HomeMy WebLinkAbout1000-118.-5-2
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APPROVED BY
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TOWN Of SOUTHOLD
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Southold. N.Y. 11971
(516) 765-1938
October 23, 1985
Mr. and Mrs. Frisbee
1016 Hay Harbor Drive
Delray Beach, Florida 33444
Re: Lot-line change at
Nassau Point
Dear Mr. and Mrs. Frisbee:
The following actions were taken by the Southold Town Planning
Board, Monday, October 21, 1985.
RESOLVED that the Southold Town Planning Board declare themselves
lead agency for the lot-line change of Frances Frisbee located
at Nassau Point, under the State Environmental Quality Review
Act. An initial determination of non-significance has been
made.
RESOLVED that the Southold Town Planning Board approve the
lot-line change of Frances Frisbee, located at Nassau Point,
to add 989 square feet from Lot No. 105 to Lot No. 106, survey
dated as amended September 30, 1985.
When the Chairman has endorsed the survey, we will forward
a copy to you.
If you have any questions, please don't hesitate to contact
our office.
Very truly yours,
( ~N~T~I~o~~~~t~
SOUTH OLD TOWN PLANNING BOARD
By Diane M.Schultze, Secretary
~
TOWN CLERK
TOWN OF SOUTIIOLD
Suffulk Cuunly. New Yo~k 516 - 765.1801 N'! 16874'
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.,/' , "Southold. N. Y. 1l971~ J;,2, 19 ~!-
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,: ?Cd'; :;R~,!;~j; < 7n,~" '"'~~,~ 0< I
j Judith T. Terry. Town Clerk ,
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The following
change:
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LOT-LINE CHANGE
items are to be submitted on the survey for a lot-line
Key Map
Lot, block, and section number from tax map, scale and
north arrow
Name and address of the owner of record
Name and address of the person preparing the map (certified
engineer, land surveyor, architect, etc.)
Property descriptions, dimensions, bearings, square footage of
the property being changed and property where additional
square footage is coming from.
Existing zoni ng , '
Areas subject to flooding
Existing buildings and site improvements, (ie fences, hedges)
Indicate the existing lot line (dotted line) with the bearing
and distance and the proposed lot line (solid line) with the
new bearing and distance.
Location and name of existing streets or right-of-way
adjacent to the property.
Existing spot grades
The following information is to be submitted with the application
for a lot-line change:
~ Written and signed letter, notorized, by owners of properties
in question approving of the change and reasons for the change.
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Proposed covenants and restrictions indicating that upon
Planning Board approval, the property will be merged.
Any existing covenants applying to the property.
Form letter regarding drainage, roads, and grading, see attached
Short Environmental Assessment Form, Part I, see attached
Application, three pages, last page
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COUNTY OF SUFFOLK
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PETER F. COHALAN
SUFFOLK COUNTY EXECUTIVE
DEPARTMENT OF HEALTH SERVICES
To: nN'4/ t?~ S<?Pl"#l?~o
?,.t~~A 6"41-10>
5",3t:>9!i' 4A'.-P/4/ ~",,~2>
S!:){~'Y"#d'~o./ A/.,X. //97/
Dear~. -;5eHde.7T C>r~A/ S" 4'-;'
We are in receipt of your letter dated C!)cT ~~ /.P~~concerning
referenced project.
Date
DAVID HARRIS. M.D.. M.P.H.
COMMISSIONER
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Re: J7H,p./e?tX' - /<"tr- t? S--c>-<.
the above
~l. This Department has no objection to your designation of lead agency status.
~2. This Department is in agreement with your initial determination.
3. This Department does not agree with your initial determination. See
COl1Tl1ents.
4.
05.
COUNTY CENTER
RIVERHEAD.N.Y. 1 1901
"
Insufficient information is available for technical comments.
6.
There is no record of an application to this Department.
SEE CC'AII'/hEA/r::5
A more accurate project location is needed.
