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HomeMy WebLinkAboutCutchogue Lions Club Car Show 2025-15 RESOLUTION 2025-416 ADOPTED DOC ID: 21341 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2025-416 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON MAY 28,2025: RESOLVED that the Town Board of the Town of Southold hereby grants permission to Cutchogue Lions Club , to hold 54"d Annual Car Show Fundraiser, Special Event 2025-15 at Pindar Vineyard 37645 Main Road, Peconic,NY , as applied for in Application CLCla for 54nd Annual Car Show Fundraiser on, Sunday, June 8th, 2025 from 8AM- 5PM. All parking must be contained on site. Provided they adhere to all conditions on the application, permit and to the Town of Southold Policy for Special Events. This permit is subject to revocation if the applicant fails to comply with any of the conditions of the approval or is unable to properly control traffic flow into and out of the event. Denis Noncarrow Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: Anne H. Smith, Councilperson SECONDER:Brian O. Mealy, Councilperson AYES: Mealy, Smith, Doherty, Evans, Doroski, Krupski Jr IW-D C? v Special Event Master Permit TC Checklist for Special Events (Farm/s�/Wi`neries/Private Events Applicant Name: L- +L�O G u� L c O nS Type of Event(i.e. Community Event,Wedding,etc.): Application(Master/15t Event) Date Received: /__q- /2025 ✓' Addendum(s) n No. of Addendums attached: Date Received: 4 / /2022-S Same type of event as Master? ✓ Y N 9e Fees to be collected: lot` vJC-A CI Ma tei/Vt Even-fee($3'00:00) D`a-fe Received: Addendum(s) ($50/Addendum) Date Received: / / Total Due: $ Late Application fees: $500.00 -30-59 days before event Total Due: $ $1,000.00 - 14-29 days before event Total Due: $ 2 Total Paid: $ � 3oa -C Check#(s): �J I ✓ Current Certificate of Ins. Hold Harmless Agreement �,./ Application sent for approvals to the following people: •Gwynn Schroeder ✓ Denis Noncarrow Stacey Norklun After emailing application and all applicable paperwork to the people above, put application in `pink' pending folder. Mudd, Jennifer From: Mudd,Jennifer Sent: Wednesday, April 9, 2025 9:13 AM To: Mudd,Jennifer, Franke, Diana; Born, Sabrina; Noncarrow, Denis; Norklun, Stacey; Schroeder, Gwynn; Stype,John; DeChance, Paul;Johnson, Benjamin; McGivney, Julie; Schlachter,Amy; Squicciarini, James Subject: Special Event - CLC1 (Cutchogue Lions Club) Attachments: CLC 1 a.pdf Importance: High Good Morning, Please see attached special event application. Thank you, Jew Jennifer M. Mudd Sub-Registrar and Deputy Town Clerk Account Clerk Southold Town Clerk's Office ? 53095 Route 25 P.O. Box 1179 Southold,NY 11971 Phone: 631-765-1800 ext. 1274 Fax: 631-765-6145 \ 1 u c la Paul Renner Website:CutchogueLionsClub.com President,Cutchogue Lions Email:CutchogueLions@optonline.net PO Box 715 IFI:@CutchogueLions Cutchogue,NY 11935 RECEIVED APR - 7 20 April 5, 2025 Southold Town Clerk Waiver request for permit This year the Cutchogue Lions Club will be hosting our 541'annual Charity Event. It will be held on Sunday, June 8, 2025 at the Pindar Vineyard in Peconic. We respectfully request a waiver of the special event fee. The proceeds from this annual event are used to benefit our Lion SEE(Screening Eyes Early)program that has to date screened over 1,600 North Fork children for eye issues, and local charitable organizations as well as members of our local community who need assistance. If you would like more information, one of our members will gladly drop by and explain our program in greater detail. Yo ruly, enner P sident, Cutchogue Lions Club I y ze �®1 Sao TOWN OF SOUTHOLD Town Code Chapter 205 "Public Entertainment and Special Events" SPECIAL EVENT PERMIT INSTRUCTIONS AND APPLICATION FORM Applications for a Special Event Permit are subject to an inter-departmental coordinated review by the Southold Town Board,Town Attorney,Town Assessors,Land Preservation,Building,Planning,Zoning Board of Appeals,Police Department, Government Liaison Officer,and Suffolk County Planning. Application fees: Special Events of the same type: $300 for an initial,master application and the first event.Each subsequent event of the same type,up to(or unlimited or limited to)(x?)events, requires a fee of$50. All special events require a one-page addendum including the specifics of each individual event. Different types of events require a separate and complete initial,master application. All applications must be