HomeMy WebLinkAboutTR-5470
Board Of Southold Town Trustees
SOUTHOLD, NEW YORK
PERMIT NO. ,5'170
DATE: ..!>ec. 21, 2001
ISSUED TO .
ELLEN D. ZIMMERMAN
...... .............
Aut4oriiHttiott
Pursuant to the provisions of Chapter 615 of the Laws of
the State of New York. 1893; and Chapter 404 of the Laws of the
State of New York 1952: and the Southok/ Town Ordinance en-
titled "REGULATING AND THE PLACING OF OBSTRUCTIONS
IN AND ON TOWN WATERS AND PUBLIC LANDS and the
REMOVAL OF SAND. GRAVEL OR OTHER MATERIALS FROM
LANDS UNDER TOWN W A TERS{·. and in accordance with the
Resolution of The Bõard adopted at a meeting held on ..I).e,,:..I?....
200.1..... and in consideration of the sum of $.. 50.00 ... paid by
Architecnologies for Ellen D. Zimmerman
... ...--..-..
Mattituck
of .... ..... ............... . N. Y. and subject to the
Terms and Conditions listed on the reverse side hereof.
of Southold Town Trustees authorizes and permits the foRowing:
Wetland Permit for the alteration to the existing second-floor
with the condition that a row of staked hay bales are placed'
around the front of the house during construction.
all in accordance with the detailed specifications as presented In
the originating application.
IN WITNESS WHEREOF. The said Board of Trustees here-
by causes its Corporate Seal to be affixed. and these presents to
be subscribed by II . majority of the said Board as of this dat.e.
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T",st...
TERMS and CONDmONS
Ellen D. Zimm",rman
The Pennittee
raiding at 15 Evergreen Court, East Quogue N. y~ as
part of the coosideraûoo for the issuaoce of the Permit does uødeøtand and ptaaibe to the fol·
lowing :
1. That the said Board of Trustees aad the Town 01 SoutboId .... released from my and
aU damages, or claims fot damages, of suJø arlsiøg directly ot inditec:dy as a result of my of'«-
atioo petfoaoed punuaot to this permit, and the eaid p.. J-. will, at his « her 0WI1 e..t' ¡"O(.
defend my and aU such IUits-¡"a.;.-I by chhd parties, and the eaid ~ IlIio;# -- fuUliaIIIIity
with respect thereto, to the complete exdusåoo of the Baud 01 T1dta 01 the Tori 01 ~
2. That this Permit Is w.Ud for a period of 24 mas. which Is ClDlIlUm f to be the
...,;"",W rime required 10 complete the wod< la-Me!, but sboaId circaØIstaøces warnat, ~
for ao exœas/.on may be made to the Board at a 1ater date.
3. That this Permit should be m:aiaed lødeCanitel.y, or as loog as the said PermIttee wIsba
to maintain the suucaare or project lavolved, to provide evidence to aoyone coøœrned diu ouch·
orizaûoo was originally obtaløecl.
4. That the wodc Iøvolved wil1 be subject to the i..~ and approval of the Board or
its ageots, and non-œmpliaoce with the provisioas 01 the origi....fI'>g app1icatioa. may be cause for
revocaûon of this Permit by resoluûoo of the said Board.
5. That there wil1 be no uorcasooable laterferenœ with navigatioo as a result of the wad<
bereIø auCborized.
6. That there oball be DO løterference with the right of the public to pass and repas aloag
the bead> between high and low ....ter marks.
7. That il future operuioas of the Town of Soutbold requhe the --.l aod/or aIœratioos
Ia the locatioo of the ..ode bereiø. ...tJvv-I-\ or if, Ia the opioioo of the Board 01 T~ the
...ork sba1l cause unreasooabIe obsttuClJOD to free navigatioo. the said p...mi..- will be m¡uIred.
upoo due notice, to remove or alter this wotk or project herein stated without Þl'" ... to the Town
of Souehold.
8. That the said Boatd will be DOtified by the Permittee ot the . ort'.doo' of the work ouch-
orized.
9. That the permittee win obtain aU ocher permits and coaseoII diu may be nquired lap-
plementd to chis permit wbkh may be subject to revoke upoo failure to obtaIø ame.
.
.
