HomeMy WebLinkAboutTR-6772A
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James F. King, President
Jill M. Doherty, Vice-President
Peggy A. Dickerson
Dave Bergen
Boh Ghosio, Jr.
Town Hall
53095 Route 25
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
CERTIFICATE OF COMPLIANCE
Date: May 13,2008
# 0313C
THIS CERTIFIES that the construction of a new wood deck addition onto the existing
wood deck with open-sided sunroof oyer existing deck
At 1750 Robinson Lane, Peconic, New York
Suffolk County Tax Map # 98-4-24
Conforms to the application for a Trustees Permit heretofore filed in this office
Dated 11/15/07 pursuant to which Trustees Permit # 6772A Dated 12/12/07.
Was issued, and conforms to all of the requirements and conditions ofthe applicable
provisions of law. The project for which this certificate is being issued
is for the construction of a new wood deck addition onto the existing wood deck with open-sided
sunroof oyer existing deck
The certificate is issued to BRIAN ODHNER owner of the
aforesaid property.
ro<~
Authorized Signature
.
.
James F. King, President
Jill M. Doherty, Vice-President
Peggy A. Dickerson
Dave Bergen
Bob Ghosio, Jr.
Town Hall
53095 Route 25
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES
72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN
APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO
SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE
PERMIT.
INSPECTION SCHEDULE
Pre-construction, hay bale line
1 st day of construction
Y, constructed
V Project complete, compliance inspection. 5/1'5(6{' Of{ I r
.c:>
.
.
James F. King, President
Jill M. Doherty, Vice-President
Peggy A. Dickerson
Dave Bergen
Bob Ghosio, Jr.
Town Hall
53095 Route 25
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES
72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN
APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO
SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE
PERMIT.
INSPECTION SCHEDULE
Pre-construction, hay bale line
1 sl day of construction
Yo constructed
V Project complete, compliance inspection.
.
.
James F. King, President
Jill M. Doherty, Vice-President
Peggy A. Dickerson
Dave Bergen
Bob Ghosio, Jr.
Town Hall
53095 Route 25
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Permit No.: 6772A
Date of Receipt of Application: November 15, 2007
Applicant: Brian Odhner
SCTM#: 98-4-24
Project Location: 1750 Robinson Lane, Peconic
Date of Resolution/Issuance: December 12, 2007
Date of Expiration: December 12, 2009
Reviewed by: Board of Trustees
Project Description: To install a new 2'X 8' wood structure on the existing deck
and new decking on the 2'X 8's, and construct an open-sided sunroof over the
existing deck surface.
Findings: The project meets all the requirements for issuance of an
Administrative Permit set forth in Chapter 275 of the Southold Town Code. The
issuance of an Administrative Permit allows for the operations as indicated on the
survey received on November 15, 2007.
Conditions: None
If the proposed activities do not meet the requirements for issuance of an
Administrative Permit set forth in Chapter 275 of the Southold Town Code, a
Wetland Permit will be required.
This is not a determination from any other agency.
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JamrJ';-~~g, Presid~
Board of Trustees
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TOWN 01' SOUTIIOLU
Board of Ethics
Transactional Disclosure Form (Recusal)
Persons filing disclosure statements are advised to consult Sec. 10-1 1 of the Town Code (definitions)
prior to filling out this form.
PLEASE FILE COMPLETED FORM WITH THE TOWN CLERK'S OFFICE
Name of Town EmPlOyeelOffiCialeGG.ttJ Vid~ o"'-Titl~position ~s;. -\- e <:..
Matter on which you are recusing (ch that apply)
Tax Grievance_
Variance_
Amendment to Certificate of Occupancy_
Change of Zone _
Approval of Plat_
Exemption from Plat or Official Map _
License or permit application ~.
Other :_
(If "Other", Please name the activity)
d-6C)I
~ 0-<' -Te--<!.
(; C "'-'\-\ <t ;""'-$
~~ Y" ~............ V'\r--e.
The above-described activity may result in compensation to:
-~ & ! -
~member of your household bY'''' t-k.c..\'" [ ir\ \J . ta.'S-t
J2Y our relative
_Your outside employer or business
_The employer or business of a member of your household
_ Y our customer or client
If you have referred to an outside business ,employer or client, please state the name, address and
relationship to other person (or business). Additionally, please state\.position with outside employer
and/or nature of financial interest in outside business .