submitted at least 60 business days prior to the event.Applicants are encouraged to submit applications as earlv as possible.Any application submitted between 59 and 30 days before the event will be charged an additional $500 late fee. Any application submitted between 29 and 14 days will be charged a$1000 late fee.Late fees will also apply to late event addenda. PLEASE NOTE: NO APPLICATIONS WILL BE ACCEPTED WITHIN 14 DAYS BEFORE THE SPECIAL EVENT DATE. IMCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED. The Committee will obtain comments on all applications from relevant Town,County and/or State agencies and will forward completed applications to the Town Board with a recommendation as to whether to grant or deny the application. The Town reserves the right to request additional information from an applicant to address issues related to the health,safety,and welfare of the community. When is a Permit Required? All Special Events,per Southold Town Code Article I,Section 205-2(Definitions)must obtain a permit. Occasional events on private residential properties hosted by the owner thereof that are by invitation such as family gatherings,weddings,graduations,parties or not-for-profit fundraisers do not require permits. Any use of residential property for profit,such as a venue for weddings or other events is prohibited. 1 This application is deemed complete once all the following requirements are submitted to the Town Clerk: Please indicate submission of the following by checking off the boxes and signing below. dJ A completed application form signed by the owner and the event manager. Applications without property owner's signature/approval will be rejected. FEE: Is the application being submitted at least 60 days before the event[X]Yes [ ]No If Yes,Fee of$300 has been submitted Wavier Attached for chariable organizations ❑ If No,Fee of$ has been submitted t�J The applicantlowner of the property where the special event is proposed to take place must provide a certificate of insurance not less than 2 million dollars naming the Town of Southold as an additional insured C//A signed and notarized Hold Harmless Agreement naming Southold Town GY An up-to-date Certificate of Compliance issued by the Southold Town Fire Marshall or the Town wilding Department [Z A valid Certificate of Occupancy in all buildings used during the special event. ��L 56 A Parking/Event Plan: consisting of a survey, site plan and/or aerial view of the subject property that includes the locations of on-site parking, sanitary facilities, and tents or other temporary structure(s). (See application form for details) Events for three hundred(300)or more people require submission and approval of a traffic control plan acceptable to the Town of Southold AND a qualified traffic controller must be provided at the event. (See application form for details) Nd Signature of Property Owner on the application authorizing Code Enforcement Personnel of the Town of Southold to enter the subject premises during the hours of the event to ensure compliance with any and all special event permit conditions. My signature below affirms that I have submitted all the information required above in connection with my application. Dated 4&a u Activities associated with outdoor public events are strictly prohibited from taking place on land preserved through the sale of development rights to the Town of Southold, and can only take place on land preserved through the sale of development rights to the County of Suffolk with a permit issued by the Suffolk County Farmland Committee. If food is to be served, it must be catered and prepared off-site by food vendors who hold a permit to operate issued by the Suffolk County Bureau of Public Health Food Protection Unit 2 CLC IQ MASTER APPLICATION FOR A PERMIT TO BOLD A SPECIAL EVENT PLEASE PROVIDE ALL OF THE INFORMATION REQUESTED BELOW INCOMPETE APPLICATIONS WILL NOT BE ACCEPTED FOR INTERNAL USE ONLY Special Event Master Permit#: Date of Submission:4/7/2025 Applicant's Name&Title:Cutchogue Lions Club Applicant's Phone:(631)872-9146 Email:kretschmannmrk@pm.me Property Owner(if different from above):Pindar Damianos Owner Phone:(631) 734-6200 Email:Info@Pindar.net Contact Person(if different from above): Michael Kretschmann. Cutchoguq Lion Club Fundraiser Chair Contact Phone: (631)872-9146 Email: kretschmannmrk@pm.me Event Venue: Pindar Vineyard's parking field Venue Address: 37645 Main Road (Route 25), Peconic, NY 11958 Hamlet