HomeMy WebLinkAboutGrim, Donald & Jeanne (2) *OF SOUryo
i
ELIZABETH A.NEVILLE �O l0 TI
TOWN CLERK #t #[ I
REGISTRAR OF VITAL STATISTICS c
MARRIAGE OFFICERRECORDS
AGEMENT OFFICER
FREEDOM OF INFORMA ION OFFICER COUN 1� JIlAte ay g ��
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
Organization Name: Permit Number: 138-11/04
Name: Grim,Donald
Address: P.O. Box 300
Cutchogue,NY 11935
City ST Zip:
**RENEWAL NOTICE
This is to advise you that your Trailer permit will expire on 06/17/2006
Enclosed is a trailer permit application. Complete the application,have your signature notarized and return
it to this office with the required fee of$100.00 as soon as possible. Please make your check or money
order payable to the "Southold Town Clerk".
If your application and fee are not received on or before 6/17/2006 your Permit will be revoked and you
will be required to remove the trailer from the premises. Thank you for your cooperation.
Very truly yours,
Elizabeth A. Neville
Southold Town Clerk
Enclosure
r:
so
ELIZABETH A.NEVILLE ® Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR OF VITAL STATISTICS r/s Southold, New York 11971
MARRIAGE OFFICER ® a®� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER ®��i �i Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER MUM,®® southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
APPLICATION
SINGLE AUTOMOBILE TRAILER OR HOUSE CAR
OASm 12,
Fee: $100 (for maximum of six (6) months) Must be submitted with application.
Please check one:
New Application ( ) Renewal o Permit No. /198
Received Date:
Issue Date: Expiration Date: do We
Name of Applicant: �sIZ
Mailing Address: c'°1 `L9
Le-' f A&�cv 12 O
Telephone No. — Q,,:,?
Applicant is: (Owner ( )Lessee ( )Agent for Owner ( )Agent for Lessee
Name of Owner of Premises ✓di 11 ���
If owner is corporate, signature and title of duly authorized officer:
Number of Occupants &Names: X111
MailingAddress
Telephone No.:
Employer of Occupant
(Name) (Address) (Telephone Number)
Property Information
Street address of land on which trailerAll a located:
Y/J
SCTM#m
Existing use and occupancy of premises and intended use an occupancy of proposed trailer:
1. Existing use and occupancy
2. Intended use and occupancy
3. Period of time trailer is to be located on premises:
Lot Size: Front 1- Rear Depth OQ
Date of purchase or lease of land
Zoning District for premises:
Does proposed use violate any zoning ordinance or law? ( )No ( )Yes
If yes, explain on separate paper.
Trailer Information:
Length Width Height
Registration No. Serial No.
Method of Sewerage disposal
Source of Water Supply
Source of Electricity
IMPORTANT
Copy of survey showing location of existing buildings and existing/proposed trailer must be
attached to this application.
Aloa
r
State of New York
County of Suffolk
,, l 0
k' (-'/l/n being duly sworn, deposes
and says that that (s)he is the applicant named above and (s) he is authorized to make and
file this application; and that all statements contained in this application are true to the
best of(her) his knowledge and belief; and that the trailer will be located in the manner set
forth in the application filed herewith.
(Signa
te )e
Sworn to before me this day of
,2
(Notary Public)
- I
\ CIO
- P�1
RO
dpo
r fan r�'
ox
b �
V
9 �
`Q a 4 a
too
\ rePl# i
' ,�,� �o
Mar
• � fir\ .. � / �v.
SO�ryo
ELIZABETH A.NEVILLE '`� l4 Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
�n �r Southold, New York 11971
REGISTRAR OF VITAL STATISTICS G Q
MARRIAGE OFFICER Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER elf' ,rtV Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER Cour'1�� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Edward Forrester, Code Enforcement Officer ,
FROM: Bonnie J. Doroski, Deputy Town Clerk
DATE: February 23, 2006
RE: Trailer Renewal
Please perform an inspection and advise if the trailer permit may be renewed for the
following:
Applicant: Donald Grim ,
Trailer Address: 11910 Oregon Road, Cutchogue
Thank you. /
1 -
O�,oF Sa�ryol
ELIZABETH A.NEVILLE Q Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR OF VITAL STATISTICS N 'Southold,New York 11971
MARRIAGE OFFICER �pQ Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER Oly Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER Own southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
To: Edward Forrester, Code Enforcement Officer
From: Linda J. Cooper,Deputy Town Clerk
Dated: September 26, 2005
Re: Trailer Renewal
Please perform an inspection and advise if the trailer permit may be renewed for
the following:
Applicant: Donald Grim
Trailer Address: 11910 Oregon Rd., Cutchogue
Thank you.
r a '
O��OF SO!/ryol
ELIZABETH A.NEVILLE ® Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR.OF VITAL STATISTICS N Southold,New York 11971
MARRIAGE OFFICER �Q@ Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER ���, Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER COUNTY, southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
APPLICATION
SINGLE AUTOMOBILE TRAILER OR HOUSE CAR
Fee: $100 (for maximum of six(6).months) Mu/bebmitted with application.
Please check one: 13S
New Application ( ) Renewal (� Permit No.
Received Date: q4 1-6 5---
Issue Date: / Expiration Date:
Name of Applicant: (�(;11;12111A'
Mailing Address:
Telephone No.
Applicant is: ( wner ( )Lessee ( )Agent for Owner ( )Agent for Lessee
Name of Owner of Premises � �lel .J �� if
If owner is corporate, signature and title of duly authorized officer:
Number of Occupants &Names:
MailingAddress
Telephone No.:
_Employer of Occupant
(Name) (Address) (Telephone Number)
Property Information .
Street address of land on which trailer, i be locate
SCTM#: ?3—a - 4- S- a TC HO C-r.Z
Existing use and occupancy of premises and intended use ag�l ncy of proposed trailer:
1. Existing use and occupancy
2. Intended use and occupancy ?7
3. Period of time trailer is to be located on premises:
f pul:fl
s
Lot Size: Front / ✓ Rearms Depth
Date of purchase or lease of land
Zoning District for premises:
Does proposed use violate any zoning ordinance or law? ( )No ( )Yes
If yes, explain on separate paper.
Trailer Information:
Length Width Height
Registration No. Serial No.
Method of Sewerage disposal
Source of Water Supply
Source of Electricity
IMPORTANT
Copy of survey showing location of existing buildings and existing/proposed trailer must be
attached to this application.
0
State of New York
County of Suffolk
ID a ti A (—b �- l being duly sworn, deposes
and says that that (s)he is the applicant named above and (s) he is authorized to make and
file this application; and that all statements contained in this application are true to the
best of(her) his knowledge and belief, and that the trailer will be located in the manner set
forth in the application filed herewith.
(Signatur
Sworn to before me this a,3 day of
2 OCA�
(Notary Public)
r '
' Lot Size: Front Rear Depth_ e ( /
Date of purchase or lease of land
Zoning District for premises:
Does proposed use violate any zoning ordinance or law? ( )No ( )Yes
If yes, explain on separate paper.
Trailer Information:
Length Width Height
Registration No. Serial No.
Method of Sewerage disposal
Source of Water Supply
Source of Electricity
IMPORTANT
Cony of survey showing location of existing buildings and existing/proposed trailer must be
attached to this application.
�i
State of New York
County of Suffolk
Doe,.,, A C_ being-duly sworn, deposes
and says that that(s)he is the applicant named above and (s) he is authorized to make and
file this application; and that all statements contained in this application are true to the
best of(her) his knowledge and belief; and that the trailer will be located in the manner set
forth in the application filed herewith.
' (Signatur
Sworn to before me this day of
I-AZ,4
(Notary Public)-
c �
,�
-00
1%,
c_' /
3
o��OF SO!/j�ol
ELIZABETH A.NEVILLE O Town Hall,53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR.OF VITAL STATISTICS G Q Southold,New York 11971
MARRIAGE OFFICER Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER � Telephone (631) 765-1800
l�C
FREEDOM OF INFORMATION OFFICER oUffm southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
Organization Name: Permit Number: 138-11/04
Name: Grim,Donald
Address: P. O.Box 300
Cutchogue,NY 11935
City ST Zip:
**RENEWAL NOTICE
This is to advise you that your Trailer permit will expire on 12/16/2005
Enclosed is a trailer permit application. Complete the application,have your signature notarized and return
it to this office with the required fee of$100.00 as soon as possible. Please make your check or money
order payable to the-"Southold Town Clerk".
If your application and fee are not received on or before 12/16/2005 your Permit will be revoked and you
will be required to remove the trailer from the premises. Thank you for your cooperation.
Very truly yours,
Elizabeth A.Neville
Southold Town Clerk
Enclosure
N
ti
O
\TAP �
O
'* l F
_\
\\ � M
.�\ C2
Zi A $i cr'
�a 3 I&L
oy o 2 /
54,
_� Aj. ,o
_ ✓
:,...,: 1.A ncy 2 Dm i n/ r :•�%°�,• a'c-• f.v,•,�-�,�;�ry
"' � s o P ecinct --.t ,-r�,NOW:IaOfk State` 3 ORI 4 W'Orig 5.Case N 6 Incl ent No
Tb D'vINCIpENT EtEPOFtTr NY D 5t S Supp
lo y• o 7 L
7.Report Day 8 Date 9 Report Time -OC�urred,- '' 10 Day 11 Date 12 Time ;Occurred ' 13 Day 14 Date 15 Time
yk �� 1 o1 0go u ;' ;7 � Z` t 3��
16 Inad ntT
y 17 Business Name 18.Weapon(s) ^�
r
'Z 19.Incidentddress(Street No, trees N ,Bldgp[ No.) 20 City tate ip( C C] T ❑V) 21 Location Code aIZ
sl_5
22rOFf.NO:;r."LAW' SEGCION:.'3 ;SUB ;i.f)EG ^'; tATT` 'NAN1EOFbFFENSE'; i;,
T - t CTS.. 23 No Of VI ms
2 24 No.of Suspects D
3
25 PersonType:CO;=ComplainantO7_OtfierPl=PersonlnteryiewedPR=,PersonReporting,W1-{NifnesiNl=Notlnterviewed VD=Victim- 26 Victim alsocomplamant N
E �+
v+i 'TYPE/NO ;k., 'NAME(LAST;FIRST,MIDDLE,TITLE) Date;of STIR TNO:;-STREETNAME,BLDG:NO.;APT:NO„CITY,-STATE, ZIP;
Z”' Birth .' Telephone N"
.
o ,
O'
An
uj_' Cc"i wi b Vt CJ k 7w 7)L4'-�'L
o''
w
~ R:S 0riNCi
Q�r
v. (
O,. H c
Ln; aESD,:vC�
Q=
;;'q§ BiiSriJESS I
REStDEr.CS
(
27 Date of Birth 28 Age 29 Sez 30 Race 31 Ethnic 32.Handicap 33 Residence Status []Temp Res -Foreign Nat.
P: Mo Oa Yr ❑ 9M ❑ F ❑ White❑ Black❑Other ❑ Hispanic
/ Indian Asian ❑ Unk ❑ Yes C] Resident ❑Tourist❑Student le Other
❑ U ❑ ❑ Unk ❑Non-Hispanic ❑No F]Commuter❑Military C]Homeless C]Unk
'• 34 Type/No 35.Name(Last,First,Middle) 36 Alias/Nickname/Maiden Name(Last,First,Middle) 37 Apparent Condition K
Z
O Taal- } ❑ Impaired Drugs ❑ Mental Diz ❑Unk.
N ❑ Impaired Alco ❑In//III❑App Norm
cc
C. 38 Address(Street No,Street Name,Bldg No,Apt No,City,State,Zip) J39 Phone No- 40 Social Security No
❑ Home L.
O
Hw ❑ Work
akn 41 Date of Birth 42 Age 43 Sex 44.Race 45.Ethnic 46 Skin 47.Occupation M
tn� W10 .ray Yr El C] F F] White E] Black❑Other C1Hispanic C] Unk. Cl Light E]Dark C]Unk.
:)Cr ❑ U ❑Indian❑Asian C] Unk. EINon-Hispanic []Medium❑Other •• �'
to Q
48 Height 49 Weight 50 Hair St Eyes 52 Glasses 53 Build S4 Employer/School T
Address
Z r i F] Yes C] Contacts ❑Small I-]LargeLarge
V1 "" ❑No ❑Medium
an
56 Scars/Marks/Tattoos(Describe) 57 Misc
58-V(ct(mor- Property Property` Quantity/' . _4,r`MakeoF',.. °'•. F.
Su N Status. T pe' •' Meazure Dru'7 Model Serial No. ''Description Value` -
TABLE S T.91_E r i.:B:.c JI TauL,v '
+a'sx
F•-
59.Vehicle 60.License Plate NO Full
W
❑ 61 State 62 Exp Yr 63 Plate Type 64 Value
0- Status
O TABLE W ParLal❑ r
Cr Vw
=v.. 65 Veh.Yr 66.Make 67 Model 68 Style 69 VIN
70.Color(s) 71 Towed By 72.Vehicle Notes 7
TO �?;
73. O 0 On'
` V"-\r ®;
j eL r" 1( r
Oe ; V,- A
w
> CL Ir Pt AA 1
F- a tt
Q CS POSCat
❑,f
•r+r
Tot
o
W" 74.Inquiries(Check all that apply) 75 NYSPIN Message No 76 Complainant Signature
>,, ❑ DMV ❑ Want/Warrant ❑Scofflaw
F ❑Crim.Hist ❑Stolen Property pe y ❑Other ^ ,[ise'<over'i•,
Q n .,
Hr 7 R in fficer Signa far�(In lu a ink) 78 ID o 79 icsor's ig tur (In ude Ra k)- J 80 ID No
114
Z_r V Page
8 Status ❑Open Closed(If Closed,check box below) ❑Unfounded - 82 Status Date 83.Notified/TOT of
�- ❑ViR.R f ed to Coop ❑Arrest ❑Pros Declined ❑Warrant Advised
Q Juv-No Custody Arrest-luv
- y ❑ ❑Offender Dead ❑Extrad Devlin ❑Unknown a PagAs
DGS-3205 /97) *FALSE STATEMENTS ARE PUNISHABLE ASA CRIME,PURSUANT TO THE NEW YORK STATE PENAL LAW
7 n/Precmt !T3�.ORI ,)R1,br.g se No
I Agency -ow",
N
4 0DENTREP NY 0-5'1)7 upp
2
0
5z-,ct 1 5 Ca 6 1 adept No
14oid E3 S
lid:1 13 Day 14 Datel
7.Report Day 8 Date 9 Report Time 10 Day ate 115.Time
12 Time QcCUrr
M" Y r
11.13
ox 1'9'26
16 Incide
17.Business Name 18 Weapon(s)
Z_ A
W DLoe I&'ji
19 Incident Address(Street No Street Name,Bldg No,Apt No 20 City,State,Zip C 0 T 0 V) 2 Location Code
z
P411 It
Victims
7
tA*
Tod-", 77, f6N, 23 No of Vi
C
-FL. lk -Tflelel Dc�-, i'
2 24. No.of Suspects
3 D
-t",N!=Not ,terview VI:=Victim
pe.,Cd i ai�"IiniOi-:iCliher Fl pers�IA� ev�� �7 `Repoo 26 Victim also complainant ❑Y❑N
�.PeiknTy Pit
E
M DDL TITLE),,-,�' �,�',Datei(if REET NAME;BLDG�NO'�AP.T_JIO.Ij,C]17�,��TA
TYPEINO' I
STREET�N9,'ST ofiiN&
SUYNESS
N Ice
p7s 3R -72 '46
CL
EJS NE5S G,
R-P-SWENCE
BUS[Ntss H
PISMNCE
RESIDENCE
27.Date of Birth 29-Age 29.Sex 30 Race 31.Ethnic 32.Handicap 33 Residence Status ❑Temp Res.-Foreign Nat.
1
N10 I Da�� Yr ❑ M []F ❑white C] Black❑other 0 Hispanic
11 Unk. Yes []Tourist Tourist oStudent Other J.
1 El U C]Indian[]Asian 0 Unk. []Non-Hispanic C]No []Commuter[]Military []Home P1-ss0Unk
34 Type/No 35.Name(Last,First,Middle) 36 Alias/Nickname/Maiden Name(Last,First.Middle) 37.Apparent Condition K.
Mental Dis []Unk.
