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\.,.i TOWN OF SOUTHOIJD', NEIW yD
APPLICATION roR SPElOIAL EXCEPTIQN
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APPLICATION No.1 (f /
DATE _9.:9.::2.9...._..
TO '!'HE ZON:NG BOARD OF APPEALS, SQUTHOLD, N. Y.
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Name st;reet and Number
......._....................~y~..::..9..'?.~~..._....................... ..... ....... .................
Municipality
New York
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state
lrereby apply to THE WNINO BOARD OF APPEALS for a SPECIAL EXCEPTlON In accordance with the
ZONING ORDINANCE ARTICLE iTi SECTION ...:1>00
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SUIBSiElCTION (O
THE SAElCIAL EXCEPTION IS REQUESTED BECAUSE
Gentlemen:
About a year ago I had a pign located west of the village of
Mattituck by Cox's Lane and Route 27A. The County purchased
this property for road improvement and having jupt Rpent $500
for having thi~ Rign repaired and painted, I waR aRked to re-
move thi~ sign from thiR location. I now aRk the Board to
grant me permiRsion to relocate thiR sign on property owned by
Frank ~idor on Route 27A bounded on the north by Route 27A,
bounded on the east by Frank ~idor, on the Routh by Long Island
Railroad and on the weRt by Frank ~idor.
I tru~t you will give thiR every conRideration at this time.
STATE OF NEW YORK )
)ss
OOUNTY OF ~uffolk )
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.... gna ure
Sworn to t~9.th.._...._.. day of _..........J.:u.nll................... 19..6.5......_...
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RUTH M. MYERS
NOTARY PUBLIC. Stale of New YoIl
No. 52.2841400. Suffolk County L'1
Commission Expires March 30. 19 ~
FORM ZB2
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FORM NO. 1
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TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Examined ........................................, 19........
Application No. ............................
Approved ........................................, 19........ Permit No. ............................
Disapproved a/c..............................................................................................
.............................................................,............................................................
.................................................................................................
(Building Inspector)
S( b rJ
APPLICATION FOR 1"'1..r>1~6 PERMIT
Date .....................J.J.U1Il...B.,......................., 19.9.R......
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building
Inspector.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or
areas, and giving a detailed description of layout of property must be drawn on the diagram which is pa.rt of this application.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit
shall be kept on the premises available for inspection throughout the progress of the work.
e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions or alterotions, or far removal or demolition, as herein described.
The applicant agrees to comply with all applicable laws, ordinances, building code and regulations.
..... (S ig~~t~~~' ~f '~pp'l i~~~t:' ~~. .~~~~:. i f .~. '~~;P~~~t'i~~i"""'"
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(Address of applicant)
State whether applicant is owner, lessee, agent, architect, eng ineer, general contractor, electrician, plumber or builder.
.................A-tl,S.1\ll.e............................................................................................................
....................................................,
Name of owner of premises .........Fr.ank...Si.dor.......................................................
If applicant is a corporate, signature of duly authorized officer.
.........................................................
(Nome and title of corporate officer)
1. Location of land on which proposed work will be done. Map No.: ........................................ Lot No.: ........................
Street and Number ../'lb. .J!.+,ghY\:Ily.... ~.7.A............................ ....... ................. .M~.t. H.t.!!-.~~.............
Municipality .......................
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy .....XI.Q.Ul'l....................................................................................................................
b. Intended use and occupancy ....s.ign..a.ppl.ie.d..f.or.......................................................................................
3.
Nature of work (check which applicQ): New Building .................. AdditionO.............. Alteration ..................
Repair .................. Removal.................. Demolition.................. Other Work (Describe) ........................................
Esti mated Cost ........................................................... .Fee ..........................................................................................
(to be paid on filing this application)
If dwelling, number of dwelling units ............................Number of dwelling units on each floor ............................
If garage, number of cars .............................................................................................................................................
If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................
Dimensions of existing structures, if any: Front ............................ Rear ................................ Depth ....................
Height ........................ Number of Stories .................................................................................................................
Dimensions of same structure with alterations or additions: Front .................................... Rear ............................
Depth ................................ Height ............................Number of Stories ................................
Dimensions of entire new construction: Front .................................... Rear ............................ Depth ........................
Height .................... Number of Stories ......................................................................................................................
Size of lot: Front ............................ Rear .................................... Depth ................................
Date of Purchase ........................................................Name of Former Owner ........................................................
Zone or use district in which premises are situated .....................................................................................................
Does proposed construction violate any zoning law, ordinance or regulation? ............................................................
Name of Owner of premises ........................................Address ............................................ Phone No. ....................
Name of Architect ......................................................Address ............................................ Phone No. ....................
Nome of Contractor ....................................................Address ............................................ Phone No. ....................
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicate
whether interior or corner lot.
STATE OF NEW YORK (SS
COUNTY OF ...~!!.f.t:.o.).:l!;............f . .
...................:.:!?::!-.~.~);'...~.!....~).!.'?~............................................being duly sworn, deposes and says that he is the applicant
(Name of individual signing application)
above named. He is the .........lM\~t:......................................................................................................................................
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file
this application; that all statements contained in this application are true to the best of his knowledge and belief; and
that the work will be performed in the manner set forth in the application fil~~ith.
~~;;;.~..~.~.~~.~~ ;aey t:~s ...............~UXle....................., 19...~ ~~.~~~ ~
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Notary PublIc, ......4M.i-:~Ttn..i:.MYE~w.-:(............ County ( gnature of opplican )
NOTARY PUBLIC, Sl,te i\rNew YorIl
No. 52.2B41400. Suffolk County 1.'7
Commission Expires March 30. 19 &of
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June 28, 1965
Walter Ludl
Main Road
Cutchogue, New YorK
Dear Mr. Ludl<<:>
I am weturning your checK in the amQunt of five
dollars, in view of the fact that you have withdrawn
your application to the Board of Appeals for a
special exception.
Very sincerely,
Barbara C. Dittmann, Secretary
Southold Town Board of Appeals
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IFE INSURANCE
TELEPHONES:
Y.
';, Luee
CUTCHOGUE, L. I.,
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AND
24
REAL ESTATE
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FARMS _ SUMMER HOMES & YEAR ROUND HOMES o-eo"""", LISTINGS INVITED
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Mattituck, New York
June 9, 1965
Board of Appeal~
Southold Town
Southold, New York
Gentlemen:
This is to advise that I own the
property on the south side of Highway
27A and on the north side of Long I~-
land Railroad, Mattituck.
I have granted Walter F. Luce,
Bay Avenue, Cutchogue, permi~sion to
erect a sign on this location provided
you will grant him permission to do so.
Very truly your~,
a~~
Frank Sidor
Sworn
thie
June
to before me
9th day of
1965.
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Notary Publ
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RUTH M. MYERS
NOTARY PUBLIC, State of New YorI<
No.. 52.2841400, Suffolk County
CommissIon Expires March 30, 19 t1