Peconic SCTM#'s 1000-Section 85 Block 2 Lot(s) 14 Name ofEvent(s)Cutchogue Lions Club 54th Annual Fundraiser Type ofEvent(s): Charitiabley Fundrasier (Please complete one addendum below for each individual event) Date(s)of Event(s): 6/8/2025 Is there an approved site plan for the event venue?Yes[X]No[ ] Attached Maximum Number of Persons Attending at One Time(including staff): 250 Max#of Cars Expected at Any One Time: 200 Is a tent or other temporary structure being used?Yes[X]No [ ] If yes,provide of tent provide size(s): 10 ft. by 10 ft., 13 ft. by 13 ft. Have any of the development rights been sold to the Town of Southold[ ]Yes[X]No and/or Suffolk County Agricultural Program? [ ]Yes [)Q No If yes to either or both,also indicate on the attached plan the boundaries of the reserved area upon which the event will take place. Is this event being held to benefit a charitable organization?Yes[X]No[ ] If yes,you may be eligible to request a waiver of the special event fee,with the submission of verification and a written request.with this application. Mailing Address to Send Event Permit to: 37645 Main Road (Route 25), Peconic, NY 11958 3 SPECIAL EVENT APPLICATION ADDENDUM Please complete one form for each event Applicant/Venue: Pindar Vineyards parking field Date of Event: 6/8/2025 Master Permit#(if previously issued) Start Time: 8:00 AM End Time: 4:00 PM Is this special event consistent with the Master Application submitted/approved for this type of event?For example, does this event comply with the initial parking plan,maximum number of attendees,and the size and placement of tent(s)applied for or approved? Yes[X]No [ ].If no,what amendments to the permit are being requested? Will food be served?[X]Yes [ ]No If yes,provide following: Vendor Name: Food Truck(s) (To be Hired) Suffolk County permit#: Will have proper permits Vendor Name: Suffolk County permit#: Will outside vendors be serving alcohol?[ ]Yes P ]No If yes,provide: Vendor Name: Liquor License# Vendor Contact Name: Cell Phone: Will non-food/alcohol vendors be on the premises during the event?[X]Yes []No If yes,provide: Describe type of vendor(s) Car Parts, Radio Station Van Number of vendors: To be detrmined Day of Event Contact Person: Michael Kretschmann Phone:(631) 872-9146 E-mail address(print clearly) kretschmannmrk@pm.me Will any Southold Town services be requested []Yes(Describe below) [X]No. Police Highway Other Will a security company be used for any of the events? [ ]Yes [X]No.If yes,provide the following: name, address and cell number of the security company which will work on the premises, and a description of the duties to be performed: Security Company: Contact Name: Cell Phone: Duties to be performed: Please use additional pages if more are needed. 4 YOU MUST ATTACH A PARKING/EVENT PLAN TO THE MASTER APPLICATION. IF THE EXPECTED ATTENDANCE IS 300 OR MORE PEOPLE,YOU MUST ALSO ATTACH A TRAFFIC CONTROL PLAN(see next page) A ParkinP/Event Plan may be a survey,site plan and/or aerial view(for example Google Earth)of the subiect property.INDICATE ON THE PLAN ALL of the following information: A parking/event plan showing: (1) The size of the property and its location in relation to abutting streets or highways. (2) The size and location of any existing building(s)or structure(s)that will be in operation during the course of the event and any proposed building,structure,or signs to be erected temporarily for the event. (3) The location of the stage or tents,.if any. (4) The designated areas of use for spectators,exhibitors,vendors,employees and organizers. (5) Location of all entries and exits. (6) The location of all fire extinguishers and other fire safety equipment. (7) The location of all temporary utilities to be installed for the event,if any. (8) The layout of any parking area for automobiles and other vehicles and the means of ingress and egress for such parking areas. The parking spaces must allow for 300 sq.ft. per car. (9) A traffic control plan for vehicles entering and leaving the site for the proposed event. (10) Plan for the use of live outdoor music,loudspeakers and other sounds which will be used, if any,and the type and location of speakers and other audio equipment. (11) A description of emergency access and facilities related to the event. (12) Provisions to dispose of any garbage,trash,rubbish or other refuse. (13) Location and description of any additional lighting to be utilized in conjunction with the event. (14) Location of