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Home My WebLink About10360-Z FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Z Date ..! 19.7 9 10360 .... . 7............................ .. Permission is hereby granted to- ................. .. . ?' .................... .......:...'.......... ........ .............�....................... ...... .... f./.... at premises located at ..... ....... ..... f. �✓ ...,. .G� . ............................................................. ........................................................................................ ......... pursuant to application dated ... �� 6..-�..........................., 191,%., and approved by the Building Inspector. Fee .... .......... Building Inspector NUT 6L k i LT ZA-L_ ~U I L iD t DAlf: _ i�1 i 5 --- • �A a Z Np i — ?C)u G H F fz A I-A 4 1- 1 N C 3 I n . c •! !. y S i A!c i � (:jV CoD f - j VDko r=. iJ O I C to hJl !V\ 1V 1 S 5a -a --7. ' 9 r N 1 I - 7 i ! FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ..f: ?::o:... ..........., 19.7.E Application No. .1.�-f. `?.g............ , Approved .......... ......... ......... .. 19.... Permit No. . ��..... ....... Disapproveda/c ................................................. . ......................................... .......................................................................... .. ................ ...... ................... .............................. ....• ' . ....... ....... ....... ilding Inspector) APPLICATION FOR BUILDING PERMIT 70 Date ........ ..... .....Zff.............. , 19. .. INSTRUCTIONS a. This application must be completely filled in by typewriter or, in ink and submitted in triplicate to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this application. c. The work covered by this application may not be commenced before issuance of Building,Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to'the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a,Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. .................. ....... (Signature of applicant, or name, if a corporation) ... ......... N6V (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........................................................b:W ;t��Q.., ................ ................................I. I ............................................... Name of owner of premises �`a .. i^T`'p............................... ................................................................................................................... If applicant 's a corpo ate,. i ature of duly authorized officer. I' (Name and tle of corporate officer) Builder's License No. ........Y\1&elz ........................... Plumber's License No. ...................: ....................:..... Electrician's License No. ............................................ OtherTrade's License No. .............................................. 1 k will be done. Map No.: ............ ................... Lot No. ........................ -...... 1 ��F, �, (�l�c�,-t•� 1�1�, �...� Street Number proposed work P P .... ......................................................P....1) a .n...................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy .........:..' b. Intended use and occupancy ..........1 .�.�. ! : .41 ...... . ......... .. ..................... ~ � . 3. Nature of work (check which applicable): New Building.'--. .— Addition —i---- Alteration ............... ' Rapoir -----... Removal .................. .Demolition.................... Other Work ................................................ ......(Description) 90/��------ --________________________z Estimated Cost _ . . ' -----.�e .----�5 (to be paid on filing this application) � � / 5. If dwelling, number of dwelling units --':---.---Nun�berofdweUinQ units on each floor -.--�------. ' Ifgarage, number -of cars --.-.�—��'��.��.'�.---.------------------__--'—_-~-.'' --. 6. If business con�n�ancio| or mixed occupancy, nature and extent each typo of Use ----.��--. ' 7. Dimensions of existing structures, |fony: Frunt -- ............... Rear ... Depth ..... �Heioh� ...i . .— Number of Stories — ......................................................................................... ~ / ��6 Dimensions Front —'.�c��--_-__--- Rea .................. MS - �� Depth --.��8��-----. Height ''Nun�ber of Stories ................................ ��...................... 8. Dimensions of entire new construction: Front —.--�� Rear ................... Dooth ..�-��/�o� ............... �~ Height — ---' Number of Stories — ................................................................................... 9. Size of |o+: Front —..�� '1-0VA./�. _.____ Rear __�________. .................................... lC[ Doio of Purchase -- —.h0 (o ---_--_Nome� of Former r ._ Y`� _ c�iJ`_P� ____ ` � ` � ll. Zone or use district in which premises one situated -----_'---'- ............................................................. ^ 12. Does proposed construction |ote any zoning law, ordinance or regulation: .......9 [}x--.