty: west sid~ Hiawatha's Path Southold, New York, bounded north by C. H. Wickham, east by Hiawatha's Path, south by William Uhlhorn, west by C. H. Wickham. g:00 P. M. (E.D.S.T.', upon applica- tion of Josoph Diaz, Wilmarth Avenue. Oroenl~rt, New York. for a variance in accordance with the Zoning Ordi- nance, Article HI, Section 300, Sub- section 6. for permission to build an accessory building in the side yard area. Location of property: north side Wilmarth Avenue, Orcenport, Ne~ York, lots NO. one half of 35. all of 88, and one half of 87, in Washington Heights, subdivision, Greenport, New York. 8:15 P. M. (E~.S.T.', upon applica- tion of C. i=. Van Duzer Gas Service, Inc., Route 27A, Soushold, New York, for a special exception in accordance with the Zoning Ordinance, Article IV Section 408, Subsection B, for permis- sion to retain a wall sign. Location of property: north side Route 27A, South- old, New York, bounded north by H. E. Tuthill, east by Ronald W. Ryan, south by County Route 27A, west by 8:30 P. M. /E.D.S.T.), upon applica- tion of Caberon Properties, Inc., Cases Lone, Cutehoffae, New York, for a special exception in accordance with the Zoning Ordinance, Article III, Section 300, Subsection 10, for permis- sion to locate a directional sign on the property of Edward Munecn, located on the south side of Main Road, Cut- chogue, New York, bounded north by Main Road, east by J. A. Ha~d, south by J. B. Sommer, west by J. B. Sem- mcr; and for permission to locate a directional sign on the property of Case Bros. location of property: north west corner of Cedar's La, ne and New Suffolk Lane, Cutchogue, New York, section 10, for permission to retain directional signs on the property Gl said applicant, located on the north east corner of Third Street and Main Street, New Suffolk, New York, bound- ed north by Helen Apenik, east by Dante A. Lorti, south by Main Street, west by Third Street; and for per- mission to locate a directional sign on the propexty of Mrs. Susan Pugsiey. Location of property: south east corner of Jackson Street and Third Sstreet bounded north by Jackson Street, east by Second Street, south by Peconic Bay-N. Robbins, west by Third Street- N. Robbins. 9:00 P. M. (E.D.S.T.), upon applica- tion of Southold Lumber Company, Inc., Youn~s Avenue, Southold, New York, for a special exception in cordance with the Zoning Ordinance, Article IV, Section 408, Subsection B, for permission to retain an on prem- isos side wall sign. Location of prop- erty: east side Youngs Avenue, South- old, New, York, bounded north by Hummell Avenue, east by Suffolk Co-op, south by Railroad. west by Youv~s Avenue. 9:15 P. M. (E.D.S.T.), upon applica- tion of C~tchogue Free Library, Main Road, Ct~tchogue, New York, for a special exception in accordance with ~he Zoning Ordinance, Article IV, Sec- tion 408, Subsection A, for permission to retain a hanging sign. Location Gl ~roperty: south side Main Road, east by Sacred Heart R. C. Church )roperty, south by Bcebe Holding Co., west by F. H. Caso. 9:30 P. M. (E.D.S.T.). upon applica- tion of Clayton Il. Clarke, North Road, Peconic, New York, for a special excep- tion in accordance with the Zoning Ordinance, Article III, Section 300, Subsoction I0, for permission to retain an on premisos ground sign. Location of property: north side of North Road, peconic, New York, bounded north by Avenue, west by L. Milowskt. 10:00 P. M. (E.DJ~.T.), upon applica- tion of Lawrence T. Waits, D.V~L, Main Road, Seuthold, New York, for a special exception in accordance with the Zoning Ordinance, Article III, Sec- tion 300. Subsoctlon 7, for permission to retain an oversized on premises identification si~n. Location of prop- erty: north side Main Road, Southold, New York, boun~ed north by Railroad, east by L. P. Booth, south by Main Road, west ~y H. M. Cardinal-Railroad. 