sanitary facilities on site. Traffic Control Plan Events for three hundred(300)or more people also require submission and approval of a traffic control plan,acceptable to the Town of Southold,AND a qualified traffic controller must be provided.Please attached a written description and/or notate on the parking event plan the following: 1)Who will be conducting traffic,2)Where they will be stationed on site,3)How they will direct the entrance, circulation,parking,and exiting of cars on site,and 4)Contact information for use by Southold Town Police. OWNER'SSIGNATURE: I am the Owner of the Property where this event is to be held and I agree to comply with the laws, rules,regulations,conditions,and requirements of the Code of the Town of Southold,including but not limited to the conditions listed below,as well as all other applicable agency rules and regulations pertaining to the activities under this event. Furthermore,I hereby swear or affirm that the information contained herein and attachments hereto are true and correct to the best of my knowledge, and agree to provide notice to the Town immediately should there be any material changes regarding to this application. Traffic Control Plan Events for three hundred(300)or more people also require submission and approval of a traffic control plan,acceptable to the Town of Southold,AND a qualified traffic controller must be provided.Please attached a written description and/or notate on the parking event plan the following: 1)Who will be conducting traffic,2)Where they will be stationed on site,3)How they will direct the entrance, 5 circulation,parking,and exiting of cars on site,and 4)Contact information for use by Southold Town Police. OWNER'S SIGNATURE: I am the Owner of the Property where this event is to be held and I agree to comply with the laws, rules,regulations,conditions, and requirements of the Code of the Town of Southold,including but not limited to the conditions listed below,as well as all other applicable agency rules and regulations pertaining to the activities under this event Furthermore,I hereby swear or affirm that the information contained herein and attachments hereto are true and correct to the best of my knowledge, and agree to provide notice to the Town immediately should there be any material changes regarding to this application Furthermore,I hereby authorize Code Enforcement Personnel of the Town of Southold to enter the property during the hours of the permitted special event to make any an s necessary in connection with this Special Event Pindar Damianos Print name of Owner Signature of er Michael Kretschmann Print name of Authorized Person/Representative Signature of orized Person/Representative 6 PERMISSION IS HEREBY GRANTED,SUBJECT TO THE FOLLOWING CONDITIONS (PLEASE READ CAREFULLY): 1. By acceptance of this permit, applicant agrees to adequately supervise and direct all parking to be on the premises or at another site,and to provide parking assistants and any additional traffic controls necessary for this event.Parking is strictly prohibited on ANY Town,County or State Roads or Rights of Way, 2. Traffic control at events for three hundred(300)or more people shall be provided by a qualified traffic controller in accordance with the attached,approved traffic control plan. 3. One"on-premises"sign not larger than six(6)square feet in size maybe displayed not longer than thirty (30) days before this event, and removed immediately after the event. Directional parking signs shall be adequately displayed. 4. Applicant indemnifies and holds harmless the Town of Southold from all claims, damages, expenses, suits and losses including but not limited to attorney's fees arising from activities under this permit. 5. Tent proposals must receive permit approval from the Southold Town Building Inspector before placement on the property and must meet all fire and safety codes. 6. This permit is valid only for the time,date,place and use specified above,and for the designated event. Each additional day will require a separate permit application,fee, and related documents for review, etc. at least 60 business days prior to the scheduled event. 7. Adequate temporary sanitary facilities must be provided by applicant for this event and applicant agrees to remove the temporary facilities from the premises within 48 hours after the day of the event. 8. On-site food preparation is NOT permitted,although food maybe catered subject to all Suffolk County Department of Health regulations. 