Loading...
HomeMy WebLinkAboutMikolajczyk, Zdzislaw ELIZABETH A.NEVILLE,MMC �y►o� �Gy Town Hall,53095 Main Road TOWN CLERK p P.O.Box 1179 y = Southold,New York 11971 REGISTRAR OF VITAL STATISTICS p • Fax(631)765-6145 MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER ��,( ��� Telephone 765-1800 FREEDOM OF INFORMATION OFFICER www.southoldtldtownny.gov OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Organization Name: Permit Number: 64 Name: Mikolajczyk,Zdzislaw Address: 301 Kell Avenue Staten Island,NY 10314 City ST Zip: **RENEWAL NOTICE This is to advise you that your Trailer permit will expire on 02/09/2015 Enclosed is a trailer permit application. Complete the application,have your signature notarized and return it to this office with the required fee located on the enclosed application 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 2/9/2015 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,�� izabeth A.Deville Southold Town Clerk Enclosure cr ELIZABETH A.NEVILLE,MMC ';�n Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 � r � ' Southold,New York 11971 REGISTRAR OF VITAL STATISTICS �� t ,Rs:.==1• Fax(631)765-6145 MARRIAGE OFFICER '. � .,,. �,�. ,, Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TRAILER PERMIT Permit Number: 64 Date: 09/22/2014 Issued to: Mikolajczyk, Zdzislaw Address: 301 Kell Avenue Staten Island,NY 10314 A permit is hereby issued to locate a single trailer, as follows: License No.: Serial No.: Located at: 800 John's Rd., Mattituck SCTM#: 122-3-21 Pursuant to application dated 08/11/2014. Expiration Date: 02/09/2015 This renewal permit is granted for a six (6) month period. Q � Effzabeth A. eville Southold Town Clerk s Hydell, Carol From: Doherty,Peter Sent: Wednesday,August 13, 2014 8:57 AM To: Hydell, Carol Subject: RE:Trailer permit Ok PO Iq From: Hydell, Carol Sent: Wednesday, August 13, 2014 8:45 AM To: Doherty,Peter Subject: RE: Trailer permit I am going to show the file on this trailer to Betty because back in 2006 Ed Forrester questioned it as well. Thanks, Carol From: Doherty,Peter Sent: Tuesday, August 12, 2014 4:06 PM To: Hydell, Carol Subject: RE: Trailer permit 800 Johns Rd. Mattituck From: Hydell, Carol .. ..... ....__.�.�........_..___ .�....._.....�...._... ..._.....M._. ..._,..�.. .._...� Sent: Tuesday, August 12, 2014 1:12 PM To: Doherty,Peter Subject: RE: Trailer permit Sorry but I have sent you about three in the last few days. Which permit is this? Thanks, Carol From: Doherty,Peter �. ._ _�.. ._.__.�.�...�....... �_....�..._...�..........._... ..__...._.� Sent: Tuesday, August 12, 2014 12:21 PM To: Hydell, Carol Subject: RE: Trailer permit Carol, The trailer is there. It is not a farm related trailer. It is also under the minimum building size. Is there a reason that it keeps getting renewed? It used as a single family dwelling. Thanks. Please cc response to Mike Verity. From: Hydell, Carol Sent: Monday, August 11, 2014 11:43 AM To: Verity, Mike; Doherty,Peter Subject: Trailer permit Please check out the trailer 1 o�ogUFFO(�-co ELIZABETH A.NEVILLE,MMC ��• r/y Town Hall,53095 Main Road TOWN CLERKo P.O.Box 1179 CA Z Southold,New York 11971 REGISTRAR OF VITAL STATISTICS p • Fax(631)765-6145 MARRIAGE OFFICER y� Q Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER �.( `t►►a www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TRAILER PERMIT Permit Number: 64 Date: 08/11/2014 Issued to: Mikolajczyk,Zdzislaw Address: 301 Kell Avenue Staten Island,NY 10314 A permit is hereby issued to locate a single trailer, as follows: License No.: Serial No.: Located at: 800 John's Rd., Mattituck SCTM#: 122-3-21 Pursuant to application dated 08/11/2014. Expiration Date: 02/11/2015 This renewal permit is granted for a six(6) month period. E izabeth A.Neville Southold Town Clerk -4 * * * RECEIPT * * * Date: 08/11/14 Receipt#: 176566 Quantity Transactions Reference Subtotal 1 House Trailer Permit 64 $250.00 Total Paid: $250.00 Notes: Payment Type Amount Paid By CK#488 $250.00 Mikolajczyk, Zdzislaw Name: Mikolajczyk, Zdzislaw 301 Kell Avenue Staten Island, NY 10314 Clerk ID: CAROLH Internal ID:64 ELIZABETH A.NEVILLE,MMC �� r/y Town Hall,53095 Main Road TOWN CLERK o P.O.Box 1179 coo 2 Southold,New York 11971 _ REGISTRAR OF VITAL STATISTICS ® Fax(631)765-6145 MARRIAGE OFFICER �f ® Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER ®,! `�.� www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD APPLICATION SINGLE AUTOMOBILE TRAILER OR HOUSE CAR Fees X$250.00 (for maximum of six (6) months) Must be submitted with application. _$100.00 (for maximum of 6 months) for trailer on land used in agricultural production. (see attached, proof maybe required) Fee-must-be submitted-with— - - — application. Ple_ase.check one: New Application ( ) Renewal Permit No. Received Date: Issue Date: Expiration Date: Name of Applicant: -ZDZ15Z w ol.d.TZ2-YK Mailing Address: 3D/ I�Gezc SN i -p Y ./03/ 54"' Telephone No.- / 6 9 8 3 " Applicant is: ( Owner ( )Lessee ( )Agent for Owner ( )Agent for Lessee Name of Owner of Premises D /S G 46,<i�L TGox,(' If owner is corporate, signature and title of duly authorized officer: Number of Occupants & Names: 77ieo w 6 Z2 13e- e v«� MailingAddress U)&-rbar v R �CIWA, TZ(C/l /V IV Z 7--5 Telephone No.: 9 ''• D.i-/J, z Ar -a c Employer of Occupant _�j//12� (Name) (Address) (Telephone Number) Property Information Street address of land on which trailer will'be located: 00 o A� CIS -Y U z SCTM#: ?_3 e B 9 /21 , — 3 — z / Permit will not be issued if the SCTM# is not provided- Existing use and occupancy of premises and intended use and occupancy of proposed trailer: 1. Existing use and occupancy « i AUG aT 2. Intended use and occupancy S 6:r ` 3. Period of time trailer is to be located on premises: Lot Size: Front l 1)d rz�,- Rear /oy AT Depth /d'.i Date of purchase or lease of land Zoning District for premises: Does proposed use violate any zoning ordinance or law? (24No ( )Yes If yes, explain on separate paper. Trailer Information: Length S.SFr, Width 10 r,r. Height 10 c Registration No. Nf Serial No. /V Method of Sewerage disposal777C 7*VIC Source of Water Supply by19-1 L Source of Electricity C C J IMPORTANT Copy of survey showing location of existinst buildings and existing=/Proposed trailer must be attached to this application. c v✓ren an /'*.77t) .iivq�cer r�vN c • State of New York County of Suffolk 2--'S6A" AJ- /COG 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 applica ' n are true to the best of(her) his knowledge and belief; and that t r it will be lo c in th m s forth in the application filed herewith. (Signature) SIn to beforo me this, er day of :T G Z 2 'A IQA`T,KOSIAK (Notary Pu isPolic,State of Now York No.01 Kaal87o1$ Q—ftvad In Richmond and Kin �t mission Expires Nov.l4 �$uFFot,��o ELIZABETH A.NEVILLE,MMC h�0 �y�, lbwn Hall,53095 Main Road TOWN CLERK P.O.Box 1179 : Southold,New York 11971 REGISTRAR OF VITAL STATISTICS v$ .� Fax(631)765-6145 MARRIAGE OFFICEROl ��� Iblephone(631)765-1800 RECORDS MANAGEMENT OFFICER www.southoldtownnygov FREEDOM OF INFORMATION OFFICER, OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TRAILER PERMIT Permit Number: 64 Date: 02/12/2014 Issued to: Mikolajczyk,Zdzislaw Address: 301 Kell Avenue Staten Island,NY 10314 A permit is hereby issued to locate a single trailer, as follows: License No.: Serial No.: Located at: 800 John's Rd., Mattituck SCTM#: 122-3-21 Pursuant to application dated 02/09/2014. Expiration Date: 08/09/2014 This renewal permit is granted for a six(6) month period. Eliza eth A.Neville Southold Town Clerk ELIZABETH A.NEVILLE,MMC may► Gy Town Hall,53095 Main Road TOWN CLERK P.O.Box 1179 Go Southold,New York 11971 REGISTRAR,OF VITAL STATISTICS Oy � �� Fax(631)765-6145 MARRIAGE OFFICER 0 Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER �.( `1►a www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD APPLICATION SINGLE AUTOMOBILE TRAILER OR HOUSE CAR Fees: $250.00 (for maximum of six (6) months) Must be submitted with application. _$100.00 (for maximum of 6 months) for trailer on land used in agricultural production. (see attached, proof may be required) Fee must be submitted with application. Please check one: New Application ( ) Renewal Permit No. &4- Received Date: Issue Date: Expiration Date: Name of Applicant: Z)Z 6 t,,4 u/ III K o L A TT—a 7K Mailing Address: —!)o I I ELL Ave. Telephone No. ?1p 6 4 g 3 4 r Applicant is: Wowner ( )Lessee ( )Agent for Owner ( )Agent for Lessee Name of Owner of Premises 2,02x,5-1-hul e S-,mr-.6�e5 /-&k/o4 4j-c 9 Yt If owner is corporate, signature and title of duly authorized officer: Number of Occupants / & Names: T,,/ A) u-1) MailingAddress Po 'RoX 0 til,4,7Ti Tu e,�� N Y Telephone No.: 6 3 / 2 4C? O ZI,S Employer of Occupant /V X4 (Name) (Address) (Telephone Number) Property Information Street address of land on which trailer will be located: e0o SCTM #: Y -3 22 — 3 — Z 1 Permit will not be issued if the SCTM# is not provided a Existing use and occupancy of premises and intended use and occupancy of proposed trailer: 1. Existing use and occupancy LY 2. Intended use and occupancy 3. Period of time trailer is to be located on premises: Lot-Size: Front /oU ocr Rear 100,--r Depth /d's' y/Fr. Date of purchase or lease of land /q-7d Zoning District for premises: Does proposed use violate any zoning ordinance or law? (4No ( )Yes If yes, explain on separate paper. Trailer Information: Length S'SFr. Width /0 FT Height /0 -r. Registration No. N/4 Serial No. ,v//4 Method of Sewerage disposal .:��' 7c 7-h-x/,C Source of Water Supply Source of Electricity 4 C4 09 G aye"Vr IMPORTANT Copy of survey showing location of existing buildings and existing/proposed trailer must be attached to this application. c ✓ate /00 SS-//D 7xuv State of New York County of Suffolk 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 t trailer will locat in th anner set forth in the application filed herewith. (Signature Srti to before a this d f 2 JADWIGAT.KOSIAK Stn ;state of New York (Notary Pub No.01KO5137013 Ire Richmond and Kin Cont nlis ; as�xpdraS Nov.1 R Southold Town Hall Annex 54375 Route 25, P.O. Box 1179 EDWARD FORRESTER C Southold,New York 11971-0959 DIRECTOR OF CODE ENFORCEMENT 0-0 Telephone (631) 765-1939 Facsimile (631) 765-6639 e-mail: ��.( `�►a ed.forrester@town.southold.ny.us TOWN OF SOUTHOLD MEMORANDUM TO: Linda Cooper, Deputy Town Clerk FROM: Ed Forrester, Director of Code Enforcement DATE: August 12, 2006 RE: Trailer Permit#64 Renewal, Mikolajczyk, Please be advised that the trailer on this property is being used as a permanent dwelling by a tenant of the property owner. The trailer has been improved with an attached covered patio, although it may have existed as an addition since it's original placement at that location. This use of the structure is better suited for the issuance of a C.O. from the Building Department. ELIZABETH A.NEVILLE OQF SO!/r�ol '`� O Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS G Southold, New York 11971 MARRIAGE OFFICERFax WRI RECORDS MANAGEMENT OFFICER ����.• �O Tel p 1)76 hone((63 00 FREEDOM OF INFORMATION OFFICER C�(f�(,� southoldtown.northfork.net AUG 10 2005 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Southold Town Clerk APPLICATION. SINGLE AUTOMOBILE TRAILER OR HOUSE CAR Fee: 100 (for maximum of six(6) months) Must be submitted with application. Please check one: New Application O Renewal (?d' Permit No. Received Date: Issue Date: Expiration Date: I Name of Applicant: '2-P-7-/S[i4 tA) Mailing Address: 301 )�6-1-e- Aye Telephone No. alp- 6 F8 Applicant is: ( )Owner ( )Lessee ( )Agent for Owner ( )Agent for Lessee Name of Owner of Premises�DJ23-1s4� fo - �'FNIE 1*21*11,eOz ATZR-'Y0e If owner is corporate, signature and title of duly authorized officer: Number of Occupants &Names: _'7�r> ' A&wG o-A/-0 MailingAddress 1461 10a /6 /Y.*Z:Zp in& // 9Jz Telephone No.: 63t— 2 4 8 O.Z/5- Employer of Occupant AJIA (Name) (Address) (Telephone Number) Property Information Street address of land on which trailer will be located: , P 0-0 �?o> rrr-iru cr. iV Y /J SCTM#: y-7 3889 /J L 3-2-/ Existing use and occupancy of premises and intended use and occupancy of proposed trailer: 1. Existing use and occupancy i`y "P'W-CF Z. Intended use and occupancy _ 426r L--- 3. -3. Period of time trailer is to be located on premises: !WOO s f i I Lot Size: Front /00 FT. Rear / 00 F T Depth 18.-. rc p- Date of purchase or lease of land 5Zr7a ry Zoning District for premises: Does proposed use violate any zoning ordinance or law? Wo ( )Yes If yes, explain on separate paper. Trailer Information: Length ,SS Fr. Width 10 FT. Height 1 D F-V- Registration No. Serial No. ,V Method of Sewerage disposal 0 ey7 n c 7-wiy i, Source of Water Supply Source of Electricity T,-L c o IMPORTANT Copy of survey showing location of existing buildings and existinpJvroposed trailer must be attached to this application. x'147)4 L 1Y� State of New York County of Suffolk . 1#2/S1,6V A'CO('4-AZ 2A!)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 applic are true to the best of(her) his knowledge and belief; and that the trailer will be 1 ated ' the manner set forth in the application filed herewith. (Signature) Sworn to before me this day of r otary lic) JESUS MORALES Notary Public,State of New York No.30.4528522 Oualified in Nassau County Commission Expires DOC 31.26 pF SOUI�O ,`O l0 Town Hall,53095 Main Road ELIZABETH A.NEVILLE P.O. Box 1179 TOWN CLERK Southold,New York 11971 REGISTRAR OF VITAL STATISTICS Fax(631) 765-6145 MARRIAGE OFFICER �� �� Telephone(631) 765-1800 RECORDS MANAGEMENT OFFICER I�COU � southoldtown.northfork.net FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TRAILER PERMIT Permit Number: 64-8/04 Date: 08/25/2005 Issued to: Mikolajczyk, Zdzislaw Address: 301 Kell Avenue 'k= ` Staten Island,NY 10314 A permit is hereby issued to locate a single trailer, as follows: License No.: Serial No.: Located at: 800 John's Rd., Mattituck SCTM#: 122-3-21 Pursuant to application dated 08/09/2004. Expiration Date: 02/09/2005 This renewal permit is granted for a six (6) month period. Elizabeth A. Neville Southold Town Clerk �Yozzctz pF SO(/Tti ELIZABETH A. NEVILLE ti0 lQ Town Hall, 53095 Main Road TOWN CLERK 1*[ P.O. Box 1179 REGISTRAR OF VITAL STATISTICS G Q Southold, New York 11971 MARRIAGE OFFICER Fax (631) 765-6145 RECORDS MANAGEMENT OFFICERO `` Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER IyCOUNY,\` southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TRAILER PERMIT Permit Number: 64 Date: 04/06/2005 Issued to: Mikolajczyk, Zdzislaw Address: 301 Kell Avenue Staten Island, NY 10314 A permit is hereby issued to locate a single trailer, as follows: License No.: Serial No.: Located at: 800 John's Rd., Mattituck SCTM#: 122-3-21 Pursuant to application dated 02/09/2005. Expiration Date: 08/09/2005 This renewal permit is granted for a six (6) month period. C4�4 Elizabeth A. Neville Southold Town Clerk S,3FFO(K Southold Town Hall Annex 54375 Route 25, P.O. Box 1179 EDWARD FORRESTERc Southold, New York 11971-0959 DIRECTOR OF CODE ENFORCEMENT H Z Telephone (631) 765-1939 Facsimile (631) 765-6639 e-mail: ��.( �►a ed.forrester@town.southold.ny.us TOWN OF SOUTHOLD MEMORANDUM TO: Elizabeth Neville, Town Clerk FROM: Ed Forrester, Director of Code Enforcement DATE: March 14, 2005 RE: Trailer Permit Renewal #64, Mikolajczyk Please be advised the trailer on this property is the primary dwelling, it may be better suited for the issuance of a C.O. or Pre C.O. (if applicable). However it does comply with the conditions of the previously issued permit. • o�gOFfOj,�co ELIZABETH A.NEVILLE ~� � Town Hall, 53095 Main Road TOWN CLERK Z P.O.Box 1179 REGISTRAR,OF VITAL STATISTICSO Southold, New York 11971 MARRIAGE OFFICER • ��� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER ��.� `�►a Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER 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) Must be submitted with application. Please check one: New Application ( ) Renewal Permit No. Received Date: Issue Date: Expiration Date: Name of Applicant: Mailing Address: p t=LL N 103151 Telephone No. -/� ( 9 P3S�"S' Applicant isi.�wner ( )Lessee ( )Agent for Owner ( )Agent for Lessee Name of Owner of Premises If owner is corporate, signature and title of duly authorized officer: Number of Occupants &Names: j I MailingAddress 1/4 0 c« Telephone No.: ` 3 f Employer of Occupant (Name) (Address) (Telephone Number) Property Information Street address of land on which trailer will be located: R22- 0 CK N s"-Z SCTM#: 5/ 7-3 98 "12- 2-, — 3—Z/ Existing use and occupancy of premises and intended use and occupancy of proposed trailer: 1. Existing use and occupancy ( i L y -�� 2. Intended use and occupancy 3. Period of time trailer is to be located on premises: Lot Size: Front Q r= T: Rear 0 0 rT Depth 4-1 t-=T, Date of purchase or lease of land &r?o 7—erly 0 &76 Zoning District for premises: Does proposed use violate any zoning ordinance or law? P140 ( )Yes If yes, explain on separate paper. Trailer Information: Length -5-S- Width Height /0 F'1: Registration No. Serial No. -" Method of Sewerage disposal $6r ;�G �k Source of Water Supply W!,"Z,L. Source of Electricity ',C'O IMPORTANT Copy of survey showing location of existing buildings and existing/proposed trailer must be attached to this application. roxsrP►= /7v�31GF Marcy State of New York County of Suffolk being duly sworn, deposes and says that that (s)he is the applicant named above and (s) he is authorized to make and Me this application; and that all statements contained in this app ' tion are true to the best of(her) his knowledge and belief; and th tr ' r will be oc ed in the manner set forth in the application filed herewith. rf) (Signature) Srto b ore this �i day of l�.{ , 2 J . (Nbfary Piihli NEUM M NWr-A Notary Public State Of NW TO1% No.01MU1 Qualified I ounty Commission Expires:08.31 o�og�FFO[ co ELIZABETH A.NEVILLE,MMC =`1` rye Town Hall,53095 Main Road P.O.Box 1179 TOWN CLERK H Southold,New York 11971 REGISTRAR OF VITAL STATISTICS Fax(631)765-6145 MARRIAGE OFFICER 'f',� aQ`' Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER �l '�► www.southoldtownnygov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TRAILER PERMIT Permit Number: 64 Date: 08/12/2013 Issued to: Mikolajczyk,Zdzislaw Address: 301 Kell Avenue Staten Island,NY 10314 A permit is hdreby issued to locate a single trailer,as follows: License No.: Serial No.: Located at: 800 John's Rd.,Mattituck SCTM#: 122-3-21 Pursuant to application dated 08/12/2013. Expiration Date: 02/09/2014 This renewal permit is granted for a six(6)month period. Elizabeth A.Neville Southold Town Clerk o�Og�FFO�,��o ELIZABETH A. NEVILLE,MMCc� Gy� Town Hall,53095 Main Road TOWN CLERK P.O.Box 1179 CIO Z Southold,New York 11971 REGISTRAR OF VITAL STATISTICS p Fax(631)765-6145 MARRIAGE OFFICERy RECORDS MANAGEMENT OFFICER ��l �a� Telephone 765-1800 FREEDOM OF INFORMATION OFFICER www.southoldtldtownny.gov OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD APPLICATION SINGLE AUTOMOBILE TRAILER OR HOUSE CAR Fee: $250.00 (for maximum of six (6) months) Must be submitted with application. Please check one: New Application ( ) Renewal Permit No. _ Received Date: 8 �2- Issue Date: Expiration Date: Name of Applicant: 2-.b2-/S,C AW 1d1,K 0 L 4 TG 0 Y,r Mailing Address: 30 1 Ksru /4v 6- _ STIP-TF N ISL AND, / P31/ 1 Telephone No. 71? - 618 3 4 s Applicant is: (Owner ( )Lessee ( )Agent for Owner ( )Agent for Lessee Name of Owner of Premises If owner is corporate, signature and title of duly authorized officer: Number of Occupants 1 & Names: ko W L-,".1 MailingAddress PO ,6nX // 6 D A.9rr-I I-u C i,�, N Y Telephone No.: 6 3 /_ 2 9 51 0.7-IS Employer of Occupant ��jq (Name) (Address) (Telephone Number) Property Information Street address of land on which trailer will be located: 80 t) 1o &V.5 ROAD /LZ^l 71-1 7zt c K� N `/ SCTM#: q;z 3 12-2. --3--zExisting use and occupancy of premises and intended use and 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 l0 0 Rear /00 Fr. _ Depth /8S:V/ F7. Date of purchase or lease of land S4T-p,7- /,? 7-D Zoning District for premises: Does proposed use violate any zoning ordinance or law? (,-ANo ( )Yes If yes, explain on separate paper. Trailer Information: Length .5:5r-r Width lO F r. Height 7 OF Registration No. N/.0 Serial No. "/,4 Method of Sewerage disposal 5e-7,77.07;9-AJe Source of Water Supply jt/e,4 /- Source Source of Electricity s'vccass o-< IMPORTANT Coat/of survey showing location of existing buildings and existing/proposed trailer must be attached to this application. J1 PYJ9-L S if£7) /Dopr. V—CVVgf'etD /pOFr Tot 01►v State of New York County of Suffolk 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 re) Sw ><to befo e e this day o 2 �Ad (Notary C) JADWIQA T.KosIAK Netery Pubk,state of Now Yak No.01 K06137013 Quailftad In Richmond and K��l. � ! ( � Commission Expires Nov.1 "Land used in agricultural production" means not less than seven acres of land used as a single operation in the preceding two years for the production for sale of crops, livestock or livestock products of an average gross sales value of ten thousand dollars or more; or, not less than seven acres of land used in the preceding two years to support a commercial horse boarding operation or a commercial equine operation with annual gross receipts of ten thousand dollars or more. Land used in agricultural production shall not include land or portions thereof used for processing or retail merchandising of such crops, livestock or livestock products. N.Y. AGRICULTURE AND MARKETS LAW §301 �$uFFoco ELIZABETH A.NEVILLE,MMC �y►� C Town Hall,53095 Main Road TOWN CLERK P.O.Box 1179 Z Southold,New York 11971 REGISTRAR OF VITAL STATISTICS p Fax(631)765-6145 MARRIAGE OFFICER Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER �0.� `�►a www.southoldtownny.gov. FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TRAILER PERMIT Permit Number: 64 Date: 06/03/2013 Issued to: Mikolajczyk,Zdzislaw Address: 301 Kell Avenue Staten Island,NY 10314 A permit is heteby issued to locate a single trailer, as follows: License No.: Serial No.: Located at: 800 John°s Rd., Mattituck SCTM#: 122-3-21 Pursuant to application dated 06/03/2013. Expiration Date: 08/09/2013 This renewal permit is granted for a six(6)month period. Elizabeth A.Neville Southold Town Clerk o��g�FFO(,�c ELIZABETH A.NEVILLE,MMC y� �r/y Town Hall,53095 Main Road TOWN CLERK o= P.O. Box 1179 co Z Southold,New York 11971 REGISTRAR OF VITAL STATISTICS p • .F Fax(631)765-6145 MARRIAGE OFFICER 'y� 0�' Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER �.� `�►a www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD APPLICATION SINGLE AUTOMOBILE TRAILER OR HOUSE CAR Fees: _250.00 (for maximum of six (6) months) Must be submitted with application. _$100.00 (for maximum of 6 months) for trailer on land used in agricultural production. (see attached, proof may be required) Fee must be submitted with application. Please check one: New Application ( ) Renewal 00 Permit No. Received Date: Issue Date: Expiration Date: Name of Applicant: Z D2/5 L�) W /`'! 01—o4 T?-- Z y yr! Mailing Address: 301 L , J�TA-T�IV S L A �v D N Y /(73- I Telephone No. Applicant is: ()(Owner ( )Lessee ( )Agent for Owner ( )Agent for Lessee Name of Owner of Premises /I//C 1)1-,4 jz-iF YjC If owner is corporate, signature and title of duly authorized officer: Number of Occupants I & Names: 77f-0 1-16-5 OWI f4 u-P MailingAddress P0 /, ,o x //6 0 /y21177--17-0 c Telephone No.: G 3 / Z f B O Z I S- Employer of Occupant IVA (Name) (Address) (Telephone Number) i Property Information Street address of land on which trailer will be lobated: zny-77-1 TU C*' Y 119S-2- SCTMJ-2, 2 - 8 / Permit will not be issued if the SCTM# is not provided Existing use and occupancy of premises and intended use and occupancy of proposed trailer: 1. Existing use and occupancy Ed-h ii Y 0-U5/1) &"'IJ GC 2. Intended use and occupancy S A—M E 3. Period of time trailer is to be located on premises: H i TT£,D Lot Size: Front / 00 icr- Rear ! 0 D F-r- Depth f 9S-, // tzT Date of purchase or lease of land / 9 O Zoning District for premises: Does proposed use violate any zoning ordinance or law? �Oo ( )Yes If yes, explain on separate paper. Trailer Information: Length 57�C(=r Width l O r Height 10 v--r-. Registration No. Serial No. A),14 Method of Sewerage disposalS �/e- 773-0 j< Source of Water Supply W EL. L Source of Electricity L/ Z Cy o� S✓ rSsy2 IMPORTANT Copy of survey showing location of existing buildings and existing/proposed trailer must be attached to this application. f / 0011" 141 PT /00 11 5s ._ State of New York County of Suffolk 2-.i '-2-/SL Ov") OG AJ-r--2-' YL 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 a 1. tion re true to the best of(her) his knowledge and belief, and that t filer will cated ' the nner set forth in the application filed herewith. (Signature) Swore o efore me thi day of 677 2 A OA r KOSIAK ' Pubk.state of Now Yc* N -K0tt137013 iahmond and KioZ,go�n-`, (Notary Public) a '( "Land used in agricultural production" means not less than seven acres of land used as a single operation in the preceding two years for the production for sale of crops, livestock or livestock products of an average gross sales value of ten thousand dollars or more; or, not less than seven acres of land used in the preceding two years to support a commercial horse boarding operation or a commercial equine operation with annual gross receipts of ten thousand dollars or more. Land used in agricultural production shall not include land or portions thereof used for processing or retail merchandising of such crops, livestock or livestock products. N.Y. AGRICULTURE AND MARKETS LAW §301 i I i I ELIZABETH A. NEVILLE,MMC �� G.j. Town Hall,53095 Main Road TOWN CLERK p P.O. Box 1179 CIO 2 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS p .tC Fax(631)765-6145 MARRIAGE OFFICER yifJ Q`' Telephone(631)765-1800 RECORDS OF MANAGEMENT OFFICER southoldtown.northfork.net FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TRAILER PERMIT Permit Number: 64 Date: 08/13/2012 Issued to: Mikolajczyk, Zdzislaw Address: 301 Kell Avenue Staten Island, NY 10314 A permit is hereby issued to locate a single trailer, as follows: License No.: Serial No.: Located at: 800 John's Rd., Mattituck SCT'M#: 122-3-21 Pursuant to application dated 08/09/2012. Expiration Date: 02/09/2013 This renewal permit is granted for a six (6) month period. n ElizablKh A. Nevil e Southold Town Clerk SOF SO(/r�, ELIZABETH A. NEVILLE ��� Ol0 Town Hall,53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER G Q Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER ���OoUNTY,Nc� southoldtown.northfork.net OFFICE OF THE TOWN CLERK RECEIVED TOWN OF SOUTHOLD AUG 10 2012 APPLICATION SINGLE AUTOMOBILE TRAILER OR HOUSE CAR Southold Town Clerk Fee: $100 (for maximum of six (6) months) Must be submitted with application. Please check one: New Application ( ) Renewal Permit No. 6 4- Received Date: Issue Date: Expiration Date: Name of Applicant: pz-/S LA-W 1<0 LSC} j C-z-YX Mailing Address: 3 d ! K F LL ,.i= 7*-Tk AJ03 Telephone No. �— — 3 q-S' Applicant is: (\)kbwner ( )Lessee ( )Agent for Owner ( )Agent for Lessee Name of Owner of Premises t c. c l o If owner is corporate, signature and title of duly authorized officer: Number of Occupants 1-_& Names: r S go w L ZjjUh MailingAddress /9 d /3 //6 y Xe—h'-7.r—i ru c,,c �JY ���t.ri-- Telephone No.: 6 d Z�j Employer of Occupant WA (Name) (Address) (Telephone Number) Property Information Street address of land on which trailer will be located: h131 r71174 C SCTM #: t,�-E-3 -CRP 9 1-2, Existing use and occupancy of premises and intended use and occupancy of proposed trailer: 1. Existing use and occupancy i �.,� ,�7 R��ie 4-0)c-t= 2. Intended use and occupancy 3. Period of time trailer is to be located on premises: Lot Size: Front © r—r, Rear . IyCI Fr, Depth Date of purchase or lease of land Self 7— / 4 -3Z-0 Zoning District for premises: Does proposed use violate any zoning ordinance or law? Wo ( )Yes If yes, explain on separate paper. Trailer Information: Len 011""-11576-r-T, Width / D Fr Height Registration No. A462: Serial No. Med pf�,Se�yerage disposal S&-P77c 7-i?-O/.< Source off'Water' Supply W uze- Source of Electricity 1 L 4j oK suck-ssa,� IMPORTANT Copy of survey showing location of existing buildings and existing/proposed trailer must be attached to this application. 7c 1049 P r, SS r-r Pr State of New York County of Suffolk t S X14-itstfcvz , -< ye 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 to ed in the manner set forth in the application filed herewith. e�r (Signature) S rn to befo this day of , 2 JADWIQ T.KOSIAK ©te ubli State of New York (Notary Pu is n snd Kinlgeft 14 n Fxpir Nov. ELIZABETH A.NEVILLE, MMC �� Gy Town Hall, 53095 Main Road TOWN CLERK p P.O. Box 1179 H �Z Southold,New York 11971 `Y REGISTRAR OF VITAL STATISTICS Fax(631)765-6145 MARRIAGE OFFICER A aQ�' Telephone(631)765-1800 RECORDS OF MANAGEMENT OFFICER southoldtown.northfork.net FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TRAILER PERMIT Permit Number: 64 Date: 02/09/2012 Issued to: Mikolajczyk, Zdzislaw Address: 301 Kell Avenue Staten Island, NY 10314 A permit is hereby issued to locate a single trailer, as follows: License No.: Serial No.: Located at: 800 John's Rd., Mattituck SCTM#: 122-3-21 Pursuant tb application dated 02/09/2012. Expiration Date: 08/09/2012 This renewal permit is granted for a six (6) month period. Eli .abeth A. Neville Southold Town Clerk o��pF SO(/jyol ELIZABETH A.NEVILLE,RMC, CMC h O Town Hall, 53095 Main Road TOWN CLERK l P.O. Box 1179 REGISTRAR OF VITAL STATISTICS G Southold, New York 11971 MARRIAGE OFFICER '� �O� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICERl� Telephone(631) 765-1800 .FREEDOM OF INFORMATION OFFICER Comm, 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) Must be submitted with application. Please check one: New Application ( ) Renewal Permit No. (0 4 _ Received Date: _ Issue Date: e2 Expiration Date: Ila Name of ADulicant: All KOL-4JZ�:9YK Mailing Address: 3 O/ kel-e. 4 vE 7-A-TEN 2-W-AW16 NY /03 /9(- Telephone o3ITelephone No. -71-/'P G Q,P 3��-57 Applicant is: Q40wner ( )Lessee ( )Agent for Owner ( )Agent for Lessee Name of Owner of Premises Z�P-7-/st'4-0" f Y4 If owner is corporate, signature and title of duly authorized officer: Number of Occupants __[_ & Names: Tl�jiyA, )t1t,4, MailingAddress 0 Telephone No.: S- Employer of Occupant Property Information (Name) (Address) (Telephone Number) Street address of land on which trailer will be loca ed: 90 0 Tc, tt yvs K-h AAA7nTzf CK, A-)Y //9j L- SCTM #: 4 73 g g�? / 2-1, —3—z/ Existing use and occupancy of premises and intended use and occupancy of proposed trailer: 1. Existing use and occupancy h o E F*7'1,"y A�Vyq�1 a: 2. Intended use and occupancy 3. Period of time trailer is to be located on premises: Lot Size: Front 100 pT Rear 100 rT Depth I �S S/! �• Date of purchase or lease of land Sir 9 Zoning District for premises: Does proposed use violate any zoning ordinance or law? )Q)No ( )Yes If yes, explain on separate paper. Trailer Information: Length ss FT Width j 0.ter- _ Height /d Registration No. A/� Serial No. LA Method of Sewerage disposal „ScWrnc 77Awt Source of Water Supply E/lEc� Source of Electricity Ll( cJ IMPORTANT Copy of survey showing location of existing buildings and existing/proposed trailer must be attached to this application. Lr In©0 State of New York County of Suffolk�� �D�rSz~' -.I` ll"ae- 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 appli tion are true to the best of(her) his knowledge and belief; and that, tra' er will be c ted in the ner set forth in the application filed herewith. -4 (Signature) Sworn to before me this �� day of 2 (Notary lic) JADWIGA T.KOSIAK Notary Public,State of New fork No.01K06137013 Qualified In Richmond and King County Cor emission Exp;r�s rjov.14 9g ELIZABETH A. NEVILLE, MMC �� G.y Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 H 2 Southold, New York 11971 REGISTRAR OF VITAL STATISTICS Q Fax(631) 765-6145 MARRIAGE OFFICER 'f' �' RECORDS OF MANAGEMENT OFFICER �o( , �� Telephone n.no 7 fork. 0 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TRAILER PERMIT Permit Number: 64 Date: 08/05/2011 Issued to: Mikolajczyk, Zdzislaw Address: 301 Kell Avenue Staten Island, NY 10314 A permit is hereby issued to locate a single trailer, as follows: License No.: Serial No.: Located at: 800 John's Rd., Mattituck SCTM#: 122-3-21 Pursuant to application dated 08/05/2011. Expiration Date: 02/09/2012 This renewal permit is granted for a six (6) month period. Elizabeth A. Neville Southold Town Clerk . o�*pF SOUryol ELIZABETH A.NEVILLE, RMC, CMC O Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS C/s Southold, New York 11971 .MARRIAGE OFFICER • �O Fax (631) 765-6145 RECORDS MANAGEMENT OFFICERl Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER y00M, southoldtown.northfork.net REZZAVED OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD AUG 5 4? 01 1 APPLICATION SINGLE AUTOMOBILE TRAILER OR HOUSE ,�_ ..w. � 'own Clerk Fee: $100 (for maximum of six (6) months) Must be submitted with application. Please check one: , New Application ( ) Renewal Permit No. `f Received Date: 8 Isgue Date: Expiration Date: Name of Applicant: 0 DZ-I$L COL 4 Jr-.7-1 Mailing Address: Keiu S rA-TLC-7y I'sc.A-,v n_ N V 1031;,e Telephone No. 16?,6 3 z/4°­r Applicant is: (*ner ( )Lessee ( )Agent for Owner" ( )Agent for Lessee Name of Owner of Premises ��c S e�,�}-�� �j OT�7�-�J-w��s 't:Al OL4 JLz`l1C If owner is corporate, signature and title of duly authorized officer: Number of Occupants -L & Names: � MA--:s ( -o ui(fl-xjb MailingAddress pa /� C- Ile A, Telephone No.: . �- Employer of Occupantf� (Name) (Address) (Telephone Number) Property Information Street address of land on which trailer will be located: �P Oby t-f-,v s 2' , 9—�-i n�c� Ny 7 SCTM #: q R ,39 %2._2 . — 3 - 2- 1 Existing use and occupancy of premises and intended use and occupancy of proposed trailer: -1. Existing use and occupancy Y V�1 tt,y Z6e batt w(, 2. Intended use and occupancy 3. Period of time trailer is to be located on premises: Lot Size: Front 0 Rear D 4 Fr Depth 100,s-,qt f Date of purchase or lease of land R77-- /9'7-D Zoning District for premises: Does proposed use violate any zoning ordinance or law? ro ( )Yes If yes,explain on separate paper. // Trailer Information: Length .5�SFr, Width 10 Pr. Height /D Fr Registration No. Serial No. A/ Method of Sewerage disposal 5, 77 C 7WV Source of Water Supply 6LI=L- Source of Electricity o T CO rw, IMPORTANT Copy of survey showing location of existing buildings and existing/proposed trailer must be attached to this application. �.L /DD State of New York County of Suffolk ISL IL1J � being duly sworn, deposes and says that that (s)he is the applicant named above a d (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; anailer will be located in the mann set forth in the application filed herewith. a94 ignet reS r to befo e e this da of (Notary is JADWIGA T.KO✓SiAK Notat'Y Public,State of New York No.01K06137013 ouamied In Richmond and King COmmissi^"-Ynit"Nov-14_ �F S004 ELIZABETH A. NEVILLE, RNIC, Cn1C Town Hall, 53095 Main Road TOWN CLERK :, it + [ P.O. Box 1179 REGISTRAR UV VITAL -'TX1'1STICS n Southold, New York 11971 n Fax (631) 765-6145 MARRtA�,r:oFr IC1✓1: .• ,� '�► io 4r RECORDS MANA6EMI-:N"1'OFFICER �l .j'' Telephone (631).765-1800 FREEDOM OFVRAC 'U �r�C�UN�, {'�' southoldtown.northfork.net OFFICE OF THE 'TOWN CLERK TOWN OF SOU'THOLD TRAILER PERMIT 1'crmit Number: 64 Date: 02/07/2011 Issued to: Mikolajczyk, Zdzislaw Address: 301 Kell Avenue Staten Island, NY 10314 A permit is hereby issued to locate a single trailer, as follows: License No.: Serial No.: Located at: 800 John's Rd., Mattituck SCTM#: 122-3-21 Pursuant td application dated 02/07/2011. Expiration Date: 08/09/2011 This renk•wal permit is granted for a six (6) month period. Elizabeth A. Neville Southold Town Clerk ELIZABETH A. EVILLE �O��OF SU(/ry NOlO Town Hall,53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold,New York 11971 MARRIAGE OFFICER G Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER %�' �� Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER �liJ'COU 'M,� 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) Must be submitted with application. Please check one: New Application ( ) Renewal Permit No. Received Date: Issue Date: > Expiration Date: Name of Applicant: Z,D.2-ISZI lTL- Mailing Address: 301 t=L4- ! Telephone No. 2-/61 - ' G r 3 6t ,S-C- Applicant is:-)�Kwner ( )Lessee ( )Agent for Owner ( )Agent for Lessee Name of Owner of Premises If owner is corporate, signature and title of duly authorized officer: Number of Occupants / & Names: 7—jA,1-ytk � MailingAddress ce' i_3 cx / D T7—/77t C i< !U . // i J-L Telephone No.: 6�— ,;z 1 -5-- Employer of Occupant &YA (Name) (Address) (Telephone Number) Property Information Street address of land on which trailer will be located: goo ►+-,' �o ,��l�rr�r�-r c K� Aix SCTM #: C-1-73 e'P9 / 2-1, -- 3 --2- Existing --LExisting use and occupancy of premises and intended use and occupancy of proposed trailer: 1. Existing use and occupancy P-,tm it y P--es t.D LAN e-e- 2. Intended use and occupancy 3. Period of time trailer is to be located on premises: Lot Size: Front V00 Rear /GO Depth 41 Date of purchase or lease of land 51�7— l Zoning District for premises: Does proposed use violate any zoning ordinance or law? t Oo ( )Yes If yes, explain on separate paper. Trailer Information: Length -5-51 Width to Height Registration No. — &)Z#— Serial No. N 3 Method of Sewerage disposal c-7177 C i7t7,1 Source of Water Supply Source of Electricity l CO OIL- IMPORTANT Copy Copy of survey showing location of existing buildings and existingjproposed trailer must be attached to this application. ------------- "9 E SriFy State of New York County of Suffolk 07-/S(-i�2cJ✓//C//i6CDLbeing 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 a 'cation are true to the best of(her) his knowledge and belief; and that trailer will e 1 ated in the manner set forth in the application filed herewith. 4 e V(Signature) S tq b fore me this ©�R4 day of ,i/'Mq,2 (0 JADWIGA T KCIOUK Notary Pub#c,State of New`fork 7) No.01K06137013 Qualified In Richmond and Kine T—PO 0 n Expires Nov.14___ (Notary 'Ilb*ie��6� - O��pF SO!/r,�ol ELIZABETH A. NEVILLE,RMC, CMC O Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York-11971 G MARRIAGE OFFICER Fax (631) 765-6145 .�` � RECORDS MANAGEMENT OFFICER �lyC, Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER DUB southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TRAILER PERMIT Permit Number: 64 Date: 08/24/2010 Issued to: Mikolajczyk, Zdzislaw Address: 301 Kell Avenue Staten Island,NY 10314 A permit is hereby issued to locate a single trailer, as follows: License No.: Serial No.: Located at: 800 John's Rd., Mattituck SCTM#: 122-3-21 Pursuant to application dated 08/08/2010. Expiration Date: 02/08/2011 This renewal permit is granted for a six (6) month period. 100 Elizabeth A. Neville Southold Town Clerk o��OG SO(/ryol ELIZABETH A. NEVILLE,RMC,CMC '` O Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR.OF VITAL STATISTICS CASouthold, New York 11971 MARRIAGE OFFICER • �� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER fly`, Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER 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) Must be submitted with application. Please check one: New Application ( ) Renewal Permit No. Received Date: Issue Date: Expiration Date: Name of Applicant: ' 04YK Mailing Address: 3 01 ELL s --r�� .Z- L v Y / 03 Telephone No. X1 4? 3 //lj7j- Applicant is: (�Qwner ( )Lessee ( )Agent for Owner ( )Agent for Lessee Name of Owner of Premises.2b e SZ'Z 7WI. ,AK-el- AJTZ If owner is corporate, signature and title of duly authorized officer: Number of Occupants ( & Names: _ f#15 U-)L40 MailingAddress 49- /.Iv /11 z�-/rrr c icy Ny z1 s z Telephone No.: Employer of Occupant /U (Name)f (Address) (Telephone Number) Property Information Street address of land on which trailer will be located: filo o e7o��s SCTM#: Lf-2- 3 R 19 / Z 2 , - 3 i / Existing use and occupancy of premises and intended use and 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: r Lot Size: Front / D O Fi Rear Z O 0 Fr- Depth Date of purchase or lease of land Zoning District for premises: Does proposed use violate any zoning ordinance or law? �Oo ( )Yes If yes, explain on separate paper. Trailer Information: Length SS/-7Width /C� r-�, Height ,--T Registration No. ,,t" Serial No. A//4 Method of Sewerage disposal 6-k-r- c. 7'-s¢�J/6 Source of Water Supply 6U L---Z--(— Source of Electricity L L'-) IMPORTANT Copy of survey showing location of existing buildings and existing/proposed trailer must be attached to this application. o�t� o end Pr 10 Pf" f 5.j P, State of New York County of Suffolk d�-�'.t 'y✓�f�C Z`7�� 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 th r ilerwill be I ted in th manner set forth in the application filed herewith. /� (Signa ur S n to befoW me this G day , 2 ® �'Mj fy A (Nota JcLWIGAT KQSIAK Notary Puolic,State of New York No.01 K06137013 ualified in Ri&l rnond and King COfpn?iSg,'r r xr�ir—�INOV.1 t F SO(/lyol� ELIZABETH A. NEVILLE, RMC, CMC O Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS v' Southold, New York 11971 MARRIAGE OFFICER �O Fax 1631) 765-6145 RECORDS MANAGEMENT OFFICERl Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER co south 1�,� southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TRAILER PERMIT Permit Number: 64 Date: 02/11/2010 Issued to: Mikolajczyk, Zdzislaw Address: 301 Kell Avenue Staten Island, NY 10314 A permit is hereby issued to locate a single trailer, as follows: License No.: Serial No.: Located at: 800 John's Rd., Mattituck SCTM#: 122-3-21 Pursuant to application dated 02/09/2010. Expiration Date: 08/09/2010 This renewal permit is granted for a six (6) month period. Eliza eth A. Neville Southold Town Clerk opF SO�ryol ELIZABETH A.NEVILLE,RMC,CMC O Town Hall,53095 Main Road TOWN CLERK i[ P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER Fax(631) 765-6145 RECORDS AGEMENT OFFICER Telephone(631) 765-1800 FREEDOM OF INFORMA ION OFFICER OI�COU 11,� southo dtown.