❑ Impaired Drugs [] Me
TABLE 0 Impaired Alco �D Inj/III[]App Norm
_IX
38.Address(Street No,Street Name,Bldg No,Apt No,City,State,Zip) 39 Phone No 40.Social Security No-
C] Home L.
Work
IZ
16V101A 41 Date of Birth 42 Age 43 Sex 44.Race 45.Ethnic 46 Skin 47.Occupation
MUJI [3M C1 F [] White❑ Black❑Other 0 Hispanic[] Unk. ❑ Light C]Dark C]Unk. M.
7aNA r, Dav y,
CC (3 U C]Indian❑Asian ❑ Unk ❑Non-Hispanic ❑Medium E]other 'Aal V P
i!� 48 Height 49 Weight 50 Hair 51 Eyes 52 Glasses 53 Build 54 Employer/School 55 Address
to 0 Yes❑ Contacts []Small OLarge N
0 No ❑Medium
56.Scars/Marks rTattoos(Describe) 57 Misc
"58.,Victim6r Property ke-
03'
Q,6afibtyl, Mal 0 escri ti n
y, Propei I -I) - iiriaUN&
Susp&dNo,: �tStatus- Type- value
u
T 6" 5 FW_
2C
'
ruj. 59 Vehicle 60 License Plate No Full 61 State 62 E77 Plate Type❑ 64 Value 51
0.
' " Status
0 U,JB�_I Partial0
!
j 65 Veh Yr 66.Make 67 Model 68 Style 69 VIN
V:
70 Color(s) 71 Towed By 72 Vehicle Notes
El,
To I
73.
1_34.5 e, o_ 1C,'etr
uji
CC
cit 12
74.Inquiries(Check all that apply) 75 NYSPIN Message No 76.Complainant Signature
C] DMV ❑Want/Warrant ❑Scofflaw
0 Crim History 0 Stolen Property ❑other 0
4
ff R
,,,Zi ftj ink) 80 I94
D Wo
C
Page
77.Reporting 0 i^Signature(include Rank) 79 Su visor's Signat (Incl.cli
81.Status []Open E]Closed(if Closed.check box below) C]Unfounclecl 82 a s t 14>
FF.—g.
-Notified/TOT' of
0 Vict Refused to Coop E]Arrest C]Pros Declined 0 Warrant Advised
0 CBI E]juv -No Custody E3 Arrest-Juv C]Offender Dead []Extrad Declin C]Unknown It
— -
1
DCJS-3205 (2/97) -FALSE STATEMENTS ARE PUNISHABLE AS A CRIME,PURSUANT TO THE NEW YORK STATE PENAL LAW.
RECEIVED
D EC 16 2002
Southold Town Clefk
*QF SCUT h�/!1 rI1l�£2 91L2�o��
ELIZABETH A.NEVILLE �� �lQ Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR,OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER S �pQ Fax(631) 765-6145
RECORDS MANAGEMENT OFFICERPl� ��y Telephone(631) 765-1800
Ow I►,
FREEDOM OF INFORMATION OFFICER � southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
Organization Name: Permit Number: 138-11/04
Name: Grim,Donald
Address: P.o.Box 300
Cutchogue,NY 11935
City ST Zip:
* *RENEWAL NOTICE
This is to advise you that your Trailer permit will expire on 06/16/2005
Enclosed is a trailer permit application. Complete the application,have your signature notarized and return
it to this office with the required fee of$100.00 as soon as possible. Please make your check or money
order payable to the "Southold Town Clerk".
If your application and fee are not received on or before 6/16/2005 your Permit will be revoked and you
will be required to remove the trailer from the premises. Thank you for your cooperation.
Very truly yours,
d44AWa4w.4
Elizabeth A.Neville
Southold Town Clerk
Enclosure
Town Of Southold
P.O Box 1179
Southold, NY 11971
* * * RECEIPT * * *
Date: 09/22/05 Receipt#: 1482
Transaction(s): Reference Subtotal
1 1 House Trailer Permit 138-11/0 $100.00
Check#: 1482 Total Paid: $100.00
Name: Grim, Donald
P. O. Box 300
Cutchogue, NY 11935
Clerk ID: LINDAC Internal ID: 138-11/04
Town Of Southold
P.O Box 1179
Southold, NY 11971
* * * RECEIPT * * *
Date: 09/22/05 Receipt#: 1482
Transaction(s): Reference Subtotal
1 1 House Trailer Permit 138-11/0 $100.00
Check#: 1482 Total Paid: $100.00
r
Name: Grim, Donald
P. O. Box 300
Cutchogue, NY 11935
Clerk ID: LINDAC Internal ID:138-11/04
oOF SO!/r�,ol
ELIZABETH A.NEVILLE Q Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER �� Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER ��y w` Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER IrOUNT'l,N southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TRAILER PERMIT
Permit Number: 138-11/04 Date: 09/22/2005
Issued to: Grim, Donald
Address: P. O. Box 300
Cutchogue,NY 11935
A permit is hereby issued to locate a single trailer, as follows:
License No.:
Serial No.:
Located at: 11910 Oregon Rd., Cutchogue
SCTM#: 83-3-4.5
Pursuant to application dated 06/16/2005. Expiration Date: 12/16/2005
This renewal permit is granted for a six (6)month period.
Elizabeth A. Neville
Southold Town Clerk
eN'
File View 'Toolbar 'kelp
00
'473889 Southotd `°` Acture RAI School: Mattitucktahool
Grim,Drinaid J Roll Year: 2005_;Curr Yr "`�arehouse Lund AV: 3;008 .
12290` Oregon Rd: Laricl:Size°4.59 acres _ totalA�fa 2;800
A:, Taxable Value
,Owner i atal'•.2 Miscellaneous,
Name: Donald J;.Grim _ County: 2,800, Book: 10116
AddlAddr. 'Munk 2400 ,Page: 00598
Street" 280 Ddnr KOI Ln School: 2,800 hlortg: �
PO Sou: "300 bank:,
it ty: • Cutchbgue,'NY Zip: 11935- (!Y, Zchl after Star: 2,$04 Acer No: 13
Sale—,, -. Total: 0 : , ISite,1`01 1 :`.f:an& 0 of 0° �
Book Page Sale Crate Sale Price Owner Prpcl.; War6hoOie
Nbad Cd:0
Sewer: ;`ga
Mater.
Utilities I
° 1
Uemptibn Total: 0 TermOwn, Building: Sectian-. Total: 0
Code Amount Year Pct
Special District Total: 4' ' aluell ; linpioOifi it Tota> 0.:_.., -`
Gude . F Units,V'.Fpt Tgoe, M,dye`Tax 1:7.Type' Narne Diml .ISW SQFT Yr Built
P0029 Cutchogue_ivC .00 1.00 :00 -
PK090 Cutch-New Sc .60 , -.00 .00
l leady ° 2-M =9:C
i' •
o�OgUFfO ��
ELIZABETH A. NEVILLE ti� Gy Town Hall, 53095 Main Road
TOWN CLERK H A P.O. Box 1179
REGISTRAR OF VITAL STATISTICS
Southold, New York 11971
MARRIAGE OFFICER Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER ���� ��� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SINGLE TRAILER OR HOUSECAR
LOCATION RENEWAL PERMIT
Permit No. 138 Date June 21 , 2002
Issued to Donald Grim/Jeanne Grim
Address P.O. box 300
Cutchogue, NY 11935
A renewal permit is hereby issued for the location of a single
trailer/housexarc at 11910 Oregon Rd. , Cutchogue, NY 11935
pursuant to application dated May 30, 2002
This renewal permit is granted for a six (6) month period.
Expiration date November 30, 2002
lizabeth A. Neville
Southold Town Clerk
a
ELIZABETH A. NEVILLE Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR OF VITAL STATISTICS *++:, Southold, New York 11971
MARRIAGE OFFICER :. to • !�." Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER :' Telephone (631) 765-1500
FREEDOM OF INFORMATION OFFICER � '� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
To: Supervisor Horton and Town Board Members
From: Town Clerk Elizabeth Neville 4�p
Re: Donald Grimm trailer permit application
Date: December 16, 2002
Donald Grimm brought in the attached two (2)police reports in support of his trailer
application. He asks that the Town Board re-consider granting his application.
TOWN OF SOUTHOLD
TOWN CLERK'S OFFICE
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
(516) 765-1801 U,,II q
PERMIT NO. 138
EXPIRATION DATE: May 30, 2002
R E N E W A L
APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR,
OUTSIDE OF TOURIST CAMP.
a. Please review this renewal application. If there have been no changes to
the premises, trailer, ownership of the premises, or ownership of the
trailer, please sign at the bottom of the reverse side of this application,
have your signature notarized, and return to the Southold Town Clerk's
Office with your $100.00 fee for a six (6) month renewal.
b. Upon signing and submitting this renewal application you agree to comply
with all applicable laws, ordinances and regulations of the Town of
Southold, Suffolk County, New York.
State whether applicant is owner, lessee or agent............. wner,,,,,,,,_,
Name of Owner of premises ......Donald Grim/Jeanne Grim
........ u. t* .o-,--i........ed......officer..........................................................................
If applicant is corporate, signature of duly auth
...�...............................................................................
(Name and title of corporate officer)
1. Location of land on which proposed trailer will be loccted Cutchogue
Street and number .................11910 Oregon Road
................................................................................................................
2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer:
a. Existing use and occupancy ,Oregon Road Recycling; Inc. / Oak Street Trucking
. ..........................................
b. Intended use and occupancy Security Guard
P Y ......................... ......................................................
c. Period of time trailer is to be located on premises ......................................................................
3. Fee .......$100.00... . ... (To be paid on filing application)
.. . . . .
4. Dimensions of trailer, length ............................width ................................ height
............................
Registration Number ........................................ .Serial Number ............................................................
5. Size of lot: Front ............................................Rear ................................ Depth ................................
b. Date of purchase or lease of land986
.........................................................................................................
7. Zone or use district in which premises are situated ......C-1,.,,,,,,,..,•
8. Does proposed use violate any zoning law, ordinance or regulation? ..................................................
9. a. Method of Sewerage disposal ...........................................................................................................
b. Source of Water Supply .................................................................................................................
c. Source of Electricity .........................................................................................................................
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimen-
sions from property lines. Give street and block numbers or description according to deed, and show street
names and indicate whether interior or corner lot. Indicate clearly location of proposed trailer on prem-
ises, showing distances from all buildings and property lines.
ON FILE IN TOWN CLERK'S OFFICE.
If any changes have occurred since your last renewal, please
indicate, on a separate sheet of paper, the exact changes.
STATE OF NEW YORK i
COUNTY,�� �SU/n-FFOyyK. f ss' �`��
.............: .(.l .l.�.. .......' n... ..................I............ being duly sworn, deposes and says that
he is the applicant named above. He is the .................0/L )J..CC
..................................................
(owner or lessee or agent)
of said owner or owners, and is duly authorized to make and file this application; and that oil statements
contained in this application are true to the best of his knowledge and belief; and that the trailer will
be located in the manner set forth in the application filed herewith.
Sworn o before me this .......... . n
... ..... day of
(Si ure)
(Notary Public)
JOYCE M.WILKINS
Notary Public, State of New York
No.4952246,Suffolk County
Term Expires June 12, Z0p3
o��gUFFO�,�C
ELIZABETH A. NEVILLE = OG'f� Town Hall, 53095 Main Road
TOWN CLERK y P.O. Box 1179
REGISTRAR OF VITAL STATISTICS T Southold, New York 11971
MARRIAGE OFFICER .fi �� Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER �Ql paO Telephone (631) 765-1500
FREEDOM OF INFORMATION OFFICER T
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
April 12, 2002
Donald Grim/Jeanne Grim
P.O. Box 300
Cutchogue, NY 11935
r
Re : Trailer Permit Renewal No. 138
Dear Mr. & Mrs. Grim:
This is to advise you that your Trailer Permit will expire on
May 30, 2002.
Enclosed is a partially completed application renewal form. Please
complete the form, have your signature notarized and return it to this
office together with the required $100.00 renewal fee as soon as possible.
Please make your check or money order payable to "Southold Town Clerk."
If your application and fee are not received on or before May 30, 2002,
your Permit will be revoked and you will be required to remove the trailer
from the premises. Thank you for your cooperation.
Very truly yours,
Elizabeth A. Neville
Southold Town Clerk
Enclosure
o��gUFFO(�-co
ELIZABETH A. NEVILLE _� G'yj� Town Hall, 53095 Main Road
TOWN CLERK co P.O. Box 1179
REGISTRAR OF VITAL STATISTICS 0 Southold, New York 11971
MARRIAGE OFFICERFax (631) 765-6145
RECORDS MANAGEMENT OFFICER y�Ql �aO! Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SINGLE TRAILER OR HOUSECAR
LOCATION RENEWAL PERMIT
Permit No. 138 Date December 3, 2001
Issued to Donald Grim/Jeanne Grim
Address P.O. Box 300
Cutchogue, NY 11935
A renewal permit is hereby issued for the location of a single
trailer/twuseaar at 11910 Oregon Rd. , Cutchogue, NY 11935
pursuant to application dated November 30, 2001
This renewal permit is granted for a six (6) month period.
Expiration date May 30, 2002
Elizabeth A. Neville
Southold Town Clerk
„2 er 1,Agemy / 2.0e,w,,�on/Preci tQ <F 3.ORI 4 g 5.Case No. 61 ciden�No/�
�4 k F'(0( wZ 'x. .,.4n �`T NYC 5-1)7 �pp 02- 1OU�1 7
+ 7.Report Day 8 Date 9.Report Time {� $�10.D y I1-Date 12 Time 'O$ur{ed; 13Day14.Date 15_Time
� 2 ''� 1 P3 102-
16.Incident TYoo,,�e,� yy�� 17.Business Name 18.Weapons) A
L l�C 4 V'4 it+
19.Incident Address(Street No.,Street Name,Bldg No..lA�pt No20,20.City,Slate,Zip(Q C ❑ tI I❑V) 21.Location Code B
Co1F Lq 'r /r.C41L 4V C4'�E,J 4C /"
" # � t ky ,z 23.No.of victims
h C.
� .. / . .
2 24. No.of Suspects O�C
3
36.Person TypecCO:=Corriplai{ient'OT=Other Pl-PeAon lntervilr3e'(I:Pq=Person Reporting Wl=Witness Nl=Not Interviewed Vl-VVctSm 26Viaim also complainant ❑Y0N E.
H TYPEMO NAME(LAST,FIRST,MIDDLE,TITLE) Date of STREET NO.,STREET NAME,SLOG.NO.,APT NO.,CITY, STATE, ZIP Telephone NO.
2 ,_Birth
0 9-6
F
IX LO Crit-.N�, NL^4(d 5Cn Ce Kel L.� Cci�z<� 1, /.--r 731724&up
6
W
I.
2T.Date of Sirth 28.Age 29.Sex 30.Race 31.Ethnic 32.Handicap 33.Residence Status I]Temp.Res. Foreign Nat. 3
,[ M ❑ F ❑ White❑ Blad Other Hispanic❑ Unk. ❑ Yes ❑ Resident ❑i0urist(]Student Other
.' U ❑Indian❑Asian 0 Unk. ❑ Non-Hispanic ❑NO ❑Commuter❑Military ❑HOm¢�tls❑Unk
M TypeNO 35.Name(Last,first.Middle) 36.AhaVisuckname/blaiden Name(Last.First.Middle) 37,Apparent Condition Jr,
IS ❑ Impaired Drugs (] Mental Dis ❑Unk.
C Impatrcd Alco ❑Inj 7111 [ App Norm
iz
*tW 38 Address(Street No..Street Name,Bldg.No..Apt No.,City,State,Zip) 39.Phone NO. 0 Home 40.Social Security No. L
R ❑ Work
vk'
- Eh at.Date of Sirth 42.Age 43.Sec 44.Race 45.Ethnic 46.Skin 47.Occupation M
Opw I] M ❑ F ❑ White I] Black ❑Other O Hispanic❑ Unk. ❑ Light ❑Dark ❑ Unk.
❑ U ❑Indian ❑Asian❑ Unk. ❑Non-Hispanic ❑Medium I]Other
AQ
48-Height 49.Weight 50 ,eau it Fyes 0 yes E] 53 -mid 54 Employer6chool 55 Address N
Z ❑ Yes❑ Contacts Q Small Marge
N I] NO ❑ Medium
ins
56.ScarV Marksnattoos lDescrlbe) 52.Mlsc.