Albert J. Krupski, President
James King, Vice-President
Henry Smith
Artie Foster
Ken Poliwoda
Town Hall
53095 Route 25
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-1366
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
December 21,2001
Mr. Frank Notaro
Architecnologies
P.O. Box 93
Mattituck, NY 11952
RE: ELLEN D. ZIMMERMAN
500 South Lane, East Marion
SCTM#38-6-11
Dear Mr. Notaro:
The Board of Town Trustees took the following action during its regular meeting held on
Wednesday, December 19, 2001 regarding the above matter:
WHEREAS, Architecnologies on behalf of ELLEN D. ZIMMERMAN applied to the Southold
Town Trustees for a permit under the provisions of the Wetland Ordinance ofthe Town of
Southold, application dated November 29,2001, and,
WHEREAS, said application was referred to the Southold Town Conservation Advisory Council
for their findings and recommendations, and,
WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on
December 19, 2001, at which time all interested persons were given an opportunity to be heard,
and,
WHEREAS, the Board members have personally viewed and are familiar with the premises in
question and the surrounding area, and,
WHEREAS, the Board has considered all the testimony and documentation submitted
concerning this application, and,
WHEREAS, the structure complies with the standards set forth in Chapter 97 of the Southold
Town Code,
WHEREAS, the Board has determined that the project as proposed will not affect the health,
safety and general welfare of the people of the town,
2
.
.
NOW THEREFORE BE IT,
RESOLVED, that the Board of Trustees approve the application of ELLEN D. ZIMMERMAN
for the alternation to the existing second-floor, with the condition that a row of staked hay bales
are placed around the front ofthe house during construction.
BE IT FURTHER RESOLVED that this determination should not be considered a determination
made for any other Department or Agency, which may also have an application pending for the
same or similar project.
Permit to construct and complete project will expire two years from the date it is signed. Fees
must be paid, if applicable, and permit issued within six months of the date of this notification.
Two inspections are required and the Trustees are to be notified upon completion of said project.
Fees: None
Very truly yours,
a!tt.-¡ ~ /~_"'~. (2"
" , r'
Albert J. Krupski, Jr.
President, Board of Trustees
AJK/lms
cc: DEC
Bldg. Dept.
.
.
CL'tiL2.
Telephone
(631) 765-1892
Town Hall. 53095 Main Road
P_O. Box 1179
Southold. New Yorlt 11971
SOUTHOLD TOWN
CONSERVATION ADVISORY COUNCIL
At the meeting of the Southold Town Conservation Advisory Council held Thursday.
December 13, 2001, the following recommendation was made:
Moved by Drew Dillingham, seconded by Scott Hilary, to
TABLE the Wetland Permit Application of ELLEN D. ZIMMERMAN for the alteration to
the existing second-floor. .
Located: 500 South Lane, East Marion. SCTM#38-6-11
The CAC Tables the application because there is a question as to why earth must be
moved in order to construct a second-floor addition, as stated in the application.
Vote of Council: Ayes: All
Motion Carried
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. Albert J _ Krupski, President
James King. Vice-President
Henry Smith
Artie Foster
Ken Poliwoda
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Office Use Only
_Coastal Erosion Permit Application
:ðetland Permit Application _ Major
Waiverl Amendment/Changes
_-«eceived Applicatio~: ,,/~/t1
...-Received Fee:$ Sb
~ompleted Application 1/169/0
_Incomplete
_ SEQRA Classification:
Type I_Type II_Unlisted_
Coordination:(date sent)
-C--AC Referral Sent:~ .
_.-rJate ofInspection:~ -~
_Receipt ofCAC Report:
_Lead Agency Determination:
Technical Review:
....p'úblic Hearing Held: I~" /OL
Resolution:
Minor
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Town Hall
53095 Route 25
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-1366
..- ----
Name of Applicant &IA.Æ,ü -:D. Zt Iv! ME 121L{f\-fù .
Address /5 ~i/&(2.,G-f2.E-E.{l) COU/2T, E.A~ì QUO(.;..U6,
10'-1 \ \ GO·-\ ~ Phone Number:~uJ 6q 1- OJ,'1 0
Suffolk County Tax Map Number: 1000 - 3 <¿ - 06 - I ,
Property Location: g:P SOLYï+l t-AU£ £AvT ¡l..{A J2.-.\OjU 11C1:b4
(provide LILCO Pole #, distance to cross streets, and location)
AGENT f\ IZ.Œt-\\T6c...\\J OL-O&\ 80s·
(If applicable)
¡\1 A TT ) T uc K, ) f\.J'--( C(5 ,;2
Phone:(6S þ- dq g. \ \ ~q
'<tress P.O. "Box q .?J
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.
