HomeMy WebLinkAboutTR-4639
~rd of Trustees APPlicatio4IÞ
v
County of Suffolk
State of New York
-TRËIJË MI\R~ WA:RN~ BEING DULY SWORN
DEPOSES AND AFFIRMS THAT HE/S E IS THE APPLICANT FOR THE ABOVE
DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE
TRUE TO THE BEST OF HIS/HER 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 SOUTHOLD 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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SWORN TO BEFORE ME THIS ~~
DAY OF ~ftL~,i<<.--
,19 9'(,
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Notary Public
HELEiI, S¡-¡UTKJr"D
Notary Pubbc, Sbte (If New York
I\Jo.4G635G5
qUÐ.lified in. Nas:::f:iu Countg C/
Comrr!s'3!c.n Expires JiJne 23" .,. ð
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Telephone
(516) 765-1801
Town Hall. 53095 Main Road
P.O. Box 1179
Southold. New York 11971
SOUTHOLD TOWN
CONSERVATION ADVISORY COUNCIL
'JI,\ \) \996
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The following recommendation was made at the OCTOBER 17, 1996 meeting of
the Southold Town Conservation Advisory Council:
GF-31
Moved by Bruce Loucka, seconded by Robert Keith, it was
RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL
of the Grandfather Permit of IRENE MARY WARNY 56-5-39 for a 6' x 12' deck
and stairs built prior to 1991.
1077 Bay Home Road, Southold
Vote of Council: Ayes: Bruce Loucka, Robert Keith, Allan Connell, Kenneth
Meskill, Scott Hilary, and Shannon Reidy
Abstain: Betty Wells
Motion carried.
.
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Albert 1. Krupski. President
John Holzapfel. Vice President
Jim King
Martin H. Garrell
Peter Wenczel
Town Hall
53095 Main Road
P.O. Box 1179
Southold. New York 11971
Telephone (516) 765-1892
Fax (516) 765-1823
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
uffice Use Only
_Coastal Eros~on Per~it ';<PPliC~I'~ Œ Ü W f~w,\l
_Wetland Perm.lt Appl~cat~on n. r-·o>-------¡ II
J;2(frandfather Permit Applicatio I: . . U
_Waiver/Amendment/Changes UU~EP 20 Iæ) I
_ ece~ved Application: 9r-~?~ I
ce~ved Fee:$ /$r!Þ~ ___---1
Completed Application TOWN OF SOUTHOLD
Incomplete
SEQRA Classification:
Type I Type II Unlisted ~ (\
Coordination: (date sei) ----
Cþ"C Referral Sent: Cf 1%
Date of Inspection: I 1/t.j:1b SH
Receipt of CAC Report: .
Lead Agency Determination:
Technical Review:
Public Hearing Held:
Resolution:
Name of Applicant I(\E NF N frRY W t\-R.t.J~
Address ,3Lf ßRlbLE PA-TH I Pofli Wfr5HlfÌJE,TOIJ, N~ 11050
Phone Number: ( 51£ ) - 883 - 3 S 73
Suffolk County Tax Map Number: 1000 - SG- S- -"37
Property Location: /Or¡t¡ ß,41 HOME Raltb, Sou1t¿11 Nj
(provide LILCO Pole #, distance to cross streets, and location)
AGENT:
(If applicable)
Address:
Phone:
FAX#:
1
~d of Trustees APPlicatio4IÞ
V"
GENERAL DATA ::ZL¡, ì d- ~
Land Area (in square feet):
f'lll
.!
......., ,".I.J 1
"
Area Zoning:
~e.s,.
Intended use of
property: K.'
property: _þ ...... r/ I ;:x ':
1.'1
11(/ C
Previous use of
Prior permits/approvals for site improvements:
-'-'4~r 3
(b IJ..~ . ~+- ~~
Date
- -/ çö\ De.L\\.
~ No prior permits/approvals for site
improvements.
Has any permit/approval ever been re7:0k d
governmental agency?
No
or suspended by a
Yes
If yes, provide explanation:
Project Description (use attachments if necessary):
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