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Home My WebLink AboutTR-126 F'OR~I NO. 1 6/(- (jJ d. ~ JO ð~' }r¡.~ (IJ 0':;' TOWN OF SOUTHOLD BOARD OF TOWN TRUSTEES TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined Ct!?"'ft 7' er 19 ¡. C' Approved ;J::4:-~~7'~<; ....~- Disapproved a c Permit No. Application No. .mIQ5..~. .......nn......... .........n._... mmmm...~m . ... ..~~...._.m.A,"",,".~..~.m chairman, Board of Trustees APPLICATION FOR PERMIT ....................-.................- INSTRUCTIONS A. Thiz appl;caticn to be completely filled in by typewriter or in ink and submitted to the Town Trustees in dup- licate. B. Plot plan showing locatien of lot and tuildings on premises, relation to adjoining premises, public streets, parks, etc., and giving detailed de3cription of prepcsed hyout of project must be drawn on diagram which is part of this application. C. The work coverec! by this ,,-pplication may not be commenced before the issuance of a permit. D. Upon approval of this applicatiou, Town Trustees will i",ue a perrrJt to applicant. Such permit shall be kept on the premises and available for in"p8ction at an times. E. Applicant shall notify the Beard of Trustees upon c~;l1,,!cticn of the work covered by permit. APPLICATION IS HEREBY MADE to the Board of Trust"es d the Town of Southold, Suffolk County, New York, for the issuance of a permit pursuant to the laws, Ordinances and regulatioll8 governing construction of: docks, piers, bulkheads, jettys and dredging in; under, and on r the waters of Town of Southold. The applicant agrees to comply with all applicable laws, C'rdinances, regulatioll8 a11"l conditions specified by said trustees, and to hold :::~o::no:n:::t;:~:~::s a~~D;t~r~tfr~frO({A ~~i1)~~~ /~çges of any :~'m m.. Street Address of Property. (1 n E'- 1\", l" ~ $C'¡,-c,.:4, . _'C: «}L r) d/ m.m Home address If Otber Than Location. I ). j' L ª I iE' I '¡ 7, 1'/ Ii' J.Cllle, / ð! III ì:,:! 5 ~ - / -I / / . J ("I(t' 'I L ¡'<:....-k f<t. 1M ,~L' t\ lií_··m Creek, Bay cr Harbor Fronting PropeJ'ty . -, \ r 1'-"",[ ¿ .J,,'qJ-m , ................... ". ................................................ Permit Requested To: .......................... .................... Size of Proposed Work: Length Width - '- " -...{ Heighth Above High Water mmm,'.m.. '-'I. Y d t B E t d 7 .m... . ar s 0 e xcava e mmm'''''hmmm.m.m mm~\l"h" m""'hm Depth at Low Tide Depth Below Lew Water I Averag'e Rise In Tide ). L-~.þ> Width of Canal, Creek or Bay Fronting Property m.mm.. .m. ........... Is This For Private or Business Use? mmm....T;J.~..'3J.<:... m....... Area Zoning ······-·...........-h....···....·.........._...h............h........... Complete plot plan to be drawn on reverse side of this application. STATE OF NEW YORK) ^",Þ: )S. S. COUNTY ~/fr.f~ " í/a. +,.:t!:£4-maA.4.d.d:ÜAMeing duly sworn, deposes and says that he is the applicant for the above de- scribed permit, and that all statements contained herein are true to the best of his knowledge and belief; that the work will be done in the manner set forth in the application and as approved by the Board of Trustees of the Town of Southold, and the applicant agrees to hold the Town of Southold and said trustees harmless and free from any and all damages and claims arising under or by virtue of sai~~~""":h"" ......mhm...m....... ~applicant) Sworn to, be~ore me~.m~..m.. day of .~.,. 19.6.p. Nota~iJí'ic¿.~~~~m coun'tf/of . ,P- . I '. Ifo k JUDITH T. BOKEN ;?''J'C~( Ni!IMv Public, State ot New York hti ~Z.0344963. Suffolk County 'f,W\\1J.