.
Board of Trustees Application
GENERAL DATA
Land Area (in square feet):
II ) 5~.2 SQ FT
Area Zoning:
Previous use of property: ~ \ 10 GL- r; -=FA MIL Y ·1<Eõ'S \ be }\JC ¿
Intended use of property: ~\ rvG-i-€ -::teA N \ 1-4 ~6 ,".)u:x I'\..)C€ .
Prior p",rmits/approvals for site improvements:
Agency
Date
--;>t2- No prior permits/approvals for site improvements.
Has any permit/approval ever been revoked or suspended by a governmental agency?
->L No_ Yes
If yes, provide explanation:
Project Description (use attachments if necessary):
¡(Ie QJó'...o ()ûSt=;
H--IÛ
A-LTEr2A\\OI\..) 10
t:Dc,S,T¡UG
~e:C00~ ç:.u. .x::J~_
.
.
Board of Trustees Application
WETLANDffRUSTEE LANDS APPLICATION DATA
P f h d· ,,, c. AI\]
urpose 0 t e propose operations: Lù"E rrvvpo:;¿
A<..-n::rvm[O \J \0 8/)(I'5ÏlùG- "'F.1'(Jlù:D t=c..cx...)e..
square feet
Area of wetlands on lot:
Percent coverage oflot:
%
Closest distance between nearest existing structure and upland
edge of wetlands: feet
Closest distance between nearest proposed structure and upland
edge of wetlands: feet
Does the project involve excavation or filling?
X No Yes
(
If yes, how much material will be excavated?
., ~
~).- ~, cubic yards
How much material will be filled?
" F~)
'ì.. '-..-_
-
cubic yards
Depth of which material will be removed or deposiled:
¿¡
feet
Proposed slope throughout the area of operations:
Manner in which material will be removed or deposited:
- ~J t ~ j~ ¡q L I.. L"" I'
'\,.{, +- -;-/: 1...' I .-1 )
" I.' ( J~>{
, ,'C Ìì
;--L"
¡'L .. ¡I/..'..- ·TLc
r -'-/L'
i f t
Statement of the effect, ¡fany, on the wetlands and tidal waters of the town that may result by
reason of such proposed operations (use attachments if appropriate):
~O lJC
.
.
Board of Trustees Application
COASTAL EROSION APPLICATION DATA
Purposes of proposed activity: 11)'-:;; PrLOoO':::£ A-I\) r't-¿Te.tl-rt-l(O!ù
ï\r) F~'äTt OG- se<::-o~j"D
yL.-DOR..
Are wetlands present within 100 feet of the proposed activity?
No )(' Yes
,
Does the project involve excavation or filling?
'f
No
Yes
If Yes, how much material will be excavated?
.j" c-
I. .)
(cubic yards)
How much material will be filled?
, r
1") ~)
(cubic yards)
Manner in which material will be removed or deposited:
-\ + it ~ I II llA (' D It (" \ f Ii \t-\/ k· \ [ I '¡I {
["-,in ì I ¡.: l - (: /<" .It: <-IL :",(-
Describe the nature and extent of the environmental impacts reasonably anticipated resulting
fTom implementation of the project as proposed. (Use attachments if necessary)
.
.
NOTICE TO ADJACENT PROPERTY OWNER
BOARD OF TRUSTEES, TOWN OF SOUTHOLD
In the matter of applicant:
£UÆ/tJ :1)- 0 P--I/lfEe.r-t'A-/Ü
SCTMitlOOO-
~ g- 06, - i I
, (
YOU ARE HEREBY GIVEN NOTICE:
1. That it is the intention of the undersigned to request a
Permit from the Board of Trustees to:
WE': Plt.OpOS£ AIL> i1LIE (2...AT (OiV .0 e~\ 'b l'l'0G-
'é'-:>GCOIL.:)Dr¿OO(L .
2. That the property which is the subject of Environmental
Review...is located adjacent to your property and is described as
follows: ~\ ~I..-E -::¡::f\-tvI \ L-L{ 1<£ 'E::> \1:)E\\JC~
3. That the project which is subject to Environmental Review
under Chapters 32, 37, or 97 of the Town Code is open to public
comment on: You may contact the Trustees Office at
765-1892 or in writing.
