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Home My WebLink About24844-zFORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 24844 Z Date APRIL 24~ 1998 Permission is hereby granted to: for : ERECTION OF A FOUR (4) TO CONDITIONS OF THE CAROL A LOSQUADRO 2755 BOISSEAU AVE SOUTHOLD~NY 11971 FOOT POST & RAIL FENCE AS APPLIED FOR AND ZONING BOARD OF APPEALS ~4549, DATED APRIL 16, 1998. at premises located at 2855 County Tax Map No. 473889 Section 055 pursuant to application dated APRIL Building Inspector. BOISSEAU AVE SOUTHOLD Block 0005 Lot No. 012.001 20 1998 and approved by the Fee $ 35.00 Building Aznspector~ ORIGINAL Rev. 2/19/98 APPEALS BOARD MEMBERS Gerard E Goehringer, Chairman James Dinizio, Jr. Lydia A. Tortora Lora S. Collins George Homing BLDG. DEPT, TQwN~SQ~THOLO , BOARD OF APPEALS TOWN OF SOUTHOLD Southold Town Hall 53095 Main Road EO. Box 1179 Southold, New York 11971 ZBA Fax (516) 765-9064 Telephone (516) 765-1809 'INDINGS, DELIBERATIONS AND DETERMINATION REGULAR MEETING OF APRIL 16, 1998 Appl. No. 4549 - CAROL and ANTHONY LOSQUADRO, JR. and DONALD TUTHILL STREET & LOCALITY: 2855 BOISSEAU AVENUE - 1000-55-5-12.1 and 3125 BOISSEAU AVENUE - 1000-55-5-12.2. DATE OF PUBLIC HEARING: March 23, 1998 FINDINGS OF FACT PROPERTY FACTS/DESCRIPTION: The properties which are the subject of this application are separately owned by Losquadro and Tuthili and were approved on November 9, 1981 by the Southold Town Planning Board. Each lot is shown on the County Tax Maps as 1000-55-5-12.1 for Losquadro, and the other as 1000-55-5-12.2 for Tuthill. The Losquadro parcel is the site for the proposed housing of Losquadro's horses, and a portion of the TuthiH parcel is for the corral area. Authorization has been furnished by Mr. Tuthili allowing the Losquadros to use the land as a horse corral with proof of insurance coverage and renewable on an annual basis. The Losquadro lot has frontage along Boisseau Avenue of 154.91 feet and a lot area of approximately 40,035 sq. ft. The TuthiH (vacant) lot has frontage along Boisseau Avenue of 163.75 feet and a lot area of 56,568 sq. ft. BASIS OF APPEAL: Based upon an application to erect a corral to an existing barn, the Building Inspector has issued Notices of Disapproval, as follows: 1) dated February 13, 1998 and which reads: "...horses shall not be housed within forty (40) feet of any lot line. Article III, Section 100-31C(8); and 2) dated February 18, 1998, Article III, Section 100-31A2(b), that the vacant property located in a General Business (B) distriet, requires 10 acres or mora for keeping of horses, Article III, Section 100-31A-2(b) .... " (Also ref. Sections 100-10IA-1 and 100-10lC.) REQUEST MADE BY APPLICANT: Applicants are proposing a corral enclosure, including the existing accessory barn, for housing of two ZBA Decision Page 2 April 16, 1998 Re: 1000-55-5-12.1 and 12.2 Losquadro and Tuthill Pvoject or three horses as an accessory to Losquadro residence at 2855 Boisseau Avenue, Southold, NY; Parcel 1000-55-5-12.1. A portion of the corral/fencing will extend onto a portion of vacant property of Donald Tuthili, known as 3125 Boisseau Avenue, Southold, 1000-55-5-12.2 for the same accessor~ use incidental to the Losquadro residence. review~~o] ct, it is noted that the applicant is not In the requesting ~:"'/ ~ ~ "' ~"fforse farm- ep referenced in the February 18, 1~-~ The locatio~---of-'l~ accessory corral structure (fence enclosure) extends from the barn in the rear yard to the north and will extend at variables between 60 ft. and 100 ft. from the northerly Losquadro/Tutbill property line. The setback of the corral structure on the Tuthill property is shown at approximately 40 ft. from the westerly property line, and the setback of the corral