Submitted this ~ay of2002
I::J~~
( signature)
(print name)
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James F. King, President
Jill M. Doherty, Vice-President
Peggy A. Dickerson
Dave Bergen
Bob Ghosio, Jr.
Town Hall
53095 Route 25
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-6641
/
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Southold Town Board of Trustees
Field InspectionIW orksession Report
Date/Time: t( - trr 0 7
Name of Applicant: 0 ~,...~ fJrc'b.-f/)
Name of Agent:
Property Location: SCTM# & Street qy: ~ t-f..-.,)L.j
Brief Description of proposed action: r ~ ~.f. t~
Typ~ea to be impacted: J ~
~twater Wetland _Freshwater Wetland _Sound Front ~ay Front
Distance of proposed work to edge of above:
Earl ~own Code proposed work falls under:
1Cha~t.97 _Chapt. 37 _other
Type of Application: _ Wetland _Coastal Erosion _Amendment _Administrative
_Emergency
Info needed:
Dr'{ ~{( S
Modifications:
Conditions:
..,/ // --
Present W('?fe: viKing ~oherty ~ickerson ~ergen
Other: Urn'\)
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Ghosio, Jr.
Mailed/Faxed to:
Date:
Comments of Environmental Technician:
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2405 AYIZE:SOON AVa. /'
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Southold Town
. Board of Trustees
LTITI.;E
CERTI..
Mt4p OF Pt=:ICZT OF" LOT 2
.. P/iZCONtc BAy QQK.5"
(5uff. C<l, File Metp No.?>434)
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PECONIC
TOINN OF :SOUTHOL.D,N.Y.
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RODER,ICK V,AN TUYL. P. c.
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L1C. LAND SURVEYORS.GREENPORT, N. Y.
Svff()/k. CQ.7?:IK. Map Cko-signaHoH: 01:'+. 1000, Sesef-. 098, 6locl:;4,Lof 24.
. TEST HOLE SU'FF. CO. ,DEPT. OF HEALTH SERVICES STATEl>1ENl' OF INTENT
O'
FOR APPROVAL OF CONSTRUCTION ONLY.
(no+ THE WATER SUPPLY AND SEWAGE
. r:e1".j DATE: DISPOSAL SYSTEMS FOR THIS RESI,
DENCE WILL CONFORM TO THE
8- :50 - 78 STANDAiRDS OF SUFFOLK CO. DEPT.
H. S. REF. NO.:
OF HEAL-TH. SERVIOES.
APPROVED: ..
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.17' -. APPLICANT
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, James F. King, President
Jill M. Doherty, Vice-President
Peggy A. Dickerson
Dave Bergen
Bob linosio, Jr.
.
Town Hall
53095 Route 25
P.O. Box 1179
Bouthold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Office Use Only
_ Coastal Erosion Pennit Application./"
_Wetland Pennit Application 1 Administrative Permit
B Amendmentfrrans erlE tension
eceived Application: I 15 0
Received Fee:$ <)?J
_Completed Application
_Incomplete
_SEQRA Classification:
Type I_Type "_ Unlisted_
_ Coordination:( date sent)
_ L WRP Consistency Assessment Form
CAC Referral Sent:
~ate of Inspection:..:J:ID "5;JrJ
--.:Receipt of CAC Report:
_Lead Agency Detennination:_
Technical Review:
-P1lblic Hearing Held:..J.a:II~ \ m
_Resolution:
!f5) ~ ((: fE 0 W ie,{Fi)
Ull NOV J 5 ilJlJ7 ~
SoUlhhold Town
Boam of Trustees
&RIA'"
1'.0. .BOX" I 0(.(
YA \ QOO9
Name of Applicant
Address
DDI4NE~
aRYrJ Antjr0
Phone Number:( ) 2[6 - $14 - 4BB3'
09 B lSLOC~ 4 LDT 2-4,
&os 1I0<50 t\J LA I\.l t .
Suffolk County Tax Map Number: 1000-
Property Location:-P Sf)
.J 1000 I SO UW 0 F (NDl AN l\J cCt<. LANe. LA&\" Hou.s E" .
