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HomeMy WebLinkAboutTR-5176 - . . . 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 June 5, 2000 Glenn E. Just c/o J.M.O. Environmental Consulting PO Box 447 Quogue,NY 11959-0447 RE: ELIZABETH DANIELS 1910 Leeton Drive Southold, NY SCTMit 058-02-12 Dear Glenn: The following action was taken by the Board of Town Trustees during a Regular Meeting, held on May 24,2000, regarding the above matter. WHEREAS, ELIZABETH DANIELS, applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated April 25, 2000, 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 May 24, 2000, 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 standard set forth in Chapter 97-18 of the Southold Town Code, . . WHEREAS, the Board has determined that will not affect the health, safety and people of the town, the project as proposed general welfare of the NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approves the application to res heath the .front of bulkhead, with the condition that we need plans showing that. Pilings will not be moved. Apply for or show proof of a permit for the structure. 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 proiect 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 ~p~ tru}Y( 0ur.sþ fl. ~ð· /~ Ç4. Albert J. 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CI:I ('Ð ..... ~o§§:: s:: e¡ '" CÞ 0 §1~§~~ ~' r::>. § 8 n~~r::>.~ ge-~8'ê' ;:;CÞÞ"o-0 ....... ~ tI'J Ø) ~ " þ" 0 S' z§~:>:' CÞ!JO =e¡.;: s: _ 0- - 5' ~~('þtI'Jc.. ¿ § ê' ê' s' .... r::>. 0 0 'ö r~~2'- O CÞ .... ~ r::>.CÞ~ -'-. _....s..~ œf~:: '- ~;oo .'" L T"· , , . ~_.~-- "' S~IEET 20t" 2 J.M.o. Environmental Consulting Services Quogue, New York FROM: JmO CONSULTING . PHONE NO. : 653 0607 411fun, 05 2000 09:49RM P02 . J.M.O. Environmental Consulting Services June 5, 2000 Mr, Albert .I, Krupski, President Board of Town Trustees Town ofSoUù1OId P.O, Box] 179 Southold, N.Y, ] 1971-] 179 ¡ù Œ & f n r.;'.ft utr:UN - 32000 L~__ TO!'" ,," . , . ,I. 1.-" - ~ _, f-;l " ¡I" Ii,i,: "'1 " . RE: Property of Daniels, 1910 Leeton Drive, Southold S,C.T,M,No, 1000-058-02-]2 Dear Mr, Krupski: As requested, please be advised that the method of resheathing this bulkhead shall be to excavate a small area immediately behind the existing bulkhead and to resheath behind the old sheathing. Should you have any fUl1her questions, please feel frec to contact Our office or the marine contractor at (63]) 477-2807 Greenport Dock. Most sincerely, Ge~~ Phone (631) 653-0607 . Fax (631) 6S3..334ß 121 Jessup Ave. 2nd Floor. P,O, Box 447 Quogue. New York 11959--0447 . . PHONE NO, : 553 0507 .un, 05 2000 09: 4BAr1 P01 FPor1 : J mO CONSUL TI NG ~ , 1.;\ -.~ "~~ /"\\"!I' ~ . X 1..'1'\\ . ' /', ~ ':1' ' ," . , r, J.M.O. Environmental Consulting Services Phone (631) 653~0607 · Fax (631) 653-3348 121 Jessup Ave· 2nd Floor· P.O, Box 447 Quogue. New York 11959-0447 -----··'_._n___..._n. ..----... '--"--'--0. ..---.. .-....--.. ___..._.... ____ "'__'__n ____._ ..._-_._~_h__._._.._______.... FAX COVER SHEET TO:__u 3?(,LV-ho1â._~ Þ-~f.JJ~~ Date: ___ ~-Ifl)DQ_..._...____ ..__ Company Name__. --------_h_. .____...___.. _.