----_—.—_--- K] 'J 13. VViU lot be regraded "-~u° VViU excess fiU ba nynnovod fronn premises: ( ) ��a (�v� No � dr '_ ~ ,-~_'...~..,.lz Mone of Owner of premises , � -.. Nome of Architect ---. .�c-- ---------' Address .~.------~.-.-... .Phone No '..-.,_-.�.—, _-~ ~~ �0 � Marne of Contractor --...=—=,�� ........ Address ................................ Phone No. --..-...—.,�� ^ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all sot-bock dimensions from property lines. Give street and block number or description according to daod, and show street nonnos and indicate whether interior orcorner lot. � ' ' ` STATE OF — C~~ . . _----..being duly sworn, deposes and says that he is the applicant (Name of individdallsigning contract) above nomad. Heis the ................................................. .��. ..........--.---------_-_^----._'.----..,---_._______ (Contractor, agent, corpprota officer, etc.) ' of said owner or owners, and is duly authorized to perform or — have performed the said work and to make and file this application; that all statements qpntadnod in this application are true tothe'bos+ ofhis knowledge and belief; and thor the work will be parfornied-in the nnonnbr sot forth in the application filed therewith. Sworn to before mthiu o"' ". . __ .. ^r 1J Notary Public --'.:. ��~��/m«�um�.^x ' - cc---'..�----------- ' ' L (Signature�d�oppUcon� '�� Commission Expires M°"" ^0, /u�fira� FORM NO. Y TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined .. .. . .... Z............ )9......1. Application No. Approved .............. ..../...2............ 19G..1... Permit No. .1. ':K?.r�,3.�.,.. r........ Disapproveda/c ......:........................................ . .......................... .............. �r//CIF/ ......................................................... .. ` .......... .. I .. . ........... ..../!... ... Y/�..y,.�....... .. EB ilding Inspector) APPLICATION FOR BUILDING PERMIT Date . I..g............. 19.TCv'. .. INSTRUCTIONS7 a. This application must be completely filled in by typewriter or in ink, and submitted in triplicate to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and.giving a detailed description of layout of property must be drawn on the diagram which is part of this application. c. The work covered by this application. may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal" or demolition; as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing.code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. V LTA ................................................................................................. (Signature of applicant, or name,IIif a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .....................................................��`.p... = .. r .................... ................................................................................................. Nameof owner of premises .................l ...... p. .I:. !..... 47.............:....................................................:...................... If applica t i a cor o te, si aturg,�of duly authorized officer. ....... .��t� :. (Name and ti le of corporate officer) Builder's License No. t4' Plumber's License No. ....................f......................... Electrician's License No. ............................................ OtherTrade's License No. .............................................. 1. Location of land on which proposed wor will be done. Map No.: ................................ Lot No. ........................ Street and Number ......eA.%..L-E... LE........... .C=r.......... ! .4%�t.� '.....D� ...... P.................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ....... .I °;. L ......................................................................................................... b. Intended use and occupancy ....... �=5 ve 44..�....%1,ry�. ............... .... .. %..�`:::............... o� 3. Nature of work (check which applicable): New 'Buildirig .................. Addition .....':.......... Alteration ............,..... Repair ..::................Removal ...............:.. Demolitior.........:.......... Other Work ................................................ . .. (Description) 4. Estimated Cost ............. D ......................................Fee ..... .. ................... .................................................. (to be paid on filing this application) 5. If dwelling, number of dwelling units ......:....................Number of dwelling units on each floor ............................. Ifgarage, number of cars ........ ...0 A 5... .. ............................................................. .................... ................ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................ 7. Dimensions,of-existing structures, if any: Front ........Z.{�............... Rear ................................ Depth .. ........... Height .........1:...U . Number of Stories .............I.................................................................................................. Dimensions of some structure with alterations or additions: Front ..................................... Rear ... J ................ Depth ....... Height ............................... p ,,,,, ,,,,,,,,,,,,, . :.:-.: .:. `��.�.'....Number of Stories 8. Dimensions of entire new construction: Front ....... :.. :. Rear `' ...... Depth Height ........:.O..... Number,of Stories .................................................................................•...................................• 9. Size of lot: Front ...... �sU!.f, ......944. -Y?.............. Rear .......................................... Depth .. ............................ 10. Date of Purchase ........ * 7......04t,,0.......................Name of Former Owner .... P. ..... q. �' ............... 11. Zone or use district in which premises are situated ............ .................................. ............................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ........................................................ 13. .Will lot be regraded ......99............... Will excess fill be removed from premises: ( ) Yes ( ) No 14. Name of Owner of premises .V�L...�N:` 5..LTv. . .............. Address ................................ Phone,No. . ... . ........:.... Name of Architect ....... ..,t�......................................... Address ................................ Phone No. ...................... Nome of Contractor ....... ...1�!:�n....7.S.LxG b:-.�.............. Address ................................ Phone No. ...................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. lr �� 20 .3 � W J 2b O s.� Q M M M STATE OF NEW Y RK, t S.S COUNTY OF .. ................... ,.,, ., ..1 ...... � �� ............being duly sworn, deposes and says that he is the applicant (Name of individual sig ng contracts above named. Heis the ................................................................................................................................................................................. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the'best of his knowledge and belief; and thOT the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ....../... ...... day of .. 19.2.Notary Public, L... ....... County . ...............:........ ............. ................................... (Signature of applicant) RYA�RtLS� NOTARY'PUBLIC, State of NewYorkC No. 52-4'52202kCol9ty -;,sion Expires March 3 ...," FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 ;xamined . . . . . . . . . . . . . . . .. 19 . . . t Received . . . . . . . . . . . 19 . . . tpproved . . . . .*. . . . . . . . . . .. 19 Permit No. . . . . . . . . . . . )isapproved a/c .. . ... . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. (Building Inspector) APPLICATION FOR BUILDING PERMIT Date . . . . . . . 19 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector,with 3 ,ts of plans,accurate plot plan to scale. Fe e accordi ng to sce u Me�� b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ition. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit iall be kept on the premises available for inspection throughout the work. e., No building shall be occupied or used in whole or in part for any purpose whatever until a.Certificate of Occupancy hall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or -egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to dmit authorized inspectors on premises and in building for necessary •inspeck'it.•o�n . . . . . . . . . . . (Signature of applicant, r�name, if a corporation) 3(P . . . . . . . . . . . . (Mailing address of applicant) 'tate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ,4arne of ownerMkCOOL�AS of premises . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) f applicant is a corporation,signature of duly authorized officer. . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . (Name and title of corporate officer) Builder's License No. . . . . . . 5 E LF . . . . . . . . . . . . . . . . . . . Plumber's License No. . . . . . .77 . .. . . . . . . . . . . . . Y Electrician's Licen se No. . . . . . . . . Other Trade's License No. . . . . . . . . . . . ... . . . . . . . . Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. House Number Street Hamlet County Tax Map No. 1000 Section . . . . . . . . . . . . . . . .. Block . . . . . . . . . . . . . . . . :Z�Lot . . . . . . . . . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . a' *e')* . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . & M . 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . b. Intended use and occupancy . . . .Cq.i;AP,.rZF-- 3. Nature of work (check which applicable): New Building . . . . ... . . . . Additio . • • . . Alteration . . . . . . . . . . Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition . . . • • • • • • • • ..Other Work . . . . . . . . . . . . . . . (Description) 4. Estimated Cost . . . . . . . ®. . . . . . . . . . . . . . . . . . . . . . . Fee . : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .'to be paid on filing this application) Number of dwelling units on each floor .5. If dwelling,number of dwelling units . . . . . . . . . . . . . . " . � If garage, number of cars I. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . . . . . . . .: . —. . . . . . . 7. Dimensions of existing structures, if any: Front . . ':�. . . . . . . Rear . . . . . . . . . . Depth , . . . . . . . . Height . .1� . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or ad�i ipns: Front . . . . . . . . . . . . Rear . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . . . . Height . . . . . . t . . Number of Stories 8. Dimensions of entire new construction: Front . . . . . Ili . . . . . . Rear . . . . . . . . . . Depth . . .2. .. . . . . . . . . Height . . . . . . . Number of Stories . . . . . . . . . . . . r. . . . . . . . . . . . . 9. Size of lot: Front ..5P Rear . . . . . . . . . . ... . . . . . . De th ®o . . . . . . .y -0. Date of Purchase • • • • • . . . Name of Former Owner . . h�. . �• �� 1. Zone or use district in which premises are situated . . . . . . . . . . .`. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2. Does proposed construction violate any zoning law, ordinance or regulation: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. Will lot be regraded . . . . . Will excess fill be removed from premises: Yes No 4. Name of Owner of premises t6 ��R�. �1�?0):`TPAddress � - �►� .�4 Dd� +? hone No. � �.1��. . . . let Name of Architect . . . `. . . . . . . . . .Lrl Address . . . . . . . . . . . . . . . .. . . Phone No. . �''�. . . . ��. . . . . . Name of Contractor . . T9• ': . . . rr-V . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . . PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and,indicate all set-back dimensions from ,roperty lines. Give street and block number or description according to deed, and show street names and indicate whether iten*j6r or corner,lot. — -- l — — —t—- - -- --I-- — — - 2 —o— - -- - - 7;- r ' -- _ — �o Uk- r , - _ ;TATE OF.NEW-YORK,-- ---- -'OJNTY Or -- • • • • • . . . . . . . . . . . . . . . . . . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) :hove named. leisthe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Contractor, agent, corporate officer, etc.) 4 said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this pplication; that all statements contained in this application are true to the best of his knowledge and belief;and that the work will be performed in the manner set forth in the application filed therewith. worn to before me this . . . . . . . . . . . . . . . .. .day of. . . . . . . . . . . . . .I19 Jotary Public, . . . . . . .1 . . . . .✓t-.��u�G---, County . . . . . .. '+ .� . . .. . . . . . . . . . . . . HELEN K.,DE VOE '_.. • • r; NOTARY PUBLIC,�iate_of New York � �• (Signature of applicant) Me.007878,Suffolk Count � � � \ Term Upes Marc? 30, 1?i FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 ;xamined . . . . . . . . . . . . . . . .. 19 . . . Received . . . . . . . . . . . , 19 . . . .pproved . . . . . . . . . . . . . . . .. 19 • . 'Pennit No. . . . . . . . . . . . )isapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( • • . • . . Building Inspector) APPLICATION_ .FOR BUILDING PERMIT ?Date . ..t... . l 8 . 19 ..i. . .I INSTRUCTIONS a. This application must be complete y fillPri in h Pwri a or_ n ink and submitted to the Building Inspector,with 3 ;ts of plans,accurate plot plan to scald. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets r areas, and giving a detailed description of layout of.property must be drawn on the diagram which is part of this appli- ition. c. The work covered by this application may not be commenced before issuance of Building Permit, d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit call be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy Mall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or -egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to dmit authorized inspectors on premises and in building for necessary inspe�cttii s. Signature of a licant or name, if a corporation) ( b Pp P ) (Mailing address of applicant) itate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . • . . . . . . . . . . • . • . . • . . • • . • • • • . . • • . . . . . . . . . . . . . . • . ••. . • . • . . • • • . . . • . • . • . . . • . • . . . • • • . . . • . . . . . . . . . ,lame of owner of premises x. . . . . z149 Z.TU. . . . . .. . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . (as on the tax roll or latest deed) f applicant is a corporation,signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. . . . . . �-�:. . . . . . . . . . . . . Plumber's License No. . . . . .T.°. . . Electrician's Lice;se No. . .To . .3 C . .$VX -GG'G Other Trade's License No. . . . . . . . . . . . ... . . . . . . . . :. Location of land on which proposed work will be done. Chi' :. . , , ® � .'. . • . �;', . . � , , , . , , 1�e . . . . . .S.cV:7(t4p.L:D . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . House Number Street Hamlet County Tax Map No. 1000 Section . . . . ..