structure on the Losquadro property is less than 40 feet. REASONS FOR BOARD ACTION~ DESCRIBED BELOW: Assigned: JD: (1) The granting of the area variance will not produce an undesirable ch..ange in character of neighborhood or~r~lment to nearby properties because the structure and u~e~ up '~o three horses are permitted accessory uses under Sec~on"100-33(CJ of the Zoning Code. ~ ~ (2) The benefit sought by the applicant cannot be achieved by some method, feasible for applicant to pursue, other than an area variance because there is no other land area available under the ownership of Losquadro. (3) The requested area variance is not substantial. The barn is 30+- feet from the property line and 40 feet or more at other points. (4) The proposed variance will not have an adverse effect or impact on the physical or environmental conditions in the neighborhood or district. In considering this application, the Beard deems this action to be the minimum necessary and adequate, and at the same time preserves and protects the character of the neighborhood, and the health, safety, welfare of the community. RESOLUTION/ACTION: On motion by Member Dinizio, seconded by Chairman Goehringer, it was ZBA Decision Page 3 April 16~ 1998 Re: 1000-55-5-12.1 and 12.2 Losquadro and Tuthi]! Project RESOLVED, to GRANT the application as applied for and subject to the following CONDITIONS: 1. No boarding of horses (other than the three horses owned by Losquadro). 2. Only the owner's three horses may be housed in thus authorized area. 3. No stockpiling of manure or other waste products. 4. Manure or other waste must be removed twice a week as a minimum. 5. If the owner of the adjoining (Tuthill) parcel withdraws authorization of use of his property, the applicant must reduce the number of horses from three to one with all of the same conditions above in force. VOTE OF THE BOARD: AYES: MEMBERS GOEHRINGER, DINIZIO, ItORNING, AND COLChis GERARD r. GO Uai ER, /~ Approved for Filing AS400/Txtlk/actions.all/55-5-12.2 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall $outhold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 24843 Z Date APRIL 24~ 1998 Permission is hereby granted to: DONALD & WF TUTHILL 3150 BOISSEAU AVE SOUTHOLD~N¥ 11971 for : ERECTION OF A FOUR (4) FOOT POST & RAIL FENCE AS APPLIED FOR AND TO CONDITIONS OF THE ZONING BOARD OF APPEALS #4549, DATED APRIL 16, 1998 at premises located at 3125 County Tax Map No. 473889 Section 055 pursuant to application dated APRIL Building Inspector. BOISSEAU AVE Block 20 1998 SOUTHOLD 0005 Lot No. 012.002 and approved by the Fee $ 35.00 Building//Inspecto~/ ORIGINAL Rev. 2/19/98 3150 Boisseau Ave. Southold, NY 11971 February 11, 1998 To The Town of Southoid Building Dept. Re: Vacant lot west side Boisseau Avenue south of Route #48 (1000-55-5-12.2) This is to verify that we are giving Mr. & Mrs. Anthony Losquadro, Jr. permission to erect a post and rail fence in the west area of the above lot as shown on the accompanying survey to be used as a horse corral. Donald E. Tuthill ~ ~ HELEN£ D, HORN~ Nm,~/Public, State of lYew York ~Jo. 49513~4 Qualified in Suffolk County .~, Commission Expires Mav 2.2, ~9 ~_~.~. APPEALS BOARD MEMBERS Gerard P. Goehringer, Chairman James Dinizio, Ir. Lydia A. Tortora Lora S. Collins George Homing Southold Town Hall 53095 Main Road P.O. Box 1179 '$, ~"q~,~.