____ .____"...___... '___'" ___... Attention_. ._~4. ç .1 Á..... -- ---,___. _____ _______.__.__ u____ Fax Number.__. --.--1. LP5 ~--...l3Ú2 (b___________..________... Number of Pages Including Cover .----...2__.. . .__. _.___..._.___...__..___. ..........._.. . -_0'.. .---.- .,---., . ....---- .. __... _______ . "'___'" "._ '___00__' _n_._.. ._..___... ."" ___.._____. .-----.."----.. .......---- ..-.----- ....__u..__.. .~._.--~. ....__ . _____.. . u__._.__ .__.___.._ "_"_.__ ____ FROM: ß~ . '-'---...__.. _____.. u______________._ _____ ..__ RE: -~-lJ tl~_H rSo~)oL__ . ___ ____________._.....__._. "'--- --------.. MESSAGE: - -__ .___. _____n___ ...--...- ._--_.-.-.. ...---- ..-..--..-.--..-...---..--.----.. - "'--' ...._---.. .._-----.. .---- ...----.... ..--.-.--.-.....-....-----... . .------..--.-. '.....---.- - -....----..-. -.------. -----.....-----..-..-----.. -.-- -.--- ._n.______ .-.-----. .._._.__..._.._____.____... .___.__n........__.__.._.._..__ -... .------., ----..···_.__..n~ ....-------... _·_·__n. ·___n. .______ .. ..__._..__._ h.._____ ...___.__....._. 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'___n.. _..___.__. _..._..n_.._.. ___"~_". ~_____._.____....___. - -.---.- --'---'. .~--- ----.-.. --.....--.. "'-'. ..---.-- _··_U___._.. _..__..____. .._..._......___ ..__~_.____. .------.--...-....---. .......---... '---... .....---. _ _m_._.____. .....___.._. . ..n_____ . ------. . ---. --... . .....--., -----_.. -._---. -"---'--'. .-.--.... -.....----.. ...-----.--. If you do not receive the correct number of pages, please call our office as soon as possible . Telephone (516) 765-18"\2. SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL . Town Hall. 53095 Main Road P.Q, Box 1179 Southold. New York 11971 At the meeting of the Southold Town Conservation Advisory Council held Monday, May 22, 2000, the following recommendation was made: Moved by Jaclyn VanBourgondien, seconded by Abby Cochran, it was RESOL VED to recommend to the Southold Town Board of Trustees APPROVAL of the Wetland Permit Application of ELIZABETH DANIELS 58-2-12 to reconstruct inkind/inplace +/-50' of timber bulkhead and backfill with +/-5 cy, of clean sand which shall be trucked in from an upland source. 1910 Leeton Dr., Southold Vote of Council: Ayes: All Motion Carried FPCrr-] : :rmlJ CCN'::.UL T I ~.. G SFD GRADE Ld U Z ~ [is I- "'"5 3":::J¡n =:J¡:¡:ð '10-( 15 :d hbOf1t-~ ~ 51 ~ 1 ~, ~ ~~"~i5~ ~~~~§~ -C),J E! ~C>I g c;~ ª'- n t- c;::> - t- IS.. R o..s:::..O'....-- U'-'E~go bd)::e=-aë ..... -c & t ::I, no. ~ ~ -;¡ E;;'" ..... 0 DQ C/), O. c:. e- O Ci: -I 1:::--'-" o è:=:Á::~~' 'I .....--::; ,-..-- ---, ~--..:! f:~ . «. . ~ :s: ; '~." ~ "1 I If.'-' c_.· ., ,Po. to.) t:5 = = .;:J,,,"'''('(lJ . 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If you do not receive the correct number of pages. please call our office as soon as possible LON ISLAND N 39" 12' 41" E 2.65' (H. WL.) S 53" 18' 45" E 5,05' (H. WL.) N 47" 01' 09" E :;¡ 46.60' (H. WL.) <: .j>,. .j>,. . BEACH (SAND) AD t\.) .j>,. C,>o a - WOOD DW( W/RAlUNG ~ N/F ANELLO I STORY WOOD FRAME ;, RES. :=! ;" ~ 7.0' b - FRAME SHED (ATTACHW) CONe. SLAB On t\.) .j>,. - C,>o a . rr, WOOD WALK!