HomeMy WebLinkAboutFeigelson, LindaFEIGELSON Pro er
Situate: Back Lane; Orient; Town of Southold, NY
Proposed
A~s Rout~
ARION
0 R I E
Terry P~
N T
H A R B 0 R
HAGSTROM StreetAtlas (page 32)
,SI'I'P-,
SCTM #: 1000-017-04-014
OWNER' S ENDORSEMENT
(TO BE SIGNED IF APPLICANT IS NOT OWNER)
STATE OF NEW YORK)
COUNTY OF SUFFOLK) SS:
~, being duly sworn, deposes and says; I reside at 560 Riverside
Drive - Apartment 22 LI New Yorl~ NY 10027
In the County of New York, and the state of New York, and I am the (owner in fee)
(officer of the Corporation which is owner in fee) of the premises described in the
foregoing application and that I have authorized
Suffolk Environmental Consultine, Inc.
to make the foregoing application as described herein.
Signature
Signature
If Corporation, name of corporation and Officers
Title
Officer's Title
Befor~me, t~s ~ra' day of
/~.~ [~ , 2002
N~b~c ~o~aT ~. sa~nN[a
~otary P~c, Stale
~. 01~4787739
Q~tied in New ~k
FEIGELSON Pro er
Situate: Back Lane; Orient; Town of Southoid, NY
Propoaed Constmaion
Aeceaz Rout{~
Terry
RION
0 R I E
N T
H A R B 0 R
HAGSTROM StreetAflas (page 32)
SITE
SCTM #: 1000-017-04-014
51TUATE, OP..Ih-'NT
TOHN, 50U'FHOLD
5UP:POLK C.,Ot,q4T'¢,,,
SURV~EYED OU-I~-OI,
octlon O5-O~-O2
SUFFOLK C00NT¥ TAX #
1000-1-~-4-14
cERTIFIED TO:
LINDA pEI~ELSON
./7.2,
\%
0
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NOTES:
· p1ONUbdENT
AREA = ~20~ SF O.'16 ACRES
ELEVATIONS SHOPIN REFERENCE N~VD
FLOOD ZONE LINE ANNOTATED FROI'4 FEI'4A
FLOOD HAP
PROPERTY ZONE R 40 NON CONFORI'dIN~
FRONT YARD 40'
SIDE 15'
REAR 50'
LOT COVERAGE 209~
JOHN C. EHLERS LAND SURVEYOI~
N,Y.S. LIC. NO. 50202
6 EAST MAIN STREET
R1VERItEAD, N.Y. 11901 REF.\~Hp server\d~PROS\01-231A.pro
369-8288 Fax 369-8287