(Suffolk County Tax Map #)
This Department has received an application and it is:
Complete
Incomplete
Other:
7. It appears that the project can be served by:
Sewage Disposal System
Sewer System and Treatment Works
Subsurface Sewage Disposal System(s)
Other:
548-3318
Water Supply System
A Public Water Supply System
Individual Water Supply System(s)
Other:
N 8. COl1111ents:
The Health Department's primary environmental concern pertaining
to development is that the applicant comply with the requirements of the
Suffolk County Sanitary Code especially Article V and VI, and relevant
construction standards for water supply and sanitary sewage disposal.
These considerations are to be reviewed completely at the time of
application. Full consideration in placement of water supply wells
and disposal systems is given to state and town wetland requirements.
The Health Department maintains jurisdiction over final location of
disposal and well systems and the applicant should not undertake to
construct any water supply or disposal system without Health Department
approval.
Other portions of the Suffolk County Sanitary Code also apply to
commercial development such as Article XII. The Lead Agency is requested
to forward a copy of this form to the applicant with its findings.
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"",,,// ,e. JP!"e' rurt~er cOl1111ent t!IlIy be f!l'ovided upon completion of the application
revie~l.
Name
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TRUSTEES
John M, Bredemeyer, III, President
Henry P. Smith, Vice President
Albert J. Krupski, Jr.
John L. Bednoski, Jr.
John B. Tuthill
SCOTT L. HARRIS
Supetvisor
Telephone (516) 765-1892
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Town HaIl, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1800
S.E.Q.R.A.
NEGATIVE DECLARATION
NOTICE OF NO SIGNIFICANT EFFECT ON THE ENVIRONMENT
APPLICATION NO. 11-3-90-118-5-2
NAME: Frances Frisbie
DATE: December 26, 1990
RESOLVED that pursuant to Article 8 of the Environmental Conservation
Law, State Environmental Quality Review and 6NYCRR Part 617,
Section 617.10 and Chapter 44 of the Code of the Town of Southold,
notice is hereby given that the Southold Town Trustees, as Lead
Agency for the action described below, has determined that the
project will not have a significant effect on the environment.
Please take further notice that this declaration 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.
TYPE OF ACTION: Type II
DESCRIPTION OF ACTION: To construct a timber dock consisting of a 4'
X 30' fixed elevated (4' above grade of Marsh) walk; 4' X 14' hinged
ramp; 6' X 16' float secured by (2) 8" diameter pilings.
LOCATION: Tax map No. 1000-118-5-2
REASONS SUPPORTING THIS DETERMINATION:
1. An on site inspection has been conducted by the Board of
Trustees.
2. An environmental assessment, submitted by the applicant and
reviewed and completed by the Board of Trustees, has indicated that
no ~ignificant adverse effects to the environment are likely to occur
should the project be implemented as planned.
cc: Planning Brd:, Bldg. Dept., ZBA, CAC, NYSDEC, COE
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Southold. N.Y. 11971
(516) 765-1938
October 21, 1985
Environmental Analysis Unit
DEC, Building 40, Room 219
SUNY
Stony Brook, NY 11794
Gentlemen:
Enclosed find a completed Short Environmental Assessment
Form and a copy of the map of the subdivision of Frances N.
Firsbie, located at Nassau Point, tax map no. 1000-118-5-2.
This project is unlisted and an initial determination of
nonsignificance has been made. We wish to coordinate this action
to confirm our initial determination.
May we have your views on this matter. Written comments
on this project will be received at this office until November
4, 1985. We shall interpret lack of response to mean there
is no objection by your agency in regard to the State Environmental
Quality Review Act, and our agency will assume the status of
lead agency.
Very truly yours,
~~L~~~~~:W
SOUTHOLD TOWN PLANNING BOARD
By Diane M. Schultze, Secretary
enc.
cc: Department of Health Services
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NUMBER
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NEW YORK STATE DEPARTMENT-OF ENVIRONMENTAL CONSERVATION
DIVISION OF REGULATORY AFFAIRS
State Environmental Quality Review
SHORT ENVIRONMENTAL ASSESSMENT FORM
For UNLISTED ACTIONS Only
-'
J985
PART I Project In!ormatlon (To be completed by Applicant or Project sponsor)
,. ApplicantJsponso ;J. r'/r',.SI3IE ,. Project Name
1./ C i3 S.