¥. Y N/F DIACK .2' r .... ~-~--;';~"1' ,._ __^----i . -~'-----, '=, !~n' ¡ ;é?l N CJI ~ :-.-:"\ , r'=:7:1i ! o , ;::--1; , ~ >.. :x:; ~ ~ !i " <: ~--... ~ ...... ç:; ~ Q¡ ~ ~l C\¡ Vi ;-.0. " " ...... Co IX) Q:--! IX) Û1 C,>o .;; Yo 10 '!. :::0 FD ~ eM- SURVEY OF DESCR/BED PROPERTY SITUA TE SOUTHOLD, TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. S 45" 35' 30" W LE£TON 50,0' TAX MAP NO, 1000-058-02-12 "JrC"nt~,!I"s in~kot~d h..rp on shan run to Iii.... r~rnn for wh-:-.m th~ survey . r"r~d, end en hi.. b~h:llf to tf1~ cn1~\r'~1'I, C ov~rî ~nl( 1 Id']r:nCY, , il1'5titl.f~ÎI, if ¡i,I' '" h...,':!con, ond ~ ..~it:n,: pc; d 111-- l~n"~¡"9 ir.stitution. ~~s Ne nct trr.n<:" r"]~h 1-:) I in,'ilu!ion' ~t "b"quon! ~CJff!VEYED FOR: ELIZABETH DANIELS 4NÆED TO l'nnuthorized alteralion N t'lddition b 'hi, survey h a violalion of S~ction 7209 of the Now york Stato Education Law, lA8EïH OANlELS 7CORP MORTAGE, INC, . WYERS mLE INS, CORP, OWN OF SOUTHOLD Cl""rif>~ of 'hi.. ~urv,.y nmf"l nC'lt b~ar!n9 fh~ l<JJld S'"'¡vcy-:-rs ~mb~w'~ri s~(11 shall not be cO;ì~i~'nled I.') h~ a valid Iruft mpy. TlE= DRI V£ 1,875' SURVEYED 9/20/1999 SCALE 1"=20' AREA= 7,844.39 SF OR 0.180 ACRES / / SURVEYED BY STANLEY J. ISAKSEN, JR, P,O, BOX 294 NEW SUFFOLK. 3' -764.-"':183- -/ II r.'.-!"<.¡ ,.'. ^, ~/.._,."",-. . Llc£~Ld LAN / SURVEYOR NYS LIe. IvO. 49273 99R828 . . Albert J. Krupski, President John Holzapfel. Vice President Jim King Martin H, Garrell Peter Wenczel ,.1' ~~ìífFOl~:0. '.\,..ss.~- "\ ("g ~ ~. . Q ::-<, ,ø :æ . 'ð. ~} \~ ~'t-,.J" ~_~./_ + i-~.,p-~' ~~ Town Hall 53095 Main Road P,O, Box 1179 Southold. New York 1197\ Telephone (516) 765-1892 Fax (516) 765- \823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Uffice Use Only Coastal Erosion Permit Application ~etland Permit Application ---Grandfather Permit Application ---Waiver/Amendment/Chf.n~~s ~Received Application: 1./ ,a~iiSò " Rece i ved Fee: $ '!iiO. ompleted Application ¥~~O~ Incomplete . SEQRA Classification: Type I Type II Unlisted Coordination: (date sent) ---- :~eR~~e~~:~e~~~~~: ~~~~ Receipt of CAC Report: Lead Agency Determination: Technical Review: lo"Public Hearing Held: .s¡~'ij()ð Resolution: Name of Applicant Elizabeth Daniels Address 20 West 64th Street, New York, N.Y, 10023 Phone Number: (212 ) 761-0318 Suffolk County Tax Map Number: 1000 - 058-02-12 Property Location: 1910 Leeton Drive, Southo1d (provide LILCO Pole *, distance to cross streets, and location) AGENT: Glenn E. Just/ J.M.O, Environmental Consulting , (If applicable) Addressf',o. Box 447, Quogue, N.Y. 11959-0447 , , Phone: FAX': 653-0607 bJJ JJ4tj 1 ~oard of Trustees APPlicat~ GENERAL DATA Land Area (in square feet): 7.844.39 s. f. Area Zoning: Residential Previous use of property: Existing single family dwellin~ Intended use of property: same Prior permits/approvals for site improvements: Agency Date X No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? x No Yes If yes, provide explanation: ! Project Description (use attacqrneDts i~ necessary): . rro.,_., 'r~n~I--e... I{'IUnó-lt<ìplQ,('(" Appllcant proposes to rEsflea~, +50' of timber bulkhead nn .h~ laFl9.Fârd sids nF ..he. ~xi8tiFl.f: atfHetHre ann r-n h~("kf'i 11 Qt-...."gt.ure with + 5.cy. of clean sand which shall be trucked in from an unland source. 