�W . . . . . . . Block . . . . . . . . . . . . Lot . . . .':� . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . (Name) ?. State existing use and occupancy of premises and intended use and occupancy of proposed construction: Ya. Existing use and occupancy . . . . . . H8!" . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . `l4 b. Intended use and occupancy . . . . . .�� .�.®rr. r �.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. Nature of work (check which applicable): New Building . . . . . . . . . . Addition . `. . . . . . Alteration . . . . .` Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition . . . . . . . • • • • • . . Other Work . . . . . . . . . . . . . . . (Description) 4. Estimated Cost . . . . . .59),P Pq. . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . (to be paid on filing this application) S. If dwell: g,,.number of dwelling units . . . . . . . . . . . . . . Number of dwelling units on each floor . . . . P. . . . . . . . . . . If garag'e,.number of cars . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .... . . . . . . . . . . . . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . . . . . . . . . . . . . . . . . . . 7. Dimensions of existing structures,if any: Front . . . . . . . . . . . Rear . . . . . . . Depth . .` 6 . . . . . . . . . Height 4�LFWDYC . .�.(2�. . . Number of Stories . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . .�. . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front 7.1-. �1►0.(;.ARAkERear . _.ii? . . . . . . . . . . . . . Depth . . . . .3.4 . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . 8. Dimensions of entire new construction: Front . . >�.'4 . . . . . . . . . Rear . . j. . . . . . . . . Depth . . .. . . . . . . . . . Height .APA'RO)�. Number of Stories : . .`�. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . 9. Size of lot: Front . . lilt l•n5 .1,�. Rear . . . . . . . . . . . . . . . . . . . . . . Depth r . . . ..�. . . . . . . . 0. Date of Purchase . . KA:� .. q 1P q. . . . . . . . . . . . . Name of Former Owner . . MAL . .t"ti�H,A . . . . . . . . . . 1. Zone or use district in which premises are situated . 1Aer-A-mo,�. . . . . . 2. Does proposed construction violate any zoning law, ordinance or regulation: . . . .1�®. . . . . . . . . . . . . . . . ... . . . . . . . 3. Will lot be regraded . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will excess fill be removed from premises: . Yes No 4. Name of Owner of premises . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . .Phone No. . . . . . . . . . . . . . . . Name of Architect . . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . . Name of Contractor . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . ... . . . . . . . Phone No. . . . . . . . . . . .. . . . PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and,indicate all set-back dimensions from roperty lines. Give street and block number or description according to deed, and show street names and indicate whether rterior or corner-lot. 12 IDS ,o 44 ;TATE OF NEW YORK, S.S ,OUNTY OF . . . . . . . . . . . . . . . . .. . . . , , . . . , . , . . , , , . . . . . . . . . . . . . . . . . . . . . . . . . . . . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) :hove named. leisthe . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Contractor,agent, corporate officer, etc.) 7f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this pplication; that all statements contained in this application are true to the best of his knowledge and belief;and that the vork will be performed in the manner set forth in the application filed therewith. worn to before me this . . . . . . . . . . ./A (Z. . . . . .day of. . . . . . . . . . . ., 19 Notary Public, . . . . . . .1146 : . . . . .&-�.UK... County J - 'V" Vi . . . . . . . . . . . . . . . . . iIELEt�t K.DE WE ."' . . . . . . . .��///1j��_f i . NOTARY PUBLIC,State of IUev,York �X.P/ . . /U ignature of applicant) N4 4307878, Suffolk Count TVIn L�A;u:e�March 3(L,1 1 FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD,N.Y. NOTICE OF DISAPPROVAL Date .d / . . . . . . . . . . . . . . . . . 19 . To . ., . . � ��r . ... . . . . . . . . PLEASE TAKE NOTICE that your application dated . . . . z/( � . l ., 19 �/. . . for permit to Location of Property .�� . . . � �� . . . . . . . . . . . . S✓� . House No. ree damlet County Tax Map No. 1000 Section . . . . . . Block a.17.. . . . . . . Lot aQ,7- . . . Subdivision . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . . . Lot No. . . . . . . . . . . . is returned herewith and disapproved on the following grounds . . vl/� . . �d� . . . . . . . . . . .. . . -?ri% . . . . . . . . . . . . . . . . 