3 Project location: /7r ~ IJ?/t 12 W A TIZ-I(! L.4,(/ e ,
.
Municipality County II
4. Is proposed action:
o New 0 Expansion 0 Modification/alteration L../ All:: C A Ll6E.
S. Describe project briefly: . - /
,JJ,I{; if r ell AIJ6e / II- ,(.JIC/e 7)1'" f 7:>/,(/6- A-~' n: /" V <I- /00
F/ub /./ .>;;rF"'~ ~<>. e.(~/JIf" or-ACE A< /11/(,0 #- /.r6 (#A/' -4 p~ .e/,;(-'!.r4,V -7
ro A.CC()I/I..'j)lo;rt: 13,,/Io-v/"'t."' .sT/tJ,/CTt/A".FS-
6 Precise location (road intersections, prominent landmarks, etc. or provide map)
.J ee ,+ n-PrC !f6f> 1-14 P.
7. Amount of land affected;
Initially
acres
Ultimately
acres
8. W~posed action comply with existing zoning or other existing land use restrictions?
1!1 Yes 0 No If No, describe briefly
9. Wha . present land use in vicinity of project?
Residential 0 Industrial 0 Commercial
Describe:
o Aariculture
o Parkland/open space
o Other
10. Does action involve ~~it/approval, or funding.. now or ultimately, from any other governmental agency (Federal, state or 10caIH
DYes 0 No If yes, list agency(s) and permit/approvals
11. Does any aspect of the action have a currently valid permit or approval?
DYes 0 No If yes, list agency name and permit/approval type
12. As result of pro~ action will existing permit/approval require modification?
o Yes ~ No
If the action Is In the Coastal Area, and you are a state agency, complete the
Coastal Assessment Form before proceeding with this assessment
OVER
PART II
EnVlronmenta.sessment (To be completed by Agency)
.
.
,
A. Does action exceed any Type I threshold in 6 NYCRR, Part 617.12?
DYe, 0 No
If yes, coordinate the review process and use the FUll/lONG FORM EAF.
8. Will action receive coordinated review as provided for Unlisted Actions in 6 NYCRR. Part 617.71
involved action.
DYe, 0 No
If No, a negative declaration may be superceded by another
C. Could action result in ANY adverse effects on, to, or arising from the following: (Answers may be handwritten, if legible)
(1. Existing air quality, surface or groundwater quality or quantity, noise levels. existing traffic patterns, solid waste production or disposal, potential for erosion,
drainage or flooding problems? Explain briefly:
(2. Historic, archeological, visual or aesthetic. or other natural or cultural resources; agricultural districts; or community or neighborhood character? Explain briefly:
(3, Vegetation or fauna, movement of fish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly:
(4. A community's existing plans or goals as officially adopted, or a change in use or intensity of use of land or other natural resourcesl Explain briefly.
(5. Growth. subsequent development, or related activities likely to be induced by the proposed actionl Explain briefly.
(6. Secondary, cumulative. or other effects not identified in (1-(6? Explain briefly.
(7. ^ change in use of either quantity or type of energyl Explain briefly.