(provide LILCO Pole #, distance to cross streets, and location)
AGENT: 'f>elbR S\1)u11::NRUR.<1H
(If applicable)
Address: 'PO
'e>O;x-
Ot-.J \,lJ, ~IDe 0 F ROA- P ,
Dl;::_J3\.\\ItRo~m~ ~ If\JC
L:Ll
fE:CDtJ t C 1\1 'i-1.l q s--B
Phone: b3( - 73L1-74 71-
'llfd of Trustees APPlicati~
GENERAL DATA
Land Area (in square feet): ocr ) 384 tjJ
Area Zoning: R ESl DEN\' , A L-
Previous use of property: R EJS l DENT (A L..
Intended use of property: R,HS;lOE:.rJ'llA(....
Covenants and Restrictions:_ Y es
If "Yes", please provide copy.
~ No
"
Prior permits/approvals for site improvements:
Agency . 1
80lYU-toUJ "l1)WIV
BUlLD 0 OE.f'\
o.
.
_ No prior permits/approvals for site improvements.
Has any permit/approval ever been revoked or suspended by a governmental agency?
\/"No_ Yes
If yes, provide explanation:
Project Description (use attachments if necessary): i 1J S'l7'I;LL N EIIJ
'2...>cB WODe> S"\RoctURE ON E)<\sT'o DeCK .t NaJ
Dec!<.Jr0& ON -utE ~8(~.. AUt;) ('1)tJoSTRuc.l'
).,k'J Or>Ef'J-Sl{)eD S'()~ Reef' o\JER. ~
~l&\. DE<:t< SOf<-PAcf::=.
:
Board
.
of Trustees Application
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WETLANDffRUSTEE LANDS APPLICATION DATA
Purpose of the proposed operations: \D l fY\ E'R6 V e. -ntE.
\2x I S;;T . DeCK S0f<..FAct ~ tD PRCI..HDE
8~DE ()UER.. . AN E><I<ST. 'Dec~.
Area of wetlands on lot:
square feet
Percent coverage oflot:---.1' . "
%
Closest distance between nearest existing structure and upland
edge of wetlands: feet
\
Closest distance between nearest proposed structure and upland
edge of wetlands: feet
Does the project involve excavation or filling?
../' No
Yes
If)res, how much material will be excavated? 0 cubic yards
How much material will be filled?
o
cubic yards
Depth of which material will be removed or deposited: N A feet
Proposed slope throughout the area of operations: I'JO G ~G-E'
Manner in which material will be removed or deposited:~ ^
.~tatement o(~e l:!1:ec~ if,aIly, (jl!- the wl:~l~!ilian~tidlll wll!er~~fthe town. that ~a)'~e.s.\ll~~y
reason of such proposed operations (use attachments if appropriate):
\\-\ER~ W\LL BE NO e:p~ Dr-J '"D-\-e
\JJ 1::='\ LAN OS
Su~~AcE.
VJ I L-L- 'BE.
I>~K-S .
BECAuSE '"""G-tt= N~ ~ee(~
4- lttE. r-J 8'J OS Ll />J(<,.OOP
Df-J TD? OF 8<1~(~G-
.
PROJECT 10 NUMBER
.
APPENDIX C
STATE ENVIRONMENTAL QUALITY REVIEW
SHORT ENVIRONMENTAL ASSESSMENT FORM
for UNLISTED ACTIONS Only
( To be completed by plicant or Project Sponsor)
2. PROJECT NAME
OItDr-.! ER. R l::;SlOENCE
617.20
SEQR
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PART 1 . PROJECT INFORMATION
1. APPLICANT/SPONSOR ~ (tJ
~ ~RQ.\<\ ENl.llRoNl'/\6.J\
3.PROJECT LOCATION: 0
C.U\&tcGUE SO Uil:tct....D
Municipality
4. PRECISE lOCATION: Street Addess and Road Intersections. Prominent landmarks ete - or provide map
County
So t="'f'" () ~.
l1 <5D R6 BiNO ON LI\f\l '=
I bOO' s. ()~ ItJOIArJ N~~- L..AN b
5. IS PROPOSED ACTION: D New D Expansion WOdificatiOn I alteration
6. DESCRIBE PROJECT BRIEFLY:
I NS\1\ u.. IJ 8N '2..><8 WDO () S"CRuc:::ru ~ ON eelS;:-. "Dc CI<. 4-
Nau :Dea<-tNG BDkR-US' bN IttE 2x..8's. AL..&o O(H-JSl'e.()~
AA D~B.i~l{)EO $\)N R.l::lClF DIJER. ~ 8<1ST. 'D~l<-
SUR..f'~
7. AMOUNT OF LAND AFFECTED:
Initially' S Ultimately S km.e;-'
6. WILL PROP SED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS?
~es D No If no, describe briefly:
9. WHAT IS PRESENT LAND USE IN VICINITY
~ Residential 0 Industrial D Commercial
OF PROJECT? (Choose as many as apply.)