2 4toard of Trustees APPlicatllt WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Bulkhead resheathinp o Area of wetlands on lot: o square feet Percent coveraqe of lot: nla !Is Closest distance between nearest existinq structure and upland edge of wetlands: +8' feet Closest distance between nearest proposed structure and upland edqe of wetlands: +8' feet Does the project involve excavation or fillinq? No x Yes If yes, how much material will be excavated? 0 cubic yards How much material will be filled? +5 cubic yards Depth of which material will be removed or deposited: +8' feet Proposed slope throuqhout the area of operations: 1:1 Manner in which material will be removed or deposited: Backhoe Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): The project as proposed should have nn l1nr111Po ~rhTArca impasts upon the waters or wetlands of the Town of SOllthold 3 - . . '4·'e. (11I9S)-hxI12 I pnOJECr '-D. NUM.EA I SEQR 817.20 Appendix C Sinh, EnvJronmftnlnr Quallly npvlrw SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I-PROJECT INFORMATION (To be completed by Appllcanl or rroloct sponsor) ,. M"PUC^N r 'Sr'ONSO~ Elizabeth Daniels 3. pnO.IECT lOCATION: -- .M.'.'~~!~~~!IL_q o u..t.h 0 1 d ~_"__ _____ ...__~~"I1IV .S_\! f! 0 1 ~ ... rUFcrSE lOCh "ON ,SIr..1 fldrlross nfld rORd Inl.'!ðr.llolI!'l. ",ollllllonl I"n¡ rnlll'k~. ,.,,~ . or 11Iovldn "1:1'" __.n I · rnOJfr; r NAMF.: Bulkhead reshE!~thj~~g -- u__ --- -. 1910 Leeton Drive S.C.T.M.No. 1000-058-02-12 Location map and survey enclosed 8. IS pnOPOSED ACTfON: __~ .I~,,! "u_ --.!;J.~~Þ"'~II.ln".._ .~J MOd~.I_~~!!..n~!.~"rr.~!~ _t._ G. DFst:nrOE rnOJECr OnIEFlY: Applicant proposes to resheath +50' of timber bulkhead on the landward side of the existing structure and to backfill structure with + 5 c.y. of clean sand which shall be trucked in from an upland source.- "----. ---.---.-.. "--.. . "--- _.. "___ n 7. AMOUNT OF lAND AFFECTED: ~~~II.lIy ..9"" Beres Vlllmelely _ ..ø.-.-=.==:....~~'.~~_ -u._______n fl. Will rnOPOSED ^CTlON COMPLY WITH EXISTlNO ZONING on OTHER EXISTING tAND USE AESTRlCTIOtIS' &lYes 0 No U No, descrIbe brl,fly ...---- O. WHA T IS pnESENT lAND USE IN VICINITY OF ""OJECT? [iJno,ld,nllal OlndUSlrllt OCommerclfll De!Crlbe: [J AOflr.ulluf' o Pafk/Fore!lUOpf'n !lr':lr. I o Other Single family d~ellings .--.-------. 10. DOES ACTION INVOlVe A PERMIT AI'PROVAL. on FUNDING. NOW OR ULTIMATELY rnOM ANY OTHF.n aoVr:nw..tFflTAl AOI!NCY IFeDERAl, STATE on LOCAL'? ~Yes 0 No If yes, IIsl '08ncY(!I) and permll/AnrHoVIII, --- Southold Town Trustees, N.Y.S.D.E.C., N.Y.S.D.O.S. & UrS.O.O.A. It. DOES ANY ^SrJ::CT OF THE ACTION HAVE A cunnr:;fIflv VALID rEAMIT on M'r'nOVAl? [] VIS ~o If yel, IIsl 8glney n8mlt IInd pf!fmll/anprovlIIl -- ------------~. 12. AS A n¡:::SVLT OF pnOPOSED ACnON WILL EXISTlNO renMITIM'rnOYAL neOUIAF.: MODlncATIOUl U Yo. Ubi" -- -~--~-- -- ---~.._- -- ---- ~ I CERTIFY THAT THe INFORMATION rnOylOEO M~OVE IS TnVE TO TltE eEST or MY IOIOWlF.OOE ::::::~:'."j l£k GI r~p';~"¡" ,.