HomeMy WebLinkAboutTR-72-1-6Board Of $outhold Town Trustees
SOUTHOLD, NEW YORK
PERMIT NO .... ?. ]:.':. Z.':6 ..........
DATE: ... 3../.~.]-/.9~ ..........
I SS U ED TO ........... ~.C)?! ~....G.,.W: ...... GA,MP. BELL .....................................................
Pursuan:l' fo the provisions of Chapfer 615 of +he Laws of
fhe Sfafe of New York, 1893; and C.hapfer 404 of +he Laws of fhe
Sfafe of New York 1952; and 'rhe Southold Town Ordinance eh-
'rifled "REC~ULATINCo AND THE PLACINC= OF OBSTRUCTION5
IN AND ON TOWN WATER5 AND PUBLIC LAND5 and 'rhe
REMOVAL OF SAND, CoRAVEL OR OTHER MATERIALS FROM
LANDS UNDER TOWN WATERS;" and in accordance wifh 'rhe
ReSolution of The Board adopfed a'r a meeting held on ...:.2./25.'i~ ........
19 ........ 9..,3 and in consideration of 'rhe sum of $ ..................... paid by
of ...................................................................................... N. Y. and subiec'r 'ro 'rhe
Terms and Condi'rions lis'red on 'rhe reverse side hereof,
of Sou'rhold Town Trusfees au'rhorizes and permi'rs +he following:
Rest~eatl~ damaged bulkhead. Located Harbor Ligt~ts Drive
Southotd,'~
all in accordance with 'rhe de'railed specifications as presented in
+he origina'ring applica'rion..
IN WITNESS WHEREOF, The said Board of TrUs'rees h~ere-
by causes i'rs Corporate Seal 'ro be affixed, and 'rhese presen'rs 'ro
be subscribed bY a maiori'ry of the said Board as of this da'r,e.
· .........
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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
SCOTT L. HARRIS
Supervisor
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
765-1800
GRANDFATHER APPLICATION
Name
Address of Property:
Tax Map Number: 1000-
Prior owner if known:
No:
7 ,g 7
~ Approx.yr.of construct: /~
including all dimensions, must be
Diagram of existing structures,
included with this application:
Indicate on
pole number,
Signature of
Please note,
application.
attached map: Location, ie; reference point, telephone
adjacent property owners, etc.
applicant :~& ~ ~-~J~ Date: ~,.q - g- -/073
there is a one time fee of $50.00 for filing this
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