DAgricu,ture D Park I Forest I Open Space
OOther (describe)
10.-DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL
AGENCY (Fedeml, Slale Of Local)
~es D No If yes, list agency name and permit I approval:
IT'
DYes & If yes, list agency name and permit I approval:
PR VAL?
PROPOSED ACTION WILL EXISTING PERMIT / APPROVAL REQUIRE MODIFICATION?
I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
AppHcant / Sponsor Name 'PETER.. .s--tbU"U3\lBORGft Date: 9. 28 .07
51 ture
If the action Is a Costal Area, and you are a state agency,
complete the Coastal Assessment Form before proceeding with this assessment
~oard of Trustees ApPlicatlan
..,
," .
County of Suffolk
State of New York
?e1\:::.lZ. S\D~ BO RQ:l+ BEING DULY SWORN
DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE
DESCRIBEDPERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE
TRUE TO THE BEST OF HISIHER KNOWLEDGE AND BELIEF, AND THAT ALL WORK
WILL BE DONE IN THE MANNER SET FORTHIN 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
REPRESENT ATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE
PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION.
r?:(fB3:JCb
~ Signature
.
SWORN TO BEFORE ME THIS _, (1'1 DAY OF 0t,WIY\ ~W ,20 lJ-
~.
Ul IZ.A
Notary Publi
MELANIE OOROSKI
NOTARY PUBLIC.. State of New'lblll
No. 01 Du4634870
OUalified In Suffolk CountY 1'/ N \)
CommIIsion ExpiI8S September:JO. ~
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APPLICANT/AGENTnREPRESENTATIVE
TRANSACTIONAL DISCLOSURE. FORM
The Town of Southald's Code of Ethics orohibits conflicts of interest on the Dart allow" officers and emolovees. The DUmose of
this Conn is to nrovide information which can alert the town ofoossible conflicts of interest and allow it to take whatever action is
necessarv to avoid same. .
YOUR NAME:
S'iDo-u:NBORCi+- f'e(a<. R.
(Last name, lirst name, JIliddle initial, unless you are applying in the name of
someone else or other entity, such as a company. If so, indicate. the other
person's or company's name.) .,
NAME OF APPLICATION: (Check all that apply.)
Tax grievance
Variance
Change of Zone
Approval of plat
Exemption from plat or official map
Other
(If''Other", name the activity.)
Building
Trustee
Coastal Erosion
Mooring
Planning
V'
Do you personally (or through your company, spouse, sibling, parent., or child) have a relationship with any officer or employee
oCthe Town oJ Southold? "Relationship" includes by blood, marriage, or bus'iness interest "Business interest'? means a business,
including a partnership, in which the town officer or employee has even a partial ownership of (or employment by) a corporation
in which the town officer or employee owns more than 5% of the shares.
YES / NO
If you answered "YES", complete the balance of this form and date and sign where indicated.
Name of pe"'on employed by the Town ofSouth~ 'f'e:.b<.-1 t> l Q~.J21::EO,J
Title or position of that person Tt>\..IJ ,\f'U 11o::.E:
Describe the relationship between yourself(the applicant/agent/representative) and the town officer or employee. Either check
the appropriate line A) through D) and/or describe in the space provided.
The town officer or employee or his or her spouse, sibling, parent, of child is (check all that apply):
_A) the owner of greater than 5% of the shares of the corporate stock of the applicant
(when the applicant is a corporation);
_B) the legal or beneficial own~r of any interest in a non-corporate entity (when the
applicant is not a corporation);
_C) an officer, director. partner, or employee of the applicant; or
_D) the actual applicant.
DESCRIPTION OF RELATIONSHIP
....~. .Sl<~l<-
~r::~~ day of Q 2~~ 200:J
PrintN ~ U\:B\:l BOR.,G.tot.
Form TS )
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. .
.rard of Trustees. AllPlicat_
AUTHORIZATION
(where the applicant is not the owner)
"
I, lSR( ~ C:i>ttN t::. R
(print owner of property)
residing at ~ ~>C Ib~
(mailing address)
~N -Kftt'l,J P Pr \ '1ooq do hereby authorize fu t:;.~
(Agent)
g-ro~8()~
to apply for permit(s) from the
Southold Board of Town Trustees on my behalf.