<;",," ~ . . . ..... .... "",'/#ro " the action Is In th~ COAslAI ^r~n. And ;ou Are n state Agency, C'1~"~~Pt::Je the COAstal Assessment Form belore procP.edlng with Ihls asspselllPnt - --- -- QVl'n'· 1 . . NO'rtCE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: SCTMUOOO-Sg -02 -/2 yOU ~E HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: 12.l-' 6) l-<hü{:¡~ -h/J 1 b..u biLt.¿It.-Il£lQ( cy 6ac..t. /fl.1 2. That the property which is the subject of Erwi ronm,mtal Review is located adjacent to your property and is described as follows: It? /0 iec-/o)l flLú/Lf...¡ SOt.-diUJ/QI 3, That the project which is subject to Environmental Review under Chapters 32, 37, or 97 of the Town Code is op~n to public comment. You may contact the Trustees Office at 765-1992 or in writing. The above referenced proposal is under review of th~ Board of Trustees of the Town of Southold and does not reference any other agency that might have to review same proposal. OWNERS NlIME:.£"; . ß!,),~I)!P ADDRESS:C ~'.: 1- 5 r. »c1.-n!e./J tl_ L--ftt<1 1 q0q o Enc.: Copy of sketch or plan showing proposal for your convenience. , '. ,..' .ri .... ., , t:", J," .: :' . ~: OJ:' t· .::,.,'; , . . . ,:. ~: . ..s- Albert J, Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda ~ '!.\\fFOL,f ~ ~ ~ ~ ~ ::::0 .... = . ,C/O ~ ~ ~ . . Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-18ft2 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD ----------------------------------- In the Matter of the Application of /J . /J ---~------- OF SUFFOLK) OF NEW YORK) AFFIDAVIT OF POSTING I, (;/e.Jln £. """J"U.S-¡- OU Q.5.u..£ tV ~u.., \\,:iS4 being dul¥Jswdrn, depose and say: That on the Q~ day of rV\?1, , ~,~ personally posted the property known as IOoJ- S'Ð--C.;).-/Â- 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 seven days prior to the date of the Jl~lic h.~aring..l~a.t.El of hearing noted thereon to be held ~~/ótJOð ID or Q,DOU*- "',OO~,. , residing at I:J-./ "J""eS$~ Aùe.'Ìt.t£, I Dated: this 133d..aJV r ù TI-lERE--,·'· """II' - '"IGELMAIER Notar· '., .:' '" .. "'awYork IL ", "ì._.::;,""I':":"~ 9 ~\~'Expl;e;::;~~~~_ THERESA PSALTIS DANGELMAIER Notary Public, State of Naw York No, 01 DA496891 B QueJIfled In Suffolk County ~ r ì CommIs8Ion Elcplrel July 30, 2O!.Jl./' FRm1 J mO CONSULTING __--. PHONE NO, : 653 0607 . Apr. 06 2000 0~:18AM P03 --...... Board of Trustees Application AU'l'HO~IZATION (where the applicant is not I, E ( I 2..t\.Jxf1, L --:DC(/}I'QJ~ residing (priñi owner of property) the owner) at / 10 Lee (ma ling address fu~ S()V~6\J . NV¡-1/CJì / I j-m,o .£'v¡~ fJlÆ.nllf? to do hereby authorize 61ÆJút ~. !u3f/ V (Agent) apply for permit(s) from the Southold BQard of Town Trustees on my behalf. ,'1M 8 FROM . [IDa rd JmO CONSULT! NG County of ~_~ ~Jr-Ia State of New York PHONE NO, : 653 06~7 . . ()f. 11.·.rI}~:;t'~c5 ^ppllcat"10n Apr, 06 ~000 09:18AM P04 ____~t!~---1l!.~/~ Is ..____,:_~___..¡,__..______.