SB.Victim w Property Property Quantity) 'Make oa. Description Value
sionsepi
FitStatus T'pe Meawre Onec,T Model Serial No,
f
H
W 59 Vehicle 60.Lkense Plate No T11
❑ 61.State 62.Exp.Yr. 63.Plate Type 64.Value
IL flatus 0O
A V 65 Veh.Yr. 66.Make Model 68.Style 69.vIN.
' W
�.
' 70.COlor(s) 71 Towed By _ _ 72.Vehicle Notes
// To
73. r V'r hM ✓t u��) -�� "� I � ee II// r` tf-
f 4 47454l� 4`W �� rr (.7['•'l �J4ti lc/ rrn ?hC P
Via
1-
W
a
Z
'ter:
�74Anc,.i,Ies(Check all that apply) 75. NYSPIN Message No 76.Complainant Signature
^fie ❑ DMV I]Want/Warrant ❑ Scofflaw
,F". C]Crim.History ❑Stolen Property ❑Other
77.Reporting OHi Signature(Incl We Rank) 78 ID,po� 79.Su isor i Signat (Indus k) 8I'
>G. 81.Status Q Open I]Closed pf Closed,check box below) ❑Unfounded v 2. a s Datt V Notified(TOT of
a( ❑VicTRefusedto Coop. ❑Arrest Opros.Declined E3Warrant Advised I fS/i I A
❑CBI pluv. NOCunody (]Arrest luv. (]Offender Dead ❑Extras.Decln ❑Unknown llj7 U agm
DCJS-3205 (2/97) 'FALSE STATEMENTS ARE PUNISHABLE AS ACRIME,PURSUANT TO THE NEW YORK STATE PENAL LAW.
1. A ncY 2.Division d C 1 3.ORI Orig 5.Case N 6.Visit No.
' s}ah 1
D6L.l IAN 16wh lj a �l �i � .. IN D5`t 5 Supp ')-' �IC4 �./
! T.Report Day B.Date 9 Report Is" ry 10.Day I1.Date 12 Time Occurred 13.Day 14.Date IS.TIme
og I oz p,3po '° o� 20 0� t3 fz
I., 16mcia nt Tyee 17 Brunest Name 18.Weapon(')
Z;7
VC 19.Incident ddress(Street No., beet N Bldg Apt.No) $D.City late ip( C ❑ 1 Q V) 21 Locat on Cupp
z Q CR Zs
$oFF:No.:" a"+ CL'T` r1 �-.
) " fl r '+dq ,XTr. : x ,r^' 7n c 'SEit ash' z3.No.or vT m:
1
2 24. No.of Suspects O
3 w-
2S.Person Type:CO..COmplainanLOT=other P1=Person Interviewed PR=Persop Reporting Wl=Witness NE=Notlnterirlerved Vl=Victim 26 Victim also complainant N E
N
TYPEMO NAME(LAST,FIRST,MIDDLE,TITLE) Date of STREET NO-,STREET NAME,BLDG NO.,APT,NO.,CITY, STATE, ZIP Tele /
_ Birth phone No.
O
`^ F.
up
v1 ov r b o6 Sb u cn7 - l a- Uc a
6
W
G
f �
Q_
V
0
N
N
Q
I
I 27.Date of Birth 28.Age 29.Sr,,, 30.Race 31.Ethnic 32.Handicap 33 Residence Status ❑temp Res. Foreign Nat 1
u. ❑ M Q F ❑ White❑ Black[]Other Q Hispanic❑ Link ❑ res ❑ Resident ❑Tourist ❑Studentfs�-i Other
> ❑ U ❑Indian❑Asian[]Unk. Q Non-Hispanic Q NO ❑ Commuter ❑Military Q Homeless[]Unk
34.TymMo 35.Name(Last,First,Middle) 36.AIia9Ni<knameM4aiden Name(Last,First,Middle) 32.Appare^t Condition
z Elimpaired!Orugs Q Mental Ds Q Unk.
N []Impaired Alco Q Inj I III Q App Norm
6
W 30.Address(Strep[No.,Sheet Name,Bldg.No.,Apt.No..City,State.Lip) 39 Phone No
C. . Q Home 40.Social Security No. L
Q Work
wH 41.Date of Binh 42.Age 43.Sex 4q.Race 45.Ethnic 46.Skin 42.Occupation
HQ ❑ M (DF Q White E] Black ❑other Q Hispanic C] Unk. Q Light Q Dark E] Unk. M�
�WQ U [] Indian Q Asian Q Tick. Q Nom Hispanic []Medium Q Othec
NQ
OB.Heigt t4lht 50 Hav
pa,
SI Eyes 52 Glasses 53.8.0d S4 Employer/School 55.Address
Z Q Ya Q Contacts []Small []Large N
Q NO Q Medium
N
S6.ScaN Marks/Tattoos(Deuribe) 57 Mrs,
58.Vial.or ProPeYSy. Property Quantity/ Makea
Siptipect NO. Status Type Maur DrumT Model Serial No. Description Value
B ❑y
ofof
f
d Sg ehiclle 60.License Plate No Full[] 61.State 62.Exp.Yr. 63.Plate Typ
S 64.Value
O of ':a.E Partial[] '®
1 W
65 Veh.Yr. 66,Make 62 Model 68.Style 69.VIN. ';❑
a
J
70.ColorO s 21. Towed By _ 22.Vehicle Notes 2
To:
REVISION
23. 1
Donal
O . 6
>
1-
El< i
Q [ 1
z
LN
m.,. 24.Inquiries(Check all that apply) )S.NYSPIN Message No. )6.Complainant Signature i�n`i;
❑ DMV ❑ WanNVarra^t ❑ Scofflaw °#1
Crim.Hist ❑Stolen Property [] Other j
R fficer Signa (In a ank) )B ID o 29. rvisor' Ig tur (In We Ra k) 80.ID NO
F `�\ fj1 (�A�
Z` V G.. �S. W a9
'O
at Status ❑Open Closed(if Closed.check box below) UnfoundM 83. NotifiedrtOT
Q B2. Status Date of
Q; Qvia.Rf to Coop. []Arrest []Pros.Declined []Warrant Advned
Jus.-No Custody []Arrest duv. []Offender Dead QERrad.Declin ❑Unknown DQ I�F� ag
DCJS-3205 /97� `FALSE STATEMENTS ARE PUNISHABLE AS ACRIME,PURSUANT TO THE NEW YORK STATF PFNAI I AW
/ ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION
OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW.
EXCEPT AS PER SECTION 7209 - SUBDIVISION 2. ALL CERTIFICATIONS
HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF
SAID MAP OR COPIES BEAR The IMPRESSED SEAL OF THE SURVEYOR
WHOSE SIGNATLARE APPEARS HEREON.
Q ADDITIONALLY TO COMPLY WITH SAID LAW THE TERM ALTERED BY'
•Pf� s
3z6,. MUST BE USED BY ANY AAV ALL SUAtVEYORS UTILIZING A COPY
OF ANOTHER SURVEYOR'S'OROUGH DA E' ARE NOT NJ COWLIANCEAWITH THE LSPECTAW. AND
o. F AREA = 7.4658 ACRES
G�'
10��
lx
SIF � ���
o �0 �P ss
\h3 7 ,32 2
od
rod X/zti .
80.0
48
6°n 6Vrl
ol o. v 0
'9
h % MAP OF PROPERTY
V^m % A T SOUTHOLD �P��°i N€w��
TOWN OF SOUTHOLD s
SUFFOLK COUNTY NY � li
1000 _ 84 — 01 _ 2g� _ �N. S. LIC. NO. 49618
SCALE. r" = 1 f s , P.C.
MAR A 2M (6 � AX (631) 765 - 1797
May 2, 2000 (foundafion) P. O.
c. loundalion 1
3 T
\ JAN. l7, 2001 ( con 120 ER STREETSOUTHOLD, N.Y. 11971
a •
TOWN OF SOUTHOLD
TOWN CLERK'S OFFICE
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971 NOV 2 y 2001
(516) 765-1801 .V.. r"Q 60 wr, Uerk
N
PERMIT NO. 138
i 3
EXPIRATION DATE: November 30, 2001
R E N E W A L
APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR,
OUTSIDE OF TOURIST CAMP.
a. Please review this renewal application. If there have been no changes to
the premises, trailer, ownership of the premises, or ownership of the
trailer, please sign at the bottom of the reverse side of this application,
have your signature notarized, and return to the Southold Town Clerk's
Office with your $100.00 fee for a six (6) month renewal.
b. Upon signing and submitting this renewal application you agree to comply
with all applicable laws, ordinances and regulations of the Town of
Southold, Suffolk County, New York.
State whether applicant is owner, lessee or agent.............Owner,,,,,....I.......................
Name of Owner of premises .....,Donald Grim/Jeanne Grim
.duly
.................................................................................................
If applicant is corporate, signature of duly authorized officer
(Name and title of corporate officer)
1. Location of land on which proposed trailer will be located Cutchogue
Street and number .................11910 Oregon Road
................................................................................................................
2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer:
a. Existing use and occupancy Oregon Road Recycling, Inc: / Oak Street Trucking
. ..........................................
b. Intended use and occupancy .......................SurityGard
......................................................
c. Period of time trailer is to be located on premises ......................................................................
3. Fee .......00:00 (To aid on filing application)
.... /`l y
4. Dimensions of trailer, length ..... ..l ................width ........./v.............. height ...../I ,
/� n
Registration Number ..............J.1 r.................. .Serial Number ../.(/ ,..
...............
5. Size of lot: Front ............................................Rear ................................ Depth ................................
6. Dote of purchase or lease of land .................x.986,.
..............................................................................
7. Zone or use district in which premises are situated ......0-1
.............................................................
8. Does proposed use violate any zoning low, ordinance or regulation? ......A ..................................
9. a. Method of Sewerage disposal .........././ .......................................................................................
j� ...
b. Source of Water Supply ..................!/. ..........,...............................................................................
c. Source of Electricity ......................... . ./.........,...............................................................................
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimen-
sions from property lines. Give street and block numbers or description according to deed, and show street
names and indicate whether interior or corner lot. Indicate clearly location of proposed trailer on prem-
ises, showing distances from al! buildings and property lines.
ON FILE IN TOWN CLERK'S OFFICE.
If any changes have occurred since your last renewal, please
indicate, on a separate sheet of paper, the exact changes.
STATE OF NEW YORK i
COUNTY OF SUFFOLK J ss.
"""••'•""••"""•"""..................••••• . .................................................. being duly swa , deposes and says that
//,, ,, �
he is the applicant named above. He is the ................... C.tt1./../.{{��.1;
(owner or lessee or agent)
of said owner or owners, and is duly authorized to make and file this application; and that oil statements
contained in this application are true to the best of his knowledge and belief; and that the trailer will
be located in the manner set forth in the application filed herewith.
Sworn to before me this ................................ day of 1 /
�� IK
G.v�7L1 �Z �. }
ature)
( tory Public)
ELIZABETH ASTATHIS
NOTARY PUBLIC,State of New York
No.01 ST6008173,Suffolk Coun
Term Expires June 8,20
o��SUFFO(�-COG •
ELIZABETH A. NEVILLE _� y` Town Hall, 53095 Main Road
TOWN CLERK y Z P.O. Box 1179
REGISTRAR OF VITAL STATISTICSSouthold, New York 11971
MARRIAGE OFFICER .f� ��� Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER 0,( .�� Telephone (631) 765-1800
FRF,EDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
October 9, 2001
Donald Grim/Jeanne Grim
P.O. Box 300
Cutchogue, NY 11935
Re : Trailer Permit Renewal No. 138
Dear Mr. & Mrs. Grim:
This is to advise you that your Trailer Permit will expire on
November 30,2001 .
Enclosed is a partially completed application renewal form. Please
complete the form, have your signature notarized and return it to this
office together with the required $100.00 renewal fee as soon as possible.
Please make your check or money order payable to "Southold Town Clerk."
If your application and fee are not received on or before November 30, 2001 ,
your Permit will be revoked and you will be required to remove the trailer
from the premises. Thank you for your cooperation.
Very truly yours,
Elizabeth A. Neville
Southold Town Clerk
Enclosure
G
JUDITH T. TERRY ��� ��'q Town Hall, 53095 Main Road
TOWN CLERK ti P.O. Box 1179
_ Southold, New York 11971
REGISTRAR OF VITAL STATISTICS ��y Fax (516) 765-1823
MARRIAGE OFFICER 6J� ,.. Telephone (516) 765-1800
RECORDS MANAGEMENT OFFICER _
FREEDOM OF INFORMATION OFFICER '
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SINGLE TRAILER OR HOUSECAR
LOCATION RENEWAL PERMIT
Permit No. 138 Date June 11 , 2001
Issued to Donald Grim/Jeanne Grim
Address P.O. Box 300
Cutchogue, NY 11935
A renewal permit is ,hereby issued for the location of a single
trailer/patwjecAr at 11910 Oregon Rd. , Cutchogue, NY 11935
pursuant to application dated May 30, 2001
This renewal permit is granted for a six (6) month period.
Expiration date November 30, 2001 .
EjAabeth A. Neville
Southold Town Clerk
TOWN OF SOUTHOLD
TOWN CLERK'S OFFICE
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
(516) 765-1801
= Kr' FIvED
PERMIT NO. 138 JUN 8 2001
EXPIRATION DATE= May 30, 2001 worn 0 lowrr Clerk
R E N E W A L
APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR,
OUTSIDE OF TOURIST CAMP.
a. Please review this renewal application. If there have been no changes to
the premises, trailer, ownership of the premises, or ownership of the
trailer, please sign at the bottom of the reverse side of this application,
have your signature notarized, and return to the Southold Town Clerk's
Office with your $100.00 fee for a six (6) month renewal.
b. Upon signing and submitting this renewal application you agree to comply
with all applicable laws, ordinances and regulations of the Town of
Southold, Suffolk County, New York.
State whether applicant is owner, lessee or agent.............Owner
pp 'c nt is car reTi s •• )Donald Grim Grim
If a .................................................................
Name o�Ow�er�rau� �gn�rk of duly authorized officer
..!. ............::.1.......................
(Name and title of corp ra a officer)
1. Location of land or which proposed trailer will be located Cutchogue
Street and number 11910 Oregon Road
..............................................................................................................
2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer:
a. Existing use and occupancy ,Oregon Road Recycling, Inc: Street Trucking
. ....... ..................
b. Intended use and occupancy Security Cuard
............................. .....................................................................
c. Period of time trailer is to be located on premisesUnknown
......................................................................
3. Fee .......100:,00....................... (To b-Pgid on filing application)
4. Dimensions of trailer, length .............width /� /
.....Z47 ( .i.�........... .. height
Registration Number ......././)Z!s...................... .Serial Number .....!!(.
Off' 4Gx:
ELIZABETH A. NEVILLE ��� e Town Hall, 53095 Main Road
TOWN CLERKy = P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER
y ��;�,ti Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER ��,( ���,. r Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ->
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SINGLE TRAILER OR HOUSECAR
LOCATION RENEWAL PERMIT
Permit No. 138 Date January 8, 2001
Issued to Donald Grim/Jeanne Grim
Address P.O. Box 300
Cutchogue, NY 11935
A renewal permit is hereby issued for the location of a single
trailerlbanlxeglw at 11910 Oregon Rd. , Cutchogue, NY 11935
pursuant to application dated November 30, 2000
This renewal permit is granted for a six (6) month period.
Expiration date May 30, 2001
izabeth A. Neville
Southold Town Clerk
4,x'0
ELIZABETH A. NEVILLE ��� 1 Town Hall, 53095 Main Road
TOWN CLERKP.O. Box 1179
COD V
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER y O`�.�J" Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER ��! �� ; Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER 'r
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
April 12. 2001
Donald Grim/Jeanne Grim
P.O. Box 300
Cutchogue, NY 11935
Re : Trailer Permit Renewal No. 138
Dear Mr. s Mrs. Grim:
This is to advise you that your Trailer Permit will expire on
May 30, 2001 .
Enclosed is a partially completed application renewal form. Please
complete the form, have your signature notarized and return it to this
office together with the required $100.00 renewal fee as soon as possible.
Please make your check or money order payable to "Southold Town Clerk."
If your application and fee are not received on or before May 30, 2001 ,
your Permit will be revoked and you will be required to remove the trailer
from the premises. Thank you for your cooperation.
Very truly yours,
e owQ 7
Elizabeth A. Neville
Southold Town Clerk
Enclosure
o��gUFFO(,�co
ELIZABETH A. NEVILLE _� G'y� Town Hall, 53095 Main Road
TOWN CLERK y P.O. Box 1179
x
REGISTRAR OF VITAL STATISTICS Southold, New York 11971• ��
MARRIAGE OFFICER Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER ��l �a� Telephone (631) 765-1500
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
June 1 , 2001
Donald Grim/Jeanne Grim
P.O. Box 300
Cutchogue, NY 11935
Re: Trailer Permit Renewal No. 138
Dear Mr. & Mrs. Grim:
This is to advise you that your trailer permit expired on May 30, 2001 .
If your application and $100.00 fee are not received on or before
June 8, 2001 , your special permit will be revoked and your trailer will
have to be removed from the premises.
Very truly yours,
Elizabeth A. Neville
Southold Town Clerk
TOWN OF SOUTHOLD 1 o I
ti
TOWN CLERK'S OFFICE
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
(516) 765-1801
PERMIT NO. 138
EXPIRATION DATE: November 30, 2000
R E N S 1F n L
APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR,
OUTSIDE OF TOURIST CAMP.
a. Please review this renewal application. If there have been no changes to
the premises, trailer, ownership of the premises, or ownership of the
trailer, please sign at the bottom of the reverse side of this application,
have your signature notarized, and return to the Southold Town Clerk's
Office with your $100.00 fee for a six (6) month renewal.
b. Upon signing and submitting this renewal application you agree to comply
with all applicable laws, ordinances and regulations of the Town of
Southold, Suffolk County, New York.
State whether applicant is owner, lessee or agent............Owntr.................................
Name of Owner of premises ......Donald Grim
. ........................../Jeanne...Grim.... ....................................................................
If applicant is corporate, signature of duly authorized officer
(Nome and title of corporate officer)
1. Location of land on which proposed trailer will be located Cutchogue
Streetand number ................. ....Or.............gon......Road.................................................................................
2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer:
a. Existing use and occupancy Oregon Road Recycling,;. Inc: / Oak Street Trucking
. ....... ....... ..........
b. Intended use and occupancy Security Guard
c. Period of time trailer is to be located on premises ......................................................................
3. Fee ........$1.0.0....0.0 .... (To be paid on filing application)
4. Dimensions of trailer, length ............................width ................................ height
RegistrationNumber ........................................ .Serial t$pgnber ............................................................
5� Size of lot: Front ............................................Rear ................................ Depth ................................
d. Dote of purchase or lease of land —..^,.,1.986 .—`^^`^^—^--^—^—^—.^—^,....,—^^``—
7. Zone or use district in which premises are situated .......
8. Does proposed use violate any zoning |o*, ordinance or regulation? ..................................................
Y. o. Method ufSewerage disposal ...........................
6. Source of Water Supply --^.^..^.,.',--.^—.^^^^^^^^^~~^^^^~^`^^^—^`^^`^~,.
C. Source of Electricity .....—..^,..—.^—.~^^—^^^^^^^^^^^`^^^`~^~^^^^~^^^^^^~^`^—.
PLOT DIAGRAM
.
Locate clearly and distinctly all buildings, whether existing u, p/npvsedondindico(eo|| �e�'bnckdimen-
sions
� fonnn property lines. and -,umbers b d '
� � street �/� nre�c,ip,ionaccording rodeed, and show Street
�
names and indicate whether interior orcorner lot. Indicate clearly location ufproposed trailer onprem
� ises, shveingdistoncesfronno|! bui|dingsnndprnporty |ineo. '
�
ON FILE KNTOWN CLERK'S OFFICE.
If any changes have occurred since your last renewal, please
indicate, on a separate sheet of paper, the exact changes.
STATE OFmEW
[OUN /FFOL s».
/ /\ \ /. /�\// }1
^,^...��^^�`�<;.���)+ i1�� �� / �-!� / �
, =,,_ ^,�~~. ,....^—.~......... being duly sworn, deposes and says that
he is the applicant named above. H� is �h� /� l/� /K/Jl i~\
~^^^`^^^^...L,!�!�/����.L.,._,~,,,^__,,__,
'o�n�ror |o�seeurog�n()
ufsoidvwno, nrnwnorsnnJ bduly authorized mmake and file this o |i M n� nd di ||
contained in «ve
V`isopp|icnMono,� �/uetot6� be�tnfhix �no | d urp" ro » ' o o� o statements
belocated inthe nonnnorset forth inthe application 6|�dg« ondhe|ief� «»d �ho( |he �»ni|�/ v/i||
herewith.
Sworn to before me �hi� .,....-'2—,.. day of
^—^`�tyw-4 ....................
[jk�dotune}
^`^^
OTARY PUBLIC.State of NewYork
No.01 ST6008173,Suffolk CO_Vnty
Teffn Expires June 8,2094�
�� �
o��gOFFO(�-�D
ELIZABETH A. NEVILLE _� Gy< Town Hall, 53095 Main Road
TOWN CLERK C P.O. Box 1179
REGISTRAR OF VITAL STA'1'IS'1'ICS p Southold, New York 11971
MARRIAGE OFFICER ` f� OA�;1� Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER ��! Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER
Ecco^'
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
December 5, 2000
Donald Grim/Jeanne Grim
P.O. Box 300
Cutchogue, NY 11935
Re : Trailer Permit Renewal No. 17
Dear Mr. & Mrs. Grim:
This is to advise you that your Trailer Permit will expire on
November 30, 2000.
Enclosed is a partially completed application renewal form. Please
complete the form, have your signature notarized and return it to this
office together with the required $100.00 renewal fee as soon as possible.
Please make your check or money order payable to "Southold Town Clerk."
If your application and fee are not received on or before November 30, 2000,
your Permit will be revoked and you will be required to remove the trailer
from the premises. Thank you for your cooperation.
Very trully�yyoo`urs,
W--a4
Elizabeth A. Neville
Southold Town Clerk
Enclosure
G
JUDITH T.TERRY = yL Town Hall, 53095 Main Road
TOWN CLERK y Z P.O. Box 1179
• Southold, New York 11971
REGISTRAR OF VITAL STATISTICS Fax(516) 765-1823
MARRIAGE OFFICER ",QTelephone (516) 765-1800
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER I`L1
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SINGLE TRAILER OR HOUSECAR
LOCATION RENEWAL PERMIT
Permit No. 17 Date June 9, 2000
Issued to Donald Grim/Jeanne Grim
Address P.O. Box 300
Cutchogue, NY 11935
A renewal permit is hereby issued for the location of a single
tra(lerkboeseoarx at 11910 Oregon Road, Cutchogue, NY
pursuant to application dated May 30, 2000
This renewal permit is granted for a six (6) month period.
Expiration date November 30, 2000
EliYabeth A. Neville
Southold Town Clerk
TOWN OF SOUTHOLD
TOWN CLERK'S OFFICE
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
(516) 765-1801 XFCEIvED
PERMIT NO. 138 JUN 9 2p; �t �
EXPIRATION DATE: May 30, 2000 n Clerk
R E N E W A L
APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR,
OUTSIDE OF TOURIST CAMP.
a. Please review this renewal application. If there have been no changes to
the premises, trailer, ownership of the premises, or ownership of the
trailer, please sign at the bottom of the reverse side of this application,
have your signature notarized, and return to the Southold Town Clerk's
Office with your $100.00 fee for a six (6) month renewal.
b. Upon signing and submitting this renewal application you agree to comply
with all applicable laws, ordinances and regulations of the Town of
Southold, Suffolk County, New York.
State whether applicant is owner, lessee or agent........ ..Owner,,,,,,,,,,,,,,,,,
.................
Name of Owner of premises ....... Crim/Jeanne Grim
.......................................................................
If applicant is corporate, signature of duly author ..._..ize ......d officer
(N
...._ammee..a..nd........title.......of.... ..corporate.. .......... .officer....... ...)..........................
1. Location of land on whichro osed trailer will be located Cutchogue
P P ..................................
Street and number 11910 Oregon Road
............................... ..................................................................I............
2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer:
a. Existing use and occupancy Oregon Road Recycling, Inc: / Oak Street Trucking
.... ...........................................
b. Intended use and occupancySecurity Guard
..................................... .....................................................................
c. Period of time trailer is to be located on premises ..............Unknown
. . ............................................
3. Fee ........$100.00
... . ........................ (To be paid on filing application)
4. Dimensions of trailer, length ............................width ................................ height
............................
Registration Number ........................................ .Serial Number ............................................................
S. Size of lot: Front ............................................Rear ................................ Depth ................................
6. Date of purchase or lease of land ..................1.986 ,
..............................................................................
7. Zone or use district in which premises are situated ......0-1
.............................................................
8. Does proposed use violate any zoning law, ordinance or regulation? ..................................................
9. a. Method of Sewerage disposal ...........................................................................................................
b. Source of Water Supply .................................................................................................................
c. Source of Electricity .........................................................................................................................
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whet'ner existing or proposed, and indicate all set-back dimen-
sions from property lines. Give street and block numbers or description according to deed, and show street
names and 'indicate whether interior or corner lot. Indicate clearly location of proposed trailer on prem-
ises, showing distances from all buildings and property lines.
ON FILE IN TOWN CLERK'S OFFICE.
If any changes have occurred since your last renewal, please
indicate, on a separate sheet of paper, the exact changes.
STATE OF NEW YORK i
COUNTY OF SUFFOLK Jss.
"""."""" f/...' ...'. ,,......:.................... •••••••••••••••••••.•••••••.......... being duly sworn, deposes and says that
he is the applicant named above. He is the ........ f ;5 cam,;,••••••,,,,,,,,,,
........................................
(owner or lessee or agent)
of said owner or owners, and is duly authorized to make and file this application; and that oil statements
contained in this application are true to the best of his knowledge and belief; and that the trailer will
be located in the manner set forth in the application filed herewith.
Sworn to before me this I/ �
.............. day of
......... �... ... .......... \ C` 7�(
..... .... ... ...................
(S' ature)
...._....... .............:- ... :..
.......:'..! i
(Notary Public) ,
HELNE 0.HONE
Notary Public,State of New York
No.4951354
_ Qualified in Suffolk County
�"—i;:T'11 FVDi-?c A4Pv 27, 1
o�OSUFFO(��
ELIZA13ETH A. NEVILLE -v7ti� OG'y Town Hall, 53095 Main Road
TOWN CLERK o qP.O. Box 1179
ftEG[S'I'RAR OF VITAL STATISTICS '� Southold, New York 11971
MARRIAGE OFFICER y ���" Fax (631} 765-6145
RECORDS MANAGEMENT OFFICER ���1 �.���-� Telephone (631) 765-1500
FREEDOM OF INFORMATION OFFICER vl
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
June 2, 2000
Donald Grim/Jeanne Grim
P.O. Box 300
Cutchogue, NY 11935
Re Trailer Permit Renewal No. 17
Dear Mr. & Mrs. Grim:
2000. This is to advise you that your trailer permit expired on May 30,
If your application and $100.00 fee are not received on or before
June 9, 2000, your special permit will be revoked and your trailer will
have to be removed from the premises.
Very truly yours,
4/Elizabethh A. Neville
Town Clerk
ELIZABETH A. NEVILLE �� OGy� Town Hall, 53095 Main Road
TOWN CLERK y P.O. Box 1179
x
REGISTRAR OF VITAL STATISTICS �.>,c Southold, New York 11971
MARRIAGE OFFICER Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER �Ql �a� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
May 2, 2000
Donald Grim/Jeanne Grim
P.O. Box 300
Cutchogue, NY 11935
i
Re : Trailer Permit Renewal No. 17
Dear Mr. E Mrs. Grim:
This is to advise you that your Trailer Permit will expire on
May 30, 2000.
Enclosed is a partially completed application renewal form. Please
complete the form, have your signature notarized and return it to this
office together with the required $100.00 renewal fee as soon as possible.
Please make your check or money order payable to "Southold Town Clerk."
If your application and fee are not received on or before May 30, 2000,
your Permit will be revoked and you will be required to remove the trailer
from the premises. Thank you for your cooperation.
Very truly yours,
d+eta 4
Elizabeth A. Neville
Southold Town Clerk
Enclosure
i
ELIZABETH A. NEVILLE �'��� OGy ' Town Hall, 53095 Main Road
TOWN CLERKp -� P.O. Box 1179
C:
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER '
� Fax (516) 765-6145
RECORDS MANAGEMENT'OFFICEIR �'lfjJ1 ��� Telephone (516) 765-1800
FREEDOM OF INFORMATIOS OFFI('.ER 7 { `�`
OFFICE OF THE TOWN CLERK
TOWN OF SOUTIIOLD
SINGLE TRAILER OR HOUSECAR
LOCATION RENEWAL PERMIT
Permit No. 17 Date November 30, 1999
Issued to Donald Grim/Jeanne Grim
Address P.O. Box 300
Cutchogue, NY 11935
A renewal permit is hereby issued for the location of a single
trailer/hamrsecex at 11910 Oregon Rd. , Cutchogue, NY
pursuant to application dated November 30, 2000
This renewal permit is granted for a six (6) month period.
Expiration date May 30, 19999
y-
Elizabeth A. Neville
Southold Town Clerk
0 0
TOWN OF SOUTHOLD
TOWN CLERK'S OFFICE �►��.,...,
Town Hall, 53095 Main Road
P.O. Box 1179 OF�1- 1 4 1999
Southold, New York 11971
(516) 765-1801 l(apW !;14k JWUl01d
PERMIT NO. 138
EXPIRATION DATE: November 30, 1999
R E N E W A L
APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR,
OUTSIDE OF TOURIST CAMP.
a. Please review this renewal application. If there have been no changes to
the premises, trailer, ownership of the premises, or ownership of the
trailer, please sign at the bottom of the reverse side of this application,
have your signature notarized, and return to the Southold Town Clerk's
Office with your $100.00 fee for a six (6) month renewal.
b. Upon signing and submitting this renewal application you agree to comply
with all applicable laws, ordinances and regulations of the Town of
Southold, Suffolk County, New York.
State whether applicant is owner, lessee or agent.............Ow...e.nr
..................................................................
Name of Owner of premises ......Donald Grim/J.eanne. . .. .....Grim. .
....................... . . . . .. .. ...................................................................
If applicant is corporate, signature of duly authorized officer
(Name and title of corporate officer)
1. Location of land on which proposed trailer will be located Cutchogue
Street and number .................11910 Oregon Road
................................................................................................................
2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer:
a. Existing use and occupancy ,Oregon Road Recycling, Inc. /...O.a.k Street. ...Trucki. . . . n.g.......
. .. . . . ... .
b. Intended use and occupancy Security Guard
................................rit ....................................................................
c. Period of time trailer is to be located on premisesUnknown
......................................................................
3. Fee .......$100:00....................... (To be paid on filing application)
4. Dimensions of trailer, length ............................width ................................ height ............................
Registration Number ........................................ .Serial Number
...........`Y..' 7 A, j YftATOI�.............
1'
5. Size of lot: Front ............................................Rear ................................ Depth ................................
6. Dote of purchase or lease of land 1.2.8.6
7. Zone or use district in which premises are situated ......0-1
...........................................................
8. Does proposed use violate any zoning law, ordinance or regulation? ..................................................
9. a. Method of Sewerage disposal ...........................................................................................................
b. Source of Water Supply .................................................................................................................
c. Source of Electricity .........................................................................................................................
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimen-
sions from property lines. Give street and block numbers or description according to deed, and show street
names and indicate whether interior or corner lot. Indicate clearly location of proposed trailer on prem-
ises, showing distances from all buildings and property lines.
ON FILE IN TOWN CLERK'S OFFICE.
If any changes have occurred since your last renewal, please
indicate, on a separate sheet of paper, the exact changes.
STATE OF NEW YORK l
COUNTYQF SUFFOLK,f ss
.................yC c� C ' '� 4 J...............................................�
being,duly sworn, deposes and says that
he is the applicant named above. He is the ................. .
.....`..::... ........ ...... ............................. ..
(owner or lessee or agent)
of said owner or owners, and is duly authorized to make and file this application; and that all statements
contained in this application are true to the best of his knowledge and belief; and that the trailer will
be located in the manner set forth in the application filed herewith.
Sworn to before me this ... I .. day of
...................
.....V,�... ....................... 19. .�... ..... '
.. !...........................
(Signature)
.. .. ..........N................
1
(Notary Public)
NOTARY P B�C,State oMNow ya*
No.01B06020932
Oualified In Suffolk Term FXPires March 8,20(
o��gUfFO(kc
ELIZABETH A. NEVILLE :!h� OGy ": Town Hall, 53095 Main Road
TOWN CLERK p P.O. Box 1179
a2 ': Southold, New York 11971
REGISTRAR OF VITAL STATISTICS `y �-
MARRIAGE OFFICER O Fax (516) 765-6145
FRRECORDS MANAGEMENT OFFICERET l OM OF Telephone (516) 765-1800
INFORMATION OFFICER ���.( -40,
OFFICE OF THE TOWN CLERK
TOWN OF SOUTI-IOLD
December 7, 1999
Donald Grim/Jeanne Grim
P.O. Box 300
Cutchogue, NY 11935
Re: Trailer Permit Renewal No. 17
Dear Mr. & Mrs. Grim:
This is to advise you that your trailer permit expired on
November 30, 1999.
If your application and $100.00 fee are not received on or
before December 14, 1999, your special permit will be revoked
and your trailer will have to be removed from the premises.
Very truly yours,
d�c?/!�em&
Elizabeth A. Neville
Town Clerk
0
o�%g�f FO(K coGy�
ELIZABETH A. NEVILLE 'Town Hall, 53095 Main Road
TOWN CLERK < P.O. Box 1179
z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS _ T
MARRIAGE OFFICER Fax (516) 765-1823
RECORDS MANAGEMENT OFFICER ��� �0��� � Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER 1�(
OFFICE OF THE TOWN CLERK
TOWN OFSOUTHOLD
October 20, 1999
Donald Grim/Jeanne Grim
P.O. Box 300
Cutchogue, NY 11935
Re : Trailer Permit Renewal No. 17
Dear Mr. & Mrs. Grim :
This is to advise you that your Trailer Permit will expire on
November 30, 1999.
Enclosed is a partially completed application renewal form. Please
complete the form, have your signature notarized and return it to this
office together with the required $100.00 renewal fee as soon as possible.
Please make your check or money order payable to "Southold Town Clerk."
If your application and fee are not received on or before November 30, 1999,
your Permit will be revoked and you will be required to remove the trailer
from the premises. Thank you for your cooperation.
Very truly yours,
e+"�.�oua 7., W&
Elizabeth A. Neville
Southold Town Clerk
Enclosure
0
ELIZABETH A. NEVILLE Town Hall, 53095 Main Road
TOWN CLERK u - P.O. Box 1179
REGISTRAR OF VITAL S'FA'I'IS"PICS Southold, New York 11971
MARRIAGE OFFICER FiLx (516) 765-6145
RECORDS MANAGEMENT OFFICER 'reiephone (516) 765-1800
FREFDOM OF INFORMA'C1 ON OFFICER
OFFICE OF 'I HE TOWN CLERK
'TOWN � I .�ul;'fll(ll.11
SINGLE TRAILER OR HOUSECAR
LOCATION RENEWAL PERMIT
Permit No. 17 Date June 17, 1999
Issued to Donald Grim/Jeanne Grim
Address P.O. Box 300
Cutchogue, NY 11935
A renewal permit is hereby issued for the location of a single
trailer/hattsmax at 11910 Oregon Rd. , Cutchogue, NY
pursuant to application dated May 30, 1999
This renewal permit is granted for a six (6) month period.
Expiration date November 30, 1999-
Z
EI zabeth A. Neville
Southold Town Clerk
TOWN OF SOUTHOLD
TOWN CLERK'S OFFICE
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
(516) 765-1801
PERMIT NO. 138
lows Cllint JUUt�Iu(Q
EXPIRATION DATE= May 30, 1999
R E N E W A L
APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR,
OUTSIDE OF TOURIST CAMP.
a. Please review this renewal application. If there have been no changes to
the premises, trailer, ownership of the premises, or ownership of the
trailer, please sign at the bottom of the reverse side of this application,
have your signature notarized, and return to the Southold Town Clerk's
Office with your $100.00 fee for a six (6) month renewal.
b. Upon signing and submitting this renewal application you agree to comply
with all applicable laws, ordinances and regulations of the Town of
Southold, Suffolk County, New York.
State whether applicant is owner, lessee or agent............Owner................„............................ .
Name of Owner of premises ....... .
onald Grim/Jeanne Grim
........... ................................................................................................
If applicant is corporate, signature of duly authorized officer
...............................................................................
(Name and title of corporate officer)
1. Location of land on which proposed trailer will be located Cutchogue
Street and number11910 Oegon Road
................................r.................................................................................................
2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer:
a. Existing use and occupancy Oregon Road Recycling, Inc: / Oak Street Trucking
. ..........................................
b. Intended use and occupancy Security Guard
c. Period of time trailer is to be located on premisesUnknown
......................................................................
3. Fee ....... .00:00 (To be paid on filing application)
4. Dimensions of trailer, length ............................width ................................ height ............................
Registration Number ........................................ .Serial Number ....bir...:.:.:.:.::.....::.................................
., ,�. ",.T('.`.3
5. Size of lot: Front ............................................Rear ................................ Depth ................................
6. Date of purchase or lease of land1986
.........................................................................................................
7. Zone or use district in which premises are situated ......0-1
. .............................................................
8. Does proposed use violate any zoning low, ordinance or regulation? ..................................................
9. a. Method of Sewerage disposal ...........................................................................................................
b. Source of Water Supply .................................................................................................................
c. Source of Electricity .........................................................................................................................
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimen-
sions from property lines. Give street and block numbers or description according to deed, and show streer
names and indicate whether interior or corner lot. Indicate clearly location of proposed trailer on prem-
ises, showing distances from all buildings and property lines.
ON FILE IN TOWN CLERK'S OFFICE.
If any changes have occurred since your last renewal, please
indicate, on a separate sheet of paper, the exact changes.
STATE OF NEW YORK i
COUNTY /f ss_
"" �SUFFOLK
c
RC2/� `•• ........................................ being duly sworn, deposes and says that
he is the applicant named above. He is the ..........,
(owner or lessee or agent)
of said owner or owners, and is duly authorized to make and file this application; and that all statements
contained in this application are true to the best of his knowledge and belief; and that the trailer will
be located in the manner set/forth in the application filed herewith.
Sworn to before me this ....1 W ................. day of ;F I
v
. .... ? �. 1..........................
� r
^ (Signature)
NOTARY No.0118,State 32 York
Oualified in Suffolk County I
Term Expires March 8, 20UJ
ELIZABETH A. NEVILLE tiZ` Gy -' Town Hall, 53095 Main Road
TOWN CLERK _ P.O. Box 1179
0
Z 1 Southold, New York 11971
REGISTRAR OF VITAL STATISTICS v. T
MARRIAGE OFFICER O Fax (516) 765-6145
RECORDS MANAGEMENT OFFICER .��� �� Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER J�I
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
June 7, 1999
Donald Grim/Jeanne Grim
P.O. Box 300
Cutchogue, NY 11935
Re: Trailer Renewal No. 138
Dear Mr. E Mrs. Grim:
This is to advise you that your trailer permit expired on
May 30, 1999.
If your application and $100.00 fee are not received on or
before June 14, 1999, your special permit will be revoked and
your trailer will have to be removed from the premises.
Very truly yours,
a4"a 7.
Elizabeth A. Neville
Town Clerk
ELIZABETH A. NEVILLE hyo l/y Town IIall, 53095 Main Road
TOWN CLERK o P.O. Box 1179
'? ti = Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER O Fax (516) 765-1823
RECORDS MANAGEMENT OFFICER Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
May 4, 1999
Donald Grim/Jeanne Grim
P.O. Box 300
Cutchogue, NY 11935
Re : Trailer Permit Renewal No. 138
DearMr. & Mrs. Grim:
This is to advise you that your Trailer Permit will expire on
May 30, 1999.
Enclosed is a partially completed application renewal form. Please
complete the form, have your signature notarized and return it to this
office together with the required $100.00 renewal fee as soon as possible.
Please make your check or money order payable to "Southold Town Clerk."
If your application and fee are not received on or before May 30, 1999,
your Permit will be revoked and you will be required to remove the trailer
from the premises. Thank you for your cooperation.
Very truly yours,
a)aAwa 7-' -
Elizabeth
Elizabeth A. Neville
Southold Town Clerk
Enclosure
ELIZABETH A.NEVILLE Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
cz
'n Southold, New York 11971
REGISTRAR OF VITAL STATISTICS �r � Fax (516)765-1823
MARRIAGE OFFICER c4a !
RECORDS MANAGEMENT OFFICER - _y'11 �" «,�; - Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
i
SINGLE TRAILER OR HOUSECAR
LOCATION RENEWAL PERMIT
i
Permit No. 138 Date December 18, 1998
Issued to Donald Grim/Jeanne Grim
Address P.O. Box 300
Cutchogue, NY 11935
A renewal permit is hereby issued for the location of a single
trailer/tcomacarx at 11910 Oregon Rd. , Cutchogue, NY
pursuant to application dated November 30, 1998
This renewal permit is granted for a six (6) month period.
Expiration date May 30, 1999
Elizabeth A. Neville
Southold Town Clerk
0 •
TOWN OF SOUTHOLD
TOWN CLERK'S OFFICE
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971 Ipr"rrlrlLr+-
(516) 765-1801 1, 1998
PERMIT NO. 138 1U`N(l llelK JUUUlola
EXPIRATION DATE: November 30, 1998
R E N E W A L
APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR,
OUTSIDE OF TOURIST CAMP.
a. Please review this renewal application. If there have been no changes to
the premises, trailer, ownership of the premises, or ownership of the
trailer, please sign at the bottom of the reverse side of this application,
have your signature notarized, and return to the Southold Town Clerk's
Office with your $100.00 fee for a six (6) month renewal.
b. Upon signing and submitting this renewal application you agree to comply
with all applicable laws, ordinances and regulations of the Town of
Southold, Suffolk County, New York.
State whether applicant is owner, lessee or agent.............Owner.................................
Name of Owner of premises ......Donald Grim/Jeanne Grim
If applicant is corporate, signature of duly authorized officer
....�...............................................................................
(Name and title of corporate officer)
1. Location of land on which proposed trailer will be located Cutchogue
Street and number11910 on Road
.............................Or... eg
.................................................................................................
2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer:
a. Existing use and occupancy Oregon Road Recycling, Inc. / Oak Street Trucking
. ....... ....... ..........
Securit Guard
b. Intended use and occupancy .....................................y....................................................................
c. Period of time trailer is to be located on premises ......................................................................
3. Fee $100.00 (To be Poi on tiling opplicatiop)
............................................
4. Dimensions of trailer, length v ............width / .................. height ............................J —" /
Registration Number .......... .:
..................... .Serial Number ......... �./ CL
S. Size of lot: Front ...... •!••:• ......................Rear ....`./ . ../.... Depth .....
......................
6. Date of purchase or lease of land1986
.........................................................................................................
7. Zone or use district in which premises are situated .......Q._J...........................................................
8. Does proposed use violate any zoning law, ordinance or regulation?
9. a. Method of Sewerage disposal ........ /// ...........................................................................
b. Source of Water Supply .......... .... �Z�..l.4r.............................................................................
c. Source of Electricity .............. �.��.�.�. .�S. :............................................................................
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimen-
sions from property lines. Give street and block numbers or description according to deed, and show street
names and indicate whether interior or corner lot. Indicate clearly location of proposed trailer on prem-
ises, showing distances from all buildings and property lines.
ON FILE IN TOWN CLERK'S OFFICE.
If any changes have occurred since your last renewal, please
indicate, on a separate sheet of paper, the exact changes.
STATE OF NEW YORK i
COUNTY OF SVffOLK f ss'
......•••••• il"••••••••• • •• • •••••• •••✓'..• ............................. being duly sworn, deposes and says that
he is the applicant named above. He is the
.................................. ... . . ..........................
(owner or lessee or agent)
of said owner or owners, and is duly authorized to make and file this application; and that oil statements
contained in this application are true to the best of his knowledge and belief; and that the trailer will
be located in the manner set forth in the application filed herewith.
� 19..1 /+
Sworn to before me this ..... ..........- :
-. . . .. . day
of......... ....... .
/ (Sign ure
...._.. ..lt.y.:. X...trt-r....................... JJJ
(Notary Public)
ELIZABETH A.NEVILLE ��� Gy Town Hall, 53095 Main Road
TOWN CLERK < P.O. Box 1179
y r Southold, New York 11971
REGISTRAR OF VITAL STATISTICS ,r "7 Fax (516) 765-1823
MARRIAGE OFFICER Phone (516) 765-1800eel
RECORDS MANAGEMENT OFFICER T
y?�n ��
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
December 14, 1998
Donald Grim/Jeanne Grim
P.O. Box 300
Cutchogue, NY 11935
Re: Trailer Pmerit Renewal No. 138
Dear Mr. E Mrs. Grim:
This is to advise you that your trailer permit expired on
November 30, 1998.
If your application and $100.00 fee are not received on or
before December 21 , 1998, your special permit will be revoked and
your trailer will have to be removed from the premises.
Very truly yours,
a)aAwa z�vC,oD
Elizabeth A. Neville
Town Clerk
r�
ELIZABETH A.NEVILLE h`t� �Gy Town Hall, 53095 Main Road
TOWN CLERK c
P.O. Box 1179
W 2 Southold, New York 11971
REGISTRAR OF VITAL STATISTICS O Fax (516) 765-1823
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
October 1 , 1998
Donald Grim/Jeanne Grim
P.O. Box 300
Cutchogue, NY 11935
Re : Trailer Permit Renewal No. 138
Dear Mr. & Mrs. Grim:
This is to advise you that your Trailer Permit will expire on
November 30, 1998.
Enclosed is a partially completed application renewal form. Please
complete the form, have your signature notarized and return it to this
office together with the required $100.00 renewal fee as soon as possible.
Please make your check or money order payable to "Southold Town Clerk."
If your application and fee are not received on or before November 30, 1998,
your Permit will be revoked and you will be required to remove the trailer
from the premises. Thank you for your cooperation.
Very truly yours,
Elizabeth A. Neville
Southold Town Clerk
Enclosure
ELIZABETH A.NEVH.LE Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS Fax (516) 765-1823
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOT'TI I()[A
SINGLE TRAILER OR HOUSECAR
LOCATION RENEWAL PERMIT
Permit No. 138 Date May 19, 1998
Issued to Donald Grim/Jeanne Grim
Address P.O. Box 300
Cutchogue, NY 11935
A renewal permit is hereby issued for the location of a single
trailer/haLmeaw at 11910 Oregon Rd. , Cutchogue, NY
pursuant to application dated May 30, 1998
This renewal permit is granted for a six (6) month period.
Expiration date November 30, 1998
lizabeth A. Neville
SOuthold Town Clerk
•
TOWN OF SOUTHOLD
TOWN CLERK'S OFFICE
Town Hall, 53095 Main Road
P.O. Box 1179
lum CI•urk Sljwrlall Southold, New York 11971
(516) 765-1801
PERMIT NO. 138
EXPIRATION DATE= May 30, 1998
R E N E W A L
APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR,
OUTSIDE OF TOURIST CAMP.
a. Please review this renewal application. If there have been no changes to
the premises, trailer, ownership of the premises, or ownership of the
trailer, please sign at the bottom of the reverse side of this application,
have your signature notarized, and return to the Southold Town Clerk's
Office with your $100.00 fee for a six (6) month renewal.
b. Upon signing and submitting this renewal application you agree to comply
with all applicable laws, ordinances and regulations of the Town of
Southold, Suffolk County, New York.
State whether applicant is owner, lessee or agent........ ... ner....................... .
Name of Owner of premises ......Donald Grim/Jeanne Grim
u ly'.. . ..... . ..d . ... . . .............................................................
If applicant is corporate, signature of duly authorized. . . . ...officer. .. . .....
(Name and title of corporate officer)
1. Location of land on which proposed trailer will be locatedCutcho�ue
........................ . . ................................
Street and number 11910 Oregon Road
..............._...............................................................................
2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer:
a. Existing use and occupancy Oreson Road Recycling, Inc: / Oak Street Trucking
. ..........................................
anc
P Y .......................
b. Intended use and occupancy Security Guard
.. _.. . . .. ..................
c. Period of time trailer is to be located on premises ...............
.............................................
3. Fee .......$100:00 (To be paid on filing application)
4. Dimensions of trailer, length ......T/:.'...............width ......./ .............. height ...../,:...............
Registration Number ........�Z:...................... .Serial Number ......1.1/.f.'..............................................
X41
5. Size of lot: Front .......... .....�...................Rear ................................ Depth ................................
6. Date of purchase or lease of land7986
.........................................................................................................
7. Zone or use district in which premises are situated ......C-j,
. ..........................................................
8. Does proposed use violate any zoning law, ordinance or regulation?
..............................
9. a. Method of Sewerage disposal ........, ........................................................................
J
b. Source of Water Supply
.............................................................I.........................
C. Source of Electricity ........1/ : : .::.:...............::...:.... %..................................................................
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimen-
sions from property lines. Give street and block numbers or description according to deed, and show street
names and indicate whether interior or corner lot. Indicate clearly location of proposed trailer on prem-
ises, showing distances from all buildings and property lines.
ON FILE IN TOWN CLERK'S OFFICE.
If any changes have occurred since your last renewal, please
indicate, on a separate sheet of paper, the exact changes.
STATE OF NEW YORK i
COUNTY OF SUFFOLK f ss.
... ""' ............................................ being duly sworn, deposes and says that
he is the applicant named above. He is the ............ '/a'F
. ....... ...................:.........................
(owner or lessee or agent)
of said owner or owners, and is duly authorized to make and file this application; and that all statements
contained in this application are true to the best of his knowledge and belief; and that the trailer will
be located in the manner set forth in the application filed herewith.
Sworn to before me this
.............................. day of /
..
111
�, . . .. JrL �9.a..;.e �L"
i n �r
tory Public)
Notary Fubhe.5ir,te of we,v 1`ork
No. 494Si6
Qualified in Suflolk County2
Commission Expires Mar. 6, 191
• � LItl4�Z •
ELIZABETH A. NEVILLE A� y,, Town Hall, 53095 Main Road
TOWN CLERK c t P.O. Box 1179
ti 2 Southold, New York 11971
REGISTRAR OF VITAL STATISTICS Q Fax (516) 765-1823
MARRIAGE OFFICER Telephone (516) 765-1800
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
May 6, 1998
Donald Grim/Jeanne Grim
P.O. Box 300
Cutchogue, NY 11935
Re : Trailer Permit Renewal No. 138
Dear Mr. & Mrs. Grim:
This is to advise you that your Trailer Permit will expire on
May 30, 1998. `
Enclosed is a partially completed application renewal form. Please
complete the form, have your signature notarized and return it to this
office together with the required $100.00 renewal fee as soon as possible.
Please make your check or money order payable to "Southold Town Clerk."
If your application and fee are not received on or before May 30, 1998,
your Permit will be revoked and you will be required to remove the trailer
from the premises. Thank you for your cooperation.
Very truly yours,
c7 --row( a4
Elizabeth A. Neville
Southold Town Clerk
Enclosure
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
JUDITH T.TERRY TELEPHONE
TOWN CLERK (516) 765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SINGLE TRAILER OR HOUSECAR
LOCATION RENEWAL PERMIT
Permit No. 138 Date November 18, 1997
Issued to Donald Grim/Jeanne Grim
Address P.O. Box 300
Cutchogue NY 11935
A renewal permit is hereby issued for the location of a single
trailer/housecar at 11910 Oregon Rd Cutchoaue NY
pursuant to application dated November 30, 1997
This renewal permit is granted for a six (6) month period.
Expiration date May 30, 1997
Judith T. -lerryw
Southold Town Clerk
0
TOWN OF SOUTHOLD
TOWN CLERK'S OFFICE
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971 D
(516) 765-1801
NOV 1 97
PERMIT NO. 138 Smdhold own C�
EXPIRATION DATE: November 30, 1997
R E N E W A L
APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR,
OUTSIDE OF TOURIST CAMP.
a. Please review this renewal application. If there have been no changes to
the premises, trailer, ownership of the premises, or ownership of the
trailer, please sign at the bottom of the reverse side of this application,
have your signature notarized, and return to the Southold Town Clerk's
Office with your $100.00 fee for a six (6) month renewal.
b. Upon signing and submitting this renewal application you agree to comply
with all applicable laws, ordinances and regulations of the Town of
Southold, Suffolk County, New York.
State whether applicant is owner, lessee or egent............. wner.................................
Name of Owner of premises ......Donald Grim/Jeanne Grim
......................................................................................................
If applicant is corporate, signature of duly authorized officer
.....................................................................................
(Name and title of corporete officer)
1. Location of land on which proposed trailer will be located Cutchogue
Street and number1Orego
.....................1910............... n............Road.................................................................................
2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer:
a. Existing use and occupancy Oregon Road Recycling: Inc: / Oak Street Trucking
. .... ..........
b. Intended use and occupancy Security Guard
c. Period of time trailer is to be located on premises ...............Unkn..... own
..................................................
3. Fee .......$100.00 (To be paid on filing application)
............ .
4. Dimensions of trailer, length ............................width ................................ height ............................
Registration Number ........................................ .Serial Number ............................................................
Sizeof |ni: Front ............................................Rear ................................ Depth ................................
b. Date of purchase or lease of |onJ .—..,.`,1986_,,,,.~,`,,_,_,_,^_,_`___^_,_^`_
7. Zone vruse district inwhich premises are situated ...!� ........
O. Dnco proposed use violate any zoning low, ordinance or regulation? ..................................................
9. o. Method of Sewerage disposal ..........................~...............................................................................
�
6. Source of Water Suook/ ................................
�
d:- ' �Source of E'le/cthcity ....-.^—~^~..—`^^~^~~^~^^^~-~~^~^~~^---^^~^^^~—^~^`^^~.
PLOTD4AGPAM
Locate clearly and distinctly all buildings, whether existing orp,opnoedand indicate all set-back dimen-
sions
fnnon r�' lines. (�ive street and block nunnbeoordescription
'according todeedand show stroc`
nonnesand indicate vvhethrrinterior or cornerlot. Indicate clearly / �
prem-
ises, showing distances frnrn all buimiiocp�iono� prnposed �nni|e, un
buildings and property lines.
ON FILE IN TOWN CLERK'S OFFICE.
Ifany. coancles have occurred since your last renewal, please
�
indicate, on a separate sheet of paper, the exact changes.
'
STATE OF NEW YORK
COUNTY OFSUFFOLK /ss'
J� U
^~-~� /�l^-..) .....�9// //�/
__,_^ ^,..,~`.^.. being duly sworn, deposes and says that
he is�the applicant named above. He is the ................~...............
Ea
(owner orlessee o' agent)
ofsaid owner orowners and $ duly authorized tnmake and file Hi
contained inthis opp|Qtiunare true tothe best vfhis know/edoe /s application- and that «|| statementsbe |oc«tedinthernonnorset forth inthe opp|icohonfiled herewith,
«nu0e|i*�� ond �ho� �hetroi|er »,i||
Sworn to before me this ..................../[}...... day of
^—.`^`^-^`., __~,_,^ ly...��/^ U�\ |.
....... .......re) ---~-^~`^^^^
r^^`.
(Notary Public) 3m
z Town Hall, 53095 Main Road
v% as P.O. Box 1179
rol .�•p� Southold, New York 1 1971
JUDITH T.TERRY TELEPHONE
TOWN CLERK (516) 765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
October 3, 1997
Donald Grim/Jeanne Grim
P.O. Box 300
Cutchogue, NY 11935
Re: Trailer Permit Renewal No. 138
Dear Mr. & Mrs. Grim:
This is to advise you that your Trailer Permit will expire on
November 30, 1997.
Enclosed is a partially completed application renewal form. Please
complete the form, have your signature notarized and return it to this
office together with the required 5100.00 renewal fee as soon as possible.
Please make your check or money order payable to "Southold Town Clerk".
If your application and fee are not received on or before November 30, 1997,
.your Permit will be revoked and you will be required to remove the trailer
from the premises. Thank you for your cooperation.
Very truly yours,
Judith T. Terre
Southold Town Clerk
Enclosure (1)
JUDITH T.TERRY Town Hall, 53095 Main Road
TOWN CLERK ' P.O. Box 1179
REGISTRAR OF VITAL STATISTICS - Southold, New York 11971
MARRIAGE OFFICER Fax (516) 765-1823
RECORDS MANAGEMENT OFFICER Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE 'TOWN CLERK
TOWN Or' Stn rr1101.0
SINGLE TRAILER OR HOUSECAR
LOCATION RENEWAL PERMIT
Permit No. 138 Date June 9, 1997
Issued to Donald Grim/Jeanne Grim
Address P.O. Box 300
Cutcho ue NY 11935
A renewal permit is hereby issued for the location of a single
trailer/flwAjtaW at 11910 Oregon Rd Cutchogue NY
pursuant to application dated May 30, 1997
This renewal permit is granted for a six (6) month period.
Expiration date November 30. 19 }
eflz ✓1 ��
Judith T. Terry
Southold Town Clerk
• 0
TOWN OF SOUTHOLD
TOWN CLERK'S OFFICE
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
(516) 765-1801 RE IV
JU 97
PERMIT NO. 138 d Town Berk
EXPIRATION DATE: May 30 1997
R E N E W A L
APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE VAR,
OUTSIDE OF TOURIST CAMP.
a. Please review this renewal application. If there have been no changes to
the premises, trailer, ownership of the premises, or ownership of the
trailer, please sign at the bottom of the reverse side of this application,
have your signature notarized, and return to the Southold Town Clerk's
Office with your $100.00 fee for a six (6) month renewal.
b. Upon signing and submitting this renewal application you agree to comply
with all applicable laws, ordinances and regulations of the Town of
Southold, Suffolk County, New York.
0 w ne r................................................................
State whether applicant is owner, lessee or agent........_........
Name of Owner of premises Donald Grim/Jeanne..Grim.................................................................
......................................
If applicant is corporate, signature of duly authorized officer
.................. ..... ..........................................................
(Name and..title..of corporate officer)
1. Location of land on which proposed trailer will be located ...........Cutchog...............ue ue ...............................
Street and number 1.1910. . . ...Or. egon...Road
. . . . . .. .......... . .............................................................................
2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer:
a. Existing use and occupancy Oregon Road Recycling, lnc: / Oak Street Trucking
Security Guard
b. Intended use and occupancy ..................................... .....................................................................
C. Period of time trciler is to be located on premises ...............U.....nknown..................................................
3. Fee .......$100.00.. ... (To be paid on filing application)
.. .... ...
4. Dimensions of trailer, length ............................width ................................ height ............................
RegistrationNumber ........................................ .Serial Number ............................................................
0 0
5. Size of lot: Front ............................................Rear ................................ Depth ................................
6. Date of purchase or lease of land 1986
7. Zone or use district in which premises are situated .......
. . ............................................................
8. Does proposed use violate any zoning law, ordinance or regulation? ..................................................
9. a. Method of Sewerage disposal ...........................................................................................................
b. Source of Water Supply ................................_...............................................................................
c. Source of Electricity ........................................_...............................................................................
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimen-
sions from property lines. Give street and block numbers or description cccording to deed, and show street
names and indicate whether interior or corner lot. Indicate clearly location of proposed trailer on prem-
ises, showing distances from all buildings and property lines.
ON FILE IN TOWN CLERK'S OFFICE.
If any changes have occurred since your last renewal, please
indicate, on a separate sheet of paper, the exact changes.
STATE OF NEW YORK 1
COUNTY OF SUFFOLK f ss'
`X.An... - tin.. .... ............••••.... being duly sworn, deposes and says that
he is the applicant named above. He is the ................_..
(owner or lessee or agent)
of said owner or owners, and is duly authorized to make and file this application; and that all statements
contained in this application are true to the best of his knowledge and belief; and that the trailer will
be located in the manner set forth in the application filed herewith.
Sworn to before me this ...... ..i.. •„ day of
; .1 : . a t X
{ ........................ 19
/ \ _....... .........................
........................
(Signot re)
...�............
J (Notary Public)
23 Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
JUDITH T.TERRY 1 TELEPHONE
TO"CLERK (516) 765-1601
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
April 1 , 1997
Donald Grim/Jeanne Grim
P.O. Box 300
Cutchogue, NY 11935
Re: Trailer Permit Renewal No. 138
Dear Mr. & Mrs. Grim:
This is to advise you that your Trailer Permit will expire on
May 30, 1997.
Enclosed is a partially completed application renewal form. Please
complete the form, have your signature notarized and return it to this
office together with the required $100.00 renewal fee as soon as possible.
Please make your check or money order payable to "Southold Town Clerk".
If your application and fee are not received on or before May 30, 1997,
your Permit will be revoked and you will be required to remove the trailer
from the premises. Thank you for your cooperation.
Very truly yours,
Judith T. Terr�
Southold Town Clerk
Enclosure (1)
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
JUDITH T. TERRY TELEPHONE
(W%(11ak (516) 765-1801
.i ,ik k (A %II U.sr nr is 11, OFFICE OF THF TOWN ('LFRK
DOWN OF SOUF1101,1)
SINGLE TRAILER OR HOUSECAR
LOCATION RENEWAL PERMIT
Permit No. 138 Date December 6, 1996
Issued to Donald Grim/Jeanne Grim _
Address P.O. Box 300
Cutchoque, NY 11935
A renewal permit is hereby issued for the location of a single
trailer/Fxousecav at 11910 Oregon Rd. , Cutchoque —
pursuant to application dated November 30, 1996 _
This renewal permit is granted for a six (6) month period.
Expiration date May 30,_ 1997
S
Judith T. Terry
Southold Town Clerk
TOWN OF SOUTHOL D
TOWN CLERK'S OFFICE
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
(516) 765-1801
PERMIT NO. 138
/CA
EXPIRATION DATE: November 30 1996
1996
R E N E W A L Southold
APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HO
OUTSIDE OF TOURIST CAMP.
a. Please review this renewal application. If there have been no changes to
the premises, trailer, ownership of the premises, or ownership of the
trailer, please sign at the bottom of the reverse side of this application,
have your signature notarized, and return to the Southold Town Clerk's
Office with your $100.00 fee for a six (6) month renewal.
b. Upon signing and submitting this renewal application you agree to comply
with all applicable laws, ordinances and regulations of the Town of
Southold, Suffolk County, New York.
Or................................................................
State whether applicant is owner, lessee or agent.................. .wne
Name of Owner of premises ......Donald Grim/Jeanne Grim.................. ...............
If applicant is corporate, signature of duly authorized officer
(Nome and title of corporate officer)
1.
Location of lard on which proposed trailer will be located Cutchogue
Street and number1OegRoad
.....................1910...........r..........on...... ..............................................................................
2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer:
o. Existing use and occupancy Oregon Road Recycling: lnc; / Oak Street Trucking
. ........eet .
b. Intended use and occupancy Security Guard
................................rity....................................................................
knn
C. Period of time trailer is to be located on premises ..................nU .. n.ow.............................................
3. Fee ........$.1..00.00. ... . ........... (To be paid on filing application)
. . . . .
4. Dimensions of trailer, length ............................width ................................ height ............................
RegistrationNumber ........................................ .Serial Number ............................................................
Sizeof lot: Front ............................................Rear ................................ Depth ................................
6. Date of purchase or lease of land .................x.986..
7. Zone or use district in which premises are situated .......
............................................................
8. Does proposed use violate any zoning law, ordinance or regulation? ..................................................
9. a. Method of Sewerage disposal ...........................................................................................................
b. Source of Water Supply .................................................................................................................
- - G. Source of Electricity .........................................................................................................................
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimen-
sions from property lines. Give street and block numbers or description according to deed, and show street
names and indicate whether interior or corner lot. Indicate clearly location of proposed trailer on prem-
ises, showing distances from all buildings and property lines.
ON FILE IN TOWN CLERK'S OFFICE.
If any changes have occurred since your last renewal, please
indicate, on a separate sheet of paper, the exact changes.
STATE OF NEW YORK 1
COUNTY OF SUFFOLK ss'
rr pp� ✓�V,
...._.................................�Ll...t'^:............... .. ...... .............._............... being duly swcrn, deposes and says that
he is the applicant named above. He is the ............... V.\Q .....
. ...... .. .. ....................................................
(owner or lessee or agent)
of said owner or owners, and is duly authorized to make and file this application; and that oil statements
contained in this application are true to the best of his knowledge and belief; and that the trailer will
be located in the manner set forth in the application filed herewith.
Sworn to before me th//iis�....................(a......... day of
....................:. P!Jt�P✓19...
...._.......... C ...
............ ......................9...... .....
.................................
� (Si nat re)
. f � �
( ary Public)
JUDITH T.TERRY Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER Fax (516) 765-1823
RECORDS MANAGEMENT OFFICER Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
December 3, 1996
Donald Grim/Jeanne Grim
P.O. Box 300
Cutchogue, NY 11935
Re: Trailer Permit REnewal No. 138
Dear Mr. & Mrs. Grim:
This is to advise you that your trailer permit expired on
November 30, 1996.
If your application and $100 .00 fee are not received on or
before December 10, 1996, your special permit will be revoked
and your trailer will have to be removed from the premises.
Very truly yours,
Judith T. Terry
Southold Town Clerk
G �
r ti�JUDITH T. TERRY yl. Town Hall. 53095 Main Road
TOWN CLERK P.O. Box 1179
C T Southold, Nein York 11971
REGISTRAR OF VITAL STATISTICS :4:Py • �� Fax (516) 765-1823
MARRIAGE OFFICER �f� a0 Telephone (5161 765-1800
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER ^
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
October 2, 1996
Donald Grim/Jeanne Grim
P.O. Box 300
Cutchogue, NY 11935
Re: Trailer Permit Renewal No. 138
Dear Mr. & Mrs. Grim:
This is to advise you that your Trailer Permit will expire on
November 30, 1996.
Enclosed is a partially completed application renewal form. Please
complete the form, have your signature notarized and return it to this
office together with the required 5100.00 renewal fee as soon as possible.
Please make your check or money order payable to "Southold Town Clerk" .
If your application and fee are not received on or before November 30, 1996,
your Permit will be revoked and you will be required to remove the trailer
from the premises. Thank you for your cooperation.
Very truly yours,
Judith T. Terre
Southold Town Clerk
Enclosure (1 )
JUDITH T.TERRY = <' Town Hall, 53095 Main Road
TOWN CLERKy = P.O. Box 1179
REGISTRAR OF VITAL STATISTICS O , Southold, New York 11971
MARRIAGE OFFICER Fax (516) 765-1823
y?J ����'�`
RECORDS MANAGEMENT OFFICER Telephone (516) 765-1800
`-, �! � � ��,-
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTIIOLD
SINGLE TRAILER OR HOUSECAR
LOCATION RENEWAL PERMIT
Permit No. 138 Date May 17, 1996
Issued to Donald Grim/Jeanne Grim
Address P.O. Box 300
Cutchogue, NY 11935
A renewal permit is hereby issued for the location of a single
trailer/kouxsemx at 11910 Oregon Rd. - Cutchogue
pursuant to application dated May 30, 1996
This renewal permit is granted for a six (6) month period.
Expiration date November 30, 1996
Judith T. Terry
Southold Town Clerk
• •
TOWN OF SOUTHOLD
TOWN CLERK'S OFFICE
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
(516) 765-1801 JECV l�
1996
PERMIT NO. 138
EXPIRATION DATE: May 30, 1996 YSwthold
R E N E W A L
APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR,
OUTSIDE OF TOURIST CAMP.
a. Please review this renewal application. If there have been no changes to
the premises, trailer, ownership of the premises, or ownership of the
trailer, please sign at the bottom of the reverse side of this application,
have your signature notarized, and return to the Southold Town Clerk's
Office with your $100.00 fee for a six (6) month renewal.
b. Upon signing and submitting this renewal application you agree to comply
with all applicable laws, ordinances and regulations of the Town of
Southold, Suffolk County, New York.
State whether applicant is owner, lessee or agent............. wner,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,„
Name of Owner of premises ...... Donald Grim/Jeanne Grim
If applicant is corporate,, signature of duly authorized officer
...._...............................................................................
(Name and title of corporate officer)
1. Location of land on which proposed trailer will be located Cutchogue
Street and number1en Road
.....................1910........Or... go
.................................................................................................
2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer:
a. Existing use and occupancy Oregon Road Recycling, Inc: / Oak Street Trucking
. ....... ....... ..........
Sec
b. Intended use and occupancy .....................................urity.....Guard
...............................................................
c. Period of time trailer is to be located on premises ......................................................................
$100.00....................... (To be g application)
3. Fee ..................... paid on Pilin I'
4. Dimensions of trailer, length ............................width ................................ height ............................
RegistrationNumber ........................................ .Serial Number ............................................................
� Size of lot: Front ............................................Rear ................................ Depth ................................
6. Dote of purchase or lease of land '..`—`^l986 ,__,^',,,_`_^`_^`,,,`,_`~_^,,^,_,
7. Zone oruse district in which premises are situated ......{��|..—.._.—.—.^—.^.^_—,^—^_
8. Does proposed use violate any zoning low, ordinance or regulation? ..................................................
9. o. 5w' dispvsv| ..—.^...,^, ~..—...—..~..—...,....—.^—~....—.—.^
6. Source oftWptwr Supply
c Source of Electricity ..—.,.....^^—^^^^^^^^~^^^^^~`^^^^^^—~^^^--^^^`^^^^-^^^^^^.
. `�)P ` �v
PLOT DIAGRAM /
Locate deoHv and distinctly all
� 6ui|di`5n� whether existing or proposed, and indicate all set-back dimen-
sions lines. G�es�e*tand block n«mbe s »rdeschPh»noccn,dingtvd*vd' ondshv* vtnerrnqmrsondn~ ~�` xhc`' erin�eriu, vrconne, |��. Indicate clearly location nfproposed trailer nnp/en'ine�/ �hvwingdistances from all buildings and property lines.
ON FILE ANTOWN CLERK'S OFFICE.
If any changes have occurred since your last renewal, please
indicate, oxxa separate sheet of paper, the exact changes.
STATE OF NEW YORK
COUNTY OF SUFFOLK (s^-
/
`,..^~.^....^.,. be-b;g du/vs*urn, deposes and says that
he is the applicant named above. He is M,e ` / �t�
k��neror
^^^``^- *�|essee�{,/o, `�`,v _,
en^ ``^^~^^-^`
of so�| owner o, owners and isduly ou{ho�zndtonnoke and file this oppkcoh dg^ v^
c»nnpmeo /n «*moPp|i�ptiunare true tothe best nfhis k / d «n� on that nUstoternents
belocated inthe nnonne, set forth inthe opp|iuzhn o 6/ n»»/ ege «nd6*|ief� «nd �ho� �h� �npi!orvvi||
euhere`v/M`.
/
Sworn |nbefore methio /�� ,��'-'
this ..............Z/'- day of
...... .. /r...4o`^ .`.i�
�
.—...^....,�� , "..^. -^.`.`.
^~~~^^~^. . �
(Notary Public) '~^~.
HE/ ENE[lHORN. E
Notary 9n�,|i�, ofNew York
o��gUFFO(,Yco
qG
JUDITH T.TERRY y=� yA Town Hall, 53095 Main Road
TOWN CLERK y z P.O. Box 1179
+ • Southold, New York 11971
REGISTRAR OF VITAL STATISTICS Fax (516) 765-1823
Telephone (516) -1823 00
MARRIAGE OFFICER y�f� .a�� T
RECORDS MANAGEMENT OFFICER 1 P
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
April 3, 1996
Donald Grim/Jeanne Grim
P.O. Box 300
Cutchogue, NY 11935
Re: Trailer Permit Renewal No. 138
Dear Mr. & Mrs. Grim:
This is to advise you that your Trailer Permit will expire on
May 30, 1996.
Enclosed is a partially completed application renewal form. Please
complete the form, have your signature notarized and return it to this
office together with the required $100.00 renewal fee as soon as possible.
Please make your check or money order payable to "Southold Town Clerk".
If your application and fee are not received on or before May 30, 1996,
your Permit will be revoked and you will be required to remove the trailer
from the premises. Thank you for your cooperation.
Very truly yours,
'C
Judith T. Terre
Southold Town Clerk
Enclosure (1)
JUDITH T. TERRY
TOWN CLERK Y.U. L'o:t 1179
Swth�ld,
New YUrL 11971
REGIS'IUAR OF VITAL STATISTICS FeLx(516) 7 65-151:3
MARRIAGE OFFICER
<EOURUS MANAGEMENT OFFICER
'Pcl�plwne 15:c; ;(i -?�L`0
t iU:EUOM OF INFORDIATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTIIULD
SINGLE TRAILER OR HOUSECAR
LOCATION RENEWAL PERMIT
Permit No. 138 Date November 111, 1995
Issued to Donald Grim/Jeanne Grim
Address P.O. Box 300
Cutchogue, NY 11935
A renewal permit is hereby issued for the location of a single
trailer/Imurer w at 11910 Oregon Rd. -C utchogue
pursuant to application dated November 30, 1595
This renewal permit is granted for a six (6) month period.
Expiration date May 30, 1996
Judith T. Terry —
Southold Town Clerk
TOWN OF SOUTHOLD
TOWN CLERK'S OFFICE
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971 RECEI
(516) 765-1801 NOV 3
PERMIT NO. 138 Southold+ own Clerk
EXPIRATION DATE: November 5, 1995
R E N E W A L
APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR,
OUTSIDE OF TOURIST CAMP.
a. Please review this renewal application. If there have been no changes to
the premises, trailer, ownership of the premises, or ownership of the
trailer, please sign at the bottom of the reverse side of this application,
have your signature notarized, and return to the Southold Town Clerk's
Office with your $100.00 fee for a six (6) month renewal.
b. Upon signing and submitting this renewal application_ you agree to comply
with all applicable laws, ordinances and regulations of the Town of
Southold, Suffolk County, New York.
State whether applicant is owner, lessee or agent........_..Owner.................................
Name of Owner of premises ......Donald Grim/Jea. . ......nne..Grim.............I....................
...... . .
If applicant is corporate, signature of duly authorized officer
....................................................................................
(Name and it of corporate officer)
L Location of land on which proposed trailer will be located Cutchogue
..............................................................
Street and number . ...............11910 Oregon Road
. ............................R ..............................................................................
2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer:
o. Existinguse and occupancy Oregon Road Recycling, Inc: / Oak Street Trucking
Py ........ . ..........................................
Securit Guard
b. Intended use and occupancy .....................................y....................................................................
C. Period of time trailer is to be located on premises ......................................................................
3. Fee .......$100.00 (To be paid on filing opplicaticn)
..............
4. Dimensions of trailer, length `.......... ..........width .........I..O................. height ....../.. ...............
Registration Number ............ '/ ................. .Serial Number ..... / ..............:............................
' 5Size of |ot�� Front
............................................Rear
................................ Depth ................................
h- Dote of Purchase or lease of land ..,^,_`_l986 ,_,^``,_^_,,^,,_`_,__,___^,^_^,^_
7. Zone o, use district in which premises are situated ....C:-
.l.-.,`^^,~,,..,^-.,.-.^^^~.
O. Does proposed use violate any zoning law, ordinance nrregulation? .....
9. o. Method nfSewerage disposv| [�v/�
^.^.� .:��kl^.,.-,-^^.^--^`-.,.^`.^-.,..`-.^
b. Source of Water Supply ^..,.--...^.,......^...`.^.`.-.-.
c. Source of Electricity ................... . ^~^-.^^^^-^~~^`^`-^^^`^~`^-^`~-.
PLOT DIAGRAM
Locate clearly and distinctly all buildings'
v/he�herexisting orprnpnuedondindicp�e �|| �e� b kdi
�/vnornvrnpnn ny |ine�� Givc ��rec� nndb|n�bnunoheonr �esciPnn
�� ' ' «c :»en'
»«»neso»din��/�o�ev/h��herinterivrorcorner |o� |ndi�o�� clearly/ | o�co'di»Q �vdeed, ondsho`* streer
ises, »hp*/i»gdis�on�csfronno|! bui|dingsond `
rnp�r�y |invcoti«n «fP/nPnsedtnoi|ervnpre/n'
ONFILE yNTOWN CLERK'S OFFICE.
If any chanmes have occurred since your last renewal, please
indicate, on a separate sheet of paper, the exact changes.
STATE OF NEWYORK
COUNTY OF SUFFOLK j�»s-
,^-.`.`..^...-^-.`'-^���i �=,-.+. \ . / � \
~ . . ^... -.~.^.-..,... being du|vs*mno' --'~~`° and says that
he is the applicant named obove.1He is the ,...,^�v.`� ! \' .
.�� .-
-_`-^^-'`^^^^~
` ^^`
`^~^`.
of ook (»*neror |*�se* o/ «govn�roowners $ du|yaut6o�zedionn e and file this opP �oMvnand that all statements
inthis opp| oUonare true tnthe best of his knowledge and belief; «ndthat the trni|erwill
6elocated inthe manner set forth in the oPp|icnhnnfiled herewith.
Sworn tobefore nne this ......../�
..................... day of
(7s.,, .......
....................
`^-```` ^�~^^^`^^^~^`^^~~-^-^.
��ignohure} `^
^^^.......
'
\ / �n�� Stab of�-_~ �_~` ""~~~
No.4755734
0ud@d In Suffbilt
JUDITH T.TERRY ." < Town Hall, 53095 Main Road
TOWN CLERK �n 2 � P.O. Box 1179
Southold,New York 11971
Fax 16)765-183
REGISTMARRIA E OFFICER R OF VITAL ISTICS � �Q� ��Q r;f Tel phone(516) 76521800
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
October 5, 1995
Donald Grim/Jeanne Grim
P.O. Box 300
Cutchogue, NY 11935
Re: Trailer Permit Renewal No. 138
Dear Mr. & Mrs. Grim:
This is to advise you that your Trailer Permit will expire on
November 30, 1995.
Enclosed is a partially completed application renewal form. Please
complete the form, have your signature notarized and return it to this
office together with the required $100.00 renewal fee as soon as possible.
Please make your check or money order payable to "Southold Town Clerk" .
If your application and fee are not received on or before November 5, 1995,
your Permit will be revoked and you will be required to remove the trailer
from the premises. Thank you for your cooperation.
Very truly
yours,
Judith T. Terr�
Southold Town Clerk
Enclosure (1 )
JUDITH T.TERRY Town Hall, 53095 Main Road
TOWN CLERK ti z Southold, New York 11971
P.O. Box 1179
REGISTRAR OF VITAL STATISTICS I�,, f,� Fax(516) 765-1823
MARRIAGE OFFICER - �It �. Telephone(516) 765-1800
RECORDS MANAGEMENT OFFICER ,;; , � P
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SINGLE TRAILER OR HOUSECAR
LOCATION RENEWAL PERMIT
Permit No. 138 Date April 28, 1995
Issued to Donald Grim/Jeanne Grim
Address P.O. Box 300
Cutchogue, NY 11935
A renewal permit is hereby issued for the location of a single
trailer/hcmesanx at 11910 Oregon Road - Cutchogue
pursuant to application dated May 30, 1995
This renewal permit is granted for a six (6) month period.
Expiration date November 30, 1995
Judith T. Terry
Southold Town Clerk
TOWN OF SOUTHOLD
TOWN CLERK'S OFFICE a E ) v e`�l
Town Hall, 53095 Main Road /6 C1.
P.O. Box 1179 APR 2 8 1995
Southold, New York 11971 C k g /y
(516) 765-1801 Ilulke(d flow" Rik
PERMIT NO. 138
EXPIRATION DATE: May 30, 1995
R E N E W A L
APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR,
OUTSIDE OF TOURIST CAMP.
a. Please review this renewal application. If there have been no changes to
the premises, trailer, ownership of the premises, or ownership of the
trailer, please sign at the bottom of the reverse side of this application,
have your signature notarized, and return to the Southold Town Clerk's
Office with your $100.00 fee for a six (6) month renewal.
b. Upon signing and submitting this renewal application you agree to comply
with all applicable laws, ordinances and regulations of the Town of
Southold, Suffolk County, New York.
State whether applicant is owner, lessee or agent............Owner
... ...................................................................
Name of Owner of premises ......Donald Grim/Jeanne Grim
. ............authorize.. .. .. d.. . ......of..ficer.........................................................................
If applicant is corporate, signature of duly
....................................................................................
(Name and title of corporate officer)
1. Location of land on whichro osed trailer will be located Cutchogue
P P ..................................
Street and number .................1.1910 Oregon Road
. ..............................................................................................................
2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer:
a. Existing use and occupancy Oreson Road Recycling, Inc. ....../ Ok....Street. . . ...Trucking. . . .
. a... ... . . . .... . . ..... ........
b. Intended use and occupancy Security Guard
..................................... .....................................................................
c. Period of time trailer is to be located on premises ......................................................................
3. Fee .......$100... . ....00 (To be paid on filing application)
.. . . . .
4. Dimensions of trailer, length .............................width ................................ height
.......................:....
Registration Number ........................................ .Serial Number .................. ...
5. Size of lot: Front ............................................Rear ................................ Depth ................................
6. Date of purchase or lease of land1986
.........................................................................................................
7. Zone or use district in which premises are situated ......0-1
.............................................................
8. Does proposed use violate any zoning low, ordinance or regulation? ..................................................
9. a. Method of Sewerage disposal ...........-y �'�7.-. �� -+(F r1
........�:.. .......................................................
b. Source of Water Supply ........ �..........
c. Source of Electricity ....... ,(:'.. .1:...........................................................................
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimen-
sions from property lines. Give street and block numbers or description according to deed, and show street
names and indicate whether interior or corner lot. indicate clearly location of proposed trailer on prem-
ises, showing distances from al! buildings and property lines.
ON FILE IN TOWN CLERK'S OFFICE.
If any changes have occurred since your last renewal, please
indicate, on a separate sheet of paper, the exact changes.
STATE OF NEW YORK l
COUNTY OF SUFFOLK f ss.
.................. . .
/ Kl�l1C.....
... rlw�
................. ....................................... being duly sworn, deposes and says that
.... . .. ...
jhe is the applicant named abovo. He is the ..........
...........................................................
(owner or lessee or agent)
of said owner or owners, and is duly authorized to make and file this application; and that oil statements
contained in this application are true to the best of his knowledge and belief; and that the trailer will
be located in the manner set forth in the application filed herewith.
Sworn to before me this ........ ............ day of
l........................... .......19.1.:......
.......................................
7 (Signature)
U (NotortLEEUM .
Natty Public,Sat of Nek YCA
Fla 4755734
Ou175;,d In 6ufblk Coo
^moo: r s;en Expasa tiny.: 19J,
0 0
ooS�FFOur
C�Gy
JUDITH T. TERRY ti L Town Hall, 53095 Main Road
TOWN CLERK c rn P.O. Box 1179
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS V� �. Fax (516) 765-1823
MARRIAGE
RECORDS MANAGEMENTOFFICER
OFFICER �+/�� ,yam Telephone (516) 765-1801
FREEDOM OF INFORMATION OFFICER T
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
April 3, 1995
Donald/Jeanne Grim
P.O. Box 300
Cutchogue, NY 11935
Re: Trailer Permit Renewal No. 138
Dear Mr. E Mrs. Grim:
This is to advise you that your Trailer Permit will expire on
May 30, 1995.
Enclosed is a partially completed application renewal form. Please
complete the form, have your signature notarized and return it to this
office together with the required $100.00 renewal fee as soon as possible.
Please make your check or money order payable to "Southold Town Clerk".
If your application and fee are not received on or before May 30, 1995,
your Permit will be revoked and you will be required to remove the trailer
from the premises. Thank you for your cooperation.
Very truly yours,
Judith T. Terry
Southold Town Clerk
Enclosure (1)
.L
0
JUDITH T. TERRY Town Hall, 53095 Main Road
TOWN CLERK o rn� P.O. Box 1179
N .fie Southold, New York 11971
REGISTRAR OF VITAL STATISTICS Fax (516) 765-1823
MARRIAGE OFFICER y O'
Telephone (516) 765-1801
RECORDS MANAGEMENT OFFICER T7Q1 y, y
FREEDOM OF INFORMATION OFFICER T
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SINGLE TRAILER OR HOUSECAR
LOCATION RENEWAL PERMIT
Permit No. 138 Date October 31 , 1994
Issued to Donald/Jeanne Grim
Address P.O. Box 300
Cutchogue, NY 11935
A renewal permit is hereby issued for the location of a single
trailer/Imuxeaoar at 11910 Oregon Rd. - Cutchogue
pursuant to application dated November 30, 1994
This renewal permit is granted for a six (6) month period.
Expiration date May 30, 1995
Judith T. TerrkV
Southold Town Clerk
• •
TOWN OF SOUTHOLD
TOWN CLERK'S OFFICE
Town Hall, 53095 Main Road
i P.O. Box 1179
C i
Southold, New York 11971
1994
(516) 765-1801
PERMIT NO. 138
EXPIRATION DATE: November 30, 1994
R E N E W A L
APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR,
OUTSIDE OF TOURIST CAMP.
a. Please review this renewal application. If there have been no changes to
the premises, trailer, ownership of the premises, or ownership of the
trailer, please sign at the bottom of the reverse side of this application,
have your signature notarized, and return to the Southold Town Clerk's
Office with your $100.00 fee for a six (6) month renewal.
b. Upon signing and submitting this renewal application you agree to comply
with all applicable laws, ordinances and regulations of the Town of
Southold, Suffolk County., New York.
State whether applicant is owner, lessee or agent............O,wner
... ...................................................................
Name of Owner of premises ......Donald.....Grim/Jeanne Grim
. .aut.. h...... .orized.. ....... ..officer..........................................................................
If applicant is corporate, signature of duly..
.......................................
(Nome and title of corporate officer)
1. Location of land on which proposed trailer will be locatedCutcho�ue
........................ .....................................
Street and number .................11910 Oregon Road
................................................................................................................
2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer;
a. Existing use and occupancy ,Oregon Road Recycling, Inc. / Oak Street Trucking
. ..........................................
b. Intended use and occupancySecurity Guard
..................................... .....................................................................
c. Period of time trailer is to be located on premisesUnknown
......................................................................
3. Fee .......$..1.00.00. ... (To be paid on filing application)
.. . . . .
4. Dimensions of trailer, length ............................width height
Registration Number ........................................ .Serial Number ............................................................
1. Size of lot: Front ............................................Rear ................................ Depth ................................
h. Date of purchase or lease of land ...---'l986`^^,,....^.~^---.^..'^--^^'—,`'`.^—.
7. Zone vruse district inwhich premises are situated .......��l...—.......... ........... ...... ......
8. Dues proposed use violate any zoning low, ordinance or regulation? ..................................................
Y. o. Method of Sewerage Jiqpnao| ....--......,...--.—...--,..,...--...........
6. Source of \A/ohor Supply .—.,.—,....~....................................................................................
c. Source of Electricity .—...^..^^^~^^—..~...—^—^^^^^^^^^^^^^~—^—^^^`--^^^^^'
�
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing orproposed, end indicate all set-back dimen-
sions foonn propertylines. Give street and block numbers o/ Jescrip,icnaccording tvdeed, and show Stree,
names and indicate whether interior or corner lot. Indicate clearly location of proposed trailer on prem-
ises, showingdistnnces {oorno|| bui|dingsondprvperty |ioes.
ON FILE KNTOWN CLERK'S OFFICE.
If any changes have occurred since your last renewal, please
�
indicate, on a separate sheet of paper, the exact changes.
STATE OF NEW YORK
COUNTY SUFFOLK jss'
/\ ' �
,..^_,,�i�� /~//...-�J..^����/<//�.!..... ' sworn, deposes and says that
he is the applicant nonoe6 above. He is the .`.^/ / /L�Cl. ,_ - 1 //
��/n | ----`°^^`�
� �ruro���enrog�n�
ofsaid owner nrowners, and is duly authorized to make and file this o`'' |i -h—`
and that all statementscontoined inthis application are true tthe best ofhis knowledge ondbelief; and that the trailer will
belocated inthe manner set forth inthe application filed herewith.
Sworn tobefore nnethis .,—.`f .......... day o[
............................................................ ly... ...y/ ........
/ |
—.—.'`..—^.,�
(�iSnuw�y�)
� `/
^~-^^^.��`��/�� .��/��� ��,�^.,,,
(No
tory Public) /
LINDA.).COOPER
Notary Public.State ofNwv°York
�
No.4822h63'Suffolk County / � /
0 S�EFOIK���
JUDITH T. TERRY 1? .G Town Hall, 53095 Main Road
TOWN CLERK O T P.O. Box 1 179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER yQ O�' Fax (516) 765-1823
Telephone (516) 765-1801
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
October 3, 1994
Donald & Jeanne Grim
P.O. Box 300
Cutchogue, NY 11935
Re: Trailer Permit Renewal No. 138
Dear Mr. & Mrs. Grim:
This is to advise you that your Trailer Permit will expire on
November 30, 1994.
Enclosed is a partially completed application renewal form. Please
complete the form, have your signature notarized and return it to this
office together with the required $100.00 renewal fee as soon as possible.
Please make your check or money order payable to "Southold Town Clerk".
If your application and fee are not received on or before November 30, 1994,
your Permit will be revoked and you will be required to remove the trailer
from the premises. Thank you for your cooperation.
Very truly
yours,
Judith T. Terry
Southold Town Clerk
Enclosure (1)
TOWN OF SOUTHOLD
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
SINGLE TRAILER OR HOUSECAR
LOCATION PERMIT
138J3, 1
Date ...................une.....................994............................
Name Donald/Jeanne Grim
...................................... ...........................I.............. .
P.O. Box 300 0 .........................................................
.............................................
Town Cutchogue,...NY.... 11935...........................................................
......................................I..............
BCoaesaooJJ permit was reviewed by the Town Board
Your application for a (single trailer) (
on ..............Ma.Y...31. ...............I........................ 19...94., and (was) *99(KOC) approved.
A permit is hereby issued to locate a (single trailer) (housecar), license number ........................
orserial number ................................................ at ..........J.1.KQ..Oregon...12d...........................
...............Cutcho�.ue%..NY
.........................................................................
pursuant to application dated ......................May 13, 1994 . and the following
conditions: (PERMIT IS. TO...BE...REN NED,.I.N. 6.,MONTHS)..............
.........................................
EXPIRATION DATE - NOVEMBER 30, 1994
............................................................................. ....I..............
..........................................................................................................................................................
TOWN BOARD, TOWN OF SOUTHOLD
Town Clerk (/
JUDITH T. TERRY Town Hall, 53095 Main Road
TOWN CLERK
P.O. Box 1179
Southold, New York 11971
REGISTRAR OF VITAL STADSTICS Fax (516) 765-1823
MARRIAGE OFFICER Telephone (516) 765-1801
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMSMON OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE
SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON MAY 31, 1994:
RESOLVED that the application of Donald and Jeanne Grim to locate a
security guard house trailer on their Oregon Road Recylcing Inc. /Oak
Street Trucking property at 11910 Oregon Road, Cutchogue, N.Y. , be and
hereby is granted for a six (6) month period.
Y
Judith T-
�ry
Southold Town Cler�
June 1, 1994
i
TOWN OF SOUTHOLD
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Approved ........... �� .... ., 19. ./ Permit No. ................
APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR,
OUTSIDE OF TOURIST CAMP.
Dote ... ......... -�....... 19..9SA,
Instructions
a. This application must be completely filled in by typewriter or in ink and submit one copy to
the Town Clerk.
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 and proposed location
of trailer must be drawn on the diagram which is part of this application.
c. Upon approval of this application, the Town Board will issue a trailer permit to the applicant. Such
permit shall be kept on the premises available for inspection.
d. No trailer shall be occupied or used in whole or in part for any purpose whatever other than specified
in permit.
Application is hereby made to the Town Board for the issuance of a Trailer Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk �bunty, New York, and other applicable Laws,
Ordinances or Regulations. The applicant agrees to comply with all app icable laws, ordinances and
regulations: C ... .�1 /
,{ -}i 1
(Signdture of applicant)
(Address) x .� '� 7 c h e
State whether applicant is owner, lessee or agent......(r.hkli'..1'..................................
..............................
Name of Owner of remises I �h� c_�.
p :....................................... ..... ....................................................................
If applicant is corporate, signature of duly authorized officer
....................................................................................
(Name and title of corporate officer)
1. Location of land on which proposed trailer will be located ..... �r.....'c:
..........................
Street and number I ( .�.�..4..
...................................
2. State existing use and occupancv of p//remises and intended use and occupancy/ of proposed trailer;
a. Existing use and occupancy ..(.::.L< < !. ..�\Cy. IGC iC �I ,+C' �..tl_ / < < -`1 l�- t C4"i l.(1
........ ........a.....t....../... ......... ,
b. Intended use and occupancy < < t' i } �. . .. ... _,
................................ ................L`.....................................................
c. Period of time trailer is to be located on premises �` �` tv ' l
3. Fee ................... (To be paid on filing application)
4. Dimensions of trailer, length ............................width ................................ height ............................
RegistrationNumber ........................................ .Serial Number ............................................................
5. Size of lot: Front ............................................Rear ................................ Depth .................................
6. Dote of purchase or lease of land ..........l 'I St-
............... ..............................................................................
, .. ............................. ..............................................................
7. Zone or use district in which premises are situated
........................................................................
8. Does proposed use violate any zoning low, ordinance or regulation? ..................................................
9. a. Method of Sewerage disposal ...........................................................................................................
b. Source of Water Supply .................................................................................................................
c. Source of Electricity .........................................................................................................................
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimen-
sions from property lines. Give street and block numbers or description according to deed, and show street
names and indicate whether interior or corner lot. Indicate clearly location of proposed trailer on prem-
ises, shoving distances from al! buildings and property lines.
STATE OF NEW YORK
COUNTY OF SUFFOLK f '
... ................................... being duly sworn, deposes and says that
he is the applicant named above. He is the .................................................................................
................
(owner or lessee or agent)
of said owner or owners, and is duly authorized to make and file this application; and that oil statements
contained in this application are true to the best of his knowledge and belief; and that the trailer will
be located in the manner set forth in the application filed herewith.
Sworn to before me this .....
19.
�T C....ti.ro F �l
L_
( ignature)
........... .� 6�f.L%' �.�. ...... ...........
(Notary Public)
NwarJ Pg�SiC,'its e..r IVfiwv Ym0.
M} ) d3
way
31,1
31.79 ,..
cow
Pp
t0
Rp <1
00 5 4 63 I y� N
l� /�' 599'
1 yob' s �• N°a*H w°�D SITE
OPS
�x
n
_` R Pt/� b KEY MAP
00 % Ih ' ti° LOT ® sed• P• 600•
0R
yp(( A P* R c•
40
66
e Vi
10
0
66
✓, __� 'R' LOT �2
1�'\ IMS MEA FM
�9 �AplER'�LS L E liq Yt}. ATC GTc
i N
/0 C C3
°
N/O/F
ZAHOSKI
sd a"
LOT Q
PLAN OF PROPERTY
FOR
DONALD GRIM °
SITUATED
A T CUTCHOGUE �• , ��w �b
TOWN OF SOUTHOLD 'v
SUFFOLK COUNTY, N. Y.
1000 - 83 - 03 - 4.5
Scale 1" = 50' AREA = 199,999 sq. ft. or 4.5914 acres
Feb. 1, 1990 / \ \ H. S. REF. NO. C10 - 90 - 005
NOTE: LOT NUMBERS REFER TO MINOR '6
SUBDIVISION FOR LEADER GOWER DATED
SEPTEMBER 25, 1985 BY YOUNG 6 YOUNG
SURVEYORS.
t
OWNER/APPLICANT :
DONALD GRIM
45 JERMCK LANE
SOUTHOLD, N. Y. 11971 N.Y.S. LIC. NO. 49618
PECONIC SURVEYORS, P.C.
(516) 765 - 5020
P. O. BOX 909
MAIN ROAD
SOUTHOLD, N.Y. 11971
90 - 108Ci