9. NO activities associated with this event, including but not limited to parking, in rg ess/egress/access, tent(s)or temporary structure(s),or temporary sanitary facilities, shall be conducted on Town of Southold Purchase of Development Rights land. 10. NO activities associated with this event, including but not limited to parking, ingress/egress/access, tent(s) or temporary structure(s), or temporary sanitary facilities, shall be conducted on Suffolk County Purchase of Development Rights land without a permit issued by the Suffolk County Farmland Committee. 11.Issuance of this permit does not authorize in any manner the occupancy of any building exceeding the legal limitations under the fire code or other codes which would prohibit such increased occupancy. 12.Access shall be provided for emergency vehicles,to all public assembly areas,all buildings,all work areas and any additional area where emergencies may occur. Two emergency-fire exits and exit path from the building(s) on the property, to a public way or remote safe area, shall remain open and unobstructed at all times. 13. Owner assures full compliance with all fire,safety,building,and other Town laws,and possesses a valid Certificate of Occupancy for any building the public will occupy or used during the special event. 7 14. Music,when outdoors,is required to stop at the time specified in the permit.Placement of the speakers must be in a location that affords the greatest protection from noise intrusion upon adjacent properties. 15. Owner will allow access to Code Enforcement Personnel of the Town of Southold during the hours of the special event to make any and all inspections necessary in connection with this Special Event 16. ADDITIONAL CONDITIONS: ANY VIOLATIONS IN CONNECTION WITH THE CONDITIONS LISTED HEREIN WILL TERMINATE THIS PERMIT. APPROVED Town of Southold Resolution Number: Date Issued: 8 CUTCHOGUE LIONS ANNUAL FUNDRAISER @ PINDAR VINEYARDS PARKING & EVENT PLAN Contact Info: Michael Kretschmann Event Chair, Cutchogue Lions Club Cell#(631) 872-9146 SHOW AREA 165,000 sq.ft. • 165,000/300 sq.ft._ 550 Cars Maximum SHOW PARKING 165,000 sq.ft. 165,000/300 sq.ft. _ 550 Cars Maximum • ' ' � '•� LION Tents ,, 10 X 10 Ft Tents ® VENDOR AREA CUTCHOGUE LIONS ANNUAL FUNDRAISER @ PINDAR VINEYARDS PARKING & EVENT PLAN Contact Info: Michael Kretschmann Event Chair,Cutchogue Lions Club Cell#(631)872-9146 Notes 1. For the event only the Pindar bathrooms as noted on the plan will be utilized.All other Pindar structures will not be utilized. 2. Pindar will run their facilities on their normal Sunday operational schedule. 3. Location of Exits and Entrances noted on provided Traffic Control Plan 4. On the Pindar Site traffic shall be controlled by Cutchogue Lions.The Club president will be the contact for all issues. 5. For traffic control Cutchogue Lions will be stationed at: • Point where entering vehicles on the site will be divided between Show/Vendor parking access and the visitor parking field • Points where exit&entrance paths cross 6. Emergency access will be via the access roads on site. 7. Trash barrels and a dumpster will be provided for the event. 8. A fire extinguisher shall be located at one of the Lion Ticket Booths in the Show Area . 9. No Temporary Lighting is required for the event. 10. No temporary utilities will be required for the event. TRAFFIC CONTROL Contact Info: Michael Kretschmann Event Chair, Cutchogue Lions Club � Cell #(631) 872-9146 • ` P• '��- f Pindar Vineyara.. r f � ,y � •� t 2018 Google � �� �, '� �, TOWN OFSOUTHOLD BUILDING DE - 631-765.1802 g�•�-Z- ' INSPECTION [ ] FOUNDATION 1ST/REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING'/STRAPPING [ ]8� AL [ ] FIREPLACE CHIMNEY [ FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: tY rDr �n DATE INSPECTOR. HOLD HARMLESS AGREEMENT The applicant Cutchogue Lions Club of this Special Permit shall defend, indemnify and hold harmless the Town of Southold, its officers,employees, and representatives from and against any and all damages, liability,judgments, losses, and expenses,including but not limited to attorney's fees,including damages arising from injuries or death of persons and damage to property which arise from or are connected with the event or events authorized by resolution of the Town Board of the Town of Southold, or caused by the negligent misconduct, and/or omissions under this Agreement and that of applicant's agents,servants and/or