___HEINr; Inn:¡ SWORN DEPOSES AFFIRMS ''HAT HE/SHE IS 'l'HE APPLIClIN'l' FOH THE ABOVE DESCRIBED PERMIT ( S) AND THAT lILL STA'rEMENTS CON':T'A I NED lŒHE I N AIU': TRUE TO THE BES'I' OF HIS/HER KNOWLEDGF, AND BELIEF', AND TIIA'J' ALL WORK WILL Bg DONg IN THE MANNER SET FORTH IN nns APPLICATION Mm AS MAY BE APPROVED BY THE: SOU'l'lior,l) TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD TIlE TOWN OF SOU'1'H01.D ANn THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AN)) ALL DAMAGES AND CLAIMS ART SING UNDER OR BY VIRTUE OF SAID pF.HMl'r ( :;), IF GI<MITED. IN COMPLETING THIS APPLICATION, 1 HE.JUŒY AUTHORI ZE THE 'T'lmS'I'EES, THEIR AGENT (S) OR IŒPRESF,W!'A'l'IVES (S). '1'0 ENTEH ON't'r¡ MY PROPERTY TO INSPECT 'rUE PREMISES iN CON,HJNCTION WITH H¡;:VU;W OF '('In.s APPLICATION. SWORN TO BEFOR¡'~ ME TH! S ___..-;:¡;;¡ ~~. A~~' Nota PublJ.c '. IOUMAI.'I' MIT8N ...., Public, Stale 01 ,.,....... No. 01 MI8012787 GueIIIIed In Queena ÇI!u'lIr ~ale Filed In New Vorl< ~ '"Ion Expir8I 0Ø(31R11t11l "~'---Si~9"nôr'<! -... v~""'- íll... DN{ OF.....I/¡?t'//. -....-.-......... . .-...-........ __. _9."" _...~__ .. .....m'~'~ -_.." ----- e--.. PHONE NO. : 653 0607 . Apr. 06 2000 09:18At1 P03 FROM J mO CONSULTING ~oard of Trustees Application AUTHOJ,UZATION (where the applicant is not the owner) I, j¿( / 2-t\,kth L~DcJ/JJ·ºJ5. residing (priñi OWner of property) . SOu -tt, 6 \ J , N l,tJJCi ì I I do hereby authorize (jIÛJl z..Iv3f / V (Agent) jm,o.£'v;~ fJ«nlt'h to apply for permlt(s) from the Trustees on my behalf. ,. 8 FROM JmO CONSULTING . PHONE NO. : 6530607 . [,nard of 'I.', 11"('''''''' 1\1'1.'1; cati0[1 County of ~~~ ~ I,-,la State of New Yor.k Apr, 06 2000 0~:18AM P04 _...~I!! ~.A~/e & '''___';_~___'' '__''_____'c__BEING ¡JIn;¡ SWORN DEPOSES 1\I"FIRMS 'l'HAT HE/ SHE J S 'l'HF: APPLICI\N'l' FOH THE I\BOVE DESCRIBED PERMIT! $) AND THAT ALL STA'l'EMENTS cowrA I. NED IIEHEJN Art!<: TRUF. '1'0 THE BEST OF IIIS/IIER KNOW]'"~DGF. i\ND RELIEF, MID TTlA'1' ALL WORK WILL BE DONI:: IN TIlE MANNER SET FORTH IN TIns APPl.ICl\TION AND AS MAY BE APPROVED BY THE SOU'l'lior,j) TOWN BOARD OF TRI1STEES, THE APPLICANT AGREES TO HOLD nIE TOWN OF SOU'l'H01.D ANn TIm TOWN TRur~TE¡;:S HARMLESS !\.ND FREE FROM ANY AND ALL DI\MAGES i\ND CT,i\lMS ART SING UNDER OR BY VIRTUE: OF SAID PEHMl'r!:,), H' GR~NTED. IN COMPLETING THI S AI'PLICl\'l'ION, I HEJUmV AUTHORI ZE THE T1<IIS'I'EES, THEIR AGENT ( S) OR REPRESF.WI'^'l'IVE~.;' S), TO ¡¡NTEH ONTO MY I'ROPF,RTY TO INSPECT 'rlIE PJŒMISES iN C:ON,JlJNCTION WITH l1EVIEW nF Trns APPLJCATION. -- .. --- s rg-riôrC;- - - V·""" SWORN TO BEFORE ME 'I'm:, -¡IJ.... -...-....-.-.. Dl,'{ OF___h~('/o/' . -.- . -~....-. ___.~ Jr' -~~. Nota PublJ.c __ a.~· _,.____ '. IOUMALV MI'I8II ....., Public. Stllo of ,.,...... No.OfMI80121117 Guall1led In Queons ~ ~IIO Flied In Now¥Dl1< ~ ,dglon ExpIroo 08I3112QQi' , . r,:;, ,,;1<Pð . . THE FOLLOWING ARE A LIST OF ADJACENT NEIGHBORS FOR THE BELOW NOTED PROPERTY AS PER THE TAX ASSESSORS OFFICE OF THE TOWN TAX ASSESSORS OFFICE OR THE DEPARTMENT OF REAL PROPERTY Owner: Elizabeth Daniels S,C.T.M,No, 1000-58-2-12 Adjacant Owner: Mildred Ann Diack Mailing Address: C/O Mildred DeRosa, 46 West 13th Street, Huntington Station, NY 11746 S.C.T.M.No. 1000-58-2-11 Adjacent Owner: Nathan and Robert Anello Mailing Address: 3 Fiore Court, St. James, N, Y. 11780 S,C.T.M,No. lOOO-58-2-13