~ Southold, New York 11971 ZBA Fax (516) 765-9064 (516) 765-1809 Telephone BOARD OF APPEALS TOWN OF SOUTHOLD NGS, DELIBERATIONS AND DETERMINATION GULAR MEETING OF APRIL 16, 1998 ~9 - CAROL and ANTHONY LOSQUADRO, JR. and DONALD TUTHILL STREET & LOCALITY: 2855 BOISSEAU AVENUE - 1000-55-5-12.1 and 3125 BOISSEAU AVENUE - 1000-55-5-12.2. DATE OF PUBLIC HEARING: March 23, 1998 FINDINGS OF FACT PROPERTY FACTS/DESCRIPTION: The properties which are the subject of this application are separately owned by Losquadro and Tuthlll and were approved on November 9, 1981 by the Southold Town Planning Board. Each lot is shown on the County Tax Maps as 1000-55-5-12.1 for Losquadro, and the other as 1000-55-5-12.2 for Tuthill. The Losquadre parcel is the site for the proposed housing of Losquadro's horses, and a portion of the Tuthill parcel is for the corral area. Authorization has been furnished by Mr. Tuthili allowing the Losquadros to use the land as a horse cor~tl with proof of insurance coverage and ronewable on an annual basis. The Losquadro lot has frontage along Boisseau Avenue of 154.91 feet and a lot area of approximately 40,035 sq. ft. The Tuthffi (vacant) lot has frontage along Boisseau Avenue of 163.75 feet and a lot a~tt of 56,568 sq. ft. BASIS OF APPEAL: Based upon an application to erect a corral to an existing barn, the Building Inspector has issued Notices of Disapproval, as follows: 1) dated Febrmamor 13, 1998 and which ~mads: "...horses shall not be housed within forty (40) feet of any lot line. Article III, Section 100-31C(8); and 2) dated February 18, 1998, Article III, Section 100-31A2(b), that .the vaca,,t property located in roqmres 10 acres or moro for keeping of horses, Aft~SUe~-III, S~fl~n 100-31A-2(b) .... "(Also ref. Sections 100-10IA-1 ~d 100-101C.)~ REQUEST MADE BY APPLICANT: Applicants are p~g a corral enclosure, including the existing accessory barn, for housing of two ZBA Decision Page 2 April 16, 1998 l{e: 1000-55-5-12.1 arrd 12.2 Losquadro and Tuthill Project or three horses as an accessory to Losquadro residence at 2855 Boisseau Avenue, Southold, NY; Parcel 1000-55-5-12.1. A portion of the corral/fencing will extend onto a portion of vacant property of Donald TuthiH, known as 3125 Boisseau Avenue, Southold, 1000-55-5-12.2 for the same accessory use incidental to the Losquadro residence. In the revie~ it is noted that the applicant is not requesting /a '~a~orse Iarm" ~ referenced in the February 18, 1998 Notice of I~sal~preval of t/h~Building Inspector. The location~ accessory corral structure (fence enclosure) extends from the barn in the rear yard to the north and will extend at variables between 60 ft. and 100 ft. from the northerly Losquadro/Tuthill property line. The setback of the corral structure on the Tuthill property is shown at approximately 40 ft. from the westerly property line, and the setback of the corral structure on the Losquadro property is less than 40 feet. REASONS FOR BOARD ACTION~ DESCRIBED BELOW: Assigned: JD: (1) The granting of the area variance will not produce an undesirable change in character of neighborhood or a detriment to nearby properties because the structure and use for up to three horses are permitted accessory uses under Section 100-33(C) of the Zoning Code. (2) The benefit sought by the applicant cannot be achieved by some method~ feasible for applicant to pursue, other than an area variance because there is no other land area available under the ownership of Losquadro. (3) The requested area variance is not substantial. The barn is 30+- feet from the property line and 40 feet or more at other points. (4) The proposed variance will not have an adverse effect or impact on the physical or environmental conditions in the neighborheod or district. In considering this application, the Board deems this action to be the minimum necessary and adequate, and at the same time preserves and protects the character of the neighborhood, and the health, safety, welfare of the community. RESOLUTION/ACTION: On motion by Member Dinizio, seconded by Chairman Goehringer, it was ZBA Decision Page 3 April 16, Re: 1009-55-5-12.1 and 12.2 Losquadro and Tuthill Project 1998 RESOLVED, to GRANT the application as applied for and subject to the following CONDITIONS: 1. No boarding of horses (other than the three horses owned bY Losquadro). 