10:10 P. M. '(E.D.S.T.), upon applica- tion of Pinecrest Dunes, Inc., Sound- view Avenue, Southold, New York, for a special exception in accordance with the Zoning Ordinance, Article IH, Sec- tion 300, Subsection 10, for permission to retain an on premises identification sign. Location of property: north sid- Soundvtew Avenue, Southold, New York bounded north by Long Island Sound east by other land of Pinecrest Dunes, Inc., south by Soundview Avenue, west by C. W. Booth, Jr. and Ano. 10:20 P. M. (E~D.S.T.). upon applica- tion of David S Strong, Camp Mineola Road, Mattituck, New York, for a special exception in accor~anoe witi~ the Zoning Ordinance, Article III, Sec- tion 300, Subsection 10, and Article IV, Section 408, Subsoction A, for permis- sion to retain off premises directional signs at the following locations: 1) On the property of Malcolm Tuthill, 1o- New York, bounded north by J. Ze- broskl-Sehade, east by James L. Grant, south by Bay view Road', west by J. Zebroskl. -10:50 P. M. (E.D~.T.), upon applica- tion of Marion L. Szymanski, Strohson Road, Cutchague, New York, for a special exception in accordance with the Zoning Ordinance, Article l'ii, Sec- tion 800, Subsection 10, for permission to retain a name plat sign. Location of property: corner of Baldwin Place and Little Neck Rom:l, Cutehogue, New York. 11:10 P. M. (E~.S.T.), upon applica- tion of Edward L. Nidds, Main Road, Southold, New York, for a special ex- ception in accordance with the Zoni~4 Or~/nance, A~icle iV, //~ection 408 Subsection B, for permission to retai~ a wall sign. Location of property: north side Main Road, Southold, New York, bounded north by Railroad, east by Arthur Haan, south by Main Road, west by E. F. Britz. 11:20 P. M. (E.D~.T.), upon applica- tion of Patrick 1=. Gorman, Depot Lane, Cutcho~ue, New York, for a special ex- ception with the Zoning Ordinance, Article HI, Section 300, subsection 10, for permission to retain off premises iirectional sign on the property of ?rank Machinchich Estate at the roi- .owing locations: 1) south side Main Roa~, Cutchague, New York, bounded north by Main Road, east by N. F. A. Petrucci-ors, east by S. Sepenoski, cated on the corner of New Suffolk Country Club, south by Lydia F. Cadu- south by North Road, west by District Avenue and Camp Mineola Road ~ gan. west by C. Jablonski; 2) on the , line bounded north by New Suffolk Avenu~ tion ....... of Claudio's ~es~auran~,-- '" ' =i ~ ....... ~wwn J- Schiller, Jr,. Est,. west by O1~ Jule [ le~l, east by Alex Matieazch, south by ], =* ...... New York for a Lane; and 2) on the peoperty of J. ICounty Route 27A, west by John Ma-~ · · o,~i,~ ....... ~-~ with Boucher Est., located on the east de ...... in off ~remises direc- I G, Munn & V~f.-Canal, south by James DATED: June 16, 1966, by LILCO, east by Chapel Lane, south ] Southold, New York for a special .ex- Estate, located on the south side / Subsection 10, for permission to fetal County Route 27, Matt/tuck, New York,1 a directional sign on the property of[ SOUTHOLD TOWN BOARD OF APPEALS SOUTHOLD, L. I., N. Y. 11971 APPEAL BOARD MEMBERS Robert W. Gillispie, Jr., Chairman Robert Bergen Charles Grigonis, Jr. Serge Doyen, Jr. Fred Hu}se, Jr. June 1, 1967 Telephone 765-2660 Marion L. Szymanski Strohson Road Cutchogue, New York Re: Appeal No. 879 Dear M_rs. Szymanski: This is to advise you that your special exception permission for your sign(~ which was the subject of the above mentioned appeal will expire on June 30, 1967 Please sign this letter at the space provided below and return promptly to this office, if you wish to renew your sign permission. APPROVED R~I~e~-VV. Gillispie, Jr. ~" ~,aro or ~ppea,s Chairman, Southold Town ~'~ Board of Appeals /bd Signature of appellant .......................... ~ ......... .......................................... [Sign and return both copies. ) APPROVED