&$IOI1 Expires March 30, 19 {¡, , w " II ,- TOWN OF SOUTHOlD BOARD OF TOWN TRUSTEES I &. fe, PERMIT NO. .................... Pursuant to the provisions of Chapter 615 of the Laws of 1893 of the State of New York and Chapter 404 of the Laws of 1952 of the State of New York and in accordance with the resolution of the Board of Trustees of the Town of Southold adopted at a meeting of said Board on.......!!~9:g.~.;...??.<....~.~~.9..................., and in consideration of the sum of $...*9..·.9.9.., lawful money of the United States, paid by...!I¡g:9.:¡'Ç!...!;;.,...~~gþ'J;r.!)'.......... residing at ...........~;.~!'?..Æ~.ç;~...~~.~~.,....~~~~~~.:!-,~....................................,., New York, the said Board of Trustees of the Town of Southald, Suffolk Caunty, New York, hereby authorizes ond permits said........,...~~.J;:91º....t;;.....Çh..¡¡t.ºþ.w.;-1.\.....,........."..,....,.............. ta dredge 20 feet of meadow bog across the front of his property on Jockey Creek to form a beach. all in accordance with the application submitted. The said ......,ª..f?9.;l.g..~.,....Ç,h!li.ºþ.Wr.Ð..,.................. as part of the consideration for the issuance of this permit does hereby release the said Board of Trustees and the Town of Southald from any and all damages, claims for damages ar suits that may arise ar occur directly ar indirectly as a result of any operation carried on under and pursuant to this permit, and will at his awn expense, defend any and all suits which may be brought by third parties as a result of any aperation carried an pursuant to or in accordance with the terms of this permit, and assume full liability with respect thereto to the complete exclusion of said Baard of Trustees and the Town of Southold. u ., Il ~ ~. THIS PERMIT is subject to the following terms ond conditions: 1, Thot there sholl be no unreosonoble interference with navigation as a result of the work herein autharized. 2. That there shall be na interference with the right of the public ta pass and repass along that portion of the beach between low and high water mark. 3. That the wark shall be subject to the supervision and approval of the said Board of Trustees or its agents. IN WITNESS WHEREOF, the said Board af Trustees of the Town of Southold has caused its corporate seal to be hereunto affixed and these presents to be subscribed by a majority of the said Board of Trustees, the day and year above written. ~' r--.~. seal ...... _.:c.,...."',"'..:""~""'..,¿"...<......".~..(L S.) . .-pI:. . . ;'/~- ,.....,...:.;:...!-;~...:.I.......,~~.~..........,.(L S.) ,.... .f¡fl?~ .... ,~~¡¿......w.",,-:~:~:~. S.) .....~.!ßr~~S.J STATE OF NEW YORK ) SS: COUNTY OF SUFFOLK ) ON THIS....~.~~~.......doy af........s.~!?~.fI!~~""..........................., 19.9.9..., before me personally appeared Emmons Dean, of Greenport, NY; Frank Dawson, Qf New Suffolk, NY; Philip Weiler, of Orient. NY; John McNulty, of Laurel, NY and Alvah Goldsmith, of Southold..,NY II k un- persona y nown ta me, who, being by me duly swarn, severa lIy said that they each resided in the Town of South old, County of Suffolk, State of New York, and were members of the Board of Trustees of said Town of Southold and constituted a majority of the same; that they knew the corporate seal of said Town af Southold; that the seal affixed to the foregoing instrument was such corporate seal; that it was so affixed thereunto by order of the Board af Trustees of said Town of Southald and that each ane signed his nam~ thereto as a Trustee and by like order. ~..~.,.....,.... Notary Public ELOISE BOWDEN N'otaEy Public. State of New Vade RÐsiding in Suffolk County No. 52-0367800 My Commission Expires March 30. 19(0 J