2. Only the owner's three horses may be housed in thus authorized 3. No stockpiling of manure or other waste products. 4. Manure or other waste must be removed twice a week as a minimum. 5. If the owner of the adjo{nlng (Tuthill) parcel withdraws authorization of use of his property, the applicant must reduce the number of horses from three to one with all of the same conditions above in force. VOTE OF THE BOARD: AYES: MEMBERS GOEHRINGER, DINIZIO, TORTORA, HORNING, AND CO--his Approved ~or ~Hng ********************************** AS400/Txt~/ac~ons.~/55-5-12.2 FORM NO. 3 TOWN OF SOfT,OLD BUILDING DEPARTMENT SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL DA~: .~79[~9[yj18, 1998 To .Qo~al~ ~.. X~%~% ...................... PLEASE TAKE NOTICE that your application dated .... ~9¥.e~.~9[.~ ..... for permit Co .~q~.9.~9[[9% ............ ' ...................................... at Location of Property 3~25 Boisseau Ave. Southold House No. Stree~ ~amlet County~Tax Map No. 1000 - Section ...~ ...... BLOCK ...~ ....... LOT .... Subdivisioa ............................... Piled Map No ...... ....Lot No is returned herewith and disapproved ou the following grounds ~. ~9. F~P~P~. P[PP~F~Y= .... horses. Article III ~00-31A2 (bi. BUILDING INSPECTOR FO~M IlO. 3 TOWN OF SOUTIROLD BUILDING DEPARTMENT SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL To .C.a.rp.1. ~....Lp.S.tLu.a.d.r.o ...................... 2B55. Bo~i~ ~.v.~ ....................... .sg.u.r.~P.Ld.,..~.?. 79.r?... ! !9! ~. .............. PLEASE TAR~ NOTICE Chat your application dated . .l~Qv-~bcr..~ ....... 19.97 .... for permit to . .e.r.e.~t..a..c. qr.r.a. 1..t.Q.a.n..e.x.i.s.t.i. gg.b.a..r9 ............................. at Location o f Property .... 2.8.5.5. .......... ~Oi~t~.A¥¢ ................. Spq~b9.1O ...... ~ouse No. Street ~amlet County' Tax Map No. {000 - Section ...5.5. ...... BLOCK . ..5 ........ LOT .. !.2..~1 ....... Subdivision ............................... Filed Map No ..... , .... Lot No is returned herewith and disapproved on the following grounds t.h..a.t..h.o~r.s.e~s..s.h.a.l.1..np.t..b.e ..... .h.o.u.s.e.d. ?.i.t.h.i.n..f.o. rty (40) feet of any lot line. The existing barn is located at thirty .t.w.o..a.~4 .~ .h.a.l.f..C3.2...5.)..f.e.e.t.. f.r.o.m., t.h.e., r. e..a.r.p.r.o~.e.r.ty. !.i.n.e:...A.r.t.i.c!.e. II!..1907.3J.C.(.8): Ac.t.i. en' .r.e.c/u.l.r.e.d..bI .t.h.e..Z.o.n.i.n. g. B. o..ar.d...o .f.A. pp.e.a.1 .s: ........................................... BUILD II~G INSPECTOR RV 1/80 FOBH NO. TOWN OF SOUTIlOLD BUILDING DEPARTNENT TOWN IIALL SOUTIIOLD, N.Y. 11971 ................................ ¢ ............... ..... IHS'I'R~CTIO~S BOARD OF HEALTII ............... 3 SETS OF PLANS ............... SURVEY ........................ CItECK ......................... SEPTIC FORH ................... NOTIFY: ~- , ' ~ ........... ......... a. 'Ibis application must be cor~letely filial in by typewriter or in ink and mfl~nitted to tim l~tilding Inspector 3 sets of plans, accurate plot plan to scale. Fee according to sd]e~hlle. b. Plot plm~ abowing lncatioo of lot and of buildings on premises, relationship to adjoining premises or pehlic streets or areas, ,and giving a detailed description of layont of property mast be drawn on the diagram whid~ is lmrt of ., this applicatico. c. 'lhe work covered by this application may ~ot tm can~esced before issuance of Building Pemit. d. Dpee approval of this application, the l~ilding Inspector will issue a ll~;ilding Pennlt to the applicant. Such permlk shall be kept on the premises available for inapeetlon three,ghost tl~ work. e. No building stroll be occuplnd or used in ~ole or in part for any purpose ~mtever until a Oertificate of Occupancy .~lmll have linen granted by tie Ikdlding lnspeetor. APPIACA'I'RIt 1S IlgREB¥ ~ to the Building Departnent for tim issuance of a Building Pemlt pursuant to the !l~dldlng g~ne Ordinance of tim To~n of S~tl~old, Suffolk Conaty, New York, and other apptlcable laws, Ordirmnces or ~'Regulatlons, for tim ctamtvsetlon of I~fildings, a&lltlees or alterations, or for removal or d~aolition, as herein descrilkod. 'llm applicant agrees to c~ly with all applicable laws, ordinances, IsHlding code, hnaslng cnde, and regulations, m~l to mkait autlmrised in~aeetors on prea,isea and in beildi~or neces~7~ ~ppllcant, or , if a corporation) ' (Mail lag a&lress of applicant) State whetber applicant is c~er, lessee, agent, ard~itect, engineer, geimral contrsctor, electrician, pl~mr or ~ilder. If a~licant is a co~ra~i~, si~re o~ duly ~kberiz~ officer. ~&~,. ~~~,~ ~'R ~~~ ......................................................... N~ ~ ~~ AT (~ a~ title of ~rate officer) 7~-1~ 0 ~ ~ 4 ~ ~ ~G Pl~rs Licee~ ~; ......................... ~. El~t~iCi~s Licen~ ~ ...................... BE COM~ F~ C.O. Odmr ~'s Lic~ ~ ..................... ALL CONSTRUCTION SH~L MEET THE REOUIREMENTS OF THE N.Y. I. l~aki~ of l~l ~ ~ich pr~ ~rk wil~ ~...~ ........ ~* ' ' *;' ' '~ * ~TATE* ~O~6~O~lON' '~' ~E~Y' ' ....................... ~.[* ..... ~ ...... ** :*: ........... ~ ............. ~ *:;*** ~E$1~N OR~O~TI~ ~RRORS' * t~ ~r Strut l~nlet ~t~ivlsi~ ...................................... Fil~ ~p ~ ................ l~t ............... (~) I 5. If garage, ~d~r of cars ....... ~ ............................... 6. If I~mhmas, ~mrctal or mi~ ~oqmr~, a~ci~ ~l'ure n~ e~Len~ of each tyl~ 7. I)inenai~m o~ ~iating ntnmture~ if any: Fright ................ ~nr ............... ~pth ................. B. Din~n~i~m o~ entire ~ ~mt~ia~: l~mt ................ ~ar ............... ~pth I I. ~ or u~ dlaeriet in ~dchpz'~l~fl~ ' a~ nit~t~ .............................................................. ~ o[ ~rdfiteet ............. ' ~re~s ............................ ~m~ ~ .............. · ~ of C~tracror ...... ~ ~lress ......................... Hm~ ~ ............... 15. Is this p~rty wiflfin ~ f~tl of ti{Iai ~mtl~? * [ PLOT ])IAORAH ' l~ate clearly md d~st~tly all ~ildit~s~.~mtlmr ~istlng or pro~, a~ imlicace ali ~t-~k dinensions . frm~ pr~rcy lima. Gi~ st~t a~ )1~ ~e~r or ~scripti~ acco~llng re ~, a~ ~ street ~s am] J~lieare xd~ther interior or co~r loC. ...................... : ................................................ ~ ~ . ] ~ ~Ln ~ r~rlLe offl{er~ ere ) said c~r or ~era, etd ia dtdy i~thori~ to lerfonu or h~we lerl~)rn~ the ~id turk mKl Lo nnke a~l file Lhla thaL the ~)rk ~ill 1~ l~rfonl~l in Lh~ l[~]e[~ ~C forth in Lite applie~] .ion l'il~ ...... ...... rotary h~tic~ ,. '~ // ~altfl~ ~ Suffolk Cou~ FORH NO. TOWN OF SOUTIIOI.D BUILDING DEPARTHENT TOWN HALL SOUTHOLD, N.Y. 1197 TEl.: 765-11102 PL,~niocd .2-/.~ , 19 ~;~ - Approved .... .~/.~.. g..././~., 191... Peri,ti t No ................. .. ................. // (Ikfi lding Insl~:ctot~ APPLICATION FOR BU£LDING PERHIT INSTRUCTIONS BOARD OF HEALTH ............... 3 SETS OF PLANS ............... SURVEY CIIECK ......................... SEPTIC PORH ................... NOTIFY: CAL YIn/ ........ NAIL TO: .................... a. 'lhia application must be conpletely filled in by typc~eriter or in ink and submitted to tim Pifilding Inspector wilt: 3 sets of plans, acettrate plot plan to scale. Fee according to sdJe&de. b. Plot plan s~iag location of lot and of buildings on premises, relationship to adjoining premises or pablic streets or areas, ,and siring a detailed description of layeet of property ~amt be drann on tlm dlagraa ~hid~ is part of this application. · c. aim ~ork covered by this application my ant he a~neoced I~efore issusuce of l~filding remit. d. Dpon approval of tiffs applicatiee, the Building Inspect-or will issue a Building Permit to the applicant. Sud~ permit shall he kept on Om premises available for inspection thrcughont tile work. · e. No beildiag shall be eeanpied or used in ~t~ole or in part for any purpose ~mtever until a Certificate of Occapancy shall have been granted by tim Buildlag Inspector. APPLICA'I~I(iq IS [gl~3Y ~ to the Building Departnent for tim issuance of a l~uilding Permit tatrsuant to the Buildiag Zone Onlinaoce of the llo~n of ~onthold, Suffolk Connty, ~ York, and otimr applicable La~a, Ordiuaocea or Regulations, for tim construction of b~tldings, additions or alterations, or for renzaral or demolition, as herein described, aim applicant agrees to co~ly with all applicable lans~ ordinances, building code, housing code, and regulations, sad to admit authorized inspectors on premises ,and in building for necessary inspections. (Signature of applicant, or nam, if a corporation) 3f~'~ ~Ot$5~A~ /~l/~ J,~Ur~/O~ A/~ ll~'7/ 0tailing address of applicant) State vimther applicant is oveer, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Neme of ~mer of premises ..................... .APRRO~ED. AG NOTED ........ If applicant is a corporation, signature of duly authorized" officer. ~ /c~-3 ,,, ~,~-~ NOTIFY BUILDING DEPARTMENT AZl' (Narc and title of corporate officer) 765-1002 9 AM 'fO 4 ~ FOR THE 1 FOUNDATION - IWO REQUIRED l~fildera Lieense No .......................... ~. ROUOH - ~ & PLUMBING Plmi~ers License NO .......................... 8. IN$~ 4. FINAL - CONSTRUCTION MUST Electricians License NO ...................... BE COMPt~ FOR C,O. Other Trade'a Licerma NO. ALL CONSTRUCTION BNALL MEET .................... THE REQUIREMENTS OF THE N.Y. I. I~cation of land on ~hich proposed ~rk will be done .......................... STATE .CO#$~I/CTION .~. ~;I~IERG~Y** 8uMiviaion ...................................... Film Kap No ................ l~t ............... 2. State existing use and occupancy of Irremisea 'and inte~x~-d use and occupancy of proposed construction: a. Existing ime and occupancy . ~ ............................................ I0. 14, 15. l~x:aLe elear'ly m~d distinctly f'rms property libras. Oix~ st~t ~4~etl~r ieterior or comer lot. Pature of ~ork (clmck ~hidt appljicable): ~ lkHhling .......... fidditicm ...~[ .... Alteration .v~ .... l~l~ir ............ ~at .... j ......... l~llti~ ............ Other ~ ~..~.~'~..L~.~ ..... I ~ripti~) (to ~ ~id ~s filing this a~li~ti~) garage, ~t~r of ~r$ ...... I I~mt~msn~ mnmrclal or mira} ~a~, s~ei~ ~ture a~l ~tent of each ty~ of I)in~nsi~m of ~isti~ atnm~res, if any: ~t ................ ~ar ............ ... ~pth . ................ Dlnmnsl~s of ~ st~tlmre with alterati{ms or ~mtmns. ~ont ............. Ihi8 pm~rt,y within ~ [edt o[ a ti~l ~ffitlaml~ ~ ~[q .......... ~ .~ ....... Pi.ifF bl~ a~t~r or asertpti~ acco~ing to ~, a~ ~ strut ~s ami i~lieate t ........ ~=3t~.7. :.", .0, .' ............... I~ing duly s~am, delx)mas taxi mqya that he m Lbo a~)l maal. I~i'M tli~i~l~O~. ~0~, ~flO~ ........................................................................ ~q~ ~Off3~t~tS~ ~cormrate oEfieer, etc.) cfi sai~l ~mr or t~ers~ m~l is dut~ ~thori~ to ~rfo~ or h~e l~rfo~ the ~itl ~k m~l to appl tcat~¢m~ Umt aH atatamnts c~?ta ~1 m tins allfl, tca~cm are tn~ ko the Imst of his k~xDl~ that tile ~Jrk will I~ ~rfon~l in (he r~m~r ~t forl.b i, the al~llcation fil~l tler~ifll. ,%a)rfl to be~? m this or.fy P~hfic, ~tale df New York ~o. 4~5~364 O~allfied in (SiR~mture of Appl leant) OlOHin09 ~0 N~Oi 0 0