The above referenced proposal is under review of the Board of
Trustees of the Town of Southold and does not reference any
other agency that might have to review same proposal.
OWNERS NAME: [,U£/UD. Zi f..r¡t{U (-I A-/Ù
MAILING ADDRESS: I 5 ~U¡; 1<.Ge£ð'IU C-OUe..T
;; ?tf <bT G. '¡§fftfj E) II.) '-/ II c.¡ t.¡ ¿2.
PHONE it: (_".19--) 6q1- º-__
Ene.: Copy of sketch or plan showing proposal for your
convenience.
s
80. of Trustees APplication.
AUTHORIZATION
(where the applicant is not the owner)
.'.
I, eU--fA.J J:).2-I(\{Meg,MA1\J
(print owner of property)
residing at i 5 6UtJ.2G/2£6/U
(mailing address)
CL!UeT \ eASï G'uOG-UE rvLf I/Gf4Jdo hereby authorize
_A~C\--\\Tt:C_rJ{)t-OG-IE~ .
(Agent)
to apply for permit(s) from the
southold Board of Town Trustees on my behalf.
",/. '
{(.;LÚ:'f -Ii ". ./~ -fj),'{t"f.:'.// I·~.¥~ l-Í--
(Owner's signature)
8
.
.
Board of Trustees Application
County of Suffolk
State of New York
AGIG I EõXíLA <pw2DOIA)bt-R BEING DULY SWORN
DEPOSES AND AFFIRMS THAT HElSHE IS THE APPLICANT FOR THE ABOVE
DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE
TRUE TO THE BEST OF IDSIHER KNOWLEDGE AND BELIEF, AND THAT ALL WORK
WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY
BE APPROVED BY THE SOUTIIOLD TOWN BOARD OF TRUSTEES. THE APPLICANT
AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES
HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING
UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS
APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR
REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE
PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION.
" ' ,
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Signature
SWORN TO BEFORE ME TIDS
C ìqt...h '\.~
_~_ DAY OF .!\O~}e",- ,20~
k'iÌj &",1,.>
.....Notary Pu Ii
SALLY BLADOS
Nolary Public. Slate of New VOIIc
No. 4799955
QualfJ'd i\ ~ CcuIIy
ConIriseIan EçIoaoUlllI.2093
.'
H-!6·J. 12187)- Text 12
I PROJECT 1.0. ,"UMBEM
.
.
617.21
Appendix C
State Environmental Quality Review
SHORT ENVIRONMENTAL ASSESSMENT FORM
For UNLISTED ACTIONS Only
PART I-PROJECT INFORMATION (To be comolered by Aoplicant or Project sponsor)
1. APPLICANT ¡SPONSOR 2.
e.U£1...JD- leU US/DEI\)
J. PROJECT LOCATION:
Mun,claall'y e;.4'Óí µf\-rzAOiU Coun,y bUF OL-K
4. PREC:SE LOCATION (Street address and road intersections. prominent lanamark.s. etc., ,Jr .crovlae map)
SEa
SoUTH L-AIU£.-
5. IS PROPOSED ACTION:
o New 0 E.xoansion odificallon/alteratíon
6. DESCRIBE PROJECT BRIEFLY:
LL1E
e:1X\ 1)-' \ \\J G
¡:>Q.()í'O~E hl'ð fTL.-Tc QA--\ \e \\..)
::>ECD0\:::> ""L-CV~.
10
7. AMOUNT OF LAND AF¡::ECTED:
Initially acres Ultimately acres
a. If./ru... ?~O?0SED ~CT¡ON COMPL~ WITH is(IS¡ING ZONING OR OTHER EXISTING L=o.NQ US¡:; ?!ESTr:lIC71QNS?
~es 0 No If No. descnoe briefly
"3. 'IJHA T 15 ?AE3ENT LA/":O U::¡: IN '/ICINITY OF ,=-ROJECT?
~ReS¡dentJa O,rnaustnal ~ CQmmercral
lJesc:lbe:
~ AgncUlture
~ P3n<JForestJODen SDace
'--.,; Otner
. SWC.+tE
TfJ- M/ L..l/
I2£,SfDeIUCt? .