5el le� . . . . . • . . ..GO'.;. . . . . . . . . . . . . . . . . . . . . . . . . • s • • o • • • • • • • • • • . • . . • • • • • • • • • • •.. • • . • • • . . • • • • • • • • • e • • • • • • • • . • . • • • o 0 0 • I • s. • • • o • • • . • • •. • • . • • • •. • • • o • • • • • • • • . • • • . • • • • • • • • • • . • . • . . e o . o • • • • o . ♦ ♦ • • o • . • • • o • • • e. • . o • • . • • ♦ • • • • • • • • o o • • • • . o • e . e • • • . o • • • • . • • • • • • • • • . • . • • • • . • • • • • • • ♦ • e • . • w . • • • . • . • • • • • • . o o • . • . • • • • • • • o • • . • • • o • • . • • • • • . • • • . • e • • . • ♦ • • • • • • . . • e • o . . . . . . . . . • . . . • . . e e . . • e . . . . • • .P . . . • . . . • • ' oInspector. • . . . ® • Building RV 1/80 FORM NO.3 t: TOWN OF SOUTHOLID BUILDING,(DEPARTMENT TOWN CLERIC'S OFFICE SOUTHOLD,N.Y. NOTICE OF DISAPPROVAL File No. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Date . lccy✓S`. . . . . ��. . . . . ., 19 To —A lau PLEASE TAKE NOTICE that your application dated . . . r�s? . . . D • • • • • • • 19 . . . . . for permit to construct . .. ��?�1. • • r at r ,�✓ • Ord rJ��'-fC�'� Location of Property /�CJ�Cs 4� • •a � °'� ' ' ' ' ' Hamlet House No. Street County Tax Map No. 1000 Section J. . . . . . . Block • • • • • . . . Lots "° Lot No. Subdivision . . :-..�. . . . . . Filed Map No. . is returned herewith and disappr oved on the following grounds . . .t�. . . . ..�s . . � � -. � a.�!. . . . . . . . . . . . . . . . Building Inspector RV 1/80 Application Received Disapproval Issued Permit 19 i 19_ ' 19 I FORM NO. 10 APPLICATION FOR DEVELOPMENT PERMIT In the Town of Southold 19 1. Type of Development Proposed: New Structure (including storage tanks Addition and/or Alteration Flood- Proof Below Base Flood Elevation II Other ( specify) 2. Elevation Data in relation to above mean sea- level of: (a) Lowest floor elevation, including basement feet "inches (b) In a V Zone, bottom of lowest structural member feet inches 3. FIRM--Flood Insurance Rate Map, Zone designations &:14/ 4. Owner of Premises Ava' lylpo %,_ b 5. Location of Property: I+tluFE � S�"REeT kHM�F�` County Tax Map No. , District, 1000, Section Block Lot( s) Subdivision Filed Map # Lot( s) 6. Permission to be ranted: Owner as above New Owner ,--=- (Under Contract I Lessee �� Contractor q G PHOfVE IIVM QEfZ /NAME CIF NOT GIVEN ABOVk) AND MAf LING A DTZL-55 �6!til h41�L( - a `Z 7. -Approval from other( s) before Permit is issued: DEC WETLANDS _(_Town Board) HEALTH SERVICE ZBA - BUILDING PERMIT PLANNING BOARD the applicant, am- the -Owner , Co-. Ownero , New Owner - , Under Contract)=, Lessee=, Agent;_ , C'on- tractor=, and agree to comply with all applicable sections of the Code of the Town of Southold; County, and State and to admit authorized in- spectors to premises authorized to perform or have performed the said work and to make and file this application, that all statements contain- ed in this application are true to the best of my knowledge and belief .and that the work will be performed in the mannerset forth .in the application filed therewith. STATE OF NEW YORK �. �V COUNTY OF U h- h�- l� SS SignaFtre SWORN TO THIS DAY OF 19 Notary Public -A Bayv_� Applicant' s mailin address and phone if not given above: 4/80 ('. i FORM NO. 10 TOWN OF SOUTHOLD BUILDING DEPARTMENT (516) 765-1802 P.O. BOX .728 TOWN HALL SOUTHOLD, NY MAIN ROAD 11971 SOUTHOLD.. NY r ' "'APPLICATiON FOR DEVELOPMENT PERK TT Instructions: The application to the Building Inspector includes (each in duplicate) 1. Form No. 10 filled out in ink or typewritten, 2. Sur- vey of premises with elevations above mean sea level, 3. Drawings of pro- posed work. The application must give complete information to show- that the proposed can comply to the Local Law No. 1-1980, Chapter 46 of' the Code of theTown of Southold known as "Flood Damage Prevention Law" of the Towm•,,of- Southold: - The applicant .must submit approvals that any .other agency requires. General Standards as required in Section 46-17 of. the law to minimize flood damage: A. Anchoring of structures, including tanks and mobile homes B. Use of construction material and methods C. Design and location of utilities , D. Subdivision 1,proposal with drainage, public utilities design and base flood elevations Specific Standards as required in Section 46-18r A. Residential construction B. Non-residential construction C. Mobile homes The applicant must "submit -plans and specifications as well as any other information requested by the Building Inspector ,to substantiate the facts that the structure has or will have the lowest floor, including basement/ cellar, elevated above ..