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HomeMy WebLinkAboutTR-225TOWN OF SOUTHOLD BOARD OF TOWN TRUSTEES Pursuant to the provisions of Chapter 615 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 of said Board on ......... .~...~.~ ..... .~..Z.~.~ ..... t...~?..G...3. ............ , and in consideration of the sum of $ .... .~...5..~.Q.O., lawful money of the United States, paid by ..... ~..~..~..~.~.~,...~.;...~.~.s...~.~ ........ residing at ~.~.~.~.~'.~.~`.~.~.~..¥~`~.~.~.~..~...~..~.~.~..~.~q.k..~.~~ ................... , ~¥¢DL~ l~ W~st ~nd Road, ~ewark 6, ~ Jersey the said Board of Trustees of the Town of SouthoJd, Suffolk County, New YOrk, hereby authorizes and permits said .............~.~..~..$.~..~.....~..~..o~.~..~,.~$.:~, ..................................... to ~rsct a dock an~ float in ~attit ~ck Creek, float 14~ ~ 27 ~ long and G' wid~ all application submitted. front of his property on long and $~ wide and dock in accordance with th~ The said ...... ~2~...~..J:~..~....~.:...~..q.~..~...w..s.~ .................... , 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 assume 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 in,terference with the right of the public to pass and repass along that portion of the beach between Iow a'nd 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 Board of Trustees of the Town of Southold has caused its corporaCe seal to .be hereunto cffixed 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.) ......... ~2~.'~'~. ~ ~ :,c~ ..... ( L. ....... ....... &~.,~-¢:,~,f,~~:. ~L. S. ~ STATE OF NEW YORK ) SS: COUNTY OF SUFFOLK ) ON THIS .... .~..Z~ ...... day of ............. ~i~','~. ................................. , 19...~..3..., before me personally appeared Dmmons Dean~ F~ank Dawson, John ~4c~ulty~ 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 Southold and constituted a majority of the same; th~c~t they knew the corporate seal o.f 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. : ............................. No, FORI~ NO. 1 TOWN OF SOUTHOLD BOARD OF TOWN TRUSTEES TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined .............................. 19 ...... Application No .................. Approved ............................................ Permit ~o .............................. Disapproved a/¢ .~ ............. ; ....... '..~ .................................................................. ................. ..................... 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 MADE to the Board of Trustees of the Town of Southold, Suffolk County, New York, for the issuance of a permit pursuant to the laws, Ordinances and regulatiOns governing construction of: docks, 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 and conditions specified by said trustees, and to hold the Town of Southold, and all Town officials free from liability, and damages of any kind. Name of owner of premises J~. J~'l ~ [~ i~>' ~.. ~ ~.~ /~. ~ -~ ~ t .............. ~; ..... ,...,.~, ......... <~-reet Address of Property ~'~/~.'~" ~:~'" ~/i~'i'~'"'~'i'~-~'C ~ J-~ // "~'?3~'J~ ......... ...... 21, ...... ........................................... Permit Requested To: .i'~.~/./..~.~'..~-0-lSir.'~..-/-~...-t--~J(-.&- ~'' '/~'~' ]"~ ................ ; ............... ;'i ....... ....... k Len--th ~. 5~ Width~..~D/t"J ii!'ii Heighth Above High Water....~. ...... ,.. ~ize o:t rroposect vvor : g "'~ ............. ........ ~'j }'~ ~r~,,,F,~ Depth Below Low Water ................ Average Rise In Tide...?...0 ...... Yards to Be Excavated...t.~.~./.W ..... Width of Canal, Creek or Bay Fronting Property....~ ................. ~ .Depth at Low Tide ..................... Is This For Private or Business Use?. ~.~.~.~.~/.~..~..~i .................. Area Zoning [~.~;.~.[.~.~.i/.~.~./...~..~.. Complete plot plan to be drawn on reverse side of this application. STATE OF NEW~~)~ )s.s. .COUNTY OF...~.Z.~..~....!' ,x~_~.~//~X/ t~, ~ ~ff~~/ being duly sworn deposes and says that he is the applicant for the above de- scribed permit, and that all statements contained herein are true to the best of his knowledge and belie~; that the work will be done in the manner set forth in the application and as approved by the Board of Trustees of the Town of Southold, and the applicant agrees to hold the Town of Southold and said trustees harmless and free from any and all damages and claims arising under or by virtue of said permit.