PART III Determination of Significance (To be completed by Agency)
INSTRUCTIONS: For each adverse effect identified above, determine whether it is substantial, large, important or otherwise
significant. Each effect should be assessed in connection with its (a) setting (Le. urban or rural); (b) probability of occurring;
(c) duration; (d) irreversibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting
materials. Ens~Jre that explanations contain sufficient detail to show that all relevant adverse impacts have been identified
and adequately addressed.
o Check this box if you have identified one or more potentially large or significant adverse impacts which MAY Occur. Then
proceed directly to the FULL/LONG FORM EAF and/or prepare a positive declaration.
o Check this box if you have determined, based on the information and analysis above and any supporting documentation,
that the proposed action WILL NOT result in any significant adverse environmental impacts AND provide here, and on
attachments as necessary, the reasons supportng this determination:
Agency Name
Agency Preparer's Name
Preparer's Signature/Title
Date
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T
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Southold. N.Y. 11971
(516) 765-1938
October 9, 1985
Mr. and Mrs. Frisbee
1016 Hay Harbor Drive
DelRay Beach
Florida 33444
Dear Mr. and Mrs. Frisbee:
The Planning Board reviewed the application for a lot-line
change at the meeting of October 7, 1985.
It was the consensus of the Planning Board to conduct a
field inspection of the premises prior to any further action
or recommendations.
Following a field inspection, this matter will be scheduled
on the agenda for October 21, however, your presence is not necessary.
If you have any questions, please don't hesitate to contact
our office.
Very truly yours,
~tt OrtBRJ~k.t) ~~
BENNETT ORLOWSKI, JR., CHAIRMAN
SOUTHOLD TOWN PLANNING BOARD
By Diane M. Schultze, Secretary
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,OCT 1 1985
D
Southold, N.Y. 11971
(516) 765-1938
SUBDIVISION REQUIRED DOCUMENTS
MINOR
Survey map-
it).12 copies
5 foot contours
Scale 1" '" 100'
Key Map with property location and distance to nearest
existing street and intersection
Name of owne~ and adjoining owners
County Tax map numbers
~-~109P"':E'- ~..wit:h -aft~.~n.-Eee of $1.:;--0-.
If within 500 feet of bay, sound, or estuary thereof
or county or state road, letter regarding drainage
grading and road construction
,:S'noY"t Part I of
~ Environmental Assessment Form
Legal description of Property
Notations on existing restrictions
(easements, covenants and zoning lines)
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Southold Town Planning Board
Town Hall
southold, New York 11971
(b cj-c:,l~
19~5-
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Gentlemen:
The following statements are offered for your consideration
in the review of the above-mentioned minor subdivision and its
referral to the Suffolk County Planning Commission:
(1) No grading, other than foundation excavation for a
residential building is proposed.
(2) No new roads are proposed and no changes will be made in
the grades of the existing roads.
(3) No new drainage structures or alteration of existing
structures are proposed.
Yours truly,
~a.utD "'~ '~. 'bt: ...",l-rJ
.
.
i~85
APPLICATION FOR APPROVAL OF PLAT
j. /I.J ~ CJIIlI/I G-G.
To the Planning Board of the Town of Southold:
The undersigned applicant hereby applies for (t I" '0) (final) approval of a subdivision plat in
accordance with Article 16 of the Town Law and the Rules and Regulations of the South old Town
Planning Board, and represents and states as foll ows :
1. The applicant is the owner of record of the land under application. (If the applicant is not the
owner of record of the land under application, the applicant shall state his interest in said
land under application.)
2. The name of the subdivision is to be ..... ~. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3. The entire lan<!Atnder application is described in Sche~u.Jr "AU hereto annexed. (Copy of deed
suggested.) V .fe-e.. Co"::! pee-I> "//>;/f70'
4. The land is held by the applicant under deeds recorded in Suffolk County Clerk's office as
follows:
Liber ..:J. 7.{;.,~.. .. . . .. . . .... Page .. ~ 1..1. . . . . .. . .... On
.......................,
Liber ........................ Page
On
.......................,
Liber ........................ Page
On
.......................,
Liber ........................ Page
On
........................
Liber ........................ Page
On
........................
as devised under the Last Will and Testament of .......................................
or as distributee ........................................................................
./
5. The area of the land is .................. acres.
6. All taxes which are liens on the land at the date hereof have been paid except ............
. . . . . . . . . . . . . . . /y~. . f. ~ .'.'?. .. . .. . . . . . .. . .. . .