10. DOES ACTION INVOLVE A P':RMIT APPROVAL OR FUNDING, NOW OR ULTlMAiELf ~ROM ANY OTHER GOVEñNMENïAL AGENCY W::DERAL.
STATE OM: LOCAL)?
DYes [J No If yes. lisl agency¡s) ana permlUaDDravalS
·r
1 L DOES ANY ASPECT OF THE ACTIOr~ HAVE A CURRENTLY VALID PERMIT OR APPROVAL?
DYes )!!1 No If y'!s, list ageracy name and permit/approval
12, AS A RESULT OF PROPOSED ACTION WILL S<ISTING PERMIT/APPROVAL MEOUIRE .\IIOOJFICAïlON?
o Yes No
J CEi1.TIFY THAT THE INFORMATION PROVIOED ABOVE IS TÑUE -:-0 THE 3ESï OF MY KNOWL~DGE
Applicant/spenser name:
Ib-\\.\ IF.:ßœfJt
:J)120Z-DO LD::è>~A
D,ue:
Slgnalure:
If the action is in the CO<!5tal Area. and fOU are a state agency. complete the
Coastal Assessment Form beiore proceeding with this a:¡.~essment
OV:::R
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c~. A c::mmumly's eXlst:ng ;)'ans or ~oals as otflc:¡¡lly aClûoted. 'J( a cnange In use o( intensity or use of land o( otner natu(al resources? :.'(013111 :::
"'..:. ']rowm. suoseauent :evelocmenl. :lr relatea ;¡'C:lvltles likely !O :::1e ,nduceo :::1Y !ne ::rcooseo aC:lon1 SOlaJO :::1f!eitv,
':5. '-cng :erm. .3nor~ :~r..n. .::..¡mui...lJve. ~r ':lIner '!tfec:s not 'Centlflea Tn C~·':5? ::;c:llaln 'Jnetl',.
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oJ. S -¡"'¡E::;E. :R:5 7n1::.:=\E ·_:K-=.!..::' 70 3E. :':N'~CVE.~S"( ::¡;E~7¡:::J 70 ,:)QTE;' Î!""'" ,.;~v=:::S2 =;'IV!RCNMel7";'L .~.~P~C7S?
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'AR, lII-ùE7E"MINAïICN OF SiGNIFICANC:Õ ,ia oe camoletad jy Agency)
INSïRUC-:-IONS~ For ~3C:t aQverse 2tfect idenllfie~ aCove. jetermine wnetner It is sucstantial. large. imcortant or ctl1erNise signific.
=3.c~ ~jfec: s:1ould ~e 3.ssessed in connection 'Nltn Its (a) setting ti.~. urea" or :ural); (bl ;:Jrcoacliity of oc::::J::ï1.rIg; (cJ duration'
jrre'/ersltHlity; iel oJe'Oqracnic ,;c~ce: ana (t) maqnltuc:e. !f necessary, add attachments or reterenc2 supponing materials. :::1sure
~xc anaucns c:::ntam suttic:ent detail !o snow that all ~e!e"ant aevarse impacts nave been identifieo ana adeQlJatel'ý aC:Cressec.
C:-Jeex .his box ;f fOU "ave idenrifiea ene 'Jr ,"ora :ocentiall'l larçe ..:Ir significant aC'Jersa imoac:s whlC:1 ,'.1A·~
oc::.Jr. Then :Jroc:ea airec:ly :0 :ne ,=üLL ::'Aï= ana/or ;:;reaare a positive- aeclaracicn.
_ C:--;ec~< :his ::ox ·f 'fOU have ae!ermrned. :Jasea on the information and analysis above and any SiJCDon;;",:c
':oc:.Jr.:emacrcn. :har :he :Jrooosea ac:ior¡ WILl... ~~OT result ¡nJoy significant acversa anvtr,:nmental imcac::
~ND :¡rOVlce ~n ;1'¡aC:1ments 3.S neC2ssarv, the "'easons supcorring (his determmation:
"..,n... )I_,:"U "'"r!1C"l
"'"nl.)1 oUt: ...011"1.. )1 -{~·,.::on\'OI" ~lllc~r n ..."..0 ~';>:!1':1
~,u" ~I -(~·,con;.OIt: v,rlctr
"...nJII..:r¡:> )I -{<!'<con\.Q'e" ':I~'c~r n ~o::'.10 "'\;t:ncy
"\tn",::,¡lf! )f r'·..~..¡t~r ·rr ~II:.:'·~"'I :r.)m :.:')Qon~'o'.. JI['Ci'fl
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.