employees. If this Agreement is being executed in a representative capacity,the individual executing this Agreement hereby represents that this action has been authorized. Dated: Signature: Name: ,Authorized Agent Michael Kretschmann, Event Chair On behalf of: Cutchgue Lions Club (Name of Business Entity) Dates of event(s): June 8, 2025 Swo re me this PAUL J RENNER Day of ,20.2V Notary Public,State of New York No.02RE6205080 Qualified in Suffolk County Commission Expires May 04,20_u-*� 9 Mudd, Jennifer From: Mudd,Jennifer Sent: Tuesday, April 22, 2025 3:08 PM To: Schroeder, Gwynn Cc: Noncarrow, Denis; Born, Sabrina; Franke, Diana Subject: FW: Special Event - CLC1 (Cutchogue Lions Club) Attachments: CLC la Receipt.pdf, CLC 1 a.pdf Importance: High Gwynn, 0 Attached is a copy of the receipt for the check that we received from you today for the Cutchogue Lions Club special event to be held at Pindar. This special event application was sent to you on 4/9/2025 (also attached). Just wanted you to have a copy of the receipt for your file. Thanks, Jew From: Mudd,Jennifer<jennifer.mudd@town.southold.ny.us> SentSent Wednesday,April 9, 2025 9 13 AIVI .�.._-..m_..-.-.. .-....w w _.-._ ..._.---........,.. To: Mudd,Jennifer<jennifer.mudd@town.southold.ny.us>; Franke, Diana <dianaf@town.southold.ny.us>; Born,Sabrina <sabrina.born@town.southold.ny.us>; Noncarrow, Denis<denisn@southoldtownny.gov>; Norklun, Stacey <Stacey.Norklun@town.southold.ny.us>; Schroeder, Gwynn<gwynns@southoldtownny.gov>;Stype,John <johnst@southoldtownny.gov>; DeChance, Paul <pauld@southoldtownny.gov>;Johnson, Benjamin <benjaminj@southoldtownny.gov>; McGivney,Julie<juliem@southoldtownny.gov>; Schlachter, Amy <amys@southoldtownny.gov>; Squicciarini,James<jacks@southoldtownny.gov> Subject Special Event CLC1 (Cutchogue Lions Club) Importance: High Good Morning, Please see attached special event application. Thank you, Jew Jennifer M. Mudd Sub-Registrar and Deputy Town Clerk Account Clerk Southold Town Clerk's Office 53095 Route 25 P.O. Box 1179 Southold,NY 11971 Phone: 631-765-1800 ext. 1274 Fax: 631-765-6145 i Town of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 04/22/25 Receipt#: 339189 Quantity Transactions Reference Subtotal 1 Event Fee CLC 1a $300.00 Total Paid: $300.00 Notes: Payment Type Amount Paid By CK#1501 $300.00 Cutchogue, Lions Club Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: Cutchogue, Lions Club PO Box 715 Cutchogue, NY.11935 Clerk ID: JENNIFER Internal ID:CL.0 1a Town of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 05/09/25 Receipt#: 339656 Quantity Transactions Reference Subtotal 1 Event Fee cic1 a $300.00 Total Paid: $300.00 Notes: ((\\ Payment Type Amount Paid By CK#1502 $300.00 Cutchogue, Lions Club Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: Cutchogue, Lions Club PO Box 715 Cutchogue, NY 11935 Clerk ID: LYNDAR Internal ID:c1c1a Town of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 05/02/25 Receipt#: 339468 Quantity Transactions Reference Subtotal 1 B.2590.40 Special Event-Rtn Chk Event Fee CLC 1 -$300.00 Total Paid: -$300.00 Notes: Payment Type Amount Paid By Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: Cutchogue, Lions Club Clerk ID: LYNDAR Internal ID:Event Fee CLC 1A Town of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 05/02/25 Receipt#: 339468 Quantity Transactions Reference Subtotal 1 B.2590.40 Special Event- Rtn Chk Event Fee CLC 1 -$300.00 Total Paid: -$300.00 Notes: Payment Type Amount Paid By Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: Cutchogue, Lions Club Clerk ID: LYNDAR Internal ID:Event Fee CLC 1A Noncarrow, Denis From: Noncarrow, Denis To: Cutchoguelions@optonline.net Cc: Sabrina Born (sabrina.born@town.southold.ny.us); Mudd,Jennifer Subject: Special events Attachments: Printout-21341-1034-M65242.doc Please see the attached special event resolution. Any questions please give us a call. Thank you Denis Noncarrow Southold Town Clerk. Town of Southold, New York www.southoldtownny.gov denisn@southoldtownny.gov 631-765-1800 CONFIDENTIALITY NOTICE: This communication with its contents may contain confidential and/or legally privileged information. It is solely for the use of the intended recipient(s). Unauthorized interception, review, use or disclosure is prohibited and may violate applicable laws including the Electronic Communications Privacy Act. If you are not the intended recipient, please contact the sender and destroy all copies of the communication. 1