7. The land is encumbered by . .N.q. .. /:{ P. ~r. fJ:~r?:1h. . . . . . . . . . . .. .. . . . . . .. . .. . . . . . . . . .. .
mortgage (s) as follows:
(a) Mortgage recorded in Liber .............. Page. . . . . . . . . . . . . . . .. . in original amount
of $. . . . . . . . . . . . .. unpaid amount $ ..... . . . . . . . . . . . . . . .. held by ......................
.. .. .. .. .. .... address ..................
(b) Mortgage recorded in Liber ......... Page ....................... in original amount
of .............. unpaid amount $. . . . . . . . . . . . . . . . . . . . .. held by
. . . . . . . . . . . . .. address ................. ........................
.
.
(c) Mortgage recorded in Liber .............. Page................ in original amount
of .............. unpaid amount $...... . . . . . .. .. . . . . . .. held by ......................
. . . . . . . . . . . . . . . . . . . . .. address .........................................................
. /!IOIlle.
8. There are no other encumbrances or liens agamst the land except ........................
................................................
9. The land lies in the following zoning use districts '" .~.'D.1!.A(0. T:'.1ty(..1/A./'.1 PP. P. . . .
.~~ g. .IIi.... t!Y9J<. ..(~......................................................
V' 10. No part of the land lies under water whether tide water. stream, pond water or otherwise, ex~
cept . .1./1.1..( .Fr. .12~. . (J.A<.e,.((&I./). . .I.t:: NoJ.lP.J/.. 4,(..~ A6:C?<:!(. .c?~. tI+,>.(~. ff
11. The applicant shall at his expense install all required public improvements.
~ 12. The land (does) (does not) lie in a Water District or Water Supply District. Name of Dis.
trict, if ,vithin a District, is ..............................................................
13. Water mains will be laid by ............................................................
and (a) (no) charge will be made for installing said mains.
14. Electric lines and standards will be installed by
and (a)
(no) charge will be made for installing said
lines.
IS. Gas mains will be installed by . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
and (a) (no) charge will be made for installing said mains.
16. If streets shown on the plat are claimed by the applicant to be existing public streets in the
Suffolk County Highway system, annex Schedule "E" hereto, to show same.
17. If streets shown on the plat are claimed by the applicant to be existing public streets in the
Town of South old Iiighw'lj[ sY..i'tem~nnex Schedule "C" hereto to show same.
;J iJ. sffj () FeW I J\:': OA U
18. There are no existing buildings or structures on the land \vhich are not located and shown
on the plat.
19. Where the plat shows proposed streets which are extensions of streets on adjoining sub-
division maps heretofore filed, there are no reserve strips at the end of the streets on said
existing maps at their conjunctions with the proposed streets.
20. In the course of these proceedings, the app licant will offer proof of title as required by Sec.
335 of the Real Property Law.
21. Submit a copy of proposed deed for lots showing all rC'strictions, covenants, etc. Annex
Schedule "D".
~Id,-(~
.
.
.
.
22. The applicant estimates that the cost of grading and required public improvements will be
$. . . . . . . . .. as itemized in Schedule HE" hereto annexed and requests that the maturity of the
Performance Bond be fixed at . . . . . . . . . . . . ., years. The Performance Bond will be written by
a licensed surety company unless otherwise shown on Schedule "F".
DATE
~...A- ~ .'- '.
. .\...L!.'.t; ~'.. .\................., 19.~.:? . f:f' !j),!?c. ,r.Ii/...r: 1<( :{t!J !.f..,........
(Name of Applicant)
By~~.(Q~:Jy.~S .k~.....
(Signature and TitleL _ / _
fu2J1/ t //:r C"f.tl/eINtIEP. ",C.4/V;...
....~;I. .r:Cci!. P. G..i!.~. .N.t;.t:'!.. .,:/f.f.'X. /lel1."'-:
(Address)
STATE OF NEW YORK, COUNTY OF
Su~Fo 4'-.. .
. .. . . . . . . .. . . .. . . .. .. .. . . .. . . . . ., 55.