.
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6ta6~fMg i1e ~ti!Me
Environment East. Inc.
2885 Indian Neck Lane
P.O. Bnx 197
Peconic, New York 11958-0197
631-734-7474
Fax: 631-734-5812
Southold Town Trustees
Odhner Residence
1750 Robinson Lane
November 14, 2007
Attached Is our application for an Administrative Permit for the Odhner property.
Please call if there is any thing else that you need.
~-
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IJ11 NOV 1 5 2007 I1lJ
South hold Town
Board of Trusten
HeJfJlrM..g -#11t
Jfe
8ta64tiftg -lie ~titMe
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Environment East, Inc.
2885 Indian Neck Lane
P.O. Box 197
Peconic, New York 11958-0197
631-734-7474
Fax: 631-734-5812
Southold Town Trustees
Odhner Residence
1750 Robinson Lane
November 5, 2007
Concerning the future application for a building permit for the Odhner Residence at 1750
Robinson Lane: The attached plans and elevations and survey will be of use to you
when you make your presubmission visit to the property tomorrow, November 6, 2007.
- !:C[HH~
0
n NOV - 5 2007
!
Southhold Towa
Board 01 Trustees
-~-
. heJeJzfM1g Ie ~
Jte
6tJJ/;~f~g -lie ~ti!Me
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,~n~~ftBp.~~~~Q;;!!;!;~i
., ......,' . 28851nr,ljll11 Neck QIii~!','!':!'C!; . . , ..... >'"
P.O. Box 197 . " . -...." ..'
Peconic, New York 11958-0197
631-734-7474
Fax: 631-734-5812
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October 15, 2007
Southold Town Trustees
POBox 1179
Southold, NY 11971
Attn: Lauren
Enclosed is our check for $50.00 for the preinspection of the Odhner project scheduled
for 11/6/07.
If any other information or fees are needed, please let me know.
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lfl1 OCT 1 9 2007 lW
Southholcl TowI
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Southold Town Trustees
Ohdner Residence
1750 Robinson Lane
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Environment East, Inc.
2885 Indian Neck Lane
P.O. Box 197
Peconic, New York 11958-0197
631-734-7474
Fax: 631-734-5812
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SODthoid Town
Bf):rd of Trustees
Septemnber28,2007
Concerning the future application for a building permit for the Ohdner Residence at 1750
Robinson Lane: We would like to request a pre-submission visit to the property by a
Trustee to determine the feasibility of this project.
Thank-you,
,
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- ~ard of Trustees Application
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AUTHORIZATION
(where the applicant is not the owner)-
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I, .:BR(~ CDifN6 R
(print owner of property)
residi.ng at 'tb&}t" /1f1.
(mailing address)
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-B..R'tN ./(tl{'t,J PA- \"loaq do hereby authorize fut::.~
(Agent)
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to apply for permit(s) from the
Southold Board of Town Trustees on my behalf.
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II1l NOV 1 5 2007 I.W
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Soulhhold Town
Board of Trustees .
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"PEiiCONIC 8t:1YO::i/cs" Chl=']o Y"+le IH~wn:m= Camfctn'f
(:5uff"Cc. Fl/e MCip No.~401) :5ur-ve:;ed ,J;,/~.v;1a.)978
~T FlOOE:R.ICK V.AN TUYL. P. c.
PeCONIC e. V ?.- ~ ,r-Q
TOINN OF :500THOL-o,N.Y. LIC, LANO SURVE:YOR.S.GRE:E:NPORT, N..Y,
sdffp/i:. C:<<. 7?:tK Mct04.-sigtta-Hott: O/~+, 1000, S<:!c:f, 098, Blocl:. -1, Lo-f 24.
S(jFF; <;:0. .ri,EPT. OF HE:ALTH SE:RVICE5 STATEI>1EN'l' OF INT.ENT
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FOR APPROVAL OF CONSTRUCTION ONLY.
STA;'U"
SEAL
DATE,
THE WATER SUPPLY AND SEWAG.E
H. S. FlE:F. NO.,
8-$0-78
OISPOSAL SYSTEMS FOR THIS RESI.
OE:NCE WILL CONFORM TO THE
SiANDAiRDS OF SUFFOLK co, DEPT.
OF 1-lc:Al.il-l. SERVIOES.
APPROVE:O,
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APPLICANT