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) Must be submitted with application. Please check one: New Application ( ) Renewal K Permit No. Received Date: Issue Date: Expiration Date: Name of Applicant: ZED /SL �/ OG J`L iz `// Mailing Address: 301 A, Le. ✓v. Telephone No. - 3 ;�- Applicant is: Po;bwner ( )Lessee ( )Agent for Owner ( )Agent for Lessee Name of Owner of Premises �I � � it//E If owner is corporate, signature and title of duly'authorized officer: Number of Occupants & Names: M*,5 d MailingAddress //6 � -irrr c.r, Al Y f r 2-- Telephone No.: 1 Employer of Occupant /A (Name)/ (Address) (Telephone Number) Property Information Street address of land on which trailer will be located: 80U �htiVS i SCTM ru rA).Y //9�r2-- Existing use and occupancy of premises and intended use and occupanc of proposed trailer: 1. Existing use and occupancy 0 r::t--z>E' C 6 2. Intended use and occupancy 3. Period of time trailer is to b 'c Wt�; tses Lot Size: Front_ A�r Rear 0,"r Depth ld'Yi Date of purchase or lease of land -4gV70 T / 37.;z y Zoning District for premises: Does proposed use violate any zoning ordinance or law? ( )No ( )Yes If yes, explain on separate paper. Trailer Information: Length SS-1cI— Width / OPT Height / _r Registration No. Serial No. IV ,* Method of Sewerage disposal -567 77 G Source of Water Supply hyaq—L. Source of Electricity [-1 t L 0 IMPORTANT Cony of survey showing location of existing buildings and existing/proposed trailer must be attached to this application. �ayt-7te�.p I`tvBiLE N-ot/tT /o`KSJ" State of New York County of Suffolk 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 t trailer w' 1 be locat the man er set forth in the application filed herewith. (Signa ure). Srn to before me this a day of ,2 010 pYNMAN V SWO of KARILNeW York (Notary ublic) Co a+�^N0.01OU61W76 C �rAt=t1 SOUryo ELIZABETH A. NEVILLE, RMC, CMC Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS G Southold, New York 11971 MARRIAGE OFFICER a �O Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER 66 'M Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER �C�utm southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TRAILER PERMIT Permit Number: 64 Date: 08/20/2009 Issued to: Mikolajczyk. Zd-zislaw Address: 301 Kell Avenue Staten Island, NY 10314 A permit is hereby issued to locate a single trailer, as follows: License No.: Serial No.: Located at: 800 John's Rd., Mattituck SCTM4: 122-3-21 Pursuant to application dated 08/20/2009. Expiration Date: 02/09/2010 This renewal permit is granted for a six (6) month period. Eliza eth A. Neville Southold Town Clerk r pF SOUIy� ELIZABETH A.NEVILLE,RMC,CMC �� l0 Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICERG@ Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER ,M Tele hone (631) 765-1800 FREEDOM OF INFORMATION OFFICER l�COU 111,,� 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) Must be submitted with application. Please check one: New Application ( ) Renewal Permit No. Received Date: Issue Date: Expiration Date: Name of Applicant: /S L 14-IA/ �Iir v L A--T C Y 1t Mailing Address: 30/ KbLL /-1--✓6- S uw 157 4.14-fli 1), hj Y 10 ) Telephone No. —4-16' 0 Q P 3 'IS,f Applicant is: Owner ( )Lessee ( )Agent for Owner ( )Agent for Lessee Name of Owner of Premises as is C~ i fmmAt-lt C W/J<'dl-4jz air If owner is corporate, signature and title of duly authorized officer: Number of Occupants 1 & Names: 1y l MailingAddress loe a Y 7W C L Telephone No.: 43 ) 24?j, c5 Employer of Occupant kJ (Name) (Address) (Telephone Number) Property Information Street address of land on which trailer will be located: 0 C/e, N Y f Z SCTM #: L --2 Existing use and occupancy of premises and intended use and 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: . r Lot Size: Front j p V_ -Rear 1 p-0 {-T Depth ler. t (, w�r4 Date of purchase or lease of land Zoning District for premises: Does proposed use violate any zoning ordinance or law? C*o ( )Yes If yes, explain on separate paper. Trailer Information: Length Width Height !0 Registration No. AyJ= Serial No. Method of Sewerage disposal !'&77 Source of Water Supply U, F7_-L Source of Electricity IMPORTANT Copy of survey showing location of existing buildings and existing/proposed trailer must be attached to this application. State of New York County of Suffolk / � 1��12T✓ �K O t f�1Z `'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 applicatio are true to the best of(her) his knowledge and belief; and that the trailer ill be loca i the manner set forth in the application filed herewith. (Signature) Sworn to before me this day of 00 (Notary Pu lic) GUZMAN KARILYN Notary Public Stere of New YO* Commission No.01GU6198776 Queimw in Kin6s County Commission Expires 01/0512013 �pF SO01 L (/l�, ELIZABETH A.NEVILLE,RMC,CMC ��� Of O .+ Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR.OF VITAL STATISTICS G �r Southold, New York 11971 MARRIAGE OFFICER ip� Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER yCOU � southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TRAILER PERMIT Permit Number: 64 Date: 02/19/2009 Issued to: Mikolajczyk, Zdzislaw Address: 301 Kell Avenue Staten Island, NY 10314 A permit is hereby issued to locate a single trailer, as follows: License No.: Serial No.: Located at: 800 John's Rd., Mattituck SCTM#: 122-3-21 Pursuant to application dated 02/09/2009. Expiration Date: 08/09/2009 This renewal permit is granted for a six (6) month period. Q Elizdgeth A. Neville Southold Town Clerk pF SO!/lyo ELIZABETH A.NEVILLE,RMC,CMC '`� l0 Town Hall, 53095 Main Road TOWN CLERK l P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER • �� Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER Ol� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER COU 1�,� 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) Must be submitted with application. Please check one: / New Application O Renewal Permit No. (D Received Date: Issue Date: /f Expiration Date: Name of Applicant: /S L A Gf/ //2'/ I Ka L A -z-Z- `I� Mailing Address: 3ol f<c--Lc /9 ile Telephone No. _ Applicant is: yOwner ( .)Lessee ( )Agent for Owner ( )Agent.for Lessee_ Name of Owner of Premises If owner is corporate, signature and title of duly authorized officer: Number of Occupants & Names: �/ i��s �a urs sive MailingAddress //6(? /y Y Telephone No.: 63 i— 2- 19P-- 0.2-1-57 Employer of Occupant (Name) (Address) (Telephone Number) Property Information Street address of land on which trailer will be located: e?00 To#—)VS 2� MI#-77 7WCel N Y SCTM #: q 7 3,991? i 12-- - 3 -z i Existing use and occupancy of premises and intended use and occupancy of proposed trailer: 1. Existing use and occupancy F24-011t Y idw c r- 2. , Intended use and occupancy 3. Period of time trailer is to be located on premises: Lot Size: Front /DO Fr Rear 10 0 F=-T Depth rcr Date of purchase or lease of land Zoning District for premises: Does proposed use violate any zoning ordinance or law? o ( )Yes If yes, explain on separate paper. Trailer Information: Length ; sr--,- Width /O FT Height O F),-, Registration No. d(/ Serial No. jh Method of Sewerage disposal SG=p77G. T,A-;uC Source of Water Supply IAI L Source of Electricity L./ L-co IMPORTANT Copy of survey showing location of existing buildings and existing/proposed trailer must be attached to this application. f� �-Gvv�.F� P►trio sr,�,��—�' Fr M vgtc.c-- lf��c io' 5 S' State of New York County of Suffolk L_DR 154, -N/ �I K OL� TZ z�YK _ being duly sworn, deposes and says that that (s)he is the applicant named above and (s) he is authoriz to make and file this application; and that all statements contained in this applicat' are true to the best of(her) his knowledge and belief, and t t t t ile will be loca the manner set forth in the application filed herewith. // (Signature) Swo n to before me this (p day of 2 U v'7 Karen E.Turturro NOU"Public,State of NY -"(,of Public) No.01TUS087134 Expires Oct.27,2009 � �Ty ELIZABETH A. NEVILLE pF SO �0� Ol0Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS 4 Southold, New York 11971 MARRIAGE OFFICER G Q Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER 4S Telephone(631) 766-1800 FREEDOM OF INFORMATION OFFICER �li�'`+oU0, southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TRAILER PERMIT Permit Number: 64 Date: 08/20/2008 Issued to: Mikolajczyk, Zdzislaw Address: 301 Kell Avenue Staten Island, NY 10314 A permit is hereby issued to locate a single trailer, as follows: License No.: Serial No.: Located at: 800 John's Rd., Matti tuck SCTM#: 122-3-21 Pursuant to application dated 08/20/2008. Expiration Date: 02/09/2009 This renewal permit is granted for a six (6) month period. ��A 0 Elizabeth A. Neville Southold Town Clerk ELIZABETH A.NEVILLE � SOVry� Town Hall,53095 Main Road TOWN CLERK ~� l0 P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER G Q Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER �� Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER �li�'`+oU '� southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD RECEm-D APPLICATION SINGLE AUTOMOBILE TRAILER OR HOUSE CAR AM` 2 0 2008 Fee: $100 (for maximum of six (6) months) Must be submitted with application. Please check one: New Application O Renewal Permit No. rt Received Date: Issue Date: Expiration Date: Name of Applicant: zD Z-/ G,9 AjX01_ '4_j—T_-2y Mailing Address: 301 /CGL Telephone No. ?-/P 6 9 P 3 � r Applicant is: Owner ( )Lessee ( )Agent for Owners ( )Agent for Lessee Name of Owner of Premises 40.als' •. ✓ J i�<6f /✓�OL�JZ�y,C If owner is corporate, signature and title of duly authorized officer: Number of Occupants & Names: � j M 0.5 �0 MailingAddress O 8ax l/d D "Telephone No.: g31— L 9 ? OZ/S­ Employer of Occupant /)1A (Name) (Address) (Telephone Number) Property Information Street address of land on which trailer will be located: e0o TO&W 4 /Z D• -77 "/ J7,' C✓!�: Existing use and occupancy of premises and intended use and occupajAy of proposed trailer: 1. Existing use and occupancy i"y i) &-LIS1 e 6- 2. Intended use and occupancy 3. Period of time trailer is to be located on premises: Lot Size: Front / 00 Rear Dy Depth / e Date of purchase or lease of land $ T. ) 9 U Zoning District for premises: Does proposed use violate any zoning ordinance or law? ((No ( )Yes If yes, explain on separate paper. Trailer Information: Length 5-S Width J r-> Height D Fr Registration No. &14- Serial No. Method of Sewerage disposal e 77-du t Source of Water Supply 4- Source of Electricity L/L C-0 ax j(Vec"SS'jr .. IMPORTANT Copy of survey showing location of existing buildings and existing/proposed trailer must be attached to this application. Coo rArD /00' ,r�r j -*0 State of New York County of Suffolk ,�/f SLS zy/ /K U L 8 Z -2 y/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 appliorgon are true to the best of(her) his knowledge and belief, and th railer will be I a d in the manner set forth in the application filed herewith. w ,� (Signature) Swo to before me this day of 4, , 2 OO R . c• otary I e) JESL MO ��'Public,State w Yogc NO.30.4528522 Qualified in Nassau County �� �Det 31,20eV �j ELIZABETH A. NEVILLE \oF so � yOIO Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER G Q Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER �lij'COU0, southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TRAILER PERMIT Permit Number: 64 Date: 03/03/2008 Issued to: Mikolajczyk, Zdzislaw Address: 301 Kell Avenue Staten Island, NY 10314 A permit is hereby issued to locate a single trailer, as follows: License No.: Serial No.: Located at: 800 John's Rd., Mattituck SCTM#: 122-3-21 Pursuant to application dated 03/03/2008. Expiration Date: 08/09/2008 This renewal permit is granted for a six (6) month period. Elizabeth A. Neville Southold Town Clerk i SOF SO(/ly ELIZABETH A.NEVILLE ��� Ol0 Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER G Q Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER �� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER Oli,'C�U 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) Must be submitted with application. Please check one: New Application ( ) Renewal Permit No. �f Received Date: 'W0 Issue Date: Expiration Date: `� 107 Name of Applicant: 2-.P0154,410 /KOGAJLz� Y/C Mailing Address: 30e c i- A✓e-. Telephone No. ,?-/,3 - 9 9 P - 3P(-5 s Applicant is: (Owner ( )Lessee ( )Agent for Owner ( )Agent for Lessee Name of Owner of Premises '?'PwsL~ fo�e 61" / local /9 JZ 2?-y-4 ' If owner is corporate, signature and title of duly authorized officer: Number of Occupants 1 & Names: —TA-000s "u/ZA-�1 b MailingAddress j(U /l1�—rriTucK_ /JY 11 qJ�Z Telephone No.: O 71./ 5- Employer Employer of Occupant / (Name) (Address) (Telephone Number) Property Information Street address of land on which trailer will be located: SCTM #: 4( -7 3 899 12-2, -3 - 21 Existing use and occupancy of premises and intended use and occupancy of proposed trailer: 1. Existing use and occupancy 0 '1Gg- 2. Intended use and occupancy 3. Period of time trailer is to be located on premises: Lot Size: Front 0 0 FT Rear / 00 FT Depth 16',_57 1// P-7- Date of purchase or lease of land 5'r� 7% /4;?n Zoning District for premises: Does proposed use violate any zoning ordinance or law? WNo ( )Yes If yes, explain on separate paper. Trailer Information: Length _5S Fr Width 10 F7 Height Registration No. Serial No. Method of Sewerage disposal le- Method c 7-A-x1 C Source of Water Supply litl6 A 4- Source Source of Electricity L/L cy to o- c v 2P. /'c�cctg "rv,r IMPORTANT Copy of survey showing location of existing buildings and existing/proposed trailer must be attached to this application. rjfT*t- f//esp o� ➢�T,� /ov F-r s/L6 H-o M Ir /0 Fr• Sir' State of New York County of Suffolk 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 p lication are true to the best of(her) his knowledge and belief; and thah trailer wi b ocated in a manner set forth in the application filed herewith. (Signature) 'g Swor to�fore me this��day of 2 Do ' . JA G o ary Publ' JMSUS MORALES Notary Public,State of New York No.30-4528522 Qualified in Nassau county Commission F-Vms ped.31,202V �oF soar ELIZABETH A. NEVILLE �0� y�lO Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER G Q Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER �� Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER �Ii�COU'M,� southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Organization Name: Permit Number: 64 Name: Mikolajczyk,Zdzislaw Address: 301 Kell Avenue Staten Island,NY 10314 City ST Zip: * * RENEWAL NOTICE This is to advise you that your Trailer permit will expire on 02/09/2008 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 3/10/2008 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 SOUTy�I.. ELIZABETH A. NEVILLE Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 REGIS'T'RAR OF VITAL S'T'ATISTICS Southold, New fork 11971 MARRIAGE OFFICF,R Fax (631) 765-6145 RECORDS MANAGEMENT OFFICERl �rrV Telep}one (631) 765-1800 FREEDOM OF INFORMATION OFFICER southoldtown.north fork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TRAILER PERMIT Permit Number: '64 Date: 08/07/2007 Issued to: Mikolajczyk, Zdzislaw Address: 301 Kell Avenue Staten Island, NY 10314 A permit is hereby issued to locate a single trailer, as follows: License No.: Serial No.: Located at: 800 John's Rd., Mattituck SCTM#: 122-3-21 Pursuant to application dated 08/07/2007. Expiration Date: 02/09/2008 This renewal permit is granted for a six (6) month period. Y ' Efzabeth A. Neville Southold Town Clerk pF SO�Tyol. ELIZABETH A. NEVILLE '` Town Hall, 53095 Main Road TOWN CLERK 4 4 P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER �� Fax (631) 765-6145 RECORDS MANAGEMENT OFFICERl� Telephone (631) 765-1800 C FREEDOM OF INFORMATION OFFICER 0UNTY, southoldtcR"tf�rk.net OFFICE OF THE TOWN CLERK AUf' TOWN OF SOUTHOLD APPLICATION SINGLE AUTOMOBILE TRAILER OR HOUSE CAR Fee: $100 (for maximum of six (6) months) Must be submitted with application. Please check one: New Application ( ) Renewal Permit No. f Received Date: dr -7 0 9, Issue Date: ;07b . Expiration Date: Name of Applicant: ;F ly//'C044 J-Z:z `7/C Mailing Address: 3 KePL-e- 7-3-z 7 /VJ / Telephone No. ?L 1 '6 VP-3 Applicant is: (Owner ( )Lessee ( )Agent for Owner ( )Agent for Lessee Name of Owner of Premises 2-jjmf i-XAWI-4 Jz-7 yC If owner is corporate, signature and title of duly authorized officer: Number of Occupants & Names: / GTU M 4� P 0 CUL eL U✓l� MailingAddress 42a 65 a 1160 ZZA77-1nt C✓c iV i/ // T2- Telephone No.: 4 Employer of Occupant b4 (Name) (Address) (Telephone Number) Property Information Street address of land on which trailer will be located: f0-0 Z-0 rtus /p? AIA77-11716 // rL SCTM#: q-Z 3 g? / Z2, —3 - Zj Existing use and occupancy of premises and intended use and occupancy of proposed trailer: 1. Existing use and occupancy iy R&;5/j)&-Y,) 2. Intended use and occupancy 3. Period of time trailer is to be located on premises: Lot Size: Front / 0 0 Fr Rear 100 rT. Depth / gam, 511,c7-. Date of purchase or lease of land 9 �70 Zoning District for premises: Does proposed use violate any zoning ordinance or law? ( )Yes If yes, explain on separate paper. Trailer Information: Length S'S r-7 Width / 0 r--7- Height /0 7- Registration No. /04//- Serial No. Av A Method of Sewerage disposal 77C 7-,*- f/K Source of Water Supply eLL Source of Electricity L./L Cy IMPORTANT Copy of surva showing location of existing buildings and existing/proposed trailer must be attached to this application. 0o rf 10V Mv77�-L hd�1x /i�nhr 1n' State of New York County of Suffolk 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 applic 'o are true to the best of(her) his knowledge and belief, and that t trai will be to tod in jhem nner set forth in the application filed herewith. (Signature) Sw0'M to before me this .9 day of ,200 . otary P is MORALES N Yadc No.90 �•ommNtbn ExgtN Opo.3 �- -lam 7 �o�*oF soUryolo 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 �� Fax (631) 765-6145 RECORDS MANAGEMENT OFFICERODUNfY,� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Organization Name: Permit Number: 64 Name: Mikolajczyk, Zdzislaw Address: 301 Kell Avenue Staten Island,NY 10314 City ST Zip: * * RENEWAL NOTICE This is to advise you that your Trailer permit will expire on 08/09/2007 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 8/9/2007 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 4AW61, 21:�4� Elizabeth A. Neville Southold Town Clerk Enclosure Town Of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 02/06/07 Receipt#: 302 Transaction(s): Reference Subtotal 1 1 House Trailer Permit 64 $100.00 Check#: 302 Total Paid: $100.00 Name: Mikolajczyk, Zdzislaw 301 Kell Avenue Staten Island, NY 10314 Clerk ID: LINDAC Internal ID:64 SO!/lyo ELIZABETH A. NEVILLE ,`O l0 Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER Q Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER ��` ,�a� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER �l CQ(� �`(,'- southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TRAILER PERMIT Permit Number: 64 Date: 02/06/2007 Issued to: Mikolajczyk, Zdzislaw Address: 301 Kell Avenue Staten Island,NY 10314 A permit is hereby issued to locate a single trailer, as follows: License No.: Serial No.: Located at: 800 John's Rd., Mattituck SCTM#: 122-3-21 Pursuant to application dated 02/06/2007. Expiration Date: 08/09/2007 This renewal permit is granted for a six (6) month period. Elizabeth A. Neville Southold Town Clerk '�'pF SO�ryo ELIZABETH A. NEVILLE ,`O l0 Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS CAR Southold, New York 11971 MARRIAGE OFFICER �� Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER CQUNTY,� 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: February 6, 2007 Re: Trailer Renewal Please perform an inspection and advise if the trailer permit may be renewed for the following: Applicant: Zdzislaw Mikolaticayk Trailer Address: 800 Johns Rd., Mattituck Thank you. *pF SO(/lyo ELIZABETH A. NEVILLE ,`O l0 Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER G Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER `` � Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER �l00 N'n,\` 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) Must be submitted with application. Please check one: New Application ( ) Renewal Permit No. Received Date: Issue Date: Expiration Date: Name of Applicant: l�z�l SLy� W11<0< A Z Z-XZ Mailing Address: 3 O( K 1-�vc Telephone No. ?-/ate- 6 It 1P .3 1/i-j- Applicant is: Owner ( )Lessee ( )Agent for Owner ( )Agent for Lessee Name of Owner of Premises If owner is corporate, signature and title of duly authorized officer: Number of Occupants J—& Names: PpW[-if&j MailingAddress A!5�) // V/Q 77-1 77U C<<_ N Y Cl9.-L- Telephone No.: 6 3 I - 2 g 13 O,Z f Employer__ of Occupant A,11A (Name) (Address) (Telephone Number) Property Information Street address of land on which trailer will be located: $0t ` -0i -Tj 5 2-D --,� j4 7T/ 77U C ft t-) SCTM#: 4/:�l 36? &9 12-2 , =_3 -Z f Existing use and occupancy of premises and intended use and occupancy of proposed trailer: 1. Existing use and occupancy C 6- 2. Intended use and occupancy 3. Period of time trailer is to be located on premises: Lot Size: Front 100 FT Rear 10 0 F'7 Depth / 65, 54/ �r Date of purchase or lease of land S'&-'pT- l Q Zoning District for premises: Does proposed use violate any zoning ordinance or law? �.A0 ( )Yes If yes, explain on separate paper. Trailer Information: Length _�S r-fi Width / D F7 Height Registration No. Serial No. Method of Sewerage disposal s 6—P T7 C T7+I1 K Source of Water Supply W E-Lc Source of Electricity L/ L CO IMPORTANT Copy of survey showing location of existing buildings and existing/proposed trailer must be attached to this application. 00� `� 00/ Mu�r�F lwn ►v' State of New York County of Suffolk �� �D 2-/SLA-Gtr�l/K d I-4-`,Z a yK 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 1 ed in the anner set forth in the application filed herewith. (Signature) Sw9rnt before me this day o �F�� 2 Oo otary P lie) e13.30-4523522 31,R OF SO�ryol. ELIZABETH A. NEVILLE 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 OFFICERCOU Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER NT , 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: August 15, 2006 Re: Trailer Renewal Please perform an inspection and advise if the trailer permit may be renewed for the following: Applicant: Zdzislaw Mikolajczyk Trailer Address: 800 John's Rd., Mattituck Thank you. r o��OF SO!/l�,ol ELIZABETH A. NEVILLE '` O Town Hall, 53095 Main Road TOWN CLERK l P.O. Box 1179 REGISTRAR OF VITAL STATISTICS G Q Southold, New York 11971 MARRIAGE OFFICER Fax (631) 765-6145 RECORDS MANAGEMENT OFFICEROIyC Telepho* 765-1800 FREEDOM OF INFORMATION OFFICER ow, southoldto�w`'ni AArk.net OFFICE OF THE TOWN CLERK `��'° t Lr;" TOWN OF SOUTHOLD APPLICATION SINGLE AUTOMOBILE TRAILER OR HOUSE CAR Fee: $100 (for maximum of six (6) months) Must be submitted with application. Please check one: New Application ( ) Renewal '\A Permit No.YY Received Date: Issue Date: Expiration Date: Name of Applicant: /S/- 0Z 4 JZ7,Z-ye Mailing Address: 3 <El L 197Y- j�IV ,vTelephone No.Applicant is:P0wner ( )Lessee ( )Agent for Owner ( )Agent for Lessee Name of Owner of Premises ( ls�.+3yy "�^ ;/� el-4,7'Z y,- If owner is corporate, signature and title of duly authorized officer: Number of Occupants L& Names: � M�q /��t a"Z110-Al-7--�1 MailingAddress r60 AY 119J-2- Telephone No.: 3r_ 2 Q a�p2l-5- Employer of Occupant ,Q (Name (Address) (Telephone Number) Property Information Street address of land on which trailer will be located: SCTM#: 3 /2-27 — 3 -2- Existing Existing use and occupancy of premises and intended use and occupancy of proposed trailer: 1. Existing use and occupancy -�y r�v Vis, 7,-;7JCG 2. Intended use and occupancy 3. Period of time trailer is to be located on premises: Lot Size: Front I 0 0 r T Rear 100 F--r. Depth I PS, 5�/ Date of purchase or lease of land 5"Y—, /9 -2'0 Zoning District for premises: Does proposed use violate any zoning ordinance or law? ','�No ( )Yes If yes, explain on separate paper. Trailer Information: Length SS Ft Width Height / 0 Registration No. — Serial No. Method of Sewerage disposal Source of Water Supply EZL Source of Electricity './�. CO IMPORTANT Copy of survey showing location of existing buildings and existing/proposed trailer must be attached to this application. /OQ f'9'l/U l 00 rr nvBic�/�hnF /0 - State of New York County yoofSuffolk � l U -?-IS 6-f A) �` I k 06-14-JZ7�F being duly sworn, deposes and says that that (s)he is the applicant named above and (s) he is aut orized to make and file this application; and that all statements contained in this ap ;<c ion are rue to the best of(her) his knowledge and belief; and that rail r will be loc ed ' tV manner set forth in the application filed herewith. ( ignature) Sworn to before me this ,L�day of � Gf ,2 00 ary Pub ' V3o.304523522 A/ CIenrnis3ion i XPA3 Deo. i i, ' � o�*pF SO(/jyol ELIZABETH A. NEVILLE '` Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICSG Q Southold, New York 11971 MARRIAGE OFFICER Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER `►oUN� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TRAILER PERMIT Permit Number: 64 Date: 08/15/2006 Issued to: Mikolajczyk, Zdzislaw Address: 301 Kell Avenue Staten Island,NY 10314 A permit is hereby issued to locate a single trailer, as follows: License No.: Serial No.: Located at: 800 John's Rd., Mattituck SCTM#: 122-3-21 Pursuant to application dated 08/09/2006. Expiration Date: 02/09/2007 This renewal permit is granted for a six (6)month period. Elizabeth A. Neville Southold Town Clerk Town Of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 08/15/06 Receipt#: 298 Transaction(a): Reference Subtotal 1 1 House Trailer Permit 64 $100.00 Check#: 298 Total Paid: $100.00 Name: Mikolajczyk, Zdzislaw 301 Kell Avenue Staten Island, NY 10314 Clerk ID: LINDAC Internal ID:64 o�*oF so�ryol ELIZABETH A. NEVILLE Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 N �c Southold,New York 11971 REGISTRAR OF VITAL STATISTICS G MARRIAGE OFFICER �Q Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER �l� 'mI Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER 10ou "�� southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Organization Name: Permit Number: 64 Name: Mikolajczyk,Zdzislaw Address: 301 Kell Avenue Staten Island,NY 10314 City ST Zip: * *RENEWAL NOTICE This is to advise you that your Trailer permit will expire on 08/09/2006 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 8/9/2006 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 � pF SO�r�,ol ELIZABETH A.NEVILLE O Town Hall, 53095 Main Road TOWN CLERK 1 P.O. Box 1179 REGISTRAR OF VITAL STATISTICS G Q Southold,New York 11971 MARRIAGE OFFICER Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER l Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER COMM+� 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: March 1, 2006 Re: Trailer Renewal Please perform an inspection and advise if the trailer permit may be renewed for the following: Applicant: Zdzislaw Mikolajczyk Trailer Address: 800 Johns Road,Mattituck Thank you. OF SOUryol ELIZABETH A.NEVILLE '` O Town Hall, 53095 Main Road TOWN CLERK l�L l P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold,New York 11971 MARRIAGE OFFICER '�►O �� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER ,mI Telephonep(P�3�1k)X765-1800 l�`, FREEDOM OF INFORMATION OFFICER OUNT`1, southoldto*it. W .net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD APPLICATION SINGLE AUTOMOBILE TRAILER OR HOUSE CAR Fee: $100 (for maximum of six (6) months) Must be submitted with application. Please check one: New Application ( ) Renewal Permit No. Received Date: Issue Date: Expiration Date: Name of Applicant: 2 D 0-1-51-,4 JZ Mailing Address: K E-4 L V67- &J /67&J St Telephone No. ?-/S —6WSJ' Applicant is: (Owner ( )Lessee ( )Agent for Owner ( )Agent for Lessee Name of Owner of Premises ` SelhU If owner is corporate, signature and title of duly authorized officer: Number of Occupants & Names: �s MailingAddress /1 Q.,'z Telephone No.: 63/ - Zqe— 0,U� Employer of Occupant (Name) (Address) (Telephone Number) Property Information Street address of land on which trailer will be located: SCTM#: Y;� 3,9 of / Z, .�3 — 2-/ Existing use and occupancy of premises and intended use and occupa cy of proposed trailer: 1. Existing use and occupancy Fi,9,k/LY FRV-4117 Z. Intended use and occupancy 3. Period of time trailer is to be located on premises: Lot Size: Front I 'D D FT Dear f OV -F:-r" Depth / tl'f. Yl Date of purchase or lease of landT Zoning District for premises: Does,proposed use violate any zoning ordinance or law? '4No ( )Yes If yes, explain on separate paper. Trailer Information: Length .SiFP-T Width 10 p'I- Height 1 0 0:::�'• Registration No.• A44— Serial No. Method of Sewerage disposal Stene- 7-,o-A/,G Source of Water Supply IV 6-'1, t- Source of Electricity L i L C'O IMPORTANT Copy of survey showing location of existing buildings and existing/proposed trailer must be attached to this application. M Jh" /00" k-- CO Li v p' Mori�� rfo�rt7,d s.r State of New York Con o of being duly sworn, deposes and sa that that (s)he is the pl' me a ov and (s) he is authorized to make and file this application; and th al statements contained in this applicati n are true to the best of(her) his knowledge and belief; and that t railer will be loc in the ner set forth in the application filed herewith. (Signature) Sworn to before me this day of (Notary P lic) o,�rary P,.,LiiC. Sfax of r,1e,w York No, 30-4528522 Q,,alifled in Nassau County cammrssion F-xpires Dec.31.20� �o��pF SO!/j�,ol ELIZABETH A.NEVILLE Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 daG �r Southold,New York 11971 REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER O Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER �li�'C+0 Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER U + southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TRAILER PERMIT Permit Number: 64 Date: 02/09/2006 Issued to: Mikolajczyk, Zdzislaw Address: 301 Kell Avenue Staten Island,NY 10314 A permit is hereby issued to locate a single trailer, as follows: License No.: Serial No.: Located at: 800 John's Rd., Mattituck SCTM#: 122-3-21 Pursuant to application dated 02/09/2006. Expiration Date: 08/09/2006 This renewal permit is granted for a six (6) month period. Elizabeth A. Neville Southold Town Clerk Town Of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 02/09/06 Receipt#: 295 Transaction(s): Reference Subtotal 1 1 House Trailer Permit 64 $100.00 Check#: 295 Total Paid: $100.00 Name: Mikolajczyk, Zdzislaw 301 Kell Avenue Staten Island, NY 10314 Clerk ID: LINDAC Internal ID:64 OF SO(/Tyol ELIZABETH A.NEVILLE '` Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 H �r Southold,New York 11971 REGISTRAR.OF VITAL STATISTICS G aC MARRIAGE OFFICER Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER �l�'CO 'mI Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Organization Name: Permit Number: 64 Name: Mikolajczyk,Zdzislaw Address: 301 Kell Avenue Staten Island,NY 10314 City ST Zip: * *RENEWAL NOTICE This is to advise you that your Trailer permit will expire on 02/09/2006 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 2/9/2006 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 Southold Town Hall Annex 54375 Route 25, P.O. Box 1179 EDWARD FORRESTER .fit Southold, New York 11971-0959 co DIRECTOR OF CODE ENFORCEMENT Telephone (631) 765-1939 p Facsimile (631) 765-6639 e-mail: ��.( �►a ed.forrester@town.southold.ny.us TOWN OF SOUTHOLD MEMORANDUM TO: Linda Cooper, Deputy Town Clerk FROM: Ed Forrester, Director of Code Enforcement DATE: August 12, 2005 RE: Trailer Permit#64 Renewal, Mikolajczyk, Please be advised that the trailer on this property is being used as a permanent dwelling by a tenant of the property owner. The trailer has been improved with an attached covered patio, although it may have existed as an addition since it's original placement at that location. This use of the structure is better suited for the issuance of a C.O. from the Building Department. 0 *pF SOUryo ELIZABETH A.NEVILLE '`� l0 Town Hall, 53095 Main Road TOWN CLERK l�[ l P.O. Box 1179 REGISTRAR.OF VITAL STATISTICS N Southold, New York 11971 MARRIAGE OFFICER �� Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER �l�' Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER C�UI11 +� southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TRAILER PERMIT Permit Number: 64-8/04 Date: 08/25/2005 Issued to: Mikolajczyk, Zdzislaw Address: 301 Kell Avenue Staten Island,NY 10314 A permit is hereby issued to locate a single trailer, as follows: License No.: Serial No.: Located at: 800 John's Rd., Mattituck SCTM#: 122-3-21 Pursuant to application dated 08/09/2004. Expiration Date: 02/09/2005 This renewal permit is granted for a six(6) month period. • 4 . 2�w� Elizabeth A.Neville Southold Town Clerk • O ok�rjFS 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 OFFICERU ,� Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER 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: August 10, 2005 Re: Trailer Renewal Please perform an inspection and advise if the trailer permit may be renewed for the following: Applicant: Zdzislaw Mikolajczyk Trailer Address: 800 John's Rd.,Mattituck Thank you. SO�lyo ELIZABETH A.NEVILLE ti0 lQ Town Hall,53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR.OF VITAL STATISTICS N Southold, New York 11971 MARRIAGE OFFICER � �Q� Fax(63RLTft r RECORDS MANAGEMENT OFFICER Z7.1 Telephone(631) 76500 FREEDOM OF INFORMATION OFFICER I�OUNTIsoutholdtown.northfork.net AUG' 10 2005 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Southold Town Clerk APPLICATION SINGLE AUTOMOBILE TRAILER OR HOUSE CAR Fee: 100 (for maximum of six(6) months) Must be submitted with application. Please check one: New Application ( ) Renewal ( Permit No. 6 Received Date: Issue Date: Expiration Date: 81906' Name of Applicant: Z P a /SZ`4 0 W 1 K0L 14 TL 7Y/C Mailing Address: 301 ELL Ve Telephone No. '-7<b>- 6 9834 ..S' Applicant is: ( )Owner ( )Lessee ( )Agent for Owner ( )Agent for Lessee Name of Owner of PremisesD�/sc / If owner is corporate, signature and title of duly authorized officer: Number of Occupants j &Names: /,moo &wG MailingAddress d A# /6 tjr Telephone No.: 6 31- Z� O 2/,f Employer of Occupant WA (Name) (Address) (Telephone Number) Property Information Street address of land on which trailer will be located: P 0-0 7o 0-0 1 vz-,-rU cam, N Y // rL- SCTM#: Y-7 3889 /JZ; — 3--2-/ Existing use and occupancy of premises and intended use and occupancy of proposed trailer: 1. Existing use and occupancy / P*1 i1'y 0--as is ayCF 2. Intended use and occupancy 4; 42�f &Z- 3. Z3. Period of time trailer is to be located on premises: nVEI-I Lot Size: Front /00 Fr. Rear / 00 F T- Depth Date of purchase or lease of land Zoning District for premises: Does proposed use violate any zoning ordinance or law? CXNo ( )Yes If yes,explain on separate paper. Trailer Information: Length .SS Fr-. Width 10 FT. Height l 40 Pl' Registration No. Serial No. A- Method of Sewerage disposal .5 "n C 77$7U Y Source of Water Supply Source of Electricity L, L Gy IMPORTANT Copy of survey showing location of existing buildings and existing/nroposed trailer must be attached to this application. C v ✓�2dD Eli 3S� State of New York County of Suffolk / 2!10;?/s I&V /''l iiC ,4-Tr 2-Al)e being duly sworn, deposes and says that that (s)he is the applicant named above and (s) he is authorized to make and Me this application; and that all statements contained in this applic ' are true to the best of(her) his knowledge and belief; and that the trailer will be 1 ated ' the manner set forth in the application filed herewith. (Signature) Sworn to before me this day of otary lic) JESUS MORALES Notary Public,State of New York No.30-4528522 Oualifl in Nassau County , Commission Expires DOC 31,20n • Town Of Southold P.O Box 1179 • Southold, NY 11971 * * * RECEIPT * * * Date: 08/10/05 Receipt#: 291 Transaction(s): Reference Subtotal 1 1 House Trailer Permit 64 $100.00 Check#: 291 Total Paid: $100.00 Name: Mikolajczyk, Zdzislaw 301 Kell Avenue Staten Island, NY 10314 Clerk ID: LINDAC Internal ID:64 • �, 6/�/o5 *oF so�ryo ELIZABETH A.NEVILLE Town Hall,53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR,OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER _ �p� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER ��. Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER COU NT'1,� southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Organization Name: Permit Number: 64 Name: Mikolajczyk,Zdzislaw Address: 301 Kell Avenue Staten Island,NY 10314 City ST Zip: * *RENEWAL NOTICE This is to advise you that your Trailer permit will expire on 08/09/2005 Enclosed is a trailer permit application. Complete the application,have your signature notarized and return it to this office with the required fee of$100.00 as soon as possible. Please make your check or money order payable to the "Southold Town Clerk". If your application and fee are not received on or before$/9/2005 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 s • • ,0F Sol//,, 'ELIZABETH A. NEVILLE �0� lQ Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER �O� Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER0 Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER IyCO(f NTY,� southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TRAILER PERMIT , Permit Number: 64 Date: 04/06/2005 Issued to: Mikolajczyk, Zdzislaw Address: 301 Kell Avenue Staten Island, NY 10314 A pen-nit is hereby issued to locate a single trailer, as follows: License No.: Senal No.: Located at: 800 John's Rd., Mattituck SCTM#: 122-3-21 Pursuant to application dated 02/09/2005. Expiration Date: 08/09/2005 This renewal permit is granted for a six(6) month period. Elizabeth A. Neville Southold Town Clerk . • �fFO� • Southold Town Hall Annex 54375 Route 25, P.O. Box 1179 EDWARD FORRESTER Z_3 < Southold,New York 11971-0959 DIRECTOR OF CODE ENFORCEMENT y Z Telephone (631) 765-1939 p Facsimile (631) 765-6639 T' ��� e-mail: ��.( �►a ed.Forrester@town.southold.ny.us TOWN OF SOUTHOLD MEMORANDUM TO: Elizabeth Neville, Town Clerk FROM: Ed Forrester, Director of Code Enforcement DATE: March 14, 2005 RE: Trailer Permit Renewal #64, Mikolajczyk Please be advised the trailer on this property is the primary dwelling, it may be better suited for the issuance of a C.O. or Pre C.O. (if applicable). However it does comply with the conditions of the previously issued permit. o�*OF SO!/jypl 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 �Q Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER OlyTelephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER �ouwrt,N 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: March 11, 2005 Re: Trailer Renewal Please perform an inspection and advise if the trailer permit may be renewed for the following: Applicant: Zdzislaw Mikolajczyk Trailer Address: 800 Johns Rd.,Mattituck Thank you. 1 , oF souryo� ELIZABETH A.NEVILLE Q Town Hall,53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS A Southold, New York 11971 MARRIAGE OFFICER �Q Fax(631) 765-6145 RECORDS MANAGEMENT OFFICERp% . Telephone (631) 765-1800 � FREEDOM OF INFORMATION OFFICER cou 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: March 11, 2005 Re: Trailer Renewal Please perform an inspection and advise if the trailer permit may be renewed for the following: Applicant: Zdzislaw Mikolajczyk Trailer Address: 800 Johns Rd., Mattituck Thank you. t t . • t o�oSUFFo��.�oG ELIZABETH A.NEVILLE y� Town Hall, 53095 Main Road TOWN CLERK y Z P.O.Box 1179 REGISTRAR OF VITAL STATISTICS 5 Southold, New York 11971 MARRIAGE OFFICERy • O�� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER .� `�►a Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD APPLICATION SINGLE AUTOMOBILE TRAILER OR HOUSE CAR Fee: $100 (for maximum of six(6) months) Must be submitted with application. Please check one: New Application ( ) Renewal Permit No. �$ Received Date: Issue Date: Expiration Date: Name of Applicant: Mailing Address: 3 O X t'L C Telephone No. 21 a? 6 1 F3 3 SLsAs" Applicant is; �46wner ( )Lessee ( )Agent for Owner ( )Agent for Lessee Name of Owner of Premises 5 L*-U) If owner Is corporate, signature and title of duly authorized officer: Number of Occupants & Names: �j�y ,�p 64j If¢-A.l�f MailingAddress / Q cit N Y Telephone No.: 4573i 2- 9B O�2-1-S' Employer of Occupant (Name) (Address) (Telephone Number) Property Information Street address of land on which trailer will be located: c tJ S"`L SCTM#: fig 1 L 2-, - 5-2-1 Existing use and occupancy of premises and intended use and occupancy of proposed trailer: 1. Existing use and occupancy ( EPV / L Y Sr 2. Intended use and occupancy 3. Period of time trailer is to be located on premises: r i Lot Size: Front 0 Rear 100 rr Depth l 4-1 r--�r. Date of purchase or lease of land �&>-70 7 '&-7�1 / V 3X--0 Zoning District for premises: Does proposed use violate any zoning ordinance or law? To ( )Yes If yes, explain on separate paper. Trailer Information: Length pwr. Width Height l0 p—T, Registration No. Serial No. -" Method of Sewerage disposal $ 7-7C– �X Source of Water Supply Source of Electricity Gp IMPORTANT Copy of survey showing location of existing buildings and existing/proposed trailer must be attached to this application. oa 4ev OV Ff 4--7'v �p J� State of New York County of Suffolk 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 app"tion tion are true to the best of(her) his knowledge and belief; and th tr . r will be oc ed in the manner set forth in the application filed herewith. r, (Signature) Son to before me thisi day of "j lit�{.: .,^ ;2 y;' (Nfary P lic NELSON MWI.CA Notary Public She Of NOW TO& No.01MU 1 Qualified I ouMy Commission Expires:08-31 •Town Of Southold • P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 03/10/05 Receipt#: 287 Transaction(s): Reference Subtotal 1 1 House Trailer Permit 65-2005 $100.00 Check#: 287 Total Paid: $100.00 Name: Mikolajczyk, Zdzislaw 302 Kell Avenue Staten Island, NY 10314 Clerk ID: LINDAC Internal ID:65-2005 o��S�EFO�,�coG ELIZABETH A.NEVILLE y� Town Hall, 53095 Main Road TOWN CLERK W Z P.O. Box 1179 REGISTRAR OF VITAL STATISTICS O Southold, New York 11971 MARRIAGE OFFICERy • ��� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER l �a Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Organization Name: Permit Number:64-8/04 Name: Mikolajczyk,Zdzislaw Address: 301 Kell Avenue Staten Island,NY 10314 City ST Zip: * *RENEWAL NOTICE expired This is to advise you that your Trailer permit vvi&ixpim on 02/09/2005 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 3/28/05you Permit will be revoked and you will be required to remove the trailer from the premises. Thank you for your cooperation. Very truly yours, 117 Elizabeth A. Neville Southold Town Clerk Enclosure g�FF ��0 CGG ELIZABETH A. NEVILLE a� y Town Hall, 53095 Main Road TOWN CLERK H Z P.O. Box 1179 REGISTRAR.OF VITAL STATISTICS 0 Southold, New York 11971 MARRIAGE OFFICER y' O� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER a Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TRAILER PERMIT Permit Number: 64-8/04 Date:08/27/2004 Issued to: Mikolajczyk, Zdzislaw Address: 301 Kell Avenue Staten Island,NY 10314 A permit is hereby issued to locate a single trailer, as follows: License No.: Serial No.: Located at: 800 John's Rd., Mattituck SCTM#: 122-3-21 Pursuant to application dated 08/09/2004. Expiration Date: 02/09/2005 This renewal permit is granted for a six(6)month period. Elizabe%A. Neville Southold Town Clerk • Town Of Southold • P.O Box 1179 Southold, NY 11971 * * * RECEIPT Date: 08/05/04 Receipt#: 0 Transaction(s): Subtotal 1 House Trailer Permit $100.00 Check#: 284 Total Paid: $100.00 Name: Mikolajczyk,Zdzislaw 30; Kell Avenue Staten Island, NY 10314 Clerk ID: JOYCEW Intemal ID:99223 • �FF01 • ELIZABETH A.NEVILLE Town Hall, 53095 Main Road TOWN CLERK * P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER y O!� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER �Ol �`� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net RECEIVED OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD AUG g 2004 APPLICATION a SINGLE AUTOMOBILE TRAILER OR HOUJOCAR UOId Town Clerk Fee: $100 (for maximum of six(6) months) Must be submitted with application. Please check one: / New Application O Renewal K Permit No. h Received Date: Issue Date: Expiration Date: Name of Applicana4 �¢ Jr--2-Y,< Mailing Address: '3 O E'L.L c S Ili D Telephone No. - S_ Applicant is:yhNAOwner ( )Lessee ( )Agent for Owner ( )Agent for Lessee Name of Owner of Premises ZD-2-lse,&w t — If owner is corporate, signature and title of duly authorized officer: Number of Occupants & Names: /ogogtrr-5 to tv c rLxj MailingAddress 'e!!?d ddrG A6ft7ZUe-A-. ,r1 Y //isL Telephone No.: r 3 1— A?j, / O.?✓.S Employer of Occupant A)! (Name) (Address) (Telephone Number) Property Information Street address of land onhich trailer will be located: eov ToN-us RD e4e,* 771 Cil A) Y i/ I.fZ- SCTM#: ZI-7 389 /2L*—_3 — 2-/ Existing use and occupancy of premises and intended use and 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: 0 Lot Size: Front / ()0 ' Rear / 00 Depth /�.� �� fir• Date of purchase or lease of land Zoning District for premises: Does proposed use violate any zoning ordinance or law? t4No ( )Yes If yes, explain on separate paper. Trailer Information: Length SS FT Width / a PI— Height Registration No. Serial No. Method of Sewerage disposal 77 C 7—AIU' Source of Water Supply Et— Source LSource of Electricity / /L C IMPORTANT Copy of survey showing location of existing buildings and existing/proposed trailer must be attached to this application. 0 0 C7- /00117- State T/ODfTState of New York County of Suffolk being duly sworn, deposes and says that that (s)he is the applicant named above and (s) he is authoriz d to make and file this application; and that all statements contained in this applic 'on a true to the best of(her) his knowledge and belief, and tha a tr ' r will be to ted i the ma er set forth in the application filed herewith. ,r (Signature) Smto before me this day of ,2 a� otary P lic) �t�1111lOIIAtt Paas C'�",a3 r1AoAt gf�FFO�,� • 4�� CSG ELIZABETH A.NEVII.LE �� y� Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICSSouthold, New York 11971 MARRIAGE OFFICER � Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER ��,( �a Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Organization Name: Permit Number:64-02-04 Name: Mikolajczyk,Zdzislaw Address: 301 Kell Avenue Staten Island,NY 10314 City ST Zip: * *RENEWAL NOTICE* This is to advise you that your Trailer permit will expire on 08/09/2004 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 8/9/04 you Permit will be revoked and you will be required to remove the trailer from the premises. Thank you for your cooperation. Very truly yours, beth A. Neville Southold Town Clerk Enclosure ELIZABETH A.NEVILLE �� � Town Hall,53095 Main Road TOWN CLERK Z P.O.Box 1179 REGISTRAR OF VITAL STATISTICS ��� • �� Southold,New York 11971 MARRIAGE OFFICER O Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TRAILER PERMIT Permit Number: 64-02-04 Date:07/15/2004 Issued to: Mikolajczyk,Zdzislaw Address: 30f Kell Avenue Staten Island,NY 10314 A permit is hereby issued to locate a single trailer, as follows: License No.: Serial No.: Located at: 800 John's Rd.,Mattituck SCTM#: 122-3-21 Pursuant to application dated 02/09/2004. Expiration Date: 08/09/2004 This renewal permit is granted for a six(6)month period. beth A Ne Southold Town Clerk O�g�1FF0j,q ELIZABETH A.NEVILLE �� J.� 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 Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TRAILER PERMIT Permit Number: 64-08/03 Date:07/15/2004 Issued to: Mikolajczyk, Zdzislaw Address: 302 Kell Avenue Staten Island,NY 10314 A permit is hereby issued to locate a single trailer, as follows: License No.: Serial No.: Located at: 800 John's Rd., Mattituck SCTM#: 122-3-21 Pursuant to application dated 08/09/2003. Expiration Date: 02/09/2004 This renewal permit is granted for a six(6)month period. beth A.Neville Southold Town Clerk own Of Southold • P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 07/15/04 Receipt#: 0 Transaction(s): Subtotal 1 House Trailer Permit $100.00 Cash#: 283 Total Paid: $100.00 Name: Mikolajczyk,Zdzislaw 302 Kell Avenue Staten Island, NY 10314 Clerk ID: JOYCEW Intemal ID:98226 *own Of Southold • P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 07/15/04 Receipt#: 0 Transaction(s): Subtotal 1 House Trailer Permit $100.00 Check#: 283 Total Paid: $100.00 Name: Mikolajczyk,Zdzislaw 302 Kell Avenue Staten Island, NY 10314 Clerk ID: JOYCEW Intemal ID:98225 o��S0EF0��►�o ELIZABETH A.NEVILLE ti� Gy� Town Hall, 53095 Main Road TOWN CLERK ti - P.O. Box 1179 REGISTRAR OF VITAL STATISTICS vfto Southold, New York 11971 MARRIAGE OFFICER O!� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER �01 �a Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER southoklkplm parthfork.net EIYEW OFFICE OF THE TOWN CLERK JUL 15 n4 TOWN OF SOUTHOLD JA --)-g3 APPLICATION Southold Torun Clerk SINGLE AUTOMOBILE TRAILER OR HOUSE CAR Fee: $100(for maximum of six(6)months) Must be submitted with application. Please check one: New Application ( ) RenewalK Permit No. 46 Received Date: Issue Date: Expiration Date: Name of Applicant: Mailing Address: D L L - Telephone No. — Applicant is:,e�ner ( )Lessee ( )Agent for Owner ( )Agent for Lessee Name of Owner of Premises _ p /,J L 1 �jLc�= Vl A/bt'0Z4JZ7�VC If owner is corporate,signature and title of duly authorized officer: Number of Occupants &Names: 9--5 L MailingAddress 0 ,B Telephone No.: _ Q Employer of Occupant . Name) (Address) (Telephone Number) Property Information Street address of land on which trailer will be locateo: a� J© res SCTM#: / Z 210 3 4 1 Existing use and occupancy of premises and intended use and occupancy of proposed trailer: 1. Existing use and occupancy 1 L Y 11)t.U C-C- 2. Intended use and occupancy 3. Period of time trailer is to be located on premises: Lot Size: Front J t-;-tear P� Depth eS;C/ I -T, Date of purchase or lease of land Zoning District for premises: Does proposed use violate any zoning ordinance or law? KAo ( )Yes If yes,explain on separate paper. Trailer Information: Length Width t D Pj— Height L P-F Registration No. U V-- Serial No. PI ft- Method of Sewerage disposalC �X'XG Source of Water Supply W G- (. Source of Electricity L C C L)0-2 apYT S L) CC 05rd� IMPORTANT Copy of survey showing location of existing buildings and existing/proposed trailer must be attached to this application. pr SOE-D CcJr72c'D �9r/J /00` loo FT nOB►LE ►+arte f0' 5S State of New York County of Suffolk being duly sworn, deposes and says that that (s)he is the applicant named above and (s) he is autho ' to make and file this application; and that all statements contained in this appli ion are true to the best of(her) his knowledge and belief; and that the trailer will be I ted ' the oma er s forth in the application filed herewith. ignature Sworn to before me this day of �L ,2 (Nota ublic) g►R-.mac-„,C"-)C?r"Yat � su�Fot�r ELIZABETH A.NEVILLE h`Z G'y Town Hall,53095 Main Road TOWN CLERK ce P.O. Box 1179 REGISTRAR OF VITAL STATISTICS • Southold,New York 11971 MARRIAGE MANAGEMENT OFFICER SIJ o Fax(631) 765-6145 RECORDS yQ( .��! Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD May 17, 2004 Trailer Permit No. 64 Zdzislaw Mikolajczyk 301 Kell Avenue Staten Island,New York 10314 Dear Mr. Mikolajczyk: The Code Committee of the Town Board is in the process of reviewing trailer permit applications. Your trailer permit will be renewed upon completion of the enclosed application form and appropriate fees due. Please note the additional information asked for on the form regarding the occupants of the trailer. A renewal was due on August 9, 2003 and February 9, 2004 at a fee of$100.00 each. Therefore a check in the amount of$200.00 is due at this time. If you have any questions,please do not hesitate to call me at 765-1800. Thank you. Very truly yours, Q Elizabeth A. Neville Southold Town Clerk Enclosure 3FFC Town Hall, 53095 Route 25 P.O.Box 1179 CS Southold,New York 11971-0959 EDWARD FORRESTER Z Telephone(631) 765-1939 DIRECTOR OF CODE ENFORCEMENT �y • Facsimile(631) 765-1823 e-mail: °1 l �►aO ed.forrester@town.southold.ny.us TOWN OF SOUTHOLD RECEIVED MEMORANDUM 2 5 2004 TO: Elizabeth Neville, Town Clerk Southold Town Clert FROM: Ed Forrester, Director of Code Enforcement DATE: March 25, 2004 RE: Trailer Permit 64, Zdzislaw Mikolajczyk Please be advised that the applicant is seeking to renew an existing permit for a trailer that is used as a dwelling. The trailer has been renovated with a new roof and a porch addition. o� �o ELIZABETH A.NEVILLE �� � Town Hall, 53095 Main Road TOWN CLERK Z P.O. Box 1179 REGISTRAR OF VITAL STATISTICS � Southold, New York 11971 MARRIAGE OFFICER y ��� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER ��,� .�a Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD To: Ed Forrester, Code Enforcement From: Elizabeth A. Neville, Town Clerk Date: March 2, 2004 Re: Trailer Permit Renewals The Town Board would like all trailer permits to be inspected before they are renewed. Please include the name of the owner and the present occupant. Permit No. 157—Corazzini Asphalt, Inc., 6245 Cox La., Cchogue Permit No. 112—Flora Nurseries, 6900 Wickham Ave., Mattituck Permit No. 95 -Martin Sidor, Oregon Rd.,Mattituck Permit No. 107—Jacqueline Moeller, C.R. 48, Southold Permit No. 115 —Northeast Nurseries, C.R. 48, Cutchogue Permit No. 97 - Frank McBride, Oregon Rd., Cutchogue Permit No. 64 -Zdzislaw Mikolajczyk, John's Rd. off Main Rd., Mattituck Permit No. 41 —John C. Tuthill, Elijah's La., Mattituck Permit No. 133 —Thomas Wowak, Main Rd., Laurel Permit No. 156—Fine Care Landscaping, 280 Bridge La., Cutchogue • FfO� • ELIZABETH A.NEVILLE � Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER .f► o`� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Permit No. 51 —Ange &Barbara Bourisquot, Pvt Rd. off Main Rd., Mattituck Permit No. 107—Mary Ciupryk, 390 Hill St., Mattituck Permit No. 111 —Eugene &Alphenic Martin, w/s Tuthill Rd., Cutchogue Permit No. 129—Bruce M. Vitale, 7280 Sound Ave., Mattituck Permit No. 125 —Joseph Petrauskas, 490 Hill St., Mattituck Permit No. 149—Vicent Rossi & Christine Larsen, 1275 Cedar Beach Rd., Southold Permit No. 138 —Donald&Jeanne Grim, 11910 Oregon Rd., Cutchogue Permit No. 164—Donald Grim, Cox La., &CR 48, Cutchogue Permit No. 167—Timothy&Margaret Hollowell, 1280 Smith Dr., Southold Permit No. 159—Laurel Links Country Club, 6400 Main Rd., Laurel Permit No. 166—Efeyenia Matsis, 435 Inlet Dr., Mattituck Permit No. 78 - Gian Mangieri, Pvt. Rd. off Main Rd., Laurel Permit No. 168 —Walter Teresko, 1285 New Suffolk Rd., Cutchogue Permit No. 148—Roy&Joanne Schelin, 8475 Cox La., Cutchogue Permit No. 165 —Juan Secaida, 630 Wiggins St., Greenport � SUFFot� � ELIZABETH A.NEVILLE �� 'y� Town Hall, 53095 Main Road TOWN CLERK y - P.O.Box 1179 REGISTRAR,OF VITAL STATISTICS 1 Southold,New York 11971 MARRIAGE OFFICER Oy Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER ��l �ao Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net OFFICE OF THE TOWN-CLERK TOWN OF SOUTHOLD To: Michael Verity, Building Dept. From: Elizabeth A. Neville, Town Clerk Date: November 5, 2003 Re: Trailer Permits Attached are copies of the trailer permits you requested. • • �o�suFFot,��oG ELIZABETH A.NEVILLE 'y� Town Hall,53095 Main Road TOWN CLERK H P.O.Box 1179 REGISTRAR OF VITAL STATISTICS W Southold,New York 11971 MARRIAGE OFFICER ,fi Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER �01 �a� Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD To: Mike Verity, Building Department From: Betty, Neville Date September 29, 2003 Re: Trailer Permits As you know, the Town Board would like all trailer permits to be inspected before they are renewed. Please include the name of the owner and the present occupant. Permit No. 157—Corazzini Asphalt, Inc., 6245 Cox La., Cutchogue Permit No. 112—Flora Nurseries, 6900 Wickham Ave., Mattituck Permit No. 95 —Martin Sidor, Oregon Rd., Mattituck Permit No. 107—Jacqueline Moeller, C.R. 48, Southold Permit No. 115 —Northeast Nurseries, C.R. 48, Cutchogue Permit No. 97—Frank McBride, Oregon Rd., Cutchogue Permit No. 64—Zdzislaw Mikolajczyk, John's Rd. off Main Rd., Mattituck o�OS�FFO(,�cQ ELIZABETH A.NEVILLE _� Gy� Town Hall, 53095 Main Road TOWN CLERK o - P.O. Box 1179 REGISTRAR,OF VITAL STATISTICS - Southold, 9 w York 11971 MARRIAGE OFFICER 1i �� Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER �Ql �a� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SINGLE TRAILER OR HOUSECAR LOCATION RENEWAL PERMIT Permit No. 64 Date February 19, 2003 Issued to Zdzislaw Mikolajczyk Address 301 Kell Avenue Staten Island NY 10314 A renewal permit is hereby issued for the . location of a single trailer/housecar at John's Rd. off Main Rd., Mattituck, NY pursuant to application dated February 9,__2003 This renewal permit is granted for a six (6) month period. Expiration date August 9, 2003 E zabeth A. Neville Southold Town Clerk TOWN OF SOUTHOLD TOWN CLERK'S OFFICE Town Hall, 53095 Main Road P.O. Box 1179 F E i# 8 Southold, New York 11971 p( ]7 S' (516) 765-1801 T PERMIT NO. 64 EXPIRATION DATE: February 9, 2003 R E N E W A L APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE OAR, 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........,.... PAD er , ., ...., ... . .............................. Name of Owner of premises ......Zdzislaw Mikolajczyk 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 .......Ad ttituck, New York ............................................. Street and number ..............John's, Road off Main Road ................................................................................................................... 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy one family dwelling ..... ......... .......... .................................. b. Intended use and occupancy ...........sam .....e ........................................................................................ c. Period of time trailer is to be located on premises ...................................................................... 3. Fee ...........$1.0.R.-.20..................... (To be paid on filing application) .... 4. Dimensions of trailer, length1' 11.........55...............width ...........I.0'.................. height ....1.......6................. Registration Number ........................................ .Serial Number S55 TEK 158 ............................................................ • 0 5. Size of lot: Front ...............0...........................Rear ............100 ............. Depth ......185.................... 6. Date of purchase or lease of land .................... ............................................................................. 7. Zone or use. district in which premises are situated .....".A.'.'..A...''...........B11................................................... 8. Does proposed use violate any zoning low, ordinance or regulation? ...........no,,,, 9. a. Method of Sewerage disposal cesspool.................• b. Source of Water Supply .....................well ,,,,,,,,,,,,.... ...... .................................................................. c. Source of Electricity Lilco ............................ ..................................................................................... 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 J ss. . . ...,.Zdzislaw Mikolajczyk .. .................... ...... .... .................................................. being duly sworn, deposes and says that he is the applicant named above. He is theowner .....................................................:...................................... (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 ; L/ ...... ., a .. ......, .. : .�. ... atu .... ......... .......... ................... (Notary Public) r '� �h � o�oSUFFot,��QG ELIZABETH A. NEVILLE _� 'y� Town Hall, 53095 Main Road TOWN CLERK H - P.O. Box 1179 REGISTRAR.OF VITAL STATISTICS w Southold, New York 11971 MARRIAGE OFFICER �,fi !� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER �Ql �a0 Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD January 28, 2003 Zdzislaw Mikolajczyk 301 KeI1 Avenue Staten Island, NY 10314 r Re : Trailer Permit Renewal No. 64 Dear Mr. Mikolajczyk: This is to advise you that your Trailer Permit will expire on February 9, 2003. 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 February 9, 2003, 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��s�FFO(,�coG ELIZABETH A. NEVILLE 'y� Town Hall, 53095 Main Road TOWN CLERK H - P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER y'f1p1 �aO� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SINGLE TRAILER OR HOUSECAR LOCATION RENEWAL PERMIT Permit No. 64 Date August 6, 2002 Issued to Zdzislaw Mikolajczyk Address 301 Kell Avenue Staten Island, NY 10314 A renewal permit is hereby issued for the location of a single trailer/hcwanaaox at John's Rd. off Main Rd. , Mattituck pursuant to application dated August 9, 2002 This renewal permit is granted for a six (6) month period. Expiration date February 9, 2003 z u. • Elizabeth 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 ��-a `'. I (516) 765-1801 (-,�#/ ut Town Cwk PERMIT NO. 64 EXPIRATION DATE: August 9, 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..............owner ................................................................ Name of Owner of premises ......Zdzislaw Mikolajcz�k ............ ............................................................................... If applicant is corporate, signature of duly authorized officer .................................................................................... (Name and title of corparote officer) 1. Location of land on which proposed trailer will be located .......Mattituck, New York ............................................. Street and number John's Road off Main Road ........................................................................................................... 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer; a. Existing use and occupancy one family lling. ..... ...d.......we ............................................. b. Intended use and occupancy same . ....................................................................................... 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 10' 11' 6 " .........55 width ................................ height ................. ............................ Registration Number ........................................ .Serial Number ..:..............S55 TEK 158 ........................................... 5. Size of lot: Front .............1.00,........................Rear ............100'............. Depth ......185'................... 6. Date of purchase or lease of land ...................ln ............................................................................. ..A.. C 7. Zone or use district in which premises are situated ....................11..B11................................................... 8. Does proposed use violate any zoning law, ordinance or regulation? ...........no.... 9. a. Method of Sewerage disposal ...............cesspool............................................................................ b. Source of Water Supplywell ................................................................................................................. c. Source of Electricity Lilco ............................ ..................................................................................... 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 COUNTY OF SUFFOLK J ss. Zdzislaw Mikolajczyk .. being duly sworn, deposes and says that he is the applicant named above. He is the owner ....,............................................................... . ................ (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 ? s .......................... , � .. (Signat ........... . ... . orary Public)l i c) JESUS MORALES c ��� ....�. Nobwy Pubic.Shft of Now Y0* Na 304530622 lniv Commission Dec.?1.2,14? o�oSUFFoc,��oG 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 Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD July 19, 2002 Zdzislaw Mikolajczyk 301 Kell Avenue Staten Island, NY 10314 Re : Trailer Permit Renewal No. 64 Dear Mr. Mikolajczyk: This is to advise you that your Trailer Permit will expire on August 9,2002. 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 August 9, 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 • • ELIZABETH A. NEVILLE �� Gy Town Hall, 53095 Main Road TOWN CLERK y P.O. Box 1179 REGISTRAR OF VITAL STATISTICS � Southold, New York 11971 MARRIAGE OFFICER .!i _IV? 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 SINGLE TRAILER OR HOUSECAR LOCATION RENEWAL PERMIT Permit No. 64 Date January 29, 2002 Issued to Zdzislaw Mikolajczyk Address 301 Kell Avenue Staten Island, NY 10314 A renewal permit is hereby issued for the location of a single r trailer/146609=x at 'J-Qhn's Rd. off Main Rd. , Mattituck pursuant to application dated February 9, 2002 This renewal permit is granted for a six (6) month period. Expiration date August 9, 2002 Ef zabeth A. Neville Southold Town Clerk 0 0 TOWN OF SOUTHOLD TOWN CLERK'S OFFICE Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 RECEDED (516) 765-1801 PERMIT NO. 64 JAN 2 8 2002 EXPIRATION DATE: February 4, 2002 Southold Town 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 ......Zdzislaw Mikola.czyk ............................................................................................................... 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 .......MpAtituck, New York ............................................. Street and number John's Road off Main Road ..................................................................................................... 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ............. family dwelling............................ b. Intended use and occupancy same c. Period of time trailer is to be located on premises6 months ...................................................................... 3. Fee $100.00 ... (To be paid on filing application) 4. Dimensions of trailer, length ' 10' 11' 6 " 55...............width ...... height .... ............................ Registration Number ......................... Seri�,J,l amber ..... S55 TEK 1,58 .. ......................... f • 5. Size of lot: Front ..............I...D.........................Rear ............100'............. Depth ......185' ................. 6. Date of purchase or lease of land .................... ............................................................................. B 11 7. Zone or use district in which premises are situated ........................................................................ 8. Does proposed use violate any zoning law, ordinance or regulation? ...........no.... 9. a. Method of Sewerage disposal ...............cesspool............................................................................ b. Source of Water Supply .....................well ................................................................................... c. Source ,of ,Electricity ..............................Lilco................................................................................... 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 COUNTY OF SUFFOLK J ss. Zdzislaw Mikolajczyk being duly sworn, deposes and says that he is the applicant named above. He is theowner .....................................................:........ (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 th the trailer will be located in the manner set forth in the application filed herewith. Sworn to before me this ..... . .1.!w.......... day o rD 7 ....... ........ ., O. i . ... . ........ o� (Signatu V �.. . (Not Public) MURCZYK StftOf Yak Gonrnl�wbnd��� 60 4, O��SUf FO��coG ELIZABETH A. NEVILLE �� Town Hall, 53095 Main Road TOWN CLERK y P.O. Box 1179 REGISTRAR,OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER y?1p1 �a�� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD January 18, 2002 Zdzislaw Mikolajczyk 301 Kell Avenue Staten Island, NY 10314 Re : Trailer Permit Renewal No. 64 Dear Mr. Mikolajczyk: This is to advise you that your Trailer Permit will expire on February 9, 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 February 4, 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 RECEIVED TOWN OF SOUTHOLD FEB 2 71984 TOWN CLERK'S OFFICE Town Clerk Southold SOUTHOLD, N. Y. Examined ......................... 19."l.. Application No. ....64...Re�ewza....... �rmit No. Approved ..................... .. ., 19....... Disapproveda/c .....................,....................................................... ...............................................�%..�?�� ......... • .................................. Servisor APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR 'HOUSE CAR, OUTSIDE OF TOURIST CAMP. Dote ...FEBRUARY 9, 1q.. 84 Instructions a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Town Clerk. b. Plot pion 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 County, New York, and other applicable Laws, Ordinances or Regulations. The applicant agrees to comply with all a icable laws, ordinances and regulations. i .................... ..... .... ............ oiature of applicant) Zd s a Mikolajc:zyk N.Y. (Address) 11952 State whether applicant is owner, lessee or agent...........Ovaer................................................................... Name of Owner of premises ......Zdmtsl.aw:..Mtkolaj.czyk................................................................ . 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 .....sauth..side...of..�.V.t.....$d...,.. Street and number ....A.I X... Y............................................. 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ......QAIO...Iami..Y...dYYotl7.77,g........................ ................................ b. Intended use and occupancy ...same .............................................................................................. c. Period of time trailer is to be located on premises ..........0...MQn.thS........................::::::........... 3. Fee .........$3,5..0.0..................... (To be paid on filing application) 4. Dimensions of trailer, length ............55`..........width ......................10.'.... heiof—.:11.x.6:?...I—T;....... Registration Number ........................................ .Serial Number ..........5 5.5..TM.Z8. ....... ' .... 5. Size of lot: Front ............1a0.........................Rear ............1001.......: ` ... ....... ..... 6. Date of purchase or lease of land .................1262............................f.r::............::, i.:t.......................... 7. Zone or use district in which premises are situated ........:.'.A:....& :;�.......{.......... .......................... ` 8. Does proposed use violate any zoning law, ordinance or regulation? ............No..............................:.. 9. a. Method of Sewerage disposal .............................oesspool........................................................... b. Source of Water Supply ...................................we.1.l..................................................................... c. Source of Electricity ........................................... .no.................................................................. 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. (Original Plan on File . ) STATE OF NEW YORK 1 COUNTY OF SUFFOLK J ss. .............ZjUj'..Slaw...MiP1.aj.czyk............................................ being duly sworn, deposes and says that he is the applicant named above. He is the ...............ov ommer..................................................................... (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 trcik!.- will be loc6tgd in the manner set forth in the application filed herewith. Sworn to before me this ... ............. day of ...4 .�s� :.............................. t9:: .. .... .. ... .. ... ..... .. ..... . ... .. ... . . (Signat�tur e) ' ([rlvto ic) tv'PTA r r'l 9`44FAW TERSE NBi 111951 ` MIy 0aaraWon DPJM Match 21, 1988 I wcM. TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ................................ .. 19 ......... Application No. ........ Approvedf��.��.............. 192/-Permit No. ................ .... ................ Disapproveda/c .......................................................................... f54 .e1j;z*t Supervisor APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Datejftrfl+ .VR ...2A......... 1971... Instructions a. This application must be completely filled in by typewriter or in ink and submitted in duplicate 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 properly 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 County, New York, and of applicable Laws, Ordinances or Regulations. The applicant agrees to c i applic ble I o. s and regulations. '' r` ............................................ �. .. .. (Sign ure of applicant) (Address) State whether applicant is owner lessee or agent ....... ....................................................................... Fa15> �' r „� Name of Owner of premises ....... '� . R! : Te SZ.aw....Maolalez�. ...................... If applicant is corporate, signature of duly outhorized officer Merril Adreas 520. 53rd St (Name *a' nd title of corporate officer) Brooklyn N.Y. 11220 1. Location of land on which proposed trailer will be located .+ "tUb9A ,j'. :..3A ...... Street and numbern..�199.. :. ��r...A* Ul A#s Ir* 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy .......A;Pk l e. hit b. Intended use and occupancy ........A*M................................................................. . ...... ... c. Period of time trailer is to be located on premises .....6...II�RO:' R....:.......................................:`:... 3. Fee ....#S-00............................ (To be paid on filing application) ............ 4. Dimensions of trailer, length ............ �............width ........... ' `................... height ......... Registration Number ............................................Serial Number A.M..r,W .1;5.,0.............. ............ 5• Size of lot: Front ..........JQQ!....:... � ..................Rear 6. Dote of Depth ....IS*!.:............ Purchase or lease of land .....,,,�.� ,� 7. Zone or use district in which •....................................................................................... Premises are situated....., .................................... Does proposed use violate an.y zoning law, ordinance or regulation? ,A0, 9. a. Method of Sewerage disposal ... C"p Pos .. A �# b. Source of ................................................................ .............. Water Supply "rte........ ...................... c. urce of Electricity .......... ! ................................................................................................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back from property lines, Give.street and block numbers or description according to deed, and show im names and �ndioat+e whei�her interior � t back dimen- sions showing distances from all buildingcorner property lines, lor�at►on of street iMposed 5tfailer on prem- � i rus. a STATE OF NEW YORK COUNTY OF SUFFOLK �ss. is the fie being duly sworn, deposes and says that app not rinm�ed above,'-We is the ........ .......:.............................. ...................... of said owner or owners, and is duly authorized to make and file this applicoteoneeanrd haft) contained in this application are true to the best of his.knowledge ,arad,bela,ef be located in the manner set forth in the application filed herewith. all statements and that the trailer will Sworn to before me this ....... �q ............ day of (Signature)............ ..... Notary,Public) , ELIZABETH t NQTARyPUBLIC, Stateof�New York No. 52:8125850, Suffolk C0u Term Expires March 30, 19, n'/ . .-, ^Ronin l�.��,..,.., ... i.. � ,i.. . ,._. v I9.r��NaL1r'.^Mnn, _ i I. ., li_. ,- _ •L.I . I.. TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. c Examined September 18 N 19. 6Z Application o. .................................. Approved September,••l$,••,•••„•,•, 19. Permit No. .-64.......... feVw/*c ...Apptoyed..for...Rfle..Y.gsi1:..Qn,ly..f1;4m..j4b9y�da Supervisor APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date ....Septemb ,2...L ............; 19.. W. Instructions a. This application must be completely filled in by typewriter or in ink and submitted in duplicate 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 County, New York, and other applicable Laws, Ordinances or_Regulations. The applicant agrees to comply with all applicable laws, ordinances and regulations. ... ............................................. (Signature of applicant) (Address')'--- •, 1f' State whether applicant is owner, lessee or agent.........f?N"Z+ z:................................................................... Name of Owner of premises 4.�..::s..f Q� +y1 Er L. ... !� �J�a et9.b v ,,f- If applicant is corporate, signature of duly authorized officer. of neriv i.t. .................................................................................... (Name and title of corporate officer) 1. Location of land on which proposed trailer will be located ...�? ,�. ;; ,; ;;�,? �,,,?T,:...fir................ Street and number..+:'i1 P..k Rrt:�.�. ...����� '....( �r �:p::�..�r.... » :.k�... �.�.. ........................ 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ... .......:1 ...............................................,.................................... b. Intended use and occupancy ............................................................................. C. Period of time trailer is to be located on premises "' r:•.f ?„';,,n„c 11 ;,,,;rle 0 '^ �.�d. , 3. Fee - ... (To be paid on filing application) 4. Dimensions of trailer, length..... ........ ........ ........... height..... � .. :: �.�s1 .. ..........width . Registration Number ............................................ . 5T ''r� GP �.....................................Serial Number ....:.:::......... . ....... ....................................... 5. Size of lot: Front ..... ...;^...y c ..................Rear .......a..Ca -f 0- ...... Depth .. Y..���.t......... 6. Date of purchase or lease of land ....,,t ,.?'�,.y;�-'f c,�;,;;!; ? ,c;; .�:. f a- .. ri. ::::,L...Q.. ..;:Y:.?:............... 7. Zone or use district in which premises are situated ....:t: .G.:6� ;:L+;wH;,7.,,. ;;; .".j .. 8. Does proposed use violate any zoning low, ordinance, or regulation?.....".*............................................. 9. a. Method of Sewerage disposal ......k .:.a 0.1.5............................................................................. b. Source of Water Supply ..............po.i.rit. r d.. � m .......... ......................................................... C. Source, of Electricity .................. T..:`:r....C.oA.........................................., ................................... N.. 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 troiler on prem- ises, showing distances from all buildings and property lines. STATE OF NEW YORK COUNTY OF SUFFOLK }ss. .................................................................being duly sworn; deposes and says that he is the applicant named. above. He is the ...... ....oam✓x......................................................... (owner orlessee 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 mariner set forth in the application filed herewith. Sworn to fore me this ..........1.... ...............day of . ... . ...................,. .... ..'19. ✓�...�... ... .. ............................... (t�4XQry. ubllc) WALTER R. SILLECK Notary Public in the state of New York No.52-85c G�=0 Residing in Suifolk County Commission Fxoi as Nfarrh 30, 19 1;/1 it -- o c ELIZABETH A. NEVILLE � Town Hall, 53095 Main Road TOWN CLERK y P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER .fi `� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER �Ql ��� 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. 64 Date August 7, 2001 Issued to Zdzislaw Mikolajczyk Address 301 Kell Avenue Staten Island, NY 10314 A renewal permit is hereby issued for the location of a single trailer/housecar at John's Rd. off Main Rd. Mattituck pursuant to application dated August 9, 2001 This renewal permit is granted for a six (6) month period. Expiration date February 9, 2002 Elizabeth A. Neville Southold Town Clerk TOWN OF SOUTHOLD TOWN CLERK'S OFFICE Town Hall, 53095 Main Road RECEIVED P.O. Box 1179 Southold, New York 11971 (516) 765-1801 : ! 6 2°��, PERMIT NO. 64 EXPIRATION DATE: August 9, 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 Name of Owner of premises ...... slaw Mikolajcz�k ... ........................................................................... 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 .......Mattituck: New York . ................................... Street and number .............. s John' Road off Main Road ................................................................................................................... 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ............one,.family..dwelling .................................. b. Intended use and occupancy ..........same c. Period of time trailer is to be located on premises ..........6„months . . . . . ........................................... 3. Fee ........... 100.00 (To be paid on filing application) 4. Dimensions of trailer, length ......... ..............width 10' 11' 6 11height ............................ Registration Number ........................................ .Serial Number ........... a 0 5. Size of lot: Front ................00,........................Rear ............100'............. Depth ..... 185..................... 6. Date of purchase or lease of land ....................IM2. ............................................................................. nAn 6 ..8.. 7. Zone or use district in which premises are situated ........................................................................ 8. Does proposed use violate any zoning low, ordinance or regulation? ...........no................................... 9, a. Method of Sewerage disposal cess,pool............................................................................ b. Source of Water Supply .....................well..................................................................................... C. Source of Electricity Lilco .......... ............................................................................... 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 COUNTY OF SUFFOLK Jss. Zdzislaw...M.ikola. lczyk being duly sworn, deposes and says that . .. ....... ...................................... he is the applicant named above. He is the ....owner .......................................... . . . . .......................... (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 tobeforeme this .............-f��........... day of /......... ................ (Signature) oto ryry ub )� N,. 30 • • o�oSUFFot,�oo ELIZABETH A.NEVILLE �� Gy.2 Town Hall, 53095 Main Road TOWN CLERK y Z P.O. Box 1179 REGISTRAR OF VITAL STATISTICS M Southold, New York 11971 MARRIAGE OFFICER Gy O�� Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER ��,( �,� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD July 10, 2001 Zdzislaw Mikolajczyk 301 Kell Avenue Staten Island, NY 10314 Re : Trailer Permit Renewal No. 64 Dear Mr. Mikolajczyk: This is to advise you that your Trailer Permit will expire on August 9, 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 August 9, 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 �� GG ELIZABETH A. NEVILLE A Town Hall, 53095 Main Road TOWN CLERK y 2 P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER ip O Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER �Ol �`� 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. 64 Date February 8, 2001 Issued to Zdzislaw Mikolaiczyk Address 301 Kell Avenue Staten Island, NY 10314 A renewal permit is hereby issued for the location of a single trailer/SNR at John's Rd. off Main Rd. Mattituck pursuant to application dated February 9, 2001 This renewal permit is granted for a six (6) month period. Expiration date August 9, 2001 E izabeth 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 FED T`.= C.l` 37 r Z' PERMIT NO. 64 ft*MTNRM& EXPIRATION DATE: February 9, 2001 R E N E W A L APPLICATION FOR LOCATION OF Sltdr__L E 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 ......K!?islaw Mikolajczyrk 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 .......Mattituck: New York . . .......................... Street and number John's. Road off Main Road ..................................»............................................................................... 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ............one..family,.dwelling .................................. b. Intended use and occupancy ..........same c. Period of time trailer is to be located on premises ..........6 months .......................................................... 3. Fee ...........$1 .00 ..10000..0 . (To be paid on filing application) 4. Dimensions of trailer, length .........W..............width 10�................. height 11' 6 " ............... ............................ Registration Number ........................................ .Serial Number .........,555 TEK...15. ...8 .......... ......................... 5. Size of lot: Front .............iDp.........................Rea r ............19P.............. Depth ..... 1851.................... 6. Date of purchase or lease of land ...................7962. ............................................................................. vAn E uBn 7. Zone or use district in which premises are situated ....... ................................................................ 8. Does proposed use violate any zoning law, ordinance or regulation? ...........no................................... 9. ci. Method of Sewerage disposal cesspool..,_... ... b. Source of Water Supply .....................Aell..................................................................................... c. Source of Electricity Lilco .........._............................................................................... 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 t COUNTY OF SUFFOLK J ss. ...._........_..Zdzislaw Mikolajczyk being duly sworn, deposes and says that he is the applicant named above. He is the owner _.................................................. . . ........................ (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. a/ -- Sworn to before me this .... .. .�.................. day of/ .............................................................A& ...... ... .. .... ...... ... (Sign.... a ... ...._........ .... ✓.. ............................ uS AR�° Public) Nut�rf Public Sata of Mev`P,•'c No. 30-4528522 Qualified in Na,sau Cou^^. ELIZA13ETH A. NEVILLE pp y�� Town Hall, 53095 Main Road TOWN CLERK H 1 P.O. Box 1179 Z t,r REGISTRAR OF VITAL STATISTICS T Southold, New York 11971 MARRIAGE OFFICER y O�� Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER �O! �a Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD January 9, 2001 Zdzislaw Mikolajczyk 301 Kell Avenue Staten Island, NY 10314 r Re : Trailer Permit Renewal No. 64 Dear Mr. Mikolajczyk: This is to advise you that your Trailer Permit will expire on February 9, 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 February 9, 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, SO �11.Al Elizabeth A. Neville Southold Town Clerk Enclosure OG JUDITH T.TERRY =� y` Town Hall, 53095 Main Road TOWN CLERK y 2 P.O. Box 1179 • �� Southold, New York 11971 REGISTRAR OF VITAL STATISTICS O MARRIAGE OFFICER Fax(516)765-1823 RECORDS MANAGEMENT OFFICER Fax `�a° Telephone(516) 765-1800 FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SINGLE TRAILER OR HOUSECAR LOCATION RENEWAL PERMIT Permit No. 64 Date August 8, 2000 Issued to Zdzislaw Mikolajczyk Address 301 Kell Avenue Staten Island, NY 10314 A renewal permit is hereby issued for the location of a single trailerhwuxeuar at John's Rd. off Main Rd., Mattituck pursuant to application dated August 9, 2000 This renewal permit is granted for a six (6) month period. Expiration date February 9, 2001 c+ Q l.� 7 U4 Elizabeth A. Neville Southold Town Clerk 0 0 5. Size of lot: Front ............. ...................Rear ............700'............. Depth ..... 1851.................... 6. Date of purchase or lease of land ...................i9.li2. ............................................................................. 7. Zone or use district in which premises are situated .......A."..E..".B." .. .. . ................................................. 8. Does proposed use violate any zoning law, ordinance or regulation? ...........no.....................• 9, a. Method of Sewerage disposal cess,pool............................................. b. Source of Water Supply .....................well.....,............................................................................... c. Source of Electricity Lilco ..........»............................................................................... 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 Jss. ................ ... . .. . ...........................Zdzislaw Mi kolajczyk................. being duly sworn, deposes and says that he is the applicant named above. He is the ...............owner .................................:........................................... (owner or lessee or agent) of said owner or owners, and is duly outhorized 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. n gd a Sworn to before me this , ......... day;' y of�4 ........................................................ ........ ...........4M�5na ... (Notary Public) *42W MW '�) QiRtlennn ow.I,Jn w' TOWN OF SOUTHOLD TOWN CLERK'S OFFICE Town Hall, 53095 Main Road P.O. Box 1179 FISCEM Southold, New York 11971 =1(516) 765-1601 AUG 7.- PERMIT NO. 64 SouTown EXPIRATION DATE: August 9, 2000 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.............Swner Name of Owner of premises ......Zdzislaw Mikola�czyk 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 ........Mattituck: New York . ..................... .............. Street and numberJohn's Road off Main Road .............. ...................................................................................I.............................. 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ............. ne..fam�lydwelling...................................... ..................... b. Intended use and occupancy ..........same c. Period of time trailer is to be located on premises ..........6„months . . . . . ........................................... 3. Fee ...........$1,00:00 (To be paid on filing application) 4. Dimensions of trailer, length .........55...............width 10.................. height 11' 6..!!............ ............... ............ Registration Number ........................................ .Serial Number ..........555„TEK..1.58......................... o�OgOFFO(,�Co ELIZABETH A. NEVILLE h� Gy� Town Hall, 53095 Main Road TOWN CLERK y P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICERFax (631) 765-6145 RECORDS MANAGEMENT OFFICER 4, - �aO� Telephone(631) 765-1500 FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD July 10, 2000 Zdzislaw Mikolajczyk 301 Kell Avenue Staten Island, NY 10314 i Re : Trailer Permit Renewal No. 64 Dear Mr. Mikolzjczhk: This is to advise you that your Trailer Permit will expire on August 9, 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 August 9, 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, e+Awa 7 Elizabeth A. Neville Southold Town Clerk Enclosure O COG,. JUDITH T.TERRY '�L Town Hall, 53095 Main Road TOWN CLERK w i P.O. Box 1179 %O+ T Southold, New York 11971 REGISTRAR OF VITAL STATISTICS - MARRIAGE OFFICER y� 0\� Fax(516) 765,1823 RECORDS MANAGEMENT OFFICER �j �.a Telephone(516) 765-1800 FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SINGLE TRAILER OR HOUSECAR LOCATION RENEWAL PERMIT Permit No. 64 Date January 27, 2000 Issued to Zdzislaw Mikolajczyk Address 301 Kell Avenue Staten Island, NY 10314 A renewal permit is hereby issued for the location of a single trailer/houseottc at John's Rd. off Main Rd. , Mattituck, NY pursuant to application dated February 9, 2000 This renewal permit is granted for a six (6) month period. Expiration date August 9, 2000 Elizabeth 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 JAN2 T 2N, PERMIT NO. 64 80U*AMT4=Ck* EXPIRATION DATE: February 9, 2000 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 ......Zdzislaw Mikolajczk ........................................................................... If applicant is corporate, signature of duly authorized officer ......'m.e.......................................................................... (Name and title of corporate officer) 1. Location of land on which proposed trailer will be located .......Mattituck: New York . . .......................... Street and number ..............John's Road off Main Road ................................................................................................................... 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ..........,,one,.family„dwelling .................................. b. Intended use and occupancy ........... ame . .......................................................................................... c. Period of time trailer is to be located on premises ..........6„months . . . . . ........................................... 3. Fee .............12R.-.22 (To be paid on filing application) 4. Dimensions of trailer, length .........Ss...............width 1T................. height 11' 6 TO Registration Number ........................................ .Serial Number ..........555 TEK 158 ... ............................ • 5. Size of lot: Front .............MR.........................Rear ............ ............. Depth ..... 185..................... 6. Date of purchase or lease of land ...................1�.............................................................I............... uAu 6 7. Zone or use district in which premises are situated ....... ...........11.113.11.11.113.1111.113.11................................................. 8. Does proposed use violate any zoning law, ordinance or regulation? ...........ns................................... 9. a. Method of Sewerage disposal cesspool............................................................................ b. Source of Water Supply .....................well:.................................................................................... c. Source of ElectricityLilco .........................I............................................................................................. 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 f�' 7CIZIGIew Mi!-.o!c'cz k ..................`............................t......................................................... being duly sworn, deposes and says that he is the applicant named above. He is the owner .................. ............................................................ (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. S to before me this ........... .�..©. day o ...... . . : ...............................p� ..... .... . ........... . . ............. .. .. . (Signa (Notary Publid NINAR05LOKtIfN N*rY PuMk State of Neer York Na 434515479 Qualified in Term Eapi 30.aa'/ 0 o�OSpFFO[,��o ELIZABETH A. NEVILLE _� G'y� Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS L Southold, New York 11971 MARRIAGE OFFICERFax(631) 765-6145 RECORDS MANAGEMENT OFFICER y'f1p1 �.D�� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD January 18, 2000 Zdzislaw Mikolajczyk 301 Kell Avenue Staten Island, NY 10314 Re : Trailer Permit Renewal No. 64 Dear Mr. Mikolajczyk: This is to advise you that your Trailer Permit will expire on February 9, 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 February 9, 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, Elizabeth A. Neville Southold Town Clerk Enclosure UI4 x ELIZABETH A.NEVILLEh�0 Town Hall, 53095 Main Road TOWN CLERKti` o P.O. Box 1179 C4 Southold, New York 11971 REGISTRAR OF VITAL STATISTICS <. W MARRIAGE OFFICER i.u. ' Fax (516) 765-6145 RECORDS MANAGEMENT OFFICER -.��1> �"-a-• Telephone (516) 765-1800 FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SINGLE TRAILER OR HOUSECAR LOCATION RENEWAL PERMIT Permit No. 64 Date August 9, 1999 Issued to Zdzislaw Mikolajczyk Address 301 Kell Avenue Staten Island, NY 10314 A renewal permit is hereby issued for the location of a single trailer/bouselcaR at John's Rd. off Main Rd. , Mattituck, NY pursuant to application dated August 9, 1999 This renewal permit is granted for a six (6) month period. Expiration date February 9, 2000 Q Elizabeth A. Neville Southold Town Clerk • TOWN OF SOUTHOLD TOWN CLERK'S OFFICE Town Hall, 53095 Main Road IRKM P.O. Box 1179 19A Southold, New York 11971 (516) 765-1801 $pp(d TpyM(A v PERMIT NO. 64 EXPIRATION DATE: August 9, 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 ......Zdzislaw Mikolajczyk............................................ 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 .......Mattituck: New.....York .............. ....... ...... Street and number ..............John's. Road off Main Road ................................................................................................................... 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ............one,_family„dwelling,,,,,,,,,,,,,,, .................................. b. Intended use and occupancy ..........same c. Period of time trailer is to be located on premises ..........6...months... . . . . ............................................ 3. Fee ............$0.0-0--.20.0 . (To be paid on filing application) 4. Dimensions of trailer, length .........SS...............width ..........!.�'................. height .....1.1..6..1............ Registration Number ........................................ .Serial Number ........... 55„TEK...1,58,,,,,,,,,,,,,,,,,,....... 0 0 5. Size of lot: Front ............. ........................Rear ............100'............. Depth ..... 185.................... 6. Date of purchase or lease of land ................... .................................. 7. Zone or use district in which premises are situated ........A" . ............................................................ 8. Does proposed use violate any zoning low, ordinance or regulation? ...........no,,.,,,,,, 9. ,..-& Methcu#..*f Sewerage disposal cesspool b. Source of Water Supply .....................well,,,-, ...... .............................................................................. c. Source of ElectricityLilco ......................................................................................................................... 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 COUNTY OF SUFFOLK f�' ,,,,_......... Zdzisiaw Mikoiajczyk being duly sworn, deposes and says that he is the applicant named above. He is the owner ............................................................................... (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 ore me this ,.....7 . day of (Signatu A. .. .......................................... (. Notary Public State of New York No.434515479 Qualified in Richmond County Term Expires 30, 19yn • ELIZABETH A. NEVILLEGym Town Hall, 53095 Main Road TOWN CLERK o < P.O. Box 1179 Southold, New York 11971 REGISTRAR OF VITAL STATISTICS r T Fax (516) 765-1823 MARRIAGE OFFICER y Telephone (516) 765-1800 RECORDS MANAGEMENT OFFICER `:.. 6J� .a0 P FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD July 12, 1999 Zdzislaw Mikolajczyk 301 Kell Avenue Staten Island, NY 10314 Re : Trailer Permit Renewal No. 64 Dear Mr. Mikolajczyk: This is to advise you that your Trailer Permit will expire on August 9, 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 August 9, 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, d Q7 Elizabeth A. Neville Southold Town Clerk Enclosure ELIZABETH A.A.NEVILLE s FF0(�C�G Town Hall, 53095 Main Road t TOWN CLERK �o < P.O. Box 1179 N x Southold,New York 11971 REGISTRAR OF VITAL STATISTICS • � Fax (516) 765-1523 MARRIAGE OFFICER y RECORDS MANAGEMENT OFFICER �\-,lp Telephone (516) 765-1800 6J0 � .a FREEDOM OF INFORMATION OFFICER a� OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SINGLE TRAILER OR HOUSECAR LOCATION RENEWAL PERMIT Permit No. 64 Date February 17, 1999 Issued to Zdzislaw Mikolajczyk Address 301 Kell Avenue Staten Island, NY 10314 A renewal permit is hereby issued for the location of a single trailer/pix at John's Rd. off Main Rd. , Mattituck, NY pursuant to application dated February 9, 1999 This renewal permit is granted for a six (6) month period. Expiration date August 9, 1999 �11 rrr�e� EI abeth A. Neville Southold Town Clerk • • TOWN OF SOUTHOLD TOWN CLERK'S OFFICE Town Hall, 53095 Main Road P.O. Box 1179 R E C E E Southold, New York 11971 (516) 765-1601 FEB 10 1999 foothold Town aerk PERMIT NO. 64 EXPIRATION DATE: February 9, 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 $100.00 fee for a six (6) month renewal. b. Upon signing and submitting this renewal application you agree to comply with all applicable laws, ordinances and regulations of the Town of Southold, Suffolk County, New York. State whether applicant is owner, lessee or agent........_....pwner................................................................ Name of Owner of premises ......4dzislaw Mikolajczyk . .... ....................................................................... If applicant is corporate, signature of duly authorized officer ....-a............................................................................... (Name and title of corporate officer) 1. Location of land on which proposed trailer will be located .......Mattituck; New York . ................................... Street and number John's Road off Main Road .................................._............................................................................... 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ............. ne,_family„dwelling........................................................... b. Intended use and occupancy ..........same c. Period of time trciler is to be located on premises ..........6...months..... . ... ............................................ 3. Fee ............$.100.0.........0. (To be paid on filing application) 1 4. Dimensions of trailer, length .........SS...............width ..........1.0.................. height ....111..6.. ............ Registration Number ........................................ .Serial Number ..........555„TEK„1,58......................... 5. Size of lot: Front .............Pq.........................Rear ............199.............. Depth ..... 185.................... 6. Date of purchase or lease of land ...................1W............................................................................. uAu & uBn - 7. Zone er•wseXdtstriat in which premises are situated ....... ................................................................ 8. Does proposed use violate any zoning law, ordinance or regulation? ...........nP................................... 9. a. Method of Sewerage disposal cesspool,,,,,,,, ,,,,, b.'.`Sour a of Water Supply .....................well..................................................................................... c. Source of Electricity Lilco .......................................................................................... 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 4W+e1 f-f yey1V6—> ...... Zdzisla.. Mikolajczyk being duly sworn, deposes and says that he is the applicant named above. He is the owner ............................................................................... (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 o before me this ................................ doy of . ....... 19.( ... ...................... .... (Sig ur �.. .. ... ...... ... ...... . .. . ................ . (Nota ublic) GILBERT ZUCKERMAN Notary Public,State of New York Qualified in Kings County No.24-4742745Jn Commission Expires May 31,....' gUFFO(,j- ELIZABETH A.NEVILLE �Z` �Gy� Town Hall, 53095 Main Road TOWN CLERK p P.O. Box 1179 y Z Southold, New York 11971 REGISTRAR OF VITAL STATISTICS 1-� Fax (516) 765-1823 MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER X101 �aO� Telephone(516) 765-1800 FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD January 21, 1999 Zdzislaw Mikolajczyk 301 Kell Avenue Staten Island, NY 10314 i Re : Trailer Permit Renewal No. 64 Dear Mr. Mikolajczyk: This is to advise you that your Trailer Permit will expire on February 9, 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 February 9, 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, c�< Q Irl Elizabeth A. Neville Southold Town Clerk Enclosure TOWN OF SOUTHOLD TOWN CLERK'S OFFICE Town Hall, 53095 Main Road P.O. Box 1179 EZ Southold, New York 11971(516) 765-1601 PECOV PERMIT NO. 64 AUG 5 1998 EXPIRATION DATE: August 9, 1998 SOON" Tom r 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........ . .................................................................. Name of Owner of premises ......Zdzislaw Mikolajczyk 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 .......Mattituck: New York ..........................I........ Street and number John's Road off Main Road ......................I........................................................................................... 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ............one,_famtly„dwelling .................................. b. Intended use and occupancy ...........same c. Period of time trailer is to be located on premises ..........6 months .......................................................... 3. Fee ........... 100..00................... (To be paid on filing application) 4. Dimensions of trailer, length .........Ss...............width 101................. height I1' 6 ° ............... ............................ Registration Number ........................................ .Serial Number ..........555 TEK 158 0 0 5. Size of lot: Front .............HP.........................Rear ............99.............. Depth ..... 185..................... 6. Date of purchase or lease of land . .................I MZ..................................................I.........:................. nAu uBu 7. Zone or use district in which premises are situated ....... .......&......................................................... 8. Does proposed use violate any zoning low, ordinance or regulation? ...........no,,,, 9. a. Method of Sewerage disposal cesspool_,......•....•............................... b. Source of Water Supply .....................well.................................................................................... c. Source of ElectricityLilco .............................. .......................................................................................... 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 j ss. .........Zdzislaw Mikolajczy................... being duly sworn, deposes and says that he is the applicant named above. He is the owner » ........................................................I...................... (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. qq � Sworn to for me this ..........apt.(... ....a.. day a ............... ....... .................................1 19...1.L. 4(Signatu NI ROSLOKKEN (Notary Public) Nohry Public State of New Yak No.434515479 Qualified in Ric mond County Term Exp ELIZABETH A.NEVILLE �� �j Town Hall, 53095 Main Road TOWN CLERK M�o � P.O. Box 1179 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS Fax(516)765-1523 MARRIAGE OFFICER '-. �� Telephone x(516) 765-1800 RECORDS MANAGEMENT OFFICER P - FREEDOM OF INFORMATION OFFICER ., r OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SINGLE TRAILER OR HOUSECAR LOCATION RENEWAL PERMIT Permit No. 64 Date August 5, 1998 Issued to Zdzislaw Mikolaiczyk Address 301 Kell Avenue Staten Island, NY 10314 A renewal permit is hereby issued for the location of a single trailer/kausecer at John's Rd. off Main Rd., Mattituck, NY pursuant to application dated August 9, 1998 This renewal permit is granted for a six (6) month period. Expiration date February 9, 1999 Elizabeth A. Neville Southold Town Clerk • ��gUF (OF�� • ELIZABETH A.NEVILLE ti�� �Gy� Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 ti 2 Southold, New York 11971 REGISTRAR OF VITAL STATISTICS O MARRIAGE OFFICER Fax (516) 765-1823 RECORDS MANAGEMENT OFFICER '��� �aO� Telephone (516) 765-1800 FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD July 1, 1998 Zdzislaw Mikolajczyk 301 Kell Avenue Staten Island, NY 10314 Re : Trailer Permit Renewal No. 64 Dear Mr. Mikolajczyk: This is to advise you that your Trailer Permit will expire on August 9, 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 August 9, 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, e+A W L#? Elizabeth A. Neville Southold Town Clerk Enclosure ELIZABETH A.NEVILLE �Z� ye- Town Hall, 53095 Main Road TOWN CLERK o _ P.O. Box 1179 CO Southold, New-York 11971 REGISTRAR OF VITAL STATISTICS L1 �' T O Fax (516) 765-1823 - MARRIAGE OFFICER y 4Zl�:�� 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. 64 Date February 20, 1998 Issued to Zdzislaw Mikolajczyk Address 301 Kell Avenue Staten Island, NY 10314_ A renewal permit is hereby issued for the location of a single trailer/I7(ouvamK at John's Rd. off Main Rd. , Mattituck, NY pursuant to application dated February 9, 1998 This renewal permit is granted for a six (6) month period. Expiration date August 9, 1998 Elizabeth 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. 64 FEB 191998 EXPIRATION DATE: February 9, 1998 8111"TaNna ft 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 ......?d?!slaw Mikolalcz_yk Fy.�........................................................................... 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 .......Mattituck: New ...Y.ork . . . .................... Street and number John's Road off Main Road .................................._............................................................................... 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occu anc one, family„dwelling.,._.... . b. Intended use and occupancy ........................................................................................................... c. Period of time trailer is to be located on premises ...........6...months. .. ...... ... ............................................ 3. Fee ...........$1 .00 ..10000..0 . (To be paid on filing application) 4. Dimensions of trailer, length .........$5...............width ..........!.�.................. height ....1. ..6..11............ Registration Number ........................................ .Serial Number ..........S"5, ........................................EK 158 ... r S. Size of lot: Front .............!PQ.........................Rear ............. 185, ... Depth ................................ 6. Date of purchase or lease of land ...................1912. 7. Zone or use district in which premises are situated "All & "B" ........................................................................ 8. Does Proposed use violate any zoning law, ordinance or regulation? ...........no 9. a. Method of Sewerage disposal ...............ptsApqq! b. SoUki bf,'Water Supply .....................well ...w........................................................................................ c. Source of Electricity .............................Lilco.................................................................................. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimen- sionsfrom property lines. Give street and block numbers or description according to deed, and show street names and indicate whether interior or comer 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' •,,,_,•........ Kqzjslaw Mikolaiczyk "'•"'•""••"-".................................... being duly sworn, deposes and says that he is the applicant named above. He is the ...............owner ............................................................................... of said owner or owners, and is duly authorized to make and file this(owner or lessee or agent) contained in this application are true to the best of his knowledge application; and that Oil statements be located in the manner set forth in the application filed herewith and belief; and that the trailer will Sworn to before me this .......... ......... day of ........... ........................ 19...911.... X/ (Signature ................... .... . ..... L......... . . . ...... .... 41 M@yb ublir snzt-wlt Notary P? lic) N 0 ' a e of New yod 0 IM05074795 r1­nf Qu ified in Kin I county 'S'Gn Expires 4arch 24', 1999 ELIZABETH A.NEVILLE Town Hall, 53095 Main Road TOWN CLERK p i P.O. Box 1179 y 2 Southold, New York 11971 REGISTRAR OF VITAL STATISTICS G Fax (516) 765-1523 MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER P Tele hone(516) 765-1800 FREEDOM OF INFORMATION OFFICER .r OFFICE OF THE TOWN CLERK TOWN OF SOliTHOLD February 3, 1998 Zdzislaw Mi kolajczyk 301 Kell Avenue Staten Island, NY 10314 Re : Trailer Permit Renewal No. 64 Dear Mr. Mikolajczyk: This is to advise you that your Trailer Permit will expire on February 9, 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 February 15, 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, Elizabv+lle46"& Southold Town Clerk Enclosure o�� cO JUDITH T.TERRY =� gUFFO(/( Gym Town Hall,53095 Main Road TOWN CLERK y P.O. Box 1179 % - T Southold,New York 11971 REGISTRAR OF VITAL STATISTICS O MARRIAGE OFFICER 4� 0\� Fax(516) 765-1823 RECORDS MANAGEMENT OFFICER Telephone(516) 765-1800 FREEDOM OF INFORMATION OFFICER ?�FY OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SINGLE TRAILER OR HOUSECAR LOCATION RENEWAL PERMIT Permit No. 64 Date August 5, 1997 Issued to Zdzislaw Mikolajczyk Address 301 Kell Avenue Staten Island, NY 10314 A renewal permit is hereby issued for the location of a single trailer/WouVo1'a!K at John's Rd. off Main Rd., Mattituck, NY pursuant to application dated August 9, 1997 This renewal permit is granted for a six (6) month period. Expiration date February 9, 1998 Judith T. Terry Southold Town Clerk TOWN OF SOUTHOLD TOWN CLERK'S OFFICE tk Town Hall, 53095 Main Road P.O. Box 1179 AU1J Southold, New York 11971(516) 765-1801 SouthCder PERMIT NO. 64 EXPIRATION DATE: August 9, 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 agent..............owner............,,,,,,,,,..,,,...,,.,............................... Name of Owner of premises ......Zdzislaw Mikola.czxk 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 .......Mattituck.:...New.....York .............. ....... ...... Street and numberJRoad off ..................ohn's.............................Main...........Road....................................................................... 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupant one family„dwelling............. b. Intended use and occupancy same c. Period of time trailer is to be located on premises ...........6...months.. .. . . ................................................ 3. Fee ...........$100.00................... (To be paid on filing application) .............. 11 4. Dimensions of trailer, length .........55...............width ..........IT.................. height ....'.`..�6. Registration Number Serial Number ...........555 EK 58.........T.... ..... ;;;; 5. Size of lot: Front ............. Rear ............100'............. Depth ..... 185.................... 6. Date of purchase or lease of land ................... 962 .............................. nAn & uBa 7. Zone or use district in which premises are situated ........................................................................ 8. Does proposed use violate any zoning low, ordinance or regulation? ...........ns................................... 9. a. Method of Sewerage disposal cesspool............................................. b. Source of Water Supply ...................... ell..._. .............................................................................. c. Source of ElectricityLilco ......................................................................................................................... PLOT DIAGRAM Locate clearly and distinctly all buildings,'whether existing or proposed, and indicate all set-back dimeri- 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. ...._....._.....Zdzisla.. Mikolajczyk . ................................................................. being duly sworn, deposes and says that he is the applicant named above. He is the ...............owner ......................................... . .......................... (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 .........SI/.... day*26ignOt ........................./..y . ... ................... . 19..G....... RKS1'f�iRD1C' pf ...r. ..?.. ................................. 1mery f ubflu.Sta of Public) NO.24 4 4466 Auefiffed in Ki Commission Expires June 30. 14 Town Hall, 53095 Main Road P.O. Box 1 179 y� 0 �•j�� Southold, New York 11971 JUDITH T.TERRY 1 TELEPHONE TOWN CLERK (516) 765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD July 3, 1997 Zdislaw Mikolajczyk 301 Kell Avenue Staten Island, NY 10314 Re: Trailer Permit Renewal No. 64 Dear Mr. Mikolajczyk: This is to advise you that your Trailer Permit will expire on August 9, 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 August 9, 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) o�,�FFourro 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. 64 Date February 5, 1997 Issued to Zdislaw Mikolaiczyk Address 301 Kell Avenue Staten Island NY 10314 A renewal permit is hereby issued for the location of a single trailerflanuxeaw at John's Rd off Main Rdl., Mattituck pursuant to application dated February 9, 1997 This renewal permit is granted for a six (6) month period. Expiration date August 9. 1997 Judith T. errpr Southold Town Clerk TOWN OF SOUTHOLD TOWN CLERK'S OFFICE Town Hall, 53095 Main Road RE P.O. Box 1179 Southold, New York 11971 JAN 1 997 (516) 765-1801 Southol Clerk PERMIT NO. 64 EXPIRATION DATE: February 9, 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 agent..............Pwner. ... . . ............................................................ Name of Owner of premises ......Zdzislaw Mikolajczyk ... ........................................................................... 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 .......Mattituck: New York . . . ........................ Street and number John's Road off Main Road ..................................,............................................................................... 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy .............one,.famLly„dwelling........................................................... b. Intended use and occupancy ........... ame . ........................................................................................ c. Period of time trailer is to be located on premises ..........6..months 3. Fee ............$1...0....0.....00.................... (To be paid on filing application) 4. Dimensions of trailer, length ..........`q.5...............width ..........1R,................. height ...II ..6..If............ Regisg' ........................................ . S55 TEK �758a^r.Vi >1QP.ew;� 9 tration Number Serial Number ............... . r .. ..•,,..•�,�K�.,r„,m�' r Size of lot: Front ' S. .........................Rear ............700.............. Depth ..... 185..................... 6. Date of purchase or lease of land ................... 9....62 .. .............................................................................. 7. Zone or use district in which premises are situated ..... 1A.........6....n...B..o................................................. 8. Does proposed use violate any zoning law, ordinance or regulation? ...........no......................... 9. a. Method of Sewerage disposal cess,pool............................................. b. Source of Water Supply .....................well, c. Source of ElectricityLilco ......................................................................................................................... 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. Zdzisla.. Mikolajczyk ...............- being duly sworn, deposes and says that . ................................. he is the applicant named above. He is the ................owner . . ...... ...................:......................... (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 • rm�................... .9..91.... � _ �.•. (Signa ............................... ...... . ...... i RICHARD K.IWAN Notary u %ory Pvbhc,State of ew Yore 140.24 486445 Ouelified in Kings C Commission Expires June 34 t. oS�EFOIk�o 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 January 9, 1997 Zdislaw Mikolajczyk 301 Kell Avenue Staten Island, NY 10314 Re: Trailer Permit Renewal No. 64 Dear Mr. Mikolajczyk: This is to advise you that your Trailer Permit will expire on February 9, 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 February 9, 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. TerryI Southold Town Clerk Enclosure (1) JUDITH T. TERRY = Town Hall, 53095 Main Road TOWN CLERK y i P.O. Box 1179 ^� Southold,New York 11971 REGISTRAR OF VITAL STATISTICS O ! MARRIAGE OFFICER \_�� ��N- Fax(516) 765-1823 RECORDS MANAGEMENT OFFICER ' z,,�l '� Telephone(516) 765-1800 FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SINGLE TRAILER OR HOUSECAR LOCATION RENEWAL PERMIT Permit No. 64 Date August 6, 1996 Issued to Zdislaw Mikolajczyk Address 301 Kell Avenue Staten Island, NY 10314 A renewal permit is hereby issued for the location of a single trailer/hawse= at John's Rd. off Main Rd. , Mattituck, NY pursuant to application dated August 9, 1996 This renewal permit is granted for a six (6) month period. Expiration date February 9, 1997 Judith T. Terry Southold Town Clerk TOWN OF SOUTHOLD TOWN CLERK'S OFFICE Town Hall, 53095 Main Road RFCF1 p P.O. Box 1179 Southold, New York 11971 (516) 765-1801 Southold wn Clerk PERMIT NO. 64 EXPIRATION DATE: August 9, 1996 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 $100.00 fee for a six (6) month renewal. b. Upon signing and submitting this renewal application you agree to comply with all applicable laws, ordinances and regulations of the Town of Southold, Suffolk County, New York. State whether applicant is owner, lessee or agent........