On the.....I~...... day of...... '&.~TP.4.t?:(?,......, 19. .~:r:, before me personally came
~ ",....
. . . . . . . . .f)'?It.~ ?:l?~. . . f..(. : . tiff?.'?!.". to me known to be the individual described in and who
executed the foregoing instrument, and acknowledged that. . . . S . .. executed the same.
.................. ..... .... ....~----
Notary Public ALLAN OUNGS, Notar)' PubUa
Ita New York, c;;;ualififld In
....... ........, No. 52. ....21.,.... "7
COmml..... ~ ".rc" 30, -1,,4.
STATE OF NEW YORK, COUNTY OF............................ 55:
On the ................ day ............ of .............., 19......, before me personally came
. . . . . . . . . . . . . . . . . . . . . to me known, who being by me duly sworn did de-
pose and say that .,. . . . . . . . . . resides at No. ....................................................
. . . . . . . . . . . . . . . . . . . . . . . . . that .......................... is the ..........
.................. of
the corporation described in and which executed the foregoing instrument; that ............ knows
the seal of said corporation; that the seal affixed by order of the board of directors of said corporation.
and that ............ signed.............. name thereto by like order.
Notary Public
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Lb,/
Ii S"nd"d N. Y. B. T, U. Fo'm '001 . 4.6..HM_B",.;n .nd so!, O"d. w;,ho", Cov'n,", .,.in" Cu",o,', A,,,_ Ind;v""I 0. Co.po",;on (,;ngl, ,hm)
'I CONSULT YOUR LAWYER BEFORE 51" THIS INSTRUMENT_THIS INSTRUMENT S.D BE USED BY LAWYERS ONL
lIBER6763 PACE 206
THIS INDENTURE, made the (1' ~ day of June , nineteen hundred and se yen ty
BETWEEN
DOROTHY MEAD JOHNSTON, residing at 820 .West SixtY-First
Terrace, Kansas City, Missouri,
OCT 1 1985
party of the first part, and
FRANCES N. FRISBIE, residing at 77 Hampton Road,
Garden City, New York
party of the second part, SEVENTY FIVE THOUSAND and 00/100 ($75,000.00)
WITNESSETH, that the party of the first part, in consideration oiAtit dollars and other valuable consideration
paid by the party of the second part, does hereby grant and release unto the party of the second part, the heirs
or sucJ~rs and assigns of the party of the second part forever,
AU;c ~~in plotf,l piec(/lor parcel of land, with the buildings and improvements thereon erected, situate,
lyingandbeinglf>lllXe at Nassau Point or Little Hog Neck, Town of Southold
Suffolk County, New York, and designated as lots Nos. 105 and 106
on Map entitled "Amended Map A of Nassau Point, owned by Nassau
Point Club Properties, Inc., situate in the town of Southold,
Long Island, New York "surveyed June 28, 1922 by Otto Van Tuyl,
C.E. and Surveyor, Greenport, New York and filed in the Office
of the County Clerk of Suffolk County, New York, August 16, 1922,
File No. 156.
Being the same premises Conveyed to the party of the first part
by deed dated September 20, 1954, and recorded in the Office of
the Clerk of Suffolk County i". L1ber 3762, page 597.
.,
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TOGETHER with all right, title and interest, if any, of the party of the first part in and to any streets and
roads abutting the above described premises to the center lines thereof; TOGETHER with the appurtenances
and all the estate and rights of the party of the first part in and to said premises; TO HAVE AND TO
HOLD the premises herein granted unto the party of the second part, the heirs or successors and assigns of
the party of the second part forever.
AND the party of the first part, in compliance with Section 13 of the Lien Law, covenants that the party of
the first part will receive the consideration for this conveyance and will hold the right to receive such consid-
eratiOU;ls a trust fund to be apflied first for the purpose of payinl( the cost of the improvement and will apply
the same first to the payment 0 the cost of the improvement before using any part of the total of the same for
any other purpose.
The worn "party" shall be construed as if it read "parties" whenever the sense of this indenture so requires.
IN WITNESS WHEREOF, the party of the first part has duly executed this deed the day and year first above
written.
IN PRESENCE OF:
MISSOURI ~~~_~
~ATE OF ~~, COUNTY OF /:......,_~ ss:
On the. day of June I~ 19 70. before me
personally came DOROTHY MEAD JOHNS~
STATE OF NEW YORK. COUNTY O.
On the day of
personally came
..# i V-:)
,C':cO: ':"'1, I
ss:,
19
J before me
me known to be th(~ individual
"ted the foregoing instrument.
~ executed the same.
described in and who
and acknowledged that
to me known to be the individual
executed the foregoing instrument,
executed the same.
described in and who
and acknowledged that
------...._--- ----~._--_._-_._-.
STATE OF MISSOURI,}
COUQty of Jackson, SS. being a court of record of the aiore.aid county. having by law a .eal. do
, hereby certify that...................!;;l~.~.!?:9.;:,...k~...9...'..9.9..~.!?:!?:!:........................................... who.e
name is. subscribed to the attached certificate. of acknowledgment, proof or affidavit, was
at the time of taking said acknowledgmentl proof or affidavit a NOTARY PUBLIC duly
commissioned and sworn and residing in said county, and was, as such, an officer of said
state, duly authorized by the laws thereof to take and certify the same, as well as to take
and certify the proof and acknowledgment of deeds and other instruments in writing to be
recorded in 'said state, and that full faith and credit are and ought to be given to his official
acta; and I further certify that I am well acquainted with his handwriting and verily believe
that the signature to the attached instrument is his genuine 8ignature~
IN WITNESS WHEREOF, I have hereunto set my hand and affixed the official .eal
of Jack.on ~ounty Court thi......................~a; o~................~.~.~:............................., 19....:..?.
...~.....................................
By .0)~1.... .. ... r of t e ounty Curt.
, Clerk of the County Court of Jackson County, the same
WILL 10 UlW ....
"The Law of Mlllourl does not require the Impreuicm of the a..l of a NotuJ' Pahlle to he f
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.arllain anll ~ale :mull
WITHOUT COV}NANT AGAINST GRANTOR'S ACTS
LE NO I Y G -;;; c; 1,
DOROTHY MEAD JOHNSTON
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SECTION
BLOCK
LOT
COUNTY OR TOWN j 0 vi -1/ / 0 /... iJ
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FRANCES N. FRISBIE
Recorded At Request of The Title Guarantee Company
RETURN BY MAIL TO:
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STANDAR.D FORM OF NEW YORK 10ARD OF TInE UNDERWRITERS
Distributed by
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. JUN 26 1979-;
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LESTER M: Al~RTSON
Clerk of Suffolk County
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FRANCES N. FRISBIE
AT
"NASSAU POINT"
TOWN Of:' SOUTHOI..D, N.Y
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Unauthorized alteration or addItton
to this IUrwy It D vioIetIon of--
Section 7209 '" Ihe _Yartt_
EducatIon Law.
Cool.. of this IlnWyIlltlp __ng
tIMi lend IUrvevvr"1 Jnked .., or
embo8aed leel thall not bit eonaidered
to be a valid true copy. '.
GU8renfaeS Infficated hereon shan run
onty to thlt perean for whom the survey
Is. prepared, and on his behalf 10 ths
title ,company. Qovernmental agency and
lendmg institution listed hereon and
to ths a~siQnl::'l3S of tha lending instj.
tution. (hl[,:r.r,te~s are not transterabl6
to ;i~....iti()n,,! in~',itutjont: O~ svblJequcnt
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CO,",(lPct"'~ as SlH/V~u~ci UIA"NIl \8.19,0.
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..A~et-1dto!d Map A o.f I'--lQs.sou. PoiHt~
+',Ied ',t'1+\.i~ Sv..ffolk. CO\.lH+...t C\evl<'s
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