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ARCH
-
ITECNOLOGIES
AIluuI:&;IUKB PLANNINO CDNS'TIWCTION SBRVICBS
13405_-'--' _Tad¡ 11952
63I.2!11,II19 r..: 631__1128
November 29, 2001
To Whom It May Concem:
Please be advised that I am giving my authorization for the office of Architecnologies, including,
Frank Notaro and Agnieszka Drozdowska, to fill out and file any necessary applications for all the
state and local agencies for my property located in East Marion, New York.
Sincerely yours,
Øtbt 1>. ~~
Ellen Zimmerman, owner
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.
.
Albert J. Krupski, President
James King, Vice-President
Henry Smith
Artie Foster
Ken Poliwoda
Town Hall
. 53095 Route 25
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-1366
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
BOARD OF TRUSTEES: TOWN OF SOUTHOLD
-----------------------------------
In the Matter of the Application
of
_ _é:..lk~_ ~ _ '- 2jJ~''-tnq f~~ _ _ _ _ _ __
COUNTY OF SUFFOLK)
STATE OF NEW YORK)
AFFIDAVIT OF POSTING
I,I1IIDIP'Jr.¥A Dfl{)1NJ(¡)SvflldflJl residing at P.O. ßOx q~
rtlA-TTITUC-\(.. ,l\.Jy "Q52
being duly sworn, depose and say:
d
That on the 3 day of.DtrC- , 200 I, I personally posted the
property known as VUUeJl ,/¡l-tlJ (lEi<i'ITFA..Jé>P
by placing the Board of Trustees official poster'where it can
easily be seen, and that I have checked to be sure the poster
has remained in place for eight days prior to the date of the
public hearing. Da~ of hearing noted thereon to be held IOoD., Dee ,1'\ I «Dol
on. 0(' abbU;t Î',(;ð ~
Dated: \.l.\'>.:>10 I
~'e5(~ c!Jfl~'-
(si nature)
Sworn to before me this
'èJ d day of~~"-\.200
~&.. 'Þua.
Notary Pu 'c
BALLY BtADOS
-,-.StaIoolNolOy....
....-
QIIIIodIlWlaltCoolllr O~
C ",~""'III,"-
H.
-
.
.
.
PROOF OF MAILING OF NOTICE
ATTACH CERTIFIED MAIL RECEIPTS
Name:
Address:
I.
M I JJ fJ\ I\JGA l) EJ::>\T+I.
~Te-e I,J l-1t..L11T'1\..)
~5 ~e.ù5TE:e;
1101 ~\UE(2. ~£ACM ~.rl.i04 L-HUD£12MLé ~l-
~~315
'1' Pruc..e-ToIU AUf, Hen.ù~1'f)1\)'\../ \\557
2.
.3.
Ol-D oQc-t-\A~D
~O \.(e-DIùt-)ER5 RS~, \UC,
ç. o. ~O)( 7:23
eA-~ NiHUülU \ to\.{ ., Ig~
~ot:>E- V- W. :D\XOI\.:).
I G 'f1WGL-ELlJooD t--AtUB .:5€.Æc.L.1.çÇ\ t\J\..(
{IS7C1
STATE OF NEW YORK
COUNTY OF SUFFOLK
~'tJ;t~'1-, ;¡)'J\1.rlnu?gÍÐ... residing at
(HITT'Tllt'.I!., lUll 1/95'2 , being duly sworn, deposes and says
that on the 2>tGI day of ':DEße-'¡'RF.R ,-i"9"~, deponent
mailed a true copy of the Notice set forth in the Board of
Trustees Application, directed to each of the above named
persons at the addresses set opposite there respective names;
that the addresses set opposite the names of said persons are
the address of said persons as shown on the current assessment
roll of the Town of Southold; that said Notices were mailed at
the United States Post Office at (\1¡¡'-rT'~\JC'.IL ll-{ , that
said Notices were mailed to each of said persons by (certified)
(registered) mail. .
'2- rl--
Sworn to before me this J
day of\::U~~ ,:1:!i ;).DO
_k~ ß f(ècfC)Q
N· ry Public
SALl. Y BlADOS
NoIIIy"-,StallofNowYadr
No. 4799QSS
~"~CoonIy
~e.¡no_3O,2II~