_....owner ... . ................................................................... Name of Owner of remises Zdzislaw Mikolajcz� k p . . .. If applicant is corporate, signature of duly authorized officer _............................................................................... (Name and title of corporate officer) 1. Location of land on which proposed trailer will be located .......Mattituck: New York . . .......................... Street and number John's Road off Main Road .................................................................................................................. 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ............one„family,_dwelling.................. .................................. b. Intended use and occupancy ...........s......am.e......................................................................................... c. Period of time trailer is to be located on premises ...........6...months. .. .... . ... ............................................ 3. Fee ............$..100.......0...0. (To be paid on filing application) 4. Dimensions of trailer, length .........SS...............width ..........1T................. height ...Il.l..6..1 ............ Registration Number ........................................ .Serial Number ..........S55 TEK 118WAVA)I OPAH�-A 1MQr wsF` �O 11R!�,911du��idLoi' etw -tsa AS .oY QIINM'tpn,H A:11 A,twxu Pr OF enuL en„gal n1 .,:--mmR„ S. Size of lot: Front ............. Rear ............199.............. Depth ..... 185.................... 6. Date of purchase or lease of land ................... 962 nAn & uBu 7. Zone or use district in which premises are situated ........................................................................ 8. Does proposed use violate any zoning law, ordinance or regulation? ...........no,,,. 9. a. Method of Sewerage disposal cess,pool............................................. b. Source of Water Supply .....................we!1..................................................................................... c. Source of ElectricityLilco ......................................................................................................................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimen= Bions from property lines. Give street and block numbers or description according to Aed, 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 J ss. ...I......_Zdzislaw Mikolajczy................... being duly sworn, deposes and says that he is the applicant named above. He is the owner _...................................................... .. . ...................... (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 bef re me this ......... ...�p....... day of ............. ........5��.�.................. 1944: // (Signat RICHARD K.mA4 adbott rry Publ' �JOwY�244888se44456 'Wd#ed in Kings Commission Expires Juiro30.10 �o��S�FFO(�-coG JUDITH T.TERRY A Town Hall, 53095 Main Road TOWN CLERK y = P.O. Box 1179 0- T Southold, New York 11971 REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER Fax (516) 765-1823 y� O� RECORDS MANAGEMENT OFFICER 01 �a Telephone (516) 765-1800 FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD July 5, 1996 Zdzislaw Mikolajczyk 301 Kell Avenue Staten Island, NY 10314 Re: Trailer Permit Renewal No. 64 Dear Mr. Mikolajczyk: This is to advise you that your Trailer Permit will expire on August 9, 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 August 9, 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, ✓4 Judith T. Terry U Southold Town Clerk Enclosure (1) 0 v�V �U6 JUDITH T. TERRY i� ' Town Hall, 53095 Main Road TOWN CLERKP.O. Box 1179 Southold, New York 11971 REGISTRAR OF VITAL STATISTICS • Fax (516) 765-1823 MARRIAGE OFFICER �111- RECORDS MANAGEMENT OFFICER ` y��l `�a, Telephone (516) 765-1800 FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SINGLE TRAILER OR HOUSECAR LOCATION RENEWAL PERMIT Permit No. 64 Date February 8, 1996 Issued to Zdzislaw Mikolajczyk Address 301 Kell Avenue Staten Island, NY 10314 A renewal permit is hereby issued for the location of a single trailer/howmacaar at John's Rd. off Main Rd. , Mattituck, NY pursuant to application dated February 9, 1996 This renewal permit is granted for a six (6) month period. Expirationdate August 9, 1996 Judith T. TerVy Southold Town Clerk r TOWN OF SOUTHOLD TOWN CLERK'S OFFICE Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 RECE (516) 765-1801 FEB 1 6 PERMIT NO. 64 / Town C6& EXPIRATION DATE: February 9, 1996 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..............4wn.er. ... . . ................................................................. Name of Owner of premises ......Zdzislaw Mikolajcz�rk . .................................................................. If applicant is corporate, signature 0.4..d uly fduly authorized officer (Name and title of corporate officer) 1. Location of land on which proposed trailer will be located .......Mattituck: New York . ................................... Street and number ..............John's Road off Main Road ................................................................................................................... 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer; a. Existing use and occupancy ............one,.family_dwelling .................................. b. Intended use and occupancy ..........same c. Period of time trailer is to be located on premises ..........6 months .......................................................... 3. Fee ........... 100:.00................... (To be paid on filing application) 4. Dimensions of trailer, length .........Ss ..............width ..........10�.. .............., height 11' 6 !! ........... Registration Number ........................................ .Serial Number ..........555 :EEK 158 " ` ), �...,,•.. - ••y 5. Size of lot: Front .............igq............... ..........Rear ............100'............. Depth ..... 185.................... 6. Date of purchase or lease of land .................... ............................................................................. nAn E nBn 7. Zone or use district in which premises are situated ........................................................................ 8. Does proposed use violate any zoning law, ordinance or regulation? ...........Q0................................... 9. a. Method of Sewerage disposal cesspool............................................................................ b. Source of Water Supply .....................well.................................................................................... c. Source of ElectricityLilco ......................................................................................................................... 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 I ss'oia ...._.._........Zdzislaw Mikjczyk being duly sworn, deposes and says that . .........ola ....... . he is the applicant named above. He is the ...............owner ............. .............................................................. (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 th t the trailer will be located in the manner set forth in the application filed herewith. Sworn to before me this ...... ....... ......1'........ day f (Signature) ,� .... ... ................ . (Notary P lic) RICHARD K.IWANICKI Notary Public, State of ltlew o rk No.24 4864456 Qualified in Kings County Commission Expires June 30, 14 r G JUDITH T.TERRY o 'y` Town Hall,53095 Main Road TOWN CLERK en 2 P.O.Box 1179 REGISTRAR OF VITAL STATISTICSO Southold,New York 11971 516)765-1823 RECORDS MARRIAGE Fax( ANAGE ENT OFFICER y�� i ��0�� Telephone(516)765-1800 FREEDOM OF INFORMATION OFFICER '! OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Zdzislaw Mikolajczyk January 11, 1996 301 Kell Avenue Staten Island, NY 10314 Re: Trailer Permit Renewal No. 64 Dear Mr. Mikolajczyk: This is to advise you that your Trailer Permit will expire on February 9, 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 February 9, 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. Terry Southold Town Clerk Enclosure (1) JUDITH T.TERRY of a Town Hall,53095 Main Road TOWN CLERK y T P.O.Box 1179 y • Southold,New York 11971 REGISTRAR OF VITAL STATISTICS Fax(516)765-1823 MARRIAGE OFFICER �01 �`�� 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. 64 Date August 7, 1995 Issued to Zdzislaw Mikolalczyk Address 301 Kell Avenue Staten Island NY 10314 A renewal permit is hereby issued for the location of a single trailer/hticlsl4K2W at John's Rd. off Main Rd. , Mattituck, NY pursuant to application dated August 9, 1995 This renewal permit is granted for a six (6) month period. Expiration date February 9, 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) 765-1801AU1995PERMIT NO. 64 Southa. CI r4 EXPIRATION DATE: August 9, 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 y signat re notarized, and return to the Southold Town Clerk's Office with yo 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........_..,.4wner . ................................................................ Name of Owner of premises ......zdZ1slaw Mikolajcz k ........... ho.ized. of......................................................................... 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 .......Mattituck: New York ................................... Street and number John's Road off Main Road ...........................I......_.........................................................I..................... 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ............onpj. !MLly„dwelling......................... b. Intended use and occupancy ...........same c. Period of time trailer is to be located on premises ..........6,.months . . . . . ........................................... 3. Fee ...........100..00................... (To be paid on filing application) 4. Dimensions of trailer, length .........55...............width 10.................. height 11' 6 " Registration Number ........................................ .Serial Number ........... a,, , u.r tt n! 5. Size of lot: Front .............HP.........................Rear ............199.............. Depth ..... 185.................... 6. Date of purchase or lease of land ...................7962. ....................................................................... 7. Zone or use district in which premises are situated ....... ................................................................ 8. Does proposed use violate any zoning law, ordinance or regulation? ...........ns.......................... . . . . 9. a. Method of Sewerage disposal cess,pool............................................................................ b. Source of Water Supply .....................wel1.................................................................................... c. Source of ElectricityLilco ......................................................................................................................... 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. .........Zdzis:aw M;kalajczyk................. being duly sworn, deposes and says that ....... . ........................ he is the applicant named above. He is the owner ............................................................................... (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 ..................... ........... .. ......... ........... 19.7... .. :... ...... ... .... . ..: !/rt................. ... ... ...................... (Signature) ... ... ..... ((N..�..�.�..�.....p.. ............ CHARD K'NVANICKI ub l ic) sty Pubho.State of New York No.24-4864456, Cuslified in Kings County Cmnn"lssion Expires June 30.10 JUDITH T.TERRY Town Hall, 53095 Main Road TOWN CLERK C4 P.O.Box 1179 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER A Fax(516)765-1823 RECORDS MANAGEMENT OFFICER Telephone(516)765-1800 FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD July 5, 1995 Zdzislaw Mikolajczyk 301 Kell Avenue Staten Island, NY 10314 Re: Trailer Permit Renewal No. 64 Dear Mr. Mikolajczyk: This is to advise you that your Trailer Permit will expire on August 9, 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 August 9, 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 ) �oS�FFOLill �OGy� JUDITH T. TERRY Town Hall, 53095 Main Road TOWN CLERK v r=i+ P.O. Box 1179 t!� Southold, New York 11971 REGISTRAR OF vrrAl,sTATIsnes V'O f✓♦ Fax (516) 765-1823 MARRIAGE RECORDS MANAGEMENT OFFICER Telephone (516) 765-1801 FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SINGLE TRAILER OR HOUSECAR LOCATION RENEWAL PERMIT Permit No. 64 Date February 10, 1995 Issued to Zdzislaw Mikolajczyk Address 301 Kell Avenue Staten Island NY 10314 A renewal permit is hereby issued for the location of a single trailer/kamac AR at John's Rd. off Main Rd. , Mattituck NY pursuant to application dated February 9, 1995 This renewal permit is granted for a six (6) month period. Expiration date August 9, 1995 JUDITH T.TERRY,TOWN CLERK RECEIPT 53735 Town of Southold Southold,New York 11971 CC Phone:516-765-1801 DATE �O 19 (T RECEI OR — , oa FOR: D CASH 0 L'r-IECK BY: TOWN OF SOUTHOLD TOWN CLERK'S OFFICE Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 (516) 765-1801 C JFEPERMIT NO. 64 d Town Clerk EXPIRATION DATE: February 9, 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 " ....Zdzislaw Mikolajczyk ........................................................................... If applicant is corporate, signature of duly authorized officer ....a.me......a.. ....title.........of........corporate...........officer..........) ......... ....... .......... (Nand.. 1. Location of land on which proposed trailer will be located .......Mattituck: New York . . .......................... Street and number John's, Road off Main Road ................................................................................................................... 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ............. ne..family„ dwelling......................... .................................. b. Intended use and occupancy ........................................................................................................... c. Period of time trailer is to be located on premises ..........6 months .......................................................... 3. Fee .........................100.00 (To be paid on filing application) 4. Dimensions of trailer, length ......... ...............width .......... ................. height ....1.1...6 11. Registration Number ........................................ .Serial Number ..........5 LTUJ.58. ....................................... 5. Size of lot: Front ............. .........................Rear ............100'............. Depth ..... 1851.................... 6. Date of purchase or lease of land .................... M. ............................................................................. 7. Zone or use district in which premises are situated ..... . ............................................................ 8. Does proposed use violate any zoning law, ordinance or regulation? ...........no................................... 9. a. Method of Sewerage disposal cesspool............................................................................ b. Source of Water Supply ......................wel.1..................................................................................... c. Source of ElectricityLilco ......................................................................................................................... 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. .........Zdzislaw Mikolajczyk................. being duly sworn, deposes and says that he is the applicant named above. He is the owner .................. ............................................................ (owner or lessee or agent) of said owner or owners, and is duly authorized to make and fife 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 ...........YV............ day of .............................. 19.�c ..... . . .. ......... . (Notary PuWjWR0SL0KKE1F *bry PW*Stile of New York No.43-4515479 Wdfied in Ric d County Tam Expirea30, 1995 o e JUDITH T.TERRY Town Hall, 53095 Main Road TOWN CLERK y c P.O. Box 1179 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER `,. � fit- Fax(516)765-1823 RECORDS MANAGEMENT OFFICER i' -'�� Telephone(516)765-1800 FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD February 9, 1995 CERTIFIED MAIL RETURN RECEIPT REQUESTED Zdzislaw Mikolajczyk 301 Kell Avenue Staten Island, NY 10314 Re: Trailer Permit Renewal No. 64 Dear Mr. Mikolajczyk: This is to advise you that your trailer permit expired on February 9, 1995. J . TERRY, TOWN CLERK ition and $100.00 fee are not received on or 7 139 , 1995, your special permit will be revoked Certified Mail Receipt II have to be removed from the premises. No Insurance Coverage Provided Do not use for International Mail (See Reverse) Very truly yours, n. rs SENDER: NO Zdzislaw Mikola'cz k a • Complete items Iandtor2for additional services. I also wish to receive the m • Complete items 3,and 4a&b. following services (for an extra '"eP'6 Nc. • Print your name and address on the reverse of this form so that we can m return this card to you. feel: 301 Kell Avenue , 10 • es not er fine to the front of the mailpiece,or an the back if space 1. F-1 Addressee's Address PJ Seale 8 21P Code does not permit. Staten Island NY 1 t • write"Retum Receipt Requested"on the mailpiece below the article number. 2. ❑ Restricted Delivery • The Return Receipt will show to wl the article was delivered and the date °so-,q� $ .32 a aeliverea. Consult postmaster for fee. v 3. Article Addressed to: 4a. Article Number Qar°bed Fee 1 .1 0 0 f►tG o P 895 936 139 ee E Zdzislaw Mikolajczyk 4b. Service Type 301 Kell Avenue ❑ Registered ❑ Insured °oan°ery Pae y '- Staten Island, NY 10314 12 Certified ❑ COD' n"", of sh° m ❑ Express Mail ❑ Return Receipt for .,, "„ Qd leo 1 • 10 G a Merchandise c` 7. Date of Deli/r w � Q m Dam.6 Atl sDer $ 2.52 G B. Addressee' Address(Only if requested ^ea and fee is paid) o H m 1-"'""'-"or oa1e ¢ oinatur§gentt) �� th l E' o a PS Form 11, December 1991 *U.S.GPO:19Y1 DOMESTIC RETURN RECEIPT 0 QoS�FFOIKCO� JUDITH T. TERRY i? L Town Hall, 53095 Main Road TOWN CLERK c rzi+ P.O. Box 1179 .� REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MVO � �. Fax (516) 765-1823 MARRIAGE OFFICER .�'�1 ��� Telephone (516) 765-1801 RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD January 6, 1995 Zdzislaw Mikolajczyk 301 Kell Avenue Staten Island, NY 10314 Re: Trailer Permit Renewal No. 64 Dear Mr. Mikolajczyk: This is to advise you that your Trailer Permit will expire on February 9, 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 February 9, 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 U Southold Town Clerk Enclosure (1) �SpEfOLK��Gy� JUDITH T. TERRY Town Hall, 53095 Main Road zP.O. Box 1179 TOWN CLERK Southold, New York 11971 REGISTRAR OF VITAL STATISTICS Vv �„ Fax (516) 765-1823 MARRIAGE OFFICER •j"�1 ��� Telephone (516) 765-1801 RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SINGLE TRAILER OR HOUSECAR LOCATION RENEWAL PERMIT Permit No. 64 Date August 8, 1994 Issued to Zdzislaw Mikolajczyk Address 301 Kell Avenue Staten Island, NY 10314 A renewal permit is hereby issued for the location of a single trailer/htlU06 MK at John's Rd. off Main Rd. , Mattituck pursuant to application dated August 9, 1994 This renewal permit is granted for a six (6) month period. Expiration date February 9, 1995 . pe a- Judith T. TerrjV 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 RECEIVED PERMIT NO. 64 A�� tt9y EXPIRATION DATE: August 9, 1994 Sout d 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 ......Zdzislaw Mikolaisalk ........................................................................... 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 .......Mi ttituck: New York . ................................... Street and number ..............John's Road off Main Road ................................................................................................................... 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer; a. Existing use and occupancy .............one,.family,dwelling .................................. b. Intended use and occupancy ..........same c. Period of time trailer is to be located on premises ..........6„man ths. . . . . ........................................... 3. Fee ...........�12R. 00 (To be paid on filing application) 4. Dimensions of trailer, Iength .........W..............width 10..................... 11' 6 " height ............................ Registration Number ........................................ .Serial Number ..........555 TEK 158 : . .............. ............................ 5. Size of lot: Front .............1.9p.........................Rear ............100'............. Depth ..... 1851.................... 6. Date of purchase or lease of land ...................j9.q?. .............................................................. ............... uAn & uBn 7. Zone or use district in which premises are situated ....... ................................................................ 8. Does proposed use violate any zoning law, ordinance or regulation? ...........no,•„• 9. a. Method of Sewerage disposal cesspool............................................. b. Source of Water Supply .....................well.................................................................................... c. Source of ElectricityLilco ......................................................................................................................... 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 iot. 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 COUNTY OF SUFFOLK f ss. �rizislaw Mikolajczyk being duly sworn, deposes and says that ....... . ... . he is the applicant named above. He is the owner .................................................. . .......................... (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 t' befor me this ...... .......................................... day \ Via........,.......................1 19.��.�.... (/ ... ......... ........ ..... (Sign �-�----�INA .......... ...x... .GLp........ ••• ry-pulftliMea4lNr /ak (Notary Public) Na 43.4515479 Qw*W in County Tam Expire; 30. 19�75' �oc�pEFO(K��G� JUDITH T. TERRY Town Hall, 53095 Main Road TOWN CLERK O T P.O. Box 1179 REGISTRAR OF VITAL STATISTICS N Southold, New York 11971.,, MARRIAGE OFFICER Fax (516) 765-1823 Telephone (516) 765-1801 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD July 1, 1994 Zdzislaw Mikolajczyk 301 Kell Avenue Staten Island, NY 10314 Re: Trailer Permit Renewal No. 64 Dear Mr. Mikolaiczyk: This is to advise you that your Trailer Permit will expire on August 9, 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 August 9, 1994, your Permit will be revoked and you will be required to remove the trailer from the premises. Thank you for your cooperation. Veryy truly yours, Judith T. Terre Southold Town Clerk Enclosure (1) o YFOIK�OG�� JUDITH T. TERRY Town Hall, 53095 Main Road TOWN CLERK o rn P.O. Box 1179 cf� yc Southold, New York 11971 REGISTRAR OF VITAL STATISTICS VO • Fax (516) 765-1823 MARRIAGE OFFICER Telephone (516) 765-1801 RECORDS MANAGEMENT OFFICER O,� { FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SINGLE TRAILER OR HOUSECAR LOCATION RENEWAL PERMIT Permit No. 64 Date February 14, 1994 Issued to Zdzislaw Mikolajczyk Address 301 Kell Avenue Staten Island, NY 10314 A renewal permit is hereby issued for the location of a single trailer/house ait at John's Rd off Main Rd. . Mattituck pursuant to application dated February 9, 1994 This renewal permit is granted for a six (6) month period. Expiration date August 9, 1994 Judith T. Terr Southold Town Clerk 0 0 TOWN OF SOUTHOLD TOWN CLERK'S OFFICE Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 (516) 765-1801 V(-rlprrk PERMIT NO. 64 FEEXPIRATION DATE: February 9, 1994Sout 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 $100.00 fee for a six (6) month renewal. b. Upon signing and submitting this renewal application you agree to comply with all applicable laws, ordinances and regulations of the Town of Southold, Suffolk County, New York. State whether applicant is owner, lessee or agent..............Qwne.r pAq.e.r................................................................ Name of Owner of premises ......Kdzislaw Mikolajcz k Y.............................................................................. If applicant is corporate, signature of duly authorized officer (Name and title of corporate officer) 1. Location of land on which proposed trailer will be located .......Mattituck: New York ................................... Street and number John's. Road off Main Road .................................._............................................................................... 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer; a. Existing use and occupancy ............. .................................. b. Intended use and occupancy ........... ame . .......................................................................................... c. Period of time trailer is to be located on premises ..........6,.months . . . . . ........................................... 3. Fee ............$ .00 .110000..0 . .. (To be paid on filing application) 4 Dimensions of trailer, length � 6 .................width !.�.................. heig;it , i Registrntion Number ........................................ .Serial Number ..........SSS TEK 1.58 5. Size of lot: Front ...............001........................Rear ............1.u0'............. Depth .... 185.................... 6. Date of purchase or lease of land ...................>.M2. ............................................................................. 7. Zone or use district in which premises are situatedf�A" E "B" ............................................................ 8. Does proposed use violate any zoning law, ordinance or regulation? ...........no................................... 9. a. Method of Sewerage disposal ...............cesspool............................................................................ b. Source of Water Supply .....................well..................................................................................... C. Source of Electricity Lilco .........._............................................................................... 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 COUNTY OF SUFFOLK f ss .................it..�i5:8 Y.h .ikolajczy................... being duly sworn, deposes and says that he is the applicant named above. He is the owner _...................................................... .. (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 gqthe application filed herewith. Sworn to before me this ............1...t7.............. day of ..... ti ...................... .... 19......`.�.. u otary Public) NINA RDSLDKKEN Notary Public State of New Yart No.43.4515479 QuaffW in RichOW County y s� Term Expires. `orf s ,.�,tFOlk JUDITH T. TERRY ►� "� Town Hall, 53095 Main Road TOWN CLERK '-, rn . P.O. Box 1179 REGISTRAR OF VITAL STATISTICS a - �: Southold, New York 11971 *✓ "�` Fax (516) 765-1823 MARRIAGE OFFICER ,� Telephone (516) 765-1801 = :71 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD February 1, 1994 Zdzislaw Mikolajczyk 301 Kell Avenue Staten Island, NY 10314 Re: Trailer Permit Renewal No. 64 Dear Mr. Mikolzjczyk: This is to advise you that your trailer permit will expire on February 9, 1994. If your application and $100.00 fee are not received on or before February 9, 1994, your special permit will be revoked and your trailer will have to be removed from the premises. f�Very truly.,yours, Judith T. Terry v Southold Town Clerk 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 Telephone (516) 765-1801 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD January 3, 1994 Zdzislaw Mikolajczyk 301 Kell Avenue Staten Island, NY 10314 Re: Trailer Permit Renewal No. 64 Dear Mr. Mikolajczyk: This is to advise you that your Trailer Permit will expire on February 9, 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 February 9, 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 U Southold Town Clerk Enclosure (1) �oS�FFOIKCOG� JUDITH T. TERRY = am Town Hall, 53095 Main Road TOWN P.O. Box 1179 REGISTRAR OF VITAL CLERK Southold, New York 11971 MARRIAGE OFFICER yQ Off' Fax (516) 765-1823 Telephone (516) 765-1801 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SINGLE TRAILER OR HOUSECAR LOCATION RENEWAL PERMIT Permit No. 64 Date August 9, 1993 Issued to Zdzislaw Mikolajczyk Address 301 Kell Avenue Staten Island, NY 10314 A renewal permit is hereby issued for the location of a single trailer/ftias wr at John's Road off Main Road, Mattituck pursuant to application dated August 9, 1994 This renewal permit is granted for a six (6) month period. Expiration date February 9, 1993 Judith T. TerrjV Southold Town Clerk TOWN OF SOUTHOLD TOWN CLERK'S OFFICE Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 (516) 765-1601 Rt(,,-,vF^ AUG 993 PERMIT NO. 64 lout d 1 wn Clerk EXPIRATION DATE: August 9, 1993 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 $100.00 fee for a six (6) month renewal. b. Upon signing and submitting this renewal application you agree to comply with all applicable laws, ordinances and regulations of the Town of Southold, Suffolk County, New York. State whether applicant is owner, lessee or agent........_....owner Name of Owner of premises ......Kdzislaw Mikolajczyk ... ........................................................................... If applicant is corporate, signature of duly authorized officer ...._............................................................................... (Name and title of corporate officer) 1. Location of land on which proposed trailer will be located .......NlNtituck, New York ................................... Street and number ..............John's Road off Main Road ................................................................................................................... 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy .............one;.family,„dwelling .................................. b. Intended use and occupancy ........... ........................................................................................ c. Period of time trailer is to be located on premises ..........6. months ...................................................... 3. Fee ...........$ . 100.....00. (To be paid on filing application) 4. Dimensions of trailer, length .........Ss...............width .......... .................. height 11' 6 ” ...... Registration Number ........................................ .Serial Number ..........S55 TEK 152 .............. ............................ 0 5. Size of lot: Front .............iDp,........................Rear ............100'............. Depth ..... 185.................... 6. Date of purchase or lease of land ...................1 W ............................................................................. 7. Zone or use district in which premises are situated ......A" E "B" . ............................................................ 8. Does proposed use violate any zoning law, ordinance or regulation? ...........no................................... 9. a. Method of Sewerage disposal cesspool............................................. b. Source of Water Supply .....................well.,•,_............................................................................... c. Source of ElectricityLilco ......................................................................................................................... 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 COUNTY OF SUFFOLK f ss. ...._...........Zdzislaw.Mikolajczy........................................................... being duly sworn, deposes and says that he is the applicant named above. He is the owner ...................................................... .. (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 t efore me this .......... .7............... day f ........................... .......... ..I 19 .-'3...... (signs � . .....:.:........ . .. ................................... (Notary Public) �r�;"'.,, a:- o, t V.�25419 Term fiY4+n 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 Telephone (516) 765-1801 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD July 1, 1993 Zdzislaw Mikolajczyk P.O. Box 560 Mattituck, NY 11952v ..�Q� Re: Trailer Permit Renewal No. 64 Dear Mr. Mikolajczyk: This is to advise you that your Trailer Permit will expire on August 9, 1993. 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 August 9, 1993, 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) TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT 64......... Date ............Februar.Y...25r...1993 No. ........... .................... Name Zdzislaw Mikolajcz.yk.............. Street P.O. Box 560 ..........................:................................................................................. Town Mattituck, NY 11952 ................................................................................I........................... Your application for a (single trailer) (6ratseomd permit was reviewed by the Town Board on ............................ ..Feruary..23........................... 19..93.., and (was) (vto�crapt) approved. A permit is hereby issued to locate a (single trailer) (housecar), license number ........................ or serial number ........S 55 T58 at souoPRoad............... Matt.. . ... NY .................................................................................................................... pursuant to application dated ................... .............. and the following conditions: ,,,,,,,,,,,PERMIT RENEWED FOR A SIX (6) MONTH PERIOD . ........................................................................ .EXPIRATION DATE: AUGUST 9, 1993 ............................................ ............................................... .......................................................................................................................................................... TOWN BOARD, TOWN OF SOUTHOLD � .......... .. ................ .... .............. .................... Town Clerk i �oSpFfOIl(C�G` JUDITH T. TERRY = = Town Hall, 53095 Main Road P.O. Box 1179 CLEK REGISTRAR OFNVITA L STATISTICS in Southold, New York 11971 MARRIAGE OFFICER Fax (516) 765-1823 '�►w� y �1D Telephone (516) 765-1801 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 FEBRUARY 23, 1993: RESOLVED that the application of Zdzislaw Mikolajczyk for renewal of his single family house trailer permit, for trailer located on the south side of private road (John's Road) , which is on the south side of Main Road, Mattituck, be and hereby is granted for a six (6) month period. Judith T. Terry 67 Southold town Clerk February 24, 1993 RECEIVED FEB 81993 TOWN OF SOUTHOLD Southold Town Clerk TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved .................. a .., 10. ., . ..Permit No. ....64........ R E N E W A L APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date FebruarY...9.............. 19..93.. Instructions a. This application must be completely filled in by typewriter or in ink and submitted 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 o 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 sholl 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 County, New York, nd other applicable Laws, Ordinances or Regulations. The applicant agrees to comply with all opoli� le law , finances and regulations. ��� /f (S4} ture of oppicont> islaw ik czyk P,,Q,,,,Bgx„ ¢p,,,Johns„Road�•,Mattituck,N;Y: 11952 (Address) State whether applicant is owner, lessee or agent...........OWner,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,•,••••••„......••..•.....••_... Name of Owner of premises .........zdz.isla3x..M KQ1ajQzyk........................................................................ If applicant is corporate, signature of duly authorized officer (Mame and tine of corporate otiiceri 1. Location of land on which proposed trailer will be located ......south..side..Df..Pri.vate...5Aad .* off of south (John's oad) Street and number Sld.�.Main„RQ9d.,,,Mattij_uck,,....New York ...... ................................ 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ......Ortie..F.amily.-Di”lliag................................................................ b. Intended use and occupancy .....5 MP............................................................................................. c. Period of time trailer is to be located on premises .......fi..MQnthS.............................................. 3. Fee ......... 100.00..................... (To be paid on filing application) 4. Dimensions of trailer, length ..........55.'.............width .............ID.'.............. height .......11.'..:G.':.......... Registration Number ........................................ .Serial Number ......555...T.9.(S...l.5.$.....,................,........ t 5. Size of lot: Front ..................1.0.0.1....................Rear ...................1.0.0.!...... Depth ..............185:!.......... 6. Date of purchase or lease of land .........1.9.4.z....................................................................................... 7. Zone or use district in which premises are situated ....'!A!!..b..!!R!................................................... 8. Does proposed use violate any zoning law, ordinance or regulation? ...........No.................................. 9. a. Method of Sewerage disposal ............GasspooJ............................................................................... b. Source of Water Supply ..................Well........................................................................................ c. Source of Electricity ..........................(,l)GO....................................................................................... PLOT DIAGRAM Locate clearly and distinctly all bVildlings, 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. (ORIGINAL PLAN ON FILE) STATE OF NEW YORK 1 COUNTY OF SUFFOLK J ss. A„Zdz,islaw„MikolajczXk......................................................... being duly sworn, deposes and says that he is the applicant named above. He is the ..............O..wner......................................................I................. (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. 1 Sworn to befgre me this ...........S��4....... day o 3 (Sig ....y(..... ..r.Nn/.�i. :.... ... . ................................. \/ o tary Public) mink RosloiiR�n ,.�piery Pabik state pt new York gp, 4SA515479 QWRW in Ric nd antr Tann Elm m` 13 l JUDITH T. TERRY 1 "� Town Hall, 53095 Main Road TOWN CLERK l T P.O. Box 1179 REGISTRAR OF VITAL STATISTICS V� L.r Southold, New York 11971 MARRIAGE OFFICER `O�' Fax (516) 765-1823 Nb Telephone (516) 765-1801 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD January 7, 1993 Zdzislaw Mikolajczyk P.O. Box 560 Mattituck, NY 11952 Re: Trailer Permit Renewal No. 64 Dear Mr. Mikolajczyk: This is to advise you that your Trailer Permit will expire on February 9, 1993. 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 February 9, 1993, 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 OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT No. .......614......... Date ..........AmgwAt..2fi,.J�9.2 Name ....Zdzislax-Miko.laiczyk................................................................................................. Street ......R,A,JBQx..AOA................................................................................... Town ......M?.Ui1w.rk,...N.e..w..Y.9&-119159 Your application for a (single trailer) Jhomxzw* permit was reviewed by the Town Board on .............August....25................................. 19...9.2.., and (was) 9M)MI4 approved. A permit is hereby issued to locate a (single trailer) (kUu-xdM)K license number ........................ or serial number ......5„55 55 TEK 158 ............ at ......... ti ............................... Qw.t side of Private Road .................Mat titmck....N-Y,....1.1952 pursuant to application dated ...............August-A,-.1992............................. and the following conditions: .......P.ERM I.T..REREW.El)..F.O.R..&50(..1A)..MO N T H...PE R I O D .......................... FEBRUARY 9, 1993 .......................................................................................... .......................................................................................................................................................... TOWN BOARD, TOWN OF SOUTHOLD Town Clerk • ooc�pEFOIKc�Gy JUDITH T. TERRY Town Hall, 53095 Main Road TOWN CLERK G T P.O. Box 1179 rr REGISTRAR VITAL STATISTICS Southold, New York 11971 y ' Fax 516 765-1823 MARRIAGE GE oEEtcER 0AA �Q� Telephone (516) 765-1801 1 ,} 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 AUGUST 25, 1992: RESOLVED that the application of Zdzislaw Mikolajczyk for renewal of his single family house trailer permit, for trailer located on John's Road, a private road off of the south side of Main Road, Mattituck, which permit expired on August 9, 1992, be and hereby is granted for a six (6) month period. Judith T. Terry Southold Town Cler August 26, 1992 RECEIVED AUG 1 r 1992 Southold T,.,,,, r•ierl{ TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ........................Yl. ., 19,1.i. Permit No. ....64........ R E N E W A L APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAI E OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date . ....... .................., Instructions G�� a. This application must be completely filled in by typewriter or in ink and submitted one copyu 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 whotever ether thor in permit. Application is hereby made to the Town Board for the issuance of a Trailer Per it ursuant to the Building Zone Ordinance of the Town of Southold, Suffo County, New York, a of r applicable Laws, Ordinances or Regulations. The applicant ogre es t am y wit II applico a v1s, ordin s d regulations. .. . . .. . . ............. . .. . . . . .. .... I ture of app icant) Z olajc k P,,Q,,,,13px„66QJohn!s .,,oad ,Mattituck,.N:Y: 11952 (Address) State whether applicant is owner, lessee or agent........_.Owner................................... Name of Owner of premises .........ZdzJ5Ii] ot..MIk.O1.ajC7yk........................................................................ 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 ......south..s.ide..of..Private...Road... Street and number ........u1:1... Rgiati}uck�,,,,fveA.Y oris 2. State existing use and occupancy of premises and intended use and occupancy of proposed troiier; a. Existing use and occupancy ......Orte..F.amily..'Dw.elling................................................................ b. Intended use and occupancy .....5.aw.............................................................................................. c. Period of time trailer is to be located on premises .......6..man1b5.............................................. 3. Fee ...........$.7.5...0.0...................... (To be paid on filing application) 4. Dimensions of trailer, length ..........SS!.............width ..............1D.'.............. height .......1.1....6.:.......... Registration Number ........................................ .Serial Number ......5.`55...T.9K.1,`3$.............................. 5. Size of lot: Front ..................1.0.0.1....................Rear ...................1.0.0.'....... Depth ..............185!!.......... 6. Date of purchase or lease of land .........1.9AZ........................................................................................ 7. Zone or use district in which premises are situated ....'!A!'...E...'.'R.':................................................. 8. Does proposed use violate any zoning law, ordinance or regulation? ...........No.................................. 9. a. Method of Sewerage disposal ............Cesspool............................................................................... b. Source of Water Supply ..................Well..................................... .................................................... c. Source of Electricity ..........................iUk'.Q...................................................................................... 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. (ORIGINAL PLAN ON FILE) STATE OF NEW YORK t COUNTY OF SUFFOLK f ss. Zdzislaw,.Mik.o1Wg9A......................................................... being duly sworn, deposes and says that he is the applicant named above. He is the ..............Owner.............................. .............___ (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 wdl be located in the manner set forth in the application filed herewith. Sworn to tfo a me this ..........�/................ day of ............. 19..!..y. ... . . ... .. (Sig ature) .. . t-�*��........... ....... otary Public) - �i�. JUDITH T. TERRY Town Hall, 53095 Main Road TOWN CLERK _ P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER 7 - Fax (516) 765-1823 -°� ,y Telephone (516) 765-1801 j OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD July 6, 1992 Zdislaw Mikolajczyk P.O. Box 560 Mattituck, NY 11952 Re: Trailer Permit Renewal No. 64 Dear Mr. Mikolajczyk_ This is to advise you that your Trailer Permit will expire on August 9, 1992. 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 $75.00 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 August 9, 1992, 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) TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT No. ...64............. Date .........February 27, ..1992 . ............................... Name Zdislaw Mikolajczyk .. . . .............................................I........ Street .....................Jl Ot.Q PPA.5.0.............................................................................................. ........................................................................... Town .....................MattituGk....KX....1.1.95?..._............................................................................ Your application for a (single trailer) (hpgt9Eaorkpermit was reviewed by the Town Board Februar 25. 19.92..., and (was) (W96) approved. A permit is hereby issued to locate a (single trailer) (brorammpl, license number ........................ or serial number .....S..55, TEK....1.58................ at ........south„side of Private Road ..................................I....... Mattituck, NY .......................................................................................................................................................... pursuant to application dated ............. February 9{ 1992...., and the following conditions: PERMIT„RENEWED„FOR A SIX (6� MONTH PERIOD ................................... . . . .................... ... ........................................ EXPIRATION DATE: AUGUST 9, 1992 .......................................................................................................................................................... . .......................................................................................................................................................... TOWN BOARD, TOWN OF SOUTHOLD Town Clerk (/ o c��FFOIKCOGy� JUDITH T. TERRY Town Hall, 53095 Main Road CLERK Z P.O. Box 1179 REGISTRAR oTOWN a v[ AE sTAT[sTlcs Southold, New York 11971 MARRIAGE OFFICER y0 e- Fax (516) 765-1823 Telephone (516) 765-1801 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 FEBRUARY 25, 1992: RESOLVED that the application of Zdzislaw Mikolajczyk for renewal of his single family house trailer permit, for trailer located on the south side of Private Road, on the east side of Main Road, Mattituck, which permit expired on February 9, 1992, be and hereby is granted for a six (6) month period. Judith T. Terry Southold Town Clerk February 26, 1992 , RECEIVED FEB 11 1992 sOUthoW T,,.„� n*4 TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ...................... �J.., 19,.,� ermit No. ....64........ R E N E W A L APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date ..FebruarX..9.............. 19.92... Instructions a. This application must be completely filled in by typewriter or in ink and submitted one copyu 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 County, New Yor , nd other applicable Lows, Ordinances or Regulations. The applicant agrees to comply with all a i ble laws, ordinances and regulations. I 0-- tur of applicant) law Mikolajczyk John!s„Roads„Mattituck,,N;Y. 11952 (Address) State whether applicant is owner, lessee or agent...........Owner.................................................................. Name of Owner of premises .........ZdzISIa3K..IV1lKQ1a1LZYX........................................................................ If applicant is corporate, signature of duly authorized officer ........:............................................................................ (Name and title of corporate officer) I. Location of land on which proposed trailer will be located .....south.side..of..P.rivats..RAa�I... Street and number ........gff..26S#..A.WA.Main... Qag1,,,,Mat;i uck,....New,York. ... . .............................. 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ......One..Family..Dw.elling................................................................ b. Intended use and occupancy .....5.dRt4.............................................................................................. c. Period of time trailer is to be located on premises .......6..mQn1hS.............................................. 3. Fee ........... .7.5...0.0...................... (To be paid on filing application) 4. Dimensions of trailer, length ..........55!.............width ..............10!.............. height .......1.1.1...f ll.......... Registration Number ........................................ .Serial Number ......$55...TTA...15.$.............................. 5. Size of lot: Front ..................1.0.0......................Rear ...................1.0.w...... Depth ..............185:'........... 6. Date of purchase or lease of land ..........1.9.0...... ............................................................................... 7. Zone or use district in which premises are situated ....':A:'...E...'.'B.".................................................. 8. Does proposed use violate any zoning law, ordinance or regulation? ...........No.................................. 9. a. Method of Sewerage disposal ............Cesspool............................................................................... b. Source of Water Supply ..................Well........................................................................................ c. Source of Electricity ..........................L1J.CA....................................................................................... 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. (ORIGINAL PLAN ON FILE) STATE OF NEW YORK COUNTY OF SUFFOLK Jss. „.,,„Zozislaw Mi,r:plajcExk......................................................... being d,:ly sworn, deposes and says that he is the applicant named above. He is the ..............O.wrzer........................................................................ (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 nnf the application filed herewith. Sworn to before me this .......... J............. day . .! ............ ......... 19. .. ........�.... .�Si........ ..... Ig .............w... ..i:. �:.... ... otary Public) i:kt,Rui j,HONER NotaryN,o c .tate of NM York Quati9ed m Richmond Cou Carami a^-i: Fxwes mev,31% 1' 2 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 Telephone (516) 765-1801 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD January 2, 1992 Zdislaw Mikolajczyk P.O. Box 560 Mattituck, NY 11952 Re: Trailer Permit Renewal No. 64 Dear Mr. Mikolajczyk: This is to advise you that your Trailer Permit will expire on February 9, 1992. 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 $75.00 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 February 9, 1992, 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) 1 E TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT No. ........6.4........ Date .........AP.9W.*A .1.4....1.991........................... Name .....................Zdislaw.Mikolajcz.Y.k................................................................................... .. Street P.O. Box 560 ............................................................................................................................................... Town Mattituck, .•NY 11952 Your application for a (single trailer) (ho twAwk permit was reviewed by the Town Board on .............August.. 3.................................... 19...91.., and (was) (wkX)t" approved. ... A permit is hereby issued to locate a (single trailer) (housecar), license number ........................ or serial number ....... ,•55„TEK,•158•••••,••,••,.,. at .......SQU.tb .......... .......................Matl;ittAck.....N..Y........................................................................................................ pursuant to application dated ........August„9,,•••1,991••.••••.•••.••.•_•...............••... and the following conditions: . . ... . . ..............................PERMIT RENEWED FOR A SIX(6) . MONTH PERIOD ............................... ...... .. .. . . ...... ................................................ EXPIRATION DATE: FEBRUARY 9, 1992 .......................................................................................................................................................... .......................................................................................................................................................... TOWN BOARD, TOWN OF SOUTHOLD ......... ... ......... . ../� ate.. Town Clerk oS�ffOIKCOG JUDITH T. TERRY � < Town Hall, 53095 Main Road TOWN CLERK Z P.O. Box 1179 REGISTRAR of VITAL STATISTICS o �T' SouFax thold, New York 11971 MARRIAGE OFFICER Telephone (5166576821$01 01 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 AUGUST 13, 1991 : RESOLVED that the application of Zdzislaw Mikolajczyk for renewal of his single family house trailer permit, for trailer located on the south side of private road (John's Road), on the east side of Main Road, Mattituck, which permit expired on August 9, 1991, be and hereby is granted for a six (6) month period. ✓rte Judith T. Terry Southold Town Clerk August 14, 1991 REC VED i AUG 12 1991 Satlhold T""T ""'' TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. // Application No. .64-Renewal.............. Approved ......................T/1/2.., 19..0 .Permit No. ....64........ APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. C Date ..........Aucqust..9......... 19.91... Instructions a. This application must be completely filled in by typewriter or in ink and submitted in duplicate 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 mode to the Town Board for the issuance of o Trailer Pe pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, r applicable Laws, Ordinances or Regulations. The applicant agrees to c ly with al�li I Row ordinances d regulations. re of applic nt) Z s (kolajczyk n!s,,,,oad,. Mattituck N.Y. 11952 .............................. (Address) State whether applicant is owner, lessee or agent...........Owner................................... Name of Owner of premises .........Z> 21SIa35(..MikAAdjCzyk........................................................................ 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 ......south.side..af..P.rivats..RAd�i... Street and number ........off..A75t..514ig.MCI n...90.0,,,Mattitucka.....New..York........ .. . . .............................. 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ......One•.F.amily.zw.elling................................................................ b. Intended use and occupancy .....5400e.............................................................................................. c. Period of time trailer is to be located on premises .......6..matlkhs.............................................. 3. Fee ...........$.IS...0.0...................... (To be paid on filing application) 4. Dimensions of trailer, length ..........55.'.............width ..............ID.'.............. height .......).M...V.......... Registration Number ........................................ .Serial Number ......555...T.E.K..14$.............................. i 5. Size of lot: Front ..................1.0.0.1....................Rear ...................1.0.0.'....... Depth ..............185::.......... 6. Date of purchase or lease of land ..........19AZ........................................................................................ 7. Zone or use district in which premises are situated ....':A!!..E...'.' .':................................................. 8. Does proposed use violate any zoning low, ordinance or regulation? ...........No.................................. 9. a. Method of Sewerage disposal ............CesspoW............................................................................... b. Source of Water Supply ..................WeJI........................................................................................ c. Source of Electricity ..........................(,I).C4....................................................................................... 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. (ORIGINAL PLAN ON FILE) STATE OF NEW YORK 1 COUNTY OF SUFFOLK )ss. Zdzis... . .;.ikglajck z ......................................................... being duly sworn, deposes and says that he is the applicant named above. He is the ..............O..wner........................................................................ (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 1�00re me this ..........�4.......... day of ........... . . .. .. ... .. .........................1 19.1..... . . .. .... ....... ......... (Signature.) . ................. tol .... Votary PuWl1, . ...... .. No. 43.4515479 Qualified in Ric and County Term Expiry M, 19-7/ F UL At JUDITH T. TERRY < Town Hall, 53095 Main Road TOWN CLERK Z P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER Fax (516) 765-1823 Telephone (516) 765-1801 1 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD RECEIVED AUG 2 3 1991 August 12, 1991 rru-44d Town Clwk Zdislaw Mikolajczyk P.O. Box 560 Mattituck, NY 11952 Re: Trailer Permit Renewal No. 64 Dear Mr. Mikolajczyk: We are in receipt of your check dated August 8, 1991 in the amount of $35.00. However, the renewal fee for trailers has been raised to $75.00 effective January 1 , 1991 . An old renewal form was mistakenly sent to you with the old fee. Your application cannot be processed until we receive the additional $40.00. We are sorry for any inconvenience this may have caused you. Very truly yours, a^� oyce M. Wilkins Clerk/Typist Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 JUDITH T.TERRY FAX(516)765-1823 TOWN CLERK TELEPHONE(516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OP THE TOWN CLERK TOWN OF SOUTHOLD August 1, 1991 Zdislaw Mikolajczyk P.O. Box 560 Mattituck, NY 11952 Re: Trailer Permit Renewal No. 64 Dear Mr. Mikolajczyk: This is to advise you that your trailer permit will expire on August 9, 1991 . Enclosed you will find a partially completed application form for renewing same. Please complete this form, have your signature 00 notarized, and return it to this office together with the required �b.� $ renewal fee, as soon as possible. Please make check or money order payable to "Southold Town Clerk." If application and fee are not received on or before August 9, 1991 , 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 Enclosure (1) 0 TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT 64....... Date ......... 28.,,. 1991 Name Zdzislaw ..................................... . . ...Mikolaigiy.k................................................................ . . . . . . . P.O. Box 560 - John's Road Street ............................................................................................................................................... Town ....................................... ............................................................... Your application for a (single trailer) (0W.X8t PO permit was reviewed by the Town Board on ...................F..ebr. . uary...`26.......................... 19..91.., and (was) 4400W approved. A permit is hereby issued to locate a (single trailer) kwusewrX license number ........................ or serial number ......... S 55. TEK 1.5.8............ at .............south.. of Private Road .... . . . ........................................ Mattituck, New York ................. ......................................................................................................... pursuant to application dated ................February 9, 1991 and the following conditions: PERMIT RENEWED FOR A..SIX. (6), MONTH PERIOD ............ ................ EXPIRATION DATE: AUGUST 9, 1991 .......................................................................................................................................................... .......................................................................................................................................................... TOWN BOARD, TOWN OF SOUTHOLD ...... . .. .. ....... . ..... ......... Town Clerk .. ��S�fFOLIfCOG� JUDITH T. TERRY < Town Hall, 53095 Main Road TOWN CLERK = = P.O. Box 1179 REGISTRAR OF VITAL STATISTICS to Southold, New York 11971 MARRIAGE OFFICER �% �„ Fax (516) 765-1823 Telephone (516) 765-1801 1 ,�► 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 FEBRUARY 26, 1991 : RESOLVED that the application of Zdzislaw Mikolajczyk to renew his single family house trailer permit, for trailer located on John's Road, a private road off of the east side of Main Road, Mattituck, which permit expired on February 9, 1991, be and hereby is granted for a six (6) month period. ��-��ry Southold Town Clerk February 27, 1991 0 REarm FEB 121 1991 TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. / // Application No. .114-Renewal.............. Approved ....................... �C o 19.f .Permit No. ....64........ APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date .FebruarY...9.............. 19.M.... Instructions a. This application must be completely filled in by typewriter or in ink and submitted in duplicate 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 applicani. 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 Perm' ursuant to the Building Zone Ordinance of the Town of Southold, Suffolk unty, New York, and plicable s, Ordinances or Regulations. The applicant agrees e�n'plicoblAotdinregulations. ....t) Zd� Ro 11952 State whether applicant is owner, lessee or agent...........Owner................................... Name of Owner of premises .........Zdzlsla3K..(41 kQ1aLjG7.yk........................................................................ 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 ......south.side..of..P.rj.vate...RAad... Street and number ........ New,Yor.k ... . .............................. 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ......One..F.amily--D"lling................................................................ b. Intended use and occupancy .....StatR@.............................................................................................. c. Period of time trailer is to be located on premises .......6..manlhs.............................................. 3. Fee ...........$.75...0.0...................... (To be paid on filing application) 4. Dimensions of trailer, length ..........5 .'.............width .............Ah!.............. height .......11.'...Ct............. Registration Number ........................................ .Serial Number ......SSS...T.F.K..A.`3$.............................. ` 5. Size of lot: Front ..................LOX...................Rear ...................LOW...... Depth ..............1U5! .......... � ' 6. Date ofpurchase orlease uf land ..........1.9.62......^....~-_...—~.~.....~~~^`~~~~~^^^^^^~. 7. Zone oruse district inwhich premises are situated ...!!/&!,.F.2B!!................................................. 8. Does proposed use violate any zoning |ovv, ordinance or neg"|oUnn? ...........1&o................................... y. o. Method of Sewenzge'dispoon| ............Classpou].............. ^`�............................................................... 6. Source of Water Supply .—.—....�AeJ4........................................................................... ............ cSource of Electricity ..........................Lihw..................... --~.....~............—........ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing orproposed, and indicate all set-back dimen- sions fponn property |ines. Givestreetondb|ncknunnbcmurJeschphnnnccordingtodeed, ondshcx* st,net names and indicate whether interior or corner lot. Indicate clearly location of proposed trailer on prem- ises, shn*ingdistoncnsfrnnoo|| bui|dingsondp,npo,ty |ines. � (ORIGINAL PLAN ON FILE) ` � ` � STATE OF NBmYORK COUNTY OF SUFFOLK I"~' ,_Zdzi�I�!�-��� 72��^-.~...._..—..~~.^.....-.� be;ngduly s°v�rn, deposes and says that he is the 000/kzant named above. He is the ..............O.Wzxer............................................................... ....... (owner orlessee ooagent) ofsaid owner orowners, and isduly authorized tomake 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 belocated inthe manner set forth inthe application filed herewith. Sworn to before me this ..........u/.Zz........... day Of ----�� - ` �' 9/ � ~�~����' ~� -�~~~~~°~---�x� ~"- - ~~~~~ ~ (Signature) —�^ ~ -�r«���.���~�° ~��.....`~_.~ ...^^.. v »r ^ //` YNNMVOSAJWryPublic) x 11olim PuNic State of No�0Nr � No. 43-451547% Qualified iRich lmm �*| ���� C Town Hall, 53095 Main Road Z, A ;,y P.O. Box 1179 Southold, New York 11971 JUDITH T.TERRY FAX(516)765-1823 Town CLERK TELEPHONE(516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD January 14, 1991 Zdzislaw Mikolajczyk P.O. Box 560 Mattituck, NY 11952 Re: Trailer Permit Renewal No. 64 Dear Mr. Mikolajczyk: This is to advise you that your trailer permit will expire on February 9, 1991 . Enclosed you will find a partially completed application form for renewing same. Please complete this form, have your signature notarized, and return it to this office together with the required $75.00 renewal fee as soon as possible. Please make check or money order payable to "Southold Town Clerk." The fee for a trailer permit application or renewal was raised to $75.00 by resolution of the Southold Town Board on October 10, 1990 to be effective January 1, 1991. If application and fee are not received on or before February 9, 1991, 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 Enclosure (1) TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT No. 64 Renewal Date ..... 76,,,,.199,Q................................ Name .Zd. ziMikolajcz ................................................................I..................... . ....................................Y P Street .........................O........B.....ox......560......-......John's.............Road............................................................................ Town Mattituck NY. „ 11952 Your application for a (single trailer) (Fmx9exor) permit was reviewed by the Town Board on ........................August 14...................... 19...90., and (was) (wJ64*60 approved. .. A permit is hereby issued to locate a (single trailer) (kammod, license number ........................ or serial number ......... „55..TE,K„158,,,,,,,,,,,,, at .........south...side,of Private„Rosch,,,,,,, Mattituck.<..Ne.W...Y.gJ. . ................................................................................... Au ust 9, 1990..................................... and the following pursuant to application dated ..............�....................... g conditions: PERMIT REKEMP..F.OR..A..S.M..L0..MQN.TH..RERJ.Q.0....... ..................................... ........ EXPIRATION DATE: FEBRUARY 9, 1991 .......................................................................................................................................................... .......................................................................................................................................................... TOWN BOARD, TTO�WNN OF SOUTHOLD ............. Town Clerk Or �o��FFOIKCOGy< Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 JUDITH T.TERRY FAX(516) 765-1823 TOWN CLERK TELEPHONE(516)765-1801 REGISTRAR OF VITAL STATISTICS 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 AUGUST 14, 1990: RESOLVED that the application of Zdzislaw Mikolajczyk for renewal of his single family house trailer permit, for trailer located at John's Road, off of the east side of the Main Road, Mattituck, which permit expired on August 9, 1990, be and hereby is granted for a six (6) month period. X /ze,- -� Judith T. Terry(-/ Southold Town Clerk August 16, 1990 r_Z i 'RECEIVED TOWN OF SOUTHOLD AUG 9 SO TOWN CLERK'S OFFICE Southold T ..._ �� 4 SOUTHOLD, N. Y. LL pp Application No. 64,.APMewal........... Approved .....................��T3 , 19.L. Permit No. ................ APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date ......AS19.v§La............. 19...90, Instructions a. This application must be completely filled in by typewriter or in ink and submitted in duplicate 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 ursuant to the Building Zone Ordinance of the Town of Southold, Suffolk Cou ty, New York, and applicable Laws, Ordinances or Regulations. The applicant agrees to comply ith cpplicabl "I 's,�rdin regulations. ( ' ture of applicant) Zdz....... Mikola�czyk P.O. Box 560 John ' s o d ..Mat ti.tuck,...N...X........1 52............................. (Address) State whether applicant is owner, lessee or agent........... .................................................................. Name of Owner of premises ..7ftiA1.2,W...M1.XQ:L.aJ.Q7wY.k....................................................................... 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 ... ...Ra.r...... Street and number Q.fX...la.l.S..Ma.iri..RQ.ad,...MattituGk.,...D7...X................................................. 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ....One..Eamily...Attie.111n8.......................................................... b. Intended use and occupancy ..Same............................................................................................... c. Period of time trailer is to be located on premises A...tponth§.................. 3. Fee ...$...5,.Q.Q........................... (To be paid on filing application) 4. Dimensions of trailer, length ....55....................width .........a.0.:................. height .........1x.!.(!:'........ Registration Number ........................................ .Serial Number .S55„TEK 158, 5. Size of lot: Front ..............100........................Rear .........J.OQ.'............... Depth ......J.>3.5.:................. 6. Date of purchase or lease of land ........1.962...... ............................................................................... 7. Zone or use district in which premises are situated .....::A.::...&..:' ::............................................1. 8. Does proposed use violate any zoning law, ordinance or regulation? .....NQ................................. 9. a. Method of Sewerage disposal ......C.QS.SP.Q9.1..................................................... .......................... b. Source of Water Supply ..............wej.7wejj............................................................................................ c. Source of Electricity ...................ULM......................................................................................... 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. (Original Plan On File) STATE OF NEW YORK 1 COUNTY OF SUFFOLK f ss. ...........I..Zdzislaw,.M..... czyk..... being duly sworn, deposes and says that he is the applicant named above. He is the ........9WX!Q)................ ............................................................. (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. Swor to.before me this ...........W.......... day of .. .. .. ... .. ................................... t9..f...�... f.... ........ . . ...... .. .. ... . . - (Signature) ............ ` ...ta.� ............. NINA Rlu( ►otrt Public) Ipyry Poblk Siete of NO Ne, 1345L%79 ty QoRlled la R' �and 19q/ u Town Hall, 53095 Main Road P.O. Box 1179 'IN Southold, New York 11971 JUDITH T.TERRY ': FAX(516)765-1823 TOWN CLERK TELEPHONE(516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD July 3, 1990 Zdzislaw Mikolajczyk P.O. Box 560 Mattituck, NY 11952 Re: Trailer Permit Renewal No. 64 Dear Mr. Mikolajczyk: This is to advise you that your trailer permit will expire on August 9, 1990 Enclosed you will find a partially completed application form for renewing same. Please complete this form, have your signature notarized, and return it to this office together with the required $35.00 renewal fee, as soon as possible. Please make check or money order payable to "Southold Town Clerk." If application and fee are not received on or before August 9, 1990, your special permit will be revoked and your trailer will have to be removed from the premises. Very truly yours, 0. Judith T. Terry Southold Town Clerk Enclosure (1) TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT No. Date ......February..$....1990.......................... Name ......Zdzislaw,.Mi.kolaj.(;.?.yk............................................................................................... Street ........P.O.,... ox...`540....JQh.n:S...RQad................................................................................ Town ........Maktl.tsac.k....New...Y.or.k.....1.1952................................................................................ Your application for a (single trailer) SlvxwAx) permit was reviewed by the Town Board on .............February...27..,.............................. 19...9Q., and (was) kwxxxO approved. A permit is hereby issued to locate a (single trailer) (kRLK4t&q& license number ........................ or serial number ....S,.S,S,.TEK.,1.58................. at .....sou.tli-side..o.f..Private-Raad............ ...................Mattj1LLCk,..New...YDr.k.............................................................................................. pursuant to application dated .............F.ebruar..y...9.,..AR9R............................. and the following conditions: ........P.ERMI T..RENEW.ED...FOR..A..SIX...(.6J..M.ON.T.Fi..PERIOD......................... x.P.l RA.TI.Q.K..PA.T.F.;.......A.U.G.UST...9.,...1.99R............................................... .......................................................................................................................................................... TOWN BOARD, TOWN OF SOUTHOLD Town Clerk �oc�pFfOIK�OG` Z ^' Town Hall, 53095 Main Road v� P.O. Box 1179 Southold, New York 11971 JUDITH T.TERRY FAX(516) 765-1823 TOWN CLERK TELEPHONE(516) 765-1801 REGISTRAR OF VITAL STATISTICS 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 FEBRUARY 27, 1990: RESOLVED that the application of Zdzislaw Mikolajczyk for renewal of his single family house trailer permit, for trailer located on the south side of John's Road (private road), off of the east side of Main Road, Mattituck, which permit expired on February 9, 1990, be and hereby is granted for a six (6) month period. 70AJudith T ,er y Southold Town Clerk(/ February 28, 1990 RECEIVED FEB 131990 TOWN OF SOUTHOLD So,,,,,n,,, T... _ TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Application No. .64,,,Renewal Approved ............... 9/ �..., 1 ...U.Permit No. APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date ....EtbKMi rYJ............ 19..90. Instructions a. This application must be completely filled in by typewriter or in ink and submitted in duplicate 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 shoU 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 Per ursuant to the Building Zone Ordinance of the Town of Southold, Suffol ounty, { w York, an th opplic le ws, Ordinances or Regulations. The applicant agrees to p it I Opplicab I s, ord' n s n regulations. . .... ......... .......... ... .. .. .. i ure of applicant) Z Mikolajczyk Box 560 Joh ad a t t z.t ur k.,...PL..Y..... . 1 52............................. Address) State whether applicant is owner, lessee or agent...........QW112.x.................................................................. Name of Owner of premises .Zd.?;1AIA '...MAM1.aj.c7w t....................................................................... 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 ...,SA.11th...S.:JAQ..A. ..FYI..... a.r...... Street and number Q.ZX...F+.I.S..A3a.i n..Rs7.ad.....Mat.txtuC.k.,...PL..X................................................. 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ....Ana..E.amily...DwP-111n9.......................................................... b. Intended use and occupancy ..S.ame............................................................................................... c. Period of time trailer is to be located on premises .6„,mPnths.............. 3. Fee ...$.25,.0.0........................... (To be paid on filing application) 4. Dimensions of trailer, length ....55..'..................width .........XQ.!................. height ........11.:.0.'.'........ Registration Number ........................................ .Serial Number .S55„TEK 158 , f 5. Size of lot: Front .............100.'.......................Rear .........7.O.Q.:.............. Depth ......J.B.5................... 6. Date of purchase or lease of land .........1,962,,,,,, 7. Zone or use district in which premises are situated ..... ::...&..:' ::. ...........................................:. 8. Does proposed use violate any zoning law, ordinance or regulation? ....NR................................ 9. a. Method of Sewerage disposal ......C�.SSP.44.1.................................................................................. b. Source of Water Supply ...........xv.ejl............................................................................................ c. Source of Electricity ....................L.UQQ......................................................................................... 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. (Original Plan On File) STATE OF NEW YORK j COUNTY OF SUFFOLK Jss. Zdzislaw Mikolajezyk being duly sworn, deposes and says that h: is the applicant rtamsd obove. He isthc ........�,' 1f,:............................................................................. (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 ,eft�his ................ ........... day of / "'..!...:.................. ... ..../..a.. (Si tur No a....at .......Pu....blic.... .. .................... ( " CONNIE BARBARINO Notary Public,State of New York No. 483820'4Qualf� lfied n rRichmond March 30, 19 Term Expies9. I ' , t = f Town Hall, 53095 Main Road ="n ►' ;,A, �rP.O. Box 1179 ti °fie ; y Southold, New York 11971 .JUDITH T.TERRY ':✓� FAX(516)TELEPHONE(516) 1823 TOWN CLERK 1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD January 4, 1990 Zdzislaw Mikolajczyk P.O. Box 560 John's Road Mattituck, NY 11952 Re: Trailer Permit Renewal No. 64 Dear This is to advise you that your trailer permit will expire on February 9, 1990. Enclosed you will find a partially completed application form for renewing same. Please complete this form, have your signature notarized, and return it to this office together with the required $35.00 renewal fee, as soon as possible. Please make check or money order payable to "Southold Town Clerk." If application and fee are not received on or before February 9, 1990, your special permit will be revoked and your trailer will have to be removed from the premises. Very truly yours, Judith T�7er4r y Southold Town Clerk Enclosure (1 ) TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. r SINGLE TRAILER OR HOUSECAR LOCATION PERMIT No. ...64..Re[?.gWal Date ........August..1.6.,...1.9A9............................. Name ..........Z.dziSlaw..Mikalajcz.yk........................................................................................... Street ............P...O...Box..50....J.ohn.!s..Road.......................................................................... Town ...........NlaS.tituck....NAw...Yor..k......1.195.2.......................................................................... Your application for a (single trailer) (bnm%AQ permit was reviewed by the Town Board on ...................August,,,,..1.5,,,,,,,,,,,,,,,,,,,,,,,,,,,1 19..89.., and (was) kxxxro]d approved. A permit is hereby issued to locate a (single trailer) %iRq4W), license number ........................ or serial number ....5...5.5...T.EK.158................. at ...5041ih... .Friv„a,te„Road .. . ................ ...................Matti tuck....New...Y.ark......11952.......................................................................... pursuant to application dated ................August..9....1.9.8.9.............................. and the following conditions: ..............PERMIT-RENEWED..FQR..A..S.[X..461..MQtiT.H..P.ERIO.D................... .................................ExPI RA.T19M.PAT.E.;.......F.1~13.13VARY...9.,...1.9.8.9.................................... .......................................................................................................................................................... TOWN BOARD, TOWN OF SOUTHOLD .............. c.0rJ ....... Town Clerk 4or TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. � rApplication No. 64„R,�newal„.,,,,.... Approved .......................�1.. 19.p..gPermit No. ................ REam AUG 71989 SOtAhold Tno... rre,t, APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date .......Auqust....9.......... 19.M. Instructions a. This application must be completely filled in by typewriter or in ink and submitted in duplicate 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 mode to the town Board for the issuance of a Trailer Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations. The applicant agrees to comply with all applicable lows, ordinances and regulations. G�{L��� .. :.. .............................. ..