-the •base flood elevation or; if permitted by the Federal Regulation'; that: 1. such-'structure is flood proofed in such manner that below the base flood level the structure is water tight with walls substantially and impermeable to the passage of water, 2. that structural components are capable to resisting hydrostatic and hydrodynamic loads and effects of buoyancy, 3. applicant must subihit certification by a registered professional engineer or architect that the standards set forth in Section 46-18B (1) (2) (3) of the Southold Code are satisfied. Coastal High Hazzard area (V Zone) 46-19. Applicant shall submit plans, specifications including the required certifications and such other in- formation as the Building Inspector may require, in that .the provisions of 46-19 are complied with. Mobile. homes are prohibited.. The lowest I portion of the structural members .of the lowest floor cannot be lower than the base flood elevation with all space "below open except breakaway walls. Sand dunes. If sand dunes exist on the premises and the applicant pro- poses to alter same, plans and specification must be shown in detailed nature of any alteration submitted. Buildinz Permit. A Building Permit is also required for any structure.. Both a Development and 8L Building Permit must -be issued before any-work can startin a special flood hazzard zone. A written disapproval or a permit must be issued within ten (10.) working days. During construction.. . the -inspector shall be notified in time so he may make the required inspections. , Upon completion, the required certification.fo the final elevations and work must be submitted before the approval to use or occupy can be approved. (Fill out the form on the back of this sheet) 4/8o TEL. 765-1802 Four TOWN OF SOU OLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD,N.Y. 11971 June 14 , 1984 V . I . P . Inns Ltd . % Nicholas W. Ippolito 36 .Gehrig Street Commack , N.Y. 11725 Dear Nick: I have reviewed the. applications you delivered .to our office the other day , . please comply, as outlined below. 1 . Returning one application , complete in .ink or type- writer ( pencil not acceptable ) also where marked in red . 2 . Furnish -plans for proposed .addition in triplicate showing construction details--also site plan should be - more detailed , where is front. -yard � and rear yard? Your Building Permit #1036.OZ expired on Feb . 17 , 1981 . You are now required to take out a new .Building Permit for the proposed addition to - the dwelling on w/s,ide of Carole Road . However , in checking the county tax records for your tax num- ber I find that the parcels you own on each side of Carole Road are under one ownership (V. I. P . Inns Ltd . ) in addition , the road . is owned by you. I was not aware of this since you .have .never submitted a survey with you application for building. .Under .zoning this is one .parcel with -two one family dwellings .. -For you to enlarge the dwelling on the west side of road way would require .a variance . Please complete ap- plication in ink or . typewriter. where marked in red and return to me for a disapproval. On plot plan give set back dimen- - sions of existing buildings• and of proposed construction . F r' Nicholas W. Ippolito June 14 , 1984 Page 2 I shall be away. next' .week. 'You may ,contact me in the office on Monday June 25th or that week . Yours truly , EH :hd Ed Hindermann Enc . Building Inspector P .S . Please be sure to complete all applications and fur- nish surveys & plans in triplicate . All plans and surveys must be complete in detail . ' r t 1 TEL. 765-1802 C111 LEI®� TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR � P.O. BOX 728 00. TOWN BALL SOUTHOLD,N.Y. 11971. July 16 , 1984 Nicholas W. Ippolito 36 Gehrig .Street Commack, N .Y. 11725 Dear Nick: After checking ,into the Appeals Board file approving your subdivision of motel property there were no conditions other than that the unit on lot #3 , which you. r'etained , be used for one - family residential use . .I do not believe the board was aware that you had. the other lot 'and that you .now have two dwellings on. this one .parcel of land . As I mentioned to you a variance will be necessary- to enlarge the . dwelling on westerly side of lot . Please submit application for building permit showing .everything you plan to do so that I may make a .complete review of your applica- tion . In making. .your application please comply .with request .as stated -in.- our- letter of June 14 , : 1984 , - ie : .All plans & surveys' shall be complete,.,in /Edermanin You Ed EH :hd Bui/lding Inspector v c SEC. N0. 051 / s°•�----- SE SEC. NO �I b LINE \ R ra, / / MATCH LINE - a o T L 61 GI 0/ OLl S . /!..l � // F;^,! J°• /fir °tJ � F 1 u' y � Lti Y / b � •r V 1 / • a� � O ss.st �d, p a ro ti o a p rn 4 >€ �I�.O• �?�S O ri ISO 00 r 'tl i I.O iJ. 16 91, IPA It / ! ec r •G I 4"I 6 s, 0 O y 7 �— E -4 D / m h / / p 19 � m v A lb . ,jai o° ,,�� •. nr/ \ k", 2o9/ ?rs qbb, RI p�J fg. Q s�� 0 O .y o.//;,/ <O IV co l.2 � \\'/12J.• 292y ry JJ\/gB 9/ i?i't. ! i FLOOD ZONE AO (DEPTH 2) SURVEY OF PROPERTY FIRM MAP NUMBER 36103CO158H IN SOUTHOLD N i TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. i iSCALE- 02 �30' ✓ULY 1, 2014 I ' i SSpcH�P�\5 � ` oozo r E STORMWATER MANAGEMENT CONTROL PLAN ROQD \ OIF AUG.51 2014 .m `°o. / •\0 50\\5£t i PO\ps�0 \ \ // N&OV001Pp0 v s \ NIO 9\a� �0��9 i m` '.6 o No•\ T\I0�JO / 5�� eo 16 0 \ b• 5 gc o, •o. AREA OF UPLAND 13,901 sq.11 \( op \ o �o G 13901117740 a 78.4X \ c \ & AREA OF WETLANDS-3839 sq.11. 38rn774o•u.6% 0/0 RAIN RUNOFF CONTAINMENT: - DWEUJ 778 Sq.Ft L 778 v 0.17 M 1-132 Cu.FL - - Provide 2 DWe.6'21 x 3'Deep Connected by Gutters k Leaders �9 .0 VO Apt''... 40 . A4 0 =MONUMENT ' S --, i:n � = a--LAND FLAGS-AS DETERMINED BY SUFFOLK ENWRONM£NTAL Z� ' CONSULTING,lNO ON JUNE YZ 2014 i C. NO. 49618 ANY ALTERATION OR ADDITION TD THIS SURVEY IS A WOLATION PECON/C SURVEYORS,-P.C. OF SECTION 7209OF THE NEW YORK STATE EDUCATION LAW. dI1 G+ _ EXCEPT AS PER SECTION 7209-SUBDIW-VON 2.ALL CERTIRCAnONs AREA = 17,740 $Q. �. P P.O.BOX 90920 FAX(631J 765-1797 HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURLEYDR SHEET I Of 2 1230 TRAVELER STREET BHOSf SIGNATURE APPEARS HEREON. 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'1 a S(I.L �' i� X to- .w F ! t+4 i++ - �. �! NOTIFY BUILDING•DEPARTt,� NT A ix _ _ i�b=TE2y 2XCo 'dolto• 3!a{zt "]GI'1- S02 n AM TO 1F FOR TH I ;CC-ILIA.) � FOLLO��JING INSPECTIONS: r 1 { t f i 1 r tTv,9Ntit1 'mow. ' i S t .-. '2?t8 8��. t t ( - ------ - = I 1t • �ISt,, 378 � i , - I 1. FOl✓NDATION - TVVO REQUIRE FOR POURcD CONCRETE , I .3�6S 'LX8 it&2:. 414.1 43�- t 2. ROUGH - FRAPl�ING & PLUMBIN ; f ;� ' j for-q�' 4C► 3• INSUI ATIO�J - k ILI "'' UNr-M ,UIT?z r 1D6r_- s2x8 I 1/2s' i 23 4. FlrIAL - CONSTRUCTION MUS i - f _ i BE COtr",PLETE FOR C. O. " t SHALL h1E T I rj4. y l21_S�isTt I l = 4�' " - 2Xd- . Q�Co - , ALL CONSTRLCT.OI`J , t p 1 n� ga --; _�_.,. lYti�• i 1 THE p-QUIRPt,1EN'TS THE rN- P •r •,« f nn •. STATE CONSTRUCTION & ENER IoXP� I��3 r112 . -35 . CODES. NOT RESPONS(3LE F R III - DESIGN OR CONSTRUCTION ERtZO I Q pls^t-�.• , ,` tom-_ �x8 k == �+ " � YOUR HOME O BUILD TO IMPROVE _ GARAGE PLUS i Ir -- - — ?8 8 TF r -� a A y / -•—.-� fop -�f t��• y at ,,��`S'� //''.- V By /?.XCo_ �D•-T i� o•. �Xa-c�ttr -'' suc nTus =` � Loft Has Mony ' � - Possibilities _ -- - Architect -�✓ p W - - -- �s_(,Ef j, , :D(5TS 7(� $E�an', HERE IS A GARAGE that provides more than parking space m for two cars. It is designed with an upper level that can be = converted into an efficiency apartment,a studio or a la area. O Four eormers make it bright and cheerful.On the lower level, d there's an 1 I-foot work bench along one wall.The garage is 26 feet 4iJe y 2 p y m ground to ridge. V b 3 feet deep b 23 feet from Z ..` I, i _ A--_ to J `` { r �( Jj/ ro < ��,'�•rr J f�' LAiV _cap m11'15 ' Wl.+�G+`- f W i ( i �n��ay < rAt 5 N -,�i/► .•I�� ° "•'°t"i�'.� ! i '•r '1 °° ��,*/41 '�; °d It to _ • _ _,.. i. . lx � ' to -i_: US o _ 0.82,5 x GR iME gT�TE Cf .- .. ..- . . ..:--s•••r,_ ..._'.aavW..•..:-.,. -„ _- ..-.,-...m ... .. ... ,.,"^'P'•;.rs+r,. - "..,•+wr+anu.c3naeru .:.e.+.wn•aa,•,-.•c-•...:-w••`. .�_ _..—T. '�::?<-s4 - , ^..a!!^:wew,ere+aw•a^ a+ !wr•.+.w,•c•,«.....,.,..... ,. .. 77 p .. . 0 t ' t £ - 1 Iv a ` , Av? t t § Lr+ 1 � t /s • 1 , Si t 1 •ti 4 _ � p i 1 k i S .. � •.'7GG of r.7/� ! , 1 1` tt / �✓ r i f" r Jam` TtHORLLw ALTERAflom OR Apou" ? ID ZHIS SURVEY IS A VIOLATION Of WION 7Y09 OF THE NEW YOYK STDn �' Aa tf j ( ♦ �,,}. ,, P rg:AUQN LAW. „ ti r • ! Pf i, /t! / } iw i'� WOES OF THIS SMWY AW 140T I M"q r". 7 + ✓ ..•» E LAT®9U"VEYOR^S I"M SEAL OR s MSOSSED SEAL SHALL MOT N ' t "f_�' ml;r r""+ Ci{''' �` `r.r .*:'�..�j a.% Ie'J 1 °^Y/. i+c..�`l.;i.,,l�/ {• r�� s:' (f r! �@i A VALID TRUE COSY. COi'98L"k�RfO 1 f _ ._.A.�.• + //�` -r_. / ..•.y: r/rI r-M AMEES IT0ICATED Il31ON SHALL RUN' ONLY TO THE PERSON FOR WHOM p!E 89k4++E't 5 MPAREE1, AND ON HIS UNALF TO tFtE 1 jf (Q1E COMPANY, G*VERP4hoF`<TAL AC RWC, AtiQ {MtNG INSTITUTION LISTED PPEr}()K A� + - (,^ 3°+'°•`, 'f y,( ,^'j"' f Jt,'(♦ "'f + (C,THE ASSIGMLES OF THE ll':'8?iwMi 1ptaP!. i ir nr,)O :GUA.RAMTVS ARE MOT T&APo'Si,4Ak, �' >' Y f AiZ+)ifl+7kns tfA9i,auY0,.N5(�q SISMFOUFti �owWe. I k / 1 E /Y`� f r.� �. I..<.,t. • .. tl'i' L_' p �- • 7'_�. J.. f 1 i 't• + w A,,t CN Y.. j a h�l I F.• a � � ' 1 �J r w t r , > . e J 4 " ' t �Z 1 ` 13 7 Wit, i • w t 3 t i r,a }� ) ®XTIIHOlElZLD ALTH(AdIUTAt 09 raiQnlPocry � /' / � � J jt-• l Mr,I� J { L THIS SURVL,Y IS A VIOLATION OF } t l ! 44d MION 7209 OF THE NEW Y02K STAn AES OF idON LAW. ►(°�' l P , r r ` j ti r PI THIS SM"EY PAP NOT Ss:aG m ,te r.. ♦ w",`'r`s.;�` r`r♦'l,' C'.., ►♦,,:f :'✓�• C i ( J r (�'.' iE L4T'D SURMCR'S P-M0 SEAL CAR ? !' ► �/J U I1�lr9:•.++ `± f !rr -v' P V"SSED SEAL SHALL MT CE COAuI I c J`j�. Y a r ' ( i; P j r ♦ YQ kE A VALID TRUE COPY. r..+ v /1"a t Lr✓•v/,r:' �.+T� f;,',�.-r,rs pj ,,• ! s ♦ •,I / .,.....,, ►(,��^^ tF MANTES uCICAD HERcON SHALL RVA - /1,=.. ♦ `/ ;^._« "F' 4 A(`ram 1)"r,LY TO THE PERSON FOR WHOM THE VWVCi 6 MPARED, AND ON HIS SLHALF TO*Z J t *t(jlF COMPANY, GOVERNMENTAL AGENCY A€£1 i �� ♦♦ !A f;" f' k �'r Lfjl/fJ di��/ 4^�ftcrrr-UMLMG INSTITUTION LISTED Me$*CoL AM M THE ASSIGNEES OF THE Ly+ C.IMM% c�A•+ t' � t^ fr'•ry.: f ••�r'• i P �,f• Jet C)TIOW GU"ANTM ARE NEST TitP'WUM ► Rp Mt51?if!OK„) IvtsiLYAd1'9Llf�,11R SA¢TSLGtuE!•(T e'. t1 r.J„"i(�. ,� f} � � 7 7 :�n+t a♦1 ,cy f o x \ `u V I ZIA 1A - d C3 1 •�.. 'oA .s;.®ice •� i '• ,�. 9 . r�gg ' -a ^I+� �.,+ � w'; �" �� yi:jai 1� K''SIJ,`. ��r�ry'�•`.1` } 1 ` 4 �,x�►��,.y,r,•Y� d �� `` � �. + ,.?o � ♦ J ,�r.3r�t.Y "�^��g �..1 � .„;� Cax.�.sc+ �'.''.•. ��' '�-^zp '� � ,pt ',�,pxW e •'�h.,,��' ,�.,: rs,�' �. 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