�... Y . Sign ure of applicant) Zdzislaw Mikola 'cz k P.O. Box 560 John 's Road ..Mat.t i tuck.,...H...X........11.X52............................. (Address) State whether applicant is owner, lessee or agent...........Qxn2x.................................................................. Name of Owner of premises ..N.7al.�iXaW...Mk.X91410.7AY.k....................................................................... 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 ...SAL1b..S.]de..A. ..�Xt.r....Rd.:...... Street and number QIt...U.5...M in..ti9.ad:,...Mat.kxtuck.....I9...X................................................. 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: o. Existing use and occupancy ....0ne.Xamity...Awe111n8.......................................................... b. - Intended use and occupancy ...SaiCIO............................................................................................... c. Period of time trailer is to be located on premises ..Q..mgnths................................................. 3. Fee ...$.25...Q.Q........................... (To be paid (Zo7 filing application) - 4. Dimensions of trailer, length ...55..'..................width .........19.:................. height ........11,!,5",,,,,,,, Registration Number ........................................ .Serial Number .555„TEK 158, �n f 5. Size of lot: Front .............10.. . ....Rear .........I.Q.Q.'..... Depth 115 .......... ...... . .................... 6. Date of purchase or lease of land ........1,962....................................................................................... 7. Zone or use district in which premises are situated ::A::...&... '.0v:............................................ . 8. Does proposed use violate any zoning law, ordinance or regulation? ....NQ......................................... 9. a. Method of Sewerage disposal ......C.Q.SSP.4o1.................................................................. ................ b. Source of Water Supply ...........�:Q1i............................................................................................ .�avli�,a c. Source of Electricity ...................X41U9......................................................................................... LOT D1AGRAM 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. (Original Plan On File) STATE OF NEW YORK l COUNTY OF SUFFOLK f ss. Zdzislaw„Mikolajczxk being duly sworn, deposes and says that he is the applicant named above. He is the ........4WnQx............................................................................ (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 know!edge end be!!-f; jr—A wil3 be !ocuted in rhe n unner se' forth in the application filed herewith. Sworn to.before me this ............. a ........ day o Lr ... ................ 19............ ..... . y afure) ........................................... ................................... (Notary P blic) CONNIE W,BBMINO ND”Pdbllc,State of New Yat Ne, 464VIN T�I�iresBMaar 30,l9�/ 1 1 oc�VEF0UfC0 Town Hall, 53095 Main Road y0 P.O. Box 1179 Southold, New York 11971 .JUDITH T.TERRY FAX(516)765-1823 TELEPHONE(516)765-1801 TOWN CLERK REGISTRAR OF VITAL STATISTICS 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 AUGUST 15, 1989: RESOLVED that the application of Zdzislaw Mikolajczyk for renewal of his single family house trailer, for trailer located on a private road off of the east side of Main Road, Mattituck, which permit expired on August 9, 1989, be and hereby is granted for a six (6) month period. udlth T. erT ry Southold Town Cler August 16, 1989 y TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT No. .....64..Renewal Date .................MarchA.....1989........................ Name ..........zdzislaw..Mikalajczy.k........................................................................................... Street ............P..Q....Box..S.&Q..J.ahn!s..Raad............................................................................... Town ...........Mattituck.....N.om...Y.Qr.k....1.1.96Z.............................................................. .............. Your application for a (single trailer) fa7 "M%§tr) permit was reviewed by the Town Board on .................F.Bbruar..y...28............................ 1989...., and (was) k9tssxtotd approved. A permit is hereby issued to locate a (single trailer) "WOM0, license number ........................ or serial number ................................................ at ....south..sidre..ro:f..P..rivaie..Road............. Magi.utGk...New..York......1.1.952..................................................................................I........... pursuant to application dated ..................... ..................... and the following conditions: ..........P.ERMJ.T..REME.WF-D..F.QR..S.IX..k61..MQ NTH...PERIOD............................. .............................EAR I RATI ON..P.P..T..E......AUGUS.T...9....1,9.8.4................................................ .......................................................................................................................................................... TOWN BOARD, TOWN OF SOUTHOLD Town Clerk REam FEB 81989 TOWN OF SOUTHOLD soAoW T.wl.., rla4 TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Application No. 64„Renewal Approved .................... ...�., 19.�Permit No. ................ APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date ...�EARU.A.RY....2...., 19.$.4.... Instructions a. This application must be completely filled in by typewriter or in ink and submitted in duplicate 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. Appliccticn is hereby made to the Town Boord for the issuance of a Trailer Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other opplicabie Laws, Ordinances or Regulations. The applicant agrees to comply with all applicable laws, ordinances and regulations. ..................................................................................... (Signature of applicant) Zdzislaw Mikolajezyk P.O. Box 560 John ' s Road Matt .......112 52............................. (Address) State whether applicant is owner, lessee or agent...........Q.Wnex.................................................................. Name of Owner of premises ..7e41.Zk. .?W..M �SR1.aJ.G7xYlt....................................................................... If applicant is corporate, signature of duly authorized officer .............................:..................................... ...... .......... .. (Name and it of corporate officer) 1. Location of land on which proposed trailer will be located ...SQL1 b..S.7de..R.L.P-g.t.r..jR� k:...... Street and number o.Tx...F.l.S..Ma.i n..RA.ad:,...Mattz.tuck.,...I9.,.X................................................. 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ....fins..F.anvily...Dwe.111ng.............................................. b. - Intended use and occupancy ...-5AMP..................................... .......................................................... c. Period of time trailer is to be located on premisesA...gonths,,,,,,,,,,,,,,,,,,,,,,,,,,,, 3. Fee ...$.2.5,..Q.Q........................... (To be paid go,filing application) - 4. Dimensions. of trailer, length ....5�.'...................width .........IQ.:................. height ........1�.:.Q.......... Registration Number ................:....................... .Serial Number .555, TEK..158............ 1 5. Size of lot: Front .............100'......................Rear .........10.Q'.............. pith.......} 5y'i................. 6. Date of purchase or lease of land ........1962,,,,,, ..................................................... J. . .•1...................... 7. Zone or use district in which premises are situated .....! A.::...&..::�::.............................................'. 8. Does proposed use violate any zoning law, ordinance or regulation? ....XQ......................................... 9. a. Method of Sewerage disposal ......CQ.SS9.Q9.1.................................................................................. b. Source of Water Supply ............well............................................................................................ c. Source of Electricity ....................LILCO......................................................................................... 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. (Original Plan On File) STATE OF NEW YORK l COUNTY OF SUFFOLK f ss. ................ dzislaw..MikolajcKyk......................................... being duly sworn, deposes and says that he is the applicant named above. He is the ........QW)'.q.v............................................................................ (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.befgre me this .............IX............ . day of ........... '.................. 19..9... .. ........ . .. .. ( ' n e) .............................................. (Notaryublic) CONNIE BARBARINO Notary Public,State of New York No. 48-38204 Qualifiedin Richmond Coun • - Term Expires Merch 30, 19 1 , TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT No. .....6.4...Renewal Date ..........August„24,. 7. . .988 .......................... Name .......... .Zdzislaw Mikolajcz.y.k................................................................................................ .. .. Street .......I'..A.....Box..SfiQ..lahfl:s..Raad.................................................................................... Town .....MattAuck...New...York.......1.1952................................................................................. Your application for a (single trailer) (brotxKx)d permit was reviewed by the Town Board on .............Aug.W&Z,3..................................... 1988...., and (was) (JfdkCM) approved. A permit is hereby issued to locate a (single trailer) §�)Wgcxik license number ........................ or serial number SSS...T.EK...158........................ of ......SV.Nk11..SiS3.i�..4.f„Private„Roads_,,,,,,, ........Mattituck....New„York........................................................................................................ pursuant to application dated ..................Augu.st..9....1988............................ and the following conditions: ..................PERM I.T..Cr.9A.N.T.E.Q..FQR„SI,X„j6)„MONTH.,MQNTt!jPERIAD.................... .....................................UPI.RAT1.Q.N..PATE;.......F.9.Q.RUAR.Y...2.....1.9.6.9................................. .......................................................................................................................................................... TOWN BOARD, TOWN OF SOUTHOLD .............. 11 ............ `t rrl �V Town Clerk w.w..�.w.w.w.w•w.s.s•+�swewew.o..�.s..�.s.a..w.w.•s•w.w.w.w.+eww.w..�.w.w.w•s..:,t TOWN CLERK TOWN OF SOUTHOLD 1�r� _ r 9offolk County, New York 516 - 765-1801 N? 2 7 59 j + , Southold, N. Y. 11971I9� RECEIVED O ses ollara For Judith T. Terry, Town Clerk j iCae « Check w.w•s•w•s•w.w+w.ew w•w•�.•w•w•w«�.•w• •sr•o•w.� 1p TOWN OF SOUTHOLD AUG 1510 TOWN CLERK'S OFFICE SOUTHOLD, N. Y. �, ^,1A T..r... CV Application No. 64„Rgnewal........... Approved ....................... . ..�., 19.!BPermit No. ................ APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date ....Al1Si. 51....9.......... 19..$$.. Instructions a. This application must be completely filled in by typewriter or in ink and submitted in duplicate 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 County, New York, and other applicable Laws, Ordinances or Regulations. The applicant agrees to comply with all applicable laws, ordinances and regulations. ..................................................................................... (Signature of applicant) Zdzislaw Mikolajczyk .P.O. Box 560 John 's Road Ma t.t i t u Gk.....14...X........11.9 52............................. (Address) State whether applicant is owner, lessee or agent...........QFV.ri2.x.................................................................. Name of Owner of premises ....................................................................... 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 ,,....{ cl,;...... Street and number Q.IX...>;.l.S..Ma.i ri..Rs2.ad.,...Matt zt uCk.....A'...X................................................. 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ....Line..Family..D:wallin8.......................................................... b. Intended use and occupancy ...S.=9............................:.................................................................. C. Period of time trailer is to be located on premises ,6„months,,,, 3. Fee ...$.. 5,.O.Q........................... (To be paid on filing application) 4. Dimensions of trailer, length ....55......................width .........719.:................. height ........11.!.Q'......... Registration Number ........................................ .Serial Number .S55„TEK 158,,,,,,...: S. Size of lot: Front .......1............................... Rear .........IO.Q'.............. Depth ......1 .5.'...............•. 1962 6. Dote of purchase or lease of land ......................................................................................................... 7. Zone or use district in which premises are situated ..... ::...&...'.' ::..................:.:.......................:. 8. Does proposed use violate any zoning law, ordinance or regulation? ....XQ.........:....'...... :...::::.:.... ..... 9. a. Method of Sewerage disposal ......P..Q.S.SP.99.1.................................................................................. b. Source of Water Supply ............well............................................................................................ c. Source of Electricity ...................IIxLQQ......................................................................................... 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. (Original Plan On File) STATE OF NEW YORK j COUNTY OF SUFFOLK f ss. ................ dzislaw MikolaacKyk......................................... being duly sworn, deposes and says that he is the applicant named above. He is the ........OWI.?er............................................................................. (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. Uq Sworn to.before me this ..............�..1............ day of ............. . .�........................... .... ..... ignot .................................................. ..... ..................... (Notary Pu lic) CONNIE BARBARINO Notary Public,State of New York No, 4838204 041"Ied In Richmond Coup Tenn Expires March 30, 19,E 1 S�FFL�L�Y�o� o •� Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 JUDITH T.TERRY °ate TELEPHONE TOWN CLERK (516) 765.1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD August 11, 1988 Zdzislaw Mikolajczyk John's Road P. O. Box 560 Mattituck, New York 11952 Re: Trailer Permit Renewal No. 64 Dear Mr. Mikolajczy.k: Please be advised that your trailer permit expired August 9, 1988. If you no longer have the trailer, please advise in writing, so we may close the file. Should you still have the trailer and wish to continue its use, please complete the enclosed application form, have your signature notarized, and return it to this office along with the $35.00 renewal fee. Please make check or money order payable to "Southold Town Clerk". If this office is not in receipt of your application by September 1, 1988, your permit will be revoked. If you have any questions regarding this matter, please do not hesitate to contact this office. Very truly yours, Judith T. Terry Southold Town Clerk Enclosure (1) Ijc • �05�i-F01/r�� • Ln Town Hall, 53095 Main Road v% 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 June 15, 1988 Zdzislaw Mikolajczyk Re: Trailer Permit Renewal # 64 John's Road, P.O. Box 560 Mattituck, New York 11952 Dear Mr. Mikolajczyk: This is to advise you that your trailer permit will expire on August 9, 1988 Enclosed you will find a partially completed application form for renewing same. Please complete this form, have your signature notarized, and return to this office together with the required **$35,00 renewal fee as soon as possible. Please make check or money order payable to "Southold Town Clerk." If application and fee are not received on or before August 9, 1988 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 ** Please note that the fee was raised to $35.00 by resolution of the Southold Town Board on ..5eptember 6, 1983, effective September 12, 1983. TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT No. ....6.9...Renewal Date ........F.ebruary..25.....19.8.8........................ Name ...........Zdzislaw..MikoJajczyk.......................................................................................... Street ............Jahn!.s..Road,...P•.O.,...Box...560............................................................................ Town ............Matti.tuck...New..Y.or.k.......1.1952......................................................................... Your application for a (single trailer) kwkwxor) permit was reviewed by the Town Board on .............F.e.bruuy.........23......................... 19.88..., and (was) kx=xiot) approved. A permit is hereby issued to locate a (single trailer) OamxKoar), license number ........................ or serial number .......55.5...T.EK..15.8.................. at ...........sauth..si.de..of...Pri.vate..Roa.d...... ....off..east..side..of..MaJ.n..Raad....Mattituck,...New...York................................................... pursuant to application dated ...........F.ehruar..y...9,.A.R88............................... and the following conditions: ............P..E RMI.T...RENEWE D••FDR,•.SJ.X...(.6)•••ICAO.NTH..PERIDD...•...................... ...............................EX.P.J.R A.T.IO N...DATE.;.....AUGUS.T...q,...1988............................................. .......................................................................................................................................................... TOWN BOARD, TOWN OF SOUTHOLD Town Clerk } ............. ....... ...,.,., ......,.s...M................ i TOWN CLERK i TOWN OF SOUTHOLD Q Suffolk County, New York 516 - 765.1801 N9 2 5 G 19 " Southold, N. Y. 11971 RECEIVED OF_ t /-- �Dollurs 8 e„L = For-it - � Judi 1'. Terry, n Clerk ` Cash 0 Cheek !i� By, �� TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Application No. 64,.,Renewal Approved ............... ..... ...., 19 ` ..Permit No. ................ RECEIVED FEB 10 1988 Tam Clerk Sm MM APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date ..F..ERNAR.Y...9......... 19.$$... Instructions a. This application must be completely filled in by typewriter or in ink and submitted in duplicate 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 G 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 County, New York, o ther applicable Laws, Ordinances or Regulations. The applicant agreesto I wit all Opp[i I laws, ordinances and regulations. ............ gnoture of applicant) z slaw M1 olajczyk P.O. Box 560 John s Road ..Mat.tt tuck.,...N—Y........1125.2............................. (Address) State whether applicant is owner, lessee or agent........... .................................................................. Name of Owner of premises ..X41.7 .S1aW...M1.XQ1.aJ.O2.Y.k....................................................................... 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 ...sRL1b..s.7de..A. ..�Y.t......$d.r...... Street and number Qli...F,1.S..b1a.i.A..Ri?.ad.....Mat.iz.tllGk.,...P]...X................................................. 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ....One..Yanvil..y...Awelling.......................................................... b. Intended use and occupancy ...$AMP............................................................................................... C. Period of time trailer is to be located on premises A...gonths................................................. 3. Fee ...$.�5. 10........................... (To be paid on filing application) 4. Dimensions of trailer, length ....55....................width .........1Q.'................. height ........1 .:.Q:'........ Registration Number ........................................ .Serial Number . S55.,TEK 158.....,,..: . ........... . ..................... low. 5. Size of lot: Front .....•,.100.................. ....Rear .........1.0................ Depth ...... .................. 6. Date of purchase or lease of land ........1962....................................................................................... 7. Zone or use district in which premises are situated .....::A::...&.." ............................................:. 8. Does proposed use violate any zoning law, ordinance or regulation? ....NR......................................... 9. a. Method of Sewerage disposal ...... .................................. ................................................ b. Source of Water Supply ...........XV.El.1I............................................................................................ c. Source of Electricity. ....................LUM......................................................................................... PLOT DIAGRAM Locate clearly and distinctly.oil byldings, 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. (Original Plan On File) , STATE OF NEW YORK l COUNTY OF SUFFOLK Jss. Zdzi.slaw..Mikolaaczyk ...... being duly sworn, deposes and says that he is the applicant named above. He is the .........QWAQr............................................................................. (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 PmAqi*Y .p- ....... ........... .. ........................ )9.S).. ..... ..... � (si tuo ... ...... ................. ....... Q a.........t........ (No cry Public) munRAY ALTER Notary Public,State of New York No.%4508986 /Lftf�r✓r�/� (0J/1�17' Qualified in icin,,,s 6oenlfF- p Commission Explre9 A9pi:ch 3%1947 7J JF% �J TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT No. 64 Date ...........August 26, 1987 ............................. Nome Zdzisla . Mik..... yk .............. ............................................................. Street ...............P:O,:. Box..560.......John!s....Road Town Mattituck, New York 11952 Your application for a (single trailer) ft=eant) permit was reviewed by the Town Board on ......................August..25.........................., 19...87., and (was) (waeaMot) approved. A permit is hereby issued to locate a (single trailer) (Wduutz?4, license number ........................ S55 TEK 158South Side of Private Road orserial number ................................................ at ...................................................................... Off East Side of Main Road, Mattituck New York .................................. . . .. .......................................................................... pursuant to application dated .........August„9.,,, 1987..................................... and the following conditions: .................PERM.I.T...REMEMEP..F.9.R...5j.X...(.6.)..KQNTN...PER,I OD..................... EXPIRATION DATE: FEBRUARY 9, 1988 .......................................................................................................................................................... .......................................................................................................................................................... TOWN BOARD, TOWN OF SOUTHOLD Town Clerk r RECEIVED AU619 07 TOWN OF SOUTHOLD SwdwW Town Gwk TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Application No. .gA..R.....en... . .e.wa.l ............. Approved ....................... 190.../..Permit No. ................ APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date A St.9.................... 1987.... Instructions a. This application must be completely filled in by typewriter or in ink and submitted in duplicate 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 County, New York, and other applicable Laws, Ordinances or Regulations. The applicant agrees to comply with all applicable laws, ordinances and regulations. '&'.... ................................................................................. no re of applicant) Zdzislaw Mikolajczyk P.O. Box 560 John ' s Road Matt i.tu c k.,...14...X........11.9 52............................. (Address) State whether applicant is owner, lessee or agent...........Q.XV.ne.r.................................................................. Name of Owner of premises ....................................................................... 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 ....SQ..Utb...SJAQ...Q.1-1). t.r....Mt...... Street and number Q.f X...U.S..M4.in...RQ.ad.t...Ma t.tz. uC1t.....AI...X.t............................................... 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ....AnP-..E.attti.ly...Dwelung.......................................................... b. Intended use and occupancy ..S.amQ............................................................................................... c. Period of time trailer is to be located on premises A...r)onths.................. 3. Fee ...U.5..0.9........................... (To be paid on filing application) 4. Dimensions of trailer, length ....55....................width .........10.:................. height ........11'..Q:........ Registration Number Serial Number .S55„TEK 158,., ........................... r 5. Size of lot: Front .............10.......................... Rear .........IQ.R.'............... Depth .:............ 6. Date of purchase or lease of land ........1,962...... .............................................. l:)..z....i. ;x`?,,ar.. 7. Zone or use district in which premises are situated .....::A.'.'....&..:' .'.'............................................:. 8. Does proposed use violate any zoning law, ordinance or regulation? ....XQ......................................... 9. a. Method of Sewerage disposal ...... ............... ................................................................... b. Source of Water Supply ...........s+.elI............................................................................................ c. Source of Electricity ....................I.UQQ......................................................................................... 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. (Original Plan On File) STATE OF NEW YORK Z COUNTY OF SUFFOLK Jss. Zdzislaw Mikolaa( zKyk......................................... being duly sworn, deposes and says that he is the applicant named above. He is the ........QWne ,,,,,,,,,,,,,,, .............................................................. (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 4t.1.. .................. 19. ... ... .. ..... . .... ...... ... . (Signa re) (Not Public) CONNIE BARBARINO Notary Public,State of New York No. 48-38204 Qualified In Richmond Couldy Term Expires March 30. 19.�j Cy Town Hall, 53095 Main Road �g P.O. Box 1179 QqA j1 .., Southold, New York 11971 JUDITH T. TERRY TELEPHONE. TOWN CLERK (5 16) 765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD July 21, 1987 Mr. Zdzislaw Mikolajczyk P.O. Box 560 - John's Road Mattituck, New York 11952 Re: Trailer Permit Renewal # 64 A Dear Mr, Mikolajczyk: This is to advise you that your trailer permit will expire on August 9, 1987 Enclosed you will find a partially completed application form for renewing same. Please complete this form, have your signature notarized, and return to this office together with the required **$35,00 renewal fee as soon as possible. Please make check or money order payable to "Southold Town Clerk." If application and fee are not received on or before 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 ** Please note that the fee was raised to $35.00 by resolution of the Southold Town Board on September 6, 1983, effective September 12, 1983. TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT No. ......6.4........... Date .......Februar..y...5,...1.987............................ Name ........Z.dzisJ.aw..Mi.kolajrz.y.k............................................................................................ Street ..........P,o,..Box..550..Jahn:s..Raad................................................................................. Town ..........Matti3B&.k,...N.aw..1'.ork....1.1952.............................................................................. Your application for a (single trailer) (lxmwcmDl permit was reviewed by the Town Board on ..................................Eebruary..3............. 19.......$7and (was) k4ax=0 approved. A permit is hereby issued to locate a (single trailer) 00wwxaoc)�, license number ........................ or serial number ................555...T.EK...158....... at .....S.4.ykh..S.lde,of,Privaie„Road............ ,nff..east..side.af..Main..Road,--Matt L&Dk.,...New...York....................................................... pursuant to application dated .................F.eb.ruar..y...9.,...1.987.......................... and the following conditions: ..............RERMI T...RENEW.ED...F.AR.S1.X...(.6.)..AQON.TR..PER.IAf1........................ ...............................EX PI RATION..QA.TE;.....AW.Q.US.T...9.,...1.9A7.............................................. .......................................................................................................................................................... TOWN BOARD, TOWN OF SOUTHOLD .......... 1� ............ Town Clerk TOWN CLERK j TOWN OF SOUTHOLD j Suffolk County, New York 516 - 765.1801 tY*T Q ' 21 c..7 U - e 11 Southold, N. Y. 19v% 191 jRECE1VED O E i F Judith T. Terry, 'Gown Clerk j Cash ❑ Cheek By. �C ✓�1��� i RC{EIM. JAM 2 11987 Te n• CI—V cm,thow TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Application No. 64,Renewal ... . ............... Approved ..................." ��..., 19.!.. ermit No. ................ APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date ....FebruarY...9 ......... 19...87 Instructions a. This application must be completely filled in by typewriter or in ink and submitted in duplicate 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 drown 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 County, New York, and other applicable Laws, Ordinances or Regulations. The applicant agrees to comply with all applicable laws, ordinances and regulations. .................................................................................... (Signature of applicant) Zdzislaw Mikolajczyk P.O. Box 560 John 's Road ..Mat.t i.tur.k.,...N...Y........11.X52............................. (Address) State whether applicant is owner, lessee or agent...........Q.Wnex.................................................................. Name of Owner of premises .ZOZIALAW..MixQ1410.Z.Y1....................................................................... If applicant is corporate, signature of duly authorized officer ..................................................................................... (Name and title of corporate officer) I. Location of land on which proposed trailer will be located ...St?L1b..S.ide..A. ..PXt.,.... d.r...... Street and number Q11...E.4.9..Malu...RQ.ad.,...Mat. i uGk.....AJ...X................................................. 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: o. Existing use and occupancy .....Qne.Xamily...Awe111ngg.......................................................... b. Intended use and occupancy ...sAMP............................................................................................... c. Period of time trailer is to be located on premises A...rr?ont a§.... 3. Fee ...$..55..9.Q........................... (To be paid on filing application) 4. Dimensions of trailer, length ....55.:..................width .........10.'.................. height ........li..'.Q............ Registration Number ........................................ .Serial Number .S55„TEK 158 .........................:...................... 5. Size of lot: Front .............100........................Rear .........J A.Q'.............. Depth ......I t, 6. Date of purchase or lease of land ........196?...... ............................................................................... 7. Zone or use district in which premises are situated .....::A.::...&..:'�.':........:....:...:........................:.:. 8. Does proposed use violate any zoning law, ordinance or regulation? ....XQ......................................... 9. a. Method of Sewerage disposal ......CeSSaQ9.1.................................................................................. b. Source of Water Supply ............W.e,1I............................................................................................ c. Source of Electricity .................... :XWQ......................................................................................... 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. (Original Plan On File) STATE OF NEW YORK 1 COUNTY OF SUFFOLK Jss. Zdzislaw Mikolajjczyk................ ................. „ being duly sworn, deposes and Boys that he is the applicant named above. He is the ........OW)1er............................................................................ (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 !ocated in the manner set forth in the application filed herewith. Sworn to.before me thiis`'..........1 ............ day o Zl.x U....., 19. .7.... .... . (Signoture) ........................ Q `....Q . ............... (Notary Public) Marie Antish Commissioner of Deeds City of New York 4 5-698 Cert filed in New York County k� Commission Expires Dec. 1, 19U (� TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT No. .....64„Renewal Date ............August..13,,,,,1986 ......................... Name Zdzislaw Mikolaj! z; ..k..................................................................................... ............................... Street P.O. Box 560 John ' s Road ............................................................................................................................................... Town Matt'tuck, , New..York........11952.................................................................... Your application for a (single trailer) (Wo mnar) permit was reviewed by the Town Board on ......................August..........12.1................ 198.6..., and (was) ftp x=ta approved. A permit is hereby issued to locate a (single trailer) (h45965 'r), license number ........................ or serial number ......55.5-.TEK-1.58................ at .....siaut)t..sidQ..o1..Pr.ivat2...R.aad.. ......off...e+3S. ... zdQ...af...Mai u..Ra ad,...Mat ti.t.uck.,—N.ew...York.................................. pursuant to application dated ....................A119alit...3.,...19b.6...................... and the following conditions: ........PERMIT„RENEWED...) O,R...SJ.X...L6.)..MQ��FI..� I3.I.QJ?............................... EXPIRATION DATE: FEBRUARY 9 , 1987 .......................................................................................................................................................... .......................................................................................................................................................... TOWN BOARD, TOWN OF SOUTHOLD �/'-"� ............... Town Clerk TOWN CLERK TOWN OF SOUTHOLD Y19 5 o E)- t dfolk County, New York 516 • 765.1801 T6 1 1 Southold, N. Y. 1197119 g6 i 0 EIVED OF. 1 Dollars =SLS- 1�1 i �j� J di,h T. Terry, Town ,Clerk � � 1 i ❑ Check /.��.�.��....«BY, d. .�.�.�:I R OWN OF SOUTHOLD AUG 71986 TOWN CLERK'S OFFICE Torte Clerk lnlrlknld SOUTHOLD, N. Y. ��//�J� Application No. .64,,,Renewal,,,,,,,,,,_ Approved ......................��.., 19d1t7.Permit No. ................ ' APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. AUGUST 9 , 19-86 Date .............................. Instructions a. This application must be completely filled in by typewriter or in ink and submitted in duplicate 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 port 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 mode to the Town Board for the issuance of a Trailer Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suf County, New Y and other applicable Laws, Ordinances or Regulations. The applicant agrees t c ly hall WRo ' ces and regulations. �... gnature of applicantola 'cz k P.O. Box560 J ..Ma t.t i t u c k.,...N...X.......11.R 52............................. (Address) State whether applicant is owner, lessee or agent...........Qmne.r.................................................................. Name of Owner of premises ....................................................................... 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 ...SAl1f b..s.i S).e..9.f_VX1......Ra.r...... Street and number PIX...U.S..)Aaln...Rf?.ad.,...Matti.tACk.,...PI.,.X................................................. 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ....0ne..E.ami:Ly...Llwell.ing.......................................................... b. Intended use and occupancy ..5.41Ae............................................................................................... c. Period of time trailer is to be located on premises ,6„mont. ...hs ................................................. 3. Fee ...$. A O.R........................... (To be paid on filing application) 4. Dimensions of trailer, length ....5`?.'...................width .........IQ................... height ........11.:.05.'.'........ Registration Number ........................................ .Serial Number .S55„TEK 158,,,,,,,., 5. Size of lot: Front , 0......1.. .......................Rear .........10A.......... *.U................... 6. Date of purchase or lease of land ........1962......»................................. �jf..r:.... q.t ..................... 7. Zone or use district in which premises are situated .....::A:'....&..:'Pa:' ... .... �....... ..................:. t'h 1kx" x rwnl 8. Does proposed use violate any zoning law, ordinance or regulation? ....NQ......................................... 9. a. Method of Sewerage disposal ......C.Q.SSP.Qol.................................................................................. b. Source of Water Supply ............all............................................................................................ c. Source of Electricity ....................ISILUM......................................................................................... 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. (Original Plan On File) STATE OF NEW YORK l COUNTY OF SCFFetl< f ss. Zdzislaw Mikola,jczxk............. being duly sworn, deposes and says that he is the applicant named above. He is the .........QWAQX............................................................................ (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 .......... ......... 19...... . .. ... .. ................. . ..... .................... ( g. ......... .......................... ............................................... IN ary Public) CONNIE BARBARINO 7otary Public,State of New York No. 4838204 Term ExpiresRMarch 30.19.� i • TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT No. .....j.4...Hgzewal Date ......Februar.y...2g. ....lgg.6..................... Name .................2.dz.i.sJaW..Ri.kalaaczyk........................................................................... Street ..................P.eO......B4X...560........JSZkiri..'.S...R.Oad............................................................ Town Mattituck New„York 11952 Your application for a (single trailer) (hcxLxecacl permit was reviewed by the Town Board on February.......25, 19..86., and (was) Nv'cR5�5ft approved. ....................... A permit is hereby issued to locate a (single trailer) (haxw=), license number ........................ or serial number ........S.55...TEK...15.9............. at .....South..side...af...P.r.ivat.e..Road., 4 XX.... .as t..s ide...a f...Ma ia..Ra ad.,...Mat t i tuck.,...N.ew...York...................................... pursuant to application dated .........FAbruP,ry„9,,,,,:,986,,,,,,,,,,,,,,,,,,,,,,,,,,, and the following conditions: .....PRMI.T...RE.NE.W.ED...F.OR...S...I..X...... .................................... .... .... . .... .. .... .........................EXP IAAT PA.DATE.;...........AVGU.aT...9.....1915.Q.............................................. .......................................................................................................................................................... TOWN BOARD, TOWN OF SOUTHOLD ............................................................................. Town Clerk AWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Application No. .QA..Rene.wa1............. Approved .......................... .......... 19.5.Permit Na. ................ ( F APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. FEBRUARY 9 86 Date .................................t.., 19........ Instructions a. This application must be completely filled in by typewriter or in ink and submitted in duplicate 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 County, New York, and other applicable Laws, Ordinances or Regulations. The applicant agrees to comply with all applicable laws, ordinances and regulations. .................................................................................... (Signature of applicant) Zdzisl.aw Mikolajczyk P.O. Box 560 John 's Road ..Ma i.t i.t=k.,...N...Y........11252............................. (Address) State whether applicant is owner, lessee or agent...........QXIIe.x.................................................................. Name of Owner of premises ..7d.Zk.S�aW..Mk.1SR1.aJ.G2Y1S....................................................................... If applicant is corporate, signature of duly authorized officer ..................................................................................... (Name and title of corporate officer) I. Location of land on which proposed trailer will be located ....SA.L1tb...ai e...QI.Xmt.....Rd.r...... Street and number ot7...$.l.S..IYIa.i n..RA.ad.,...Matt�tuck.,...PJ...X................................................. 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ....f1n,e..F.ami.ly...Awelling.......................................................... b. Intended use and occupancy ...Sallle............................................................................................... c. Period of time trailer is to be located on premises .6„months . .................................................... 3. Fee ...$.. *. .Q.Q........................... (To be paid on filing application) 4. Dimensions of trailer, length ....55....................width .........1Q.'................. height ........17..:.5.'.'........ Registration Number ........................................ .Serial Number .555..T ....EK 15.....8 . . .........:...................... 5. Size of lot: Front ..... .100........................Rear .........7 QQ.'............... Depth ......11.5..................... 6. Date of purchase or lease of land ........1962 7. Zone or use district in which premises are situated ::A:'....k..!.)3:............................................:. 8. Does proposed use violate any zoning law, ordinance or regulation? ....NR......................................... 9. a. Method of Sewerage disposal ......C. .S.SP49.1.................................................................................. b. Source of Water Supply ...........well............................................................................................ c. Source of Electricity ...................I UGQ......................................................................................... 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. (Original Plan On File) STATE OF NEW YORK COUNTY OF SUFFOLK f ss. Zdzislaw..Mikolaaczxk......................................... being duly sworn, deposes and says that he is the applicant named above. He is the ........QWx!er............................................................................ (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 k ................f r.h,�uA.�i'.y............... t9eA..... .... ... ....yl...... .... . (Signature) I�37 ci. .c�. d ..................................................................................... (Notary Public) Marie Antish ","MIssioner of Deeds :;try of New York#5.698 r.,e.. filed in New York County .:Yumission Expires Dec. 1, 19 (Gr TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT No. ..... 4...Renewal Date ...........August„28 1985 Name ...........7.dzislaw...Miknlajczyk................................................................................. Street .............P.r.b.r...Box„560.....:1.Rk1R.'.S...HA.ad..................................................................... Town Matt.ituck,,,New„York........XIP52 Your application for a (single trailer) 09=0=) permit was reviewed by the Town Board on ..................1 IAZIASt...2.170........................... 19..8.5.., and (was) (sii=not) approved. A permit is hereby issued to locate a (single trailer) ftuw=)Olc license number ........................ or serial number ......5;.U...T%J' ..1.58................ at .... ............... ...A.f f...east..s.ide.:wf..Mai.n...Ro-ad.s...Mat-t itaok•j-New••York....................................... pursuant to application dated ...............Agg4-St...9.,...1.985............................ and the following conditions: ........P.ERM iT...RENEWED—FOR.-SIX...(.6.)..MON.TH...RFRSOD................................ ...........................zxj?.x13/ TJ'QI:I..A.ATE:......FEBRUARY..9...... .98.6............................................ .......................................................................................................................................................... TOWN BOARD, TOWN OF SOUTHOLD d ../ i..rl .. Town Clerk Vl/ 24 IPOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Application No. ........... Approved .......................!,1��'f..., 19A..Permit No. ................ APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date .....AUOUS.T......9.......... 19.$.,5... Instructions a. This application must be completely filled in by typewriter or in ink and submitted in duplicate 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 County, New d other applicable Laws, Ordinances or Regulations. The applicant agrees to comply with all pplicob laws, ordinances an regulations. �4 ::�....... at(ife of applicant) Zdzisla i ajczyk .O. Box 560 John 's Road ..Matti to ck.,...N...Y........11952............................. (Address) State whether applicant is owner, lessee or agent...........Q.19rie.r.................................................................. Name of Owner of premises .Zdzi.�U.9,w... ...................................................................... If applicant is corporate, signature of duly author ized officer (Name and title of corporate officer) 1. Location of land on which proposed trailer will be located ...SpLLt)J..S.] S)e„A. „�vt,r,,,,Ad,;,,,,,, Street and number Qlf...U.S..)Ma.jx..RQ.ad.,...MattztuGk.,...N...X................................................. 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ....Ons..F.amily...Dwe.11in8.......................................................... b. Intended use and occupancy ...S=e............................................................................................... c. Period of time trailer is to be located on premises .6,,,Mgnths,,,, 3. Fee ...$. 5..9.Q........................... (To be paid on filing application) 4. Dimensions of trailer, length ....5b.:..................width ........IQ.!................. height ........1X..'.�.......... Registration Number ........................................ .Serial Number ,S55„TEK 158 5. Size of lot: Front .............100. ......................Rear ' .........I.Q.R.:... .. ... Depth ......71B.5.:................. . 6. Date of purchase or lease of land ........1,Pu...... ............................................................................... 7. Zone or use district in which premises are situated .....::A::...&..:: .':............................................1. 8. Does proposed use violate any zoning law, ordinance or regulation? ....).`o......................................... 9. a. Method of Sewerage disposal ......CQ.a'qP.4.9.1.................................................................................. b. Source of Water Supply ...........well............................................................................................ c. Source of Electricity ....................I LINQ......................................................................................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-bock 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. (Original Plan On File) STATE OF NEW YORK l COUNTY OF SUFFOLK fss' Zdzislaw Mikola�cKy? ._.......... ... being duly sworn, deposes and says that he is the applicant named above. He is the ........QwAgN............................................................................ (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. S . ........ 1...,,....... day o Sworn to,�bpfo�r me thii e). � atu..r ......... t9........ n .. . .. ................. ................................................ ..... (Notary Public) MEQ56A45 WINIARZ No%ly Public t toe of New York No. 552.9703725 `+mak fi,,b'.` %rnm, Loom Akan+ a Ila TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT No. 64..Renewal Date .............Rebr.uary...27..,...1985............. Name ........Zdzislaw... iko.la.3.cwyk...............................................................................I..... PO., Box, 560ns„Road Street .................. . . ......Joh.... . ' ........................................................................... Town Idat,titu.Ck.....AreY...X.OXkC.......�.�.952................................................................... ............... Your application for a (single trailer) Oxm2 tm i permit was reviewed by the Town Board on .........F'.Q.I?x.LtaX.Y....20.r............................... 19...85., and (was) (wcxximft approved. A permit is hereby issued to locate a (single trailer) fFZeTs'66&), license number ........................ or serial number ......S.55...TEK..15.8............... at ...aQ.Uth..ai.de..Ot..Tr.ivate..Raad.... of.f...R/.. ..Maan...R ad.,...Mat.tituck.,...Mew—Y.ork.....11.952........................................... pursuant to application dated ...............00RAAR.Y... ...................... and the following conditions: ......PERMIT...R.ENEWE➢..FAR..SIK...(6.)...MONTIL..PERS.OD................................. .........................RXP.I.RAT1.0..RATE:......A.UGUS.T......9.,...198.5................................................ .......................................................................................................................................................... TOWN BOARD,TOWN OF SOUTHOLD Town Clerk • RRGIr W, � + 1 TOWN OF SOUTHOLD i 1 : 5585 TOWN CLERK'S OFFICE Town Clerk Sou"Wid SOUTHOLD, N. Y. Examined ........................Yn� 19... Application No. ....6g...Reneaual ....... Approved ........................h�..G<�., 19...G...Permit No. ................ Disapproveda/c ............................................................................ s .. . ... ............................... APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date ..FEBRUARY..:; 9,....., 19.A Instructions a. This application must be completely filled in by typewriter or in ink and submitted in duplicate 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 County, New York, other applicable Laws, Ordinances or Regulations. The applicant agrees:/o co th all appl' e I ws, ordinances nd regulations. .. ... ... ............. ........... ...... .... . ....... ........ ( g ure of applicant) ZdZ ' 1 Mik01 jc:zyk .P. Q_...B,ax..56A..J.ohn!.s..8d .,.Matti tuck,. N.Y. (Address) 11952 State whether applicant is owner, lessee or agent...........QwA.er...................... ............................................ Name of Owner of premises ......Z.dx,1s1.aw...M;.kolaj.czy.k.................................................................. 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 .....snuth..s].:de...af...Pvt.....Rd_.,.. Street and number ....A. ...);...S..Main..RQ.ad,...Mattruck.,...IY...Y............................................. 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ......QAIQ...1alllIla.Y....dw.elling......................=:................................. b. Intended use and occupancy ...same ............................................................................................... c. Period of time trailer is to be located on premises ...........0..=T1 h.5........................................ 3. Fee .........$3.5.A0..................... (To be paid on filing application) 4. Dimensions of trailer, length ............55. .........width ......................10..'.... height ..3,1.:.6!.'.............. Registration Number ........................................ .Serial Number ...........9,55...TE..X...158......................... 5. Size of lot: Front ............10-0 t.......................Rear ............J.00.!........... Depth .......185'................ 6. Date of purchase or lease of land .................1962............................................................................ 7. Zone or use district in which premises are situated ........... .......................................... 8. Does proposed use violate any zoning law, ordinance or regulation? ............No................................. 9. a. Method of Sewerage disposal .............................cessJ3,00.1........................................................... b. Source of Water Supply ..................................vze.11..................................................................... c. Source of Electricity ..........................................ULM.................................................................. 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. t r „ (Original Plan on File. ) t 4. i STATE OF NEW YORK l COUNTY OF SUFFOLK f�' .............Zdzislaw...Mi.lo1aj.czyk............................................ being duly sworn, deposes and says that he is the applicant named above. He is the ...............awner...................................................................... (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. /wornto before me this .......��1.,�.. ...� .... day of 4 . ................... 19. E G .... ig.TTT................... .... nature) . ......................;.kcY`' (Notary Public) Marie Antish Commissioner of Deeds City of New York#5698 Cert. !::.. t;r. New York County Commismon Expires Dec. 1, 6,56 TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT No. ....6.4..Remewal Dote ......August..?Q.,..J.95.`k......................... Name ...... ...................................................................................... Street .......: ...RQ.ad............................................................................ Town Mattitucic,..,New„York 11952 ................................................................. Your application for a (single trailer) (h8=Wt) permit was reviewed by the Town Board on ...............August„28,r............................., 19.$.x.., and (was) (z wmt) approved. A permit is hereby issued to locate a (single trailer) (FfdU#M0, license number ........................ or serial number S...55...TEK...15.8................... at ...south..si.d�e..af..Prlvate...Raad... off east side of Main Road, Mattituck, New York. .......................................................................................................................................................... pursuant to application dated .....................A..U9..Wt.J9.,...a.Q$A..................... and the following N conditions: ....P.ERMST...RENEXEI1..F.OR...S.IX....(.6)...MONT.M.P.ER IDD................................... ........................ ......F.EPRUARY..9.....19B ............................................... .......................................................................................................................................................... TOWN BOARD, TOWN OF SOUTHOLD TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined .....................�a�., 19.��! Application No. ....H4...ReneruaJ ....... Approved .......................F/C5?4 19�Permit No. ................ Disapproveda/c ...................../........................................................ 4%.. fit................. ......... . . ........ ...... ... . .... ........................ upe i APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, RK WW. OUTSIDE OF TOURIST CAMP. AUG 16 94 Date ..•,QCT aC I�S�.�.. . ..•.•„ 1984 Town Chit SoalhaM Instructions a. This application must be completely filled in by typewriter or in ink and submitted in duplicate 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 County, New York, and other applicable Laws, Ordinances or Regulations. The applicant agrees to comp) with oll opplicabl aws, ordinances and regulations. (Sig i of applicant) Zdzisl w Mikolajczyk ..P....Q.....Banc...56A..John'.a..Rd-.,.Matti.tuck,. N.Y. (Address) 11952 State whether applicant is owner, lessee or agent...........Qwn.er................ ..� Name of Owner of premises ......Zd2a1s1.aw.AJ1koJ aj.czyk................................................................... If applicant is corporate, signature of duly authorized officer me ...............an............itle .of....c....r..... porat.......e o..ff...icer.... .).......................... (Nad to 1. Location of land on which proposed trailer will be located .....sauth...aide...ot... l?.V.t.....ad_.,.. Street and number ....Q.IX...Z..S...Vlain...Read.....Matti.tuck.....N...Y............................................. 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ......QA.Q...f ami y...dwe-1.1ilig...................... ................................. b, Intended use and occupancy ....same .............................................................................................. c. Period of time trailer is to be located on premises ..........Q...mRriths........................................ 3. Fee .........$35„11Q..................... (To be paid on filing application) 4. Dimensions of trailer, length ............5.5!..........width ......................10.'.... 'height ..11.'.6:•'.............. Registration Number ........................................ .Serial Number ..........U5...TF..TU-158......................... 5. Size of lot: Fronto........1p0'.......................Rear ............:CUA.'........... Depth .......1'85'............... b. Date of purchase or lease of land .................1962.............................................................................. 7. Zone or use district in which premises are situated .........':A::...&.::13::.......................................... 8. Does proposed use violate any zoning law, ordinance or regulation? ............Na................................ 9. a. Method of Sewerage disposal .............................ce�Sslaoo-l........................................................... b. Source of Water Supply ..................................vte.11..................................................................... c. Source of Electricity ..........................................LIJAW.................................................................. 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. (Original Plan on File. ) STATE OF NEW YORK l COUNTY OF SUFFOLK f ss' .............Zjjzi claw...Mi.lolaj.czyk............................................ being duly sworn, deposes and says that he is the applicant named above. He is the ...............awner...................................................................... (owner or lessee or agent) of said owner or owners, and is duly authorized to make and file this application; and that all statements ontained in this application are true to the best of his knowledge and belief; and that the trailer will De located in the manner set forth in the application filed herewith. i Sworn to before me this ..1.A .... . . day of ...................... 19...4... [... .. . .. ........... ....... . ............................ (Nota c) UIDWIKA NOTARY PUSUC'OF-gr.W ;£ $1:Y NO. 111951 M7 own=" Does March 27, 19p TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT No. .,64,,,Renwal Date ............n'Iarch„1� 1984 ........................ Name ....... ..................................................................................... Street ......... ' Road........................................................................... Town .........Matt,ituck,..New„York.....119.5.Z...................................................................... Your application for a (single trailer) (146VOYCA0 permit was reviewed by the Town Board on .........F0Xr11ArY...2,9................................. 19..834., and (was) Nrdt>t Nl approved. A permit is hereby issued to locate a (single trailer) (h6r1 license number ........................ or serial number ........5...5.5..TM..1.5.#........... at .......S.out.h...sz.dU...at...PXJ-Va1-Q...RO-ad ft...Z1..S...Main..Ila ad,...Mat t.ituck,..New...La.xk.......11.95.2......................................... pursuant to application dated ...............F F0.br.Uax.Y...9-,--.1-98A...................... and the following conditions: ...............P.E RM IT..R,FN.FW.ED...F0Z..S.11..C GI..MONTII..P.F R 1011........................ ..................................EXPIRATION„DATE ...........AIJGTIS.T... .....X.98. .................................... .......................................................................................................................................................... TOWN BOARD, TOWN OF SOUTHOLD Acari Terk , i TOWN CLERK TOWN OF SOUTHOLD N® 11,7,72 Suffolk County, New York 516 - 765.1801 1� Southold N. Y. 119719 _! ECEIVED OF 2L, . ! iy. Dollars E_s For. -- Judi h T. Terry, To n Clerk Cash [3 Check �v�j ��� B7. ” ~x RECEIVED ��� ��0���U � " �vvron ~�vn ~v�v�� ono~�'��' � FEB27N4 ��U ����� ����U��� , ^~^~ ^� ' �v�� o�� �rnn ^~��r^n`^ ^� ^~�voov~� Tom/oCVe/* Southold SOUTHOLD' N^ Y. Exonnined .—.......... , lP��/7.� Application No. ..fl4...D��ua��aJ�.^.~ Approved .,........,^ ^�./ l9.�'�P�rnni� Nn� ...,.... Disapproved o/c ....—...........-..^.'.. ............................................... .1 � _����,,�,`,,�,^,^,. arvimor APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR/ OUTSIDE OF TOURIST CAMP. Dote ,,]�8BD'&Ily 8, ,,, l9, 84 Instructions o. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Town Clerk. ^ 6. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving ci detailed description of layout of property and proposed location nftrailer must 6edrawn onthe diagram which ispart nfthis application. ` c. Upon approval of this application, the Town Board will issue a trailer permit tothe applicant. Such permit shall 6ekept nnthe 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 o Trailer 9e,nni1 pursuant to 1h- 8ui|JinAZnneOndinonceoftheTownnf3outhu|J, 3uRu|kCounty, Nevvy'ork/ ondotheropp|icob|eLov,s, Ordinances or Regulations. The applicant agrees to comply with all orualicable laws, ordinances and regulations. eiia � n: nfopp|iconH �d�Ia ailzoIujorik N.Y. (/\6dpnso) I1952 State whether applicant is owner, lessee o, agent .....{>nulUr.................................................................. Name of Owner of premises ......ZdzloI4w..8iku]�aj.czy.lc.................................................................. If 000icoo| is corporate, signature of 6v|y ouYho.izeJ officer ^^^^^^^^^^-~^^^^^^^^^--~~~^^^^^^^^^^^^~—^ (Name and title ofcorporate officer) l. Location of land on which proposed trailer will be located .....Sz�tu.tJ\.zi.de...o1�..Pmt~—Bd^,. Street and number —.0ƒf.. ..��0.acl....Xatti.tor-kr-BL..Y—.................—... 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer o. Existing use and occupancy ...... )I\Q...fAmiIy..dfel],iag.......................................... b. Intended use and occupancy ...� ppe...—..,_,-.^,,,,,_,,,,_,,,,_,,'_,,,,,,.,,,_,. c Period uftime trailer is to be located on premises .......... ...............,.—. 3. Fee ..^..$35°{\0...^...... [To be paid on filing application) 4. Dimensions of trailer, length ............5.5!..........width ......................10.!.. height ........ Registration Number ........................................ .Serial Number ..........25.5.`�FZ~]`58............... t 5. Size of lot: Front ............1p0'.......................Rear ............100.!........... Depth .......185:'................. 6. Date of purchase or lease of land .................1962.............................................................................. 7. Zone or use district in which premises ore situated ........::A::...&..:: '.'........................................... ` 8. Does proposed use violate any zoning low, ordinance or regulation? ............No.................................. 9. a. Method of Sewerage disposal .............................ces;sP0o1........................................................... b. Source of Water Supply ...................................we.11..................................................................... c. Source of Electricity ..........................................LI M.................................................................. 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. (Original Plan on File . ) n STATE OF NEW YORK l COUNTY OF SUFFOLK )ss' .............2j121.s1aw...bli/ilaj.czyk............................................ being duly sworn, deposes and says that he is the applicant named above. He is the ...............awn.er...................................................................... (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 trc• will be located in the manner set forth in the application filed herewith. Sworn to before me this .../1.&............. day of u GFlk2k�................................ 19..6..7..... 9................... ... (Si nature) ............................. A6RYAGRY y ic) - LIIDWIIUI hlI NOTARY PUBLIC OF NEW JERSEY NO. 111951 Mr Commission Expires March 27, 1988 1OWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT No. ......6.4—Renewal Date ........August 10:....19.8.3........................ Name .......Z4zAs.1"--WKQ1-Aj-q4y.1i..................................................................................... Street .........R.-.Q.,.JAQA...5.00...J.Q.hn"..5..R.Qad........................................................................... Town ......... Yo.r.k........119.52.....;.............................................................. Your application for a (single trailer) (Bi C4KNA permit was reviewed by the Town Board on ..............AuguS.t........9.............................. 19..A3., and (was) XQM]t" approved. A permit is hereby issued to locate a (single troiler)x&4MMtX license number ........................ or serial number ...........%95.5...TEK-15.8........... at ........5.Q.U.T.b...qide of Private Road .............................................. off east side of Main Road. Mattituck, New York ...................................................................I...................................................................................... pursuant to application dated ...................August... ...................... and the following conditions: PERMIT..RENEWED...FOR...SIX-4.6.x-MONTIL-PER10EL...................................... ....................UP.T.R.ATIAN...DATA;.......FEBRUARY...9......19.8.4................................................... .......................................................................................................................................................... TOWN BOARD, TOWN OF SOUTHOLD ............. TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ......................... ..`: ..., l,K� .. Application No. ....61...RenezU....... Approved ......................... .� .. 19E .. ..Permit No. ................ Disapproveda/c ............................................................................ ................................................../ ............................... - Supervisor APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date .......August-. 9 19 83 Instructions a. This application must be completely filled in by typewriter or in ink and submitted in duplicate 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 G detailed description of layout of property and proposed location of trailer must be drown 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 County, New York, and other applicable Laws, Ordinances or Regulations. The applicant agrees to cc ly with all applica lows ordinan d regulations. gn ture of applicant) .2..0.....Bnx...56A..J.ohn:.s..8d_.,.A4attituck,.. N.Y. (Address) 11952 State whether applicant is owner, lessee or agent..........Llwner................................................................... Name of Owner of premises ......Same.........-..Zdzislaw Mikolajczyk If applicant is corporate, signature of duly outhorized officer ..................................................................................... (Name and title of corporate officer) 1. Location of land on which proposed trailer will be located .....snuth..sz.de...gt...Rx..t.....H•d...... Street and number ....9.1f...F...S..A4a]ri..RO.ad ,...Mgtti.tuck.,...N...Y............................................. 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ......QA.e...f1A1xly....dw.el.11ag...................... ................................. b. Intended use and occupancy ...same .............................................................................................. c. Period of time trailer is to be located on premises ..........6...wn.thS......................................... 3. Fee .........$2.5-D.0..................... (To be paid on filing application) ON 4. Dimensions of trailer, length ............5,5!..........width ......................10.!.... height ..111.•6!.'.............. Registration Number ........................................ .Serial Number ..........S,5.S...TF.TU-11519......................... a 5. Size of lot: Front ............1(30 t.......................Rear ............100.!........... Depth .......185:'................. 6. Date of purchase or lease of fond .................1262.............................................................................. 7. Zone or use district in which premises are situated .............fl':...&..::}3............................................. 8. Does proposed use violate any zoning law, ordinance or regulation? ............No................................. 9. a. Method of Sewerage disposal .............................cesspoo.1........................................................... b. Source of Water Supply ..................................vte.11..................................................................... c. Source of Electricity ..........................................LT.110.................................................................. 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. (Original Plan on File . ) STATE OF NEW YORK l COUNTY OF SUFFOLK Jss. .............zldzis1aw...Mi.Kolaj.czyk............................................ being duly sworn, deposes and says that he is the applicant named above. He is the ...............owner...................................................................... (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 i ....... .��.:: ....... ................................. 19.x'3.... ..... . .... ... .... . ... ........................ .... . / _ ...................... (Signature) ..... .. ... � L.... . . .. . (Notary ub i IJDWIKA MAGRYS kIC DF ilEYI JERSEY 1551 ,,,ts March 21, 1988 TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT No. ..... 4........... Date ............Fjabxuax•.y...1.......19.83............... Name ................Zdzis.law-.Miko1ajczyk............................................................................ Street ..................P._.0.....Box..580.,...John•'.s...Raad............................................................... Town ..................Xat.tit.us k.,...Njaw...Yox.k.......119.52........................................................... Your application for a (single trailer) (K@fi7fitMO permit was reviewed by the Town Board on .............k:6b.x11arY...15............................. 19..83.., and (was) (wamwaV approved. A permit is hereby issued to locate a (single trailer) (bpAgm-qr), license number ........................ or serial number .........S55...T.FK..1.5.$........... at ......... ...9t...Px.im..at.e.......... ...RQAd...ot f...eas.t..si.de...oT...Main..Raad.,...Mat.t i.tuck.,...New...Yark....119.52........ pursuant to application dated ...................I'.ebx.u.%ry...9...... .98.3.................. and the following conditions: ..........PERMIT...RENEWED...FOR-SIX...(6.)..MOXTIL.PEAS.OD.............................. .............................EXP.IRATZ.0X..DATE......AUGUS.T..9.,...19.8 3............................................... .......................................................................................................................................................... TOWN BOARD, TOWN OF SOUTHOLD .....14.Z.,.ee �;7 ��✓,r ................... Town Clerk • RECEIVED_ . TOWN OF SOUTHOLD FEB 4198.. TOWN CLERK'S OFFICE Town Clerk Southold SOUTHOLD, N. Y. Examined ......................:.....�5... Application No. ....fa4...Renesal........ Approved �5.., 19A.!Permit No. ................ Disapproveda/c ............................................................................ ...........................................11::�`��9�C /............................. Supervisor APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date ...February 18 ,....., 19...8.3 Instructions a. This application must be completely filled in by typewriter or in ink and submitted in duplicate 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 County, New York, 9no other applicable Laws, Ordinances or Regulations. The applicant agrees to coith MI appli a to , ordinances regulations. Qture of applicant) .....Bax..56A..J.ohn:s..8d .,.Mattitaack,.. N.Y. (Address) 11.952 State whether applicant is owner, lessee or agent..........IIw11er................................................................... Name of Owner of premises ......Same......................................................................................................... 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 .....south... ide...pt...P.vt.....Ad_.,.. Street and number ....QIX...> ...S..Mai ri...H ad....Mat.ti.t.uek.,...N...Y............................................. 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ......RA.e...fgin i.7.y...dzellij.g........................................................... b. Intended use and occupancy ...same . .............................................................................................. c. Period of time trailer is to be located on premises ..........f...MmthS......................................... 3. Fee .........$2.a-D.0..................... (To be paid on filing application) 4. Dimensions of trailer, length ............55!..........width ......................10.'.... height ..1,1.V. .............. Registration Number ........................................ .Serial Number ..........5.5.55...TEK.lh$......................... i • 5. Size of lot: Front ............100.t........................Rear ............10D............. Depth .......1a5'............... . 6. Date of purchase or lease of land .................1962.............................................................................. 7. Zone or use district in which premises are situated ............X..,...&..::J3'.:.......................................... 8. Does proposed use violate any zoning law, ordinance or regulation? ............Na................................ 9. a. Method of Sewerage disposal ............................aeaspool........................................................... b. Source of Water Supply ...................................we.ll..................................................................... c. Source of Electricity ..........................................LIX':QQ.................................................................. 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. (Original Plan on File. ) STATE OF NEW YORK l COUNTY OF SUFFOLK fss' .............2slzzslaw...Milo1aj.czyk............................................ being duly sworn, deposes and says that he is the applicant named above. He is the ...............awn.er.:.................................................................... (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 .1.0�..... day of . .. ............................ )9..8..3. ....... . . '. . . ✓ � (Sig ture) (Nota lid UJOMRKA MAGRYS NOI M K=OF NST JIRSEII NMC4W i RECE114M TOWN . OF SOUTHOLD • IAUG 0 51982; TOWN CLERK'S OFFICE ow an IWAM SOUTHOLD, N. Y. Examined .....................tv 19......:7— Application No. .....64...Rane.=U....... Approved .......................el 19.4�0Permlt No. ................ Disapproveda/c ............................................................................ C .............................................. ........................... ..................... Supervisor APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date .......AjAgjAs-t..9.;......... 19...K Instructions a. This application must be completely filled in by typewriter or in ink and submitted in duplicate 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 a a Troller S e f rai er Pe it pursuant to the alk kj C Building Zone Ordinance of the Town of Southold, C in New York, a a er applicable Lo es t c 'P � Ordinances or Regulations. The applicant ogre m ithn 11 appli I ows rdinanc nd regulations. camp'7 . ... . ...... .................... .... ....... aiture of applicant) ZDZKS V. 11KOLAJCZYK N.Y. (Address) 11952 State whether applicant is owner, lessee or agent..........Qwjier.................................................................. Name of Owner of premises ......Same......................................................................................................... If applicant is corporate, signature of duly authorized officer *'�ameandtitleofcorporate of*' 'f'i*cer)'"**... ( 1. Location of land on which proposed trailer will be located .....sctuth...S ide...Qf..P.m t.....lld—,.. Street and number ....Q.fX... 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ......QAQ...faMily...dwellinz......................2 ................................... b. Intended use and occupancy ...same...................................................I.......................................... c. Period of time trailer is to be located on premises ..........0 mn.tho........................................ 3. Fee .........$2a-.QQ..................... (To be paid on filing application) 4. Dimensions of trailer, length ............55!..........width ......................1o.!.... height ..3,1.'..6'!.............. Registration Number ........................................ .Serial Number ..........25.5...Tu..1-55........................ 5. Size of lot: Front ............1(10 .......................Rear ............1.00.!........... Depth .......185:'................. 6. Date of purchase or lease of land .................1:a62.............................................................................. 7. Zone or use district in which premises ore situated ........:.'A::...&..:. ::.......................................... 8. Does proposed use violate any zoning law, ordinance or regulation? ............Na................................ 9. a. Method of Sewerage disposal .............................ce.%sfaoo-l........................................................... b. Source of Water Supply ..................................sue.11..................................................................... c. Source of Electricity ..........................................LILCQ................................................................... 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. (Original Plan on File . ) STATE OF NEW YORK i COUNTY OF SUFFOLK J ss. .............Zdzi'slaw...Mi.lolaj.czyk............................................ being duly sworn, deposes and says that he is the applicant named above. He is the ...............awn.er...................................................................... (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��innnthe application filed here 'th. Sworn to re me this ... 0....4?�1......... day of .............. ........................ 19 . ... ..... . .... ... ........ . .. . ... ..............� . .... ; (Signature) . . `.................... .... ....... ................ (Notary Public) ELIZABETH ANN NEVILLE NOTARY PUBLIC, State of New York No. 5Expire650, Suffolk30, Coin Term Expires March 30, 19. -A TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT No. ...Reuewal Dote ...Fehruary.. ....................... Name .....Zdzislaw..Mikolajr-zyk....................................................................................... Street .......P-0....Box..5ZO........John.!.s...Ro......................................................................... i t u ck. N.e.w..YpXt.... Ljq5.2.......................................................... ..............Town ............................ Your application for a (single trailer) *?WKRW4 permit was reviewed by the Town Board on ....................Febxuary..............R...........1 19...82, and (was) (+mmmmk approved. A permit is hereby issued to locate a (single trailer) Wi3pM5nf), license number ........................ or serial number ......S...TEK..15.8.................... at .-south-aide...Qf...Pr.i.vatja..Raad.... ....olf...e.m. .. 1...rp.j.d q..M A.j n...Ro.ad,...M att ituck ...New...York........................................... pursuant to application dated ..................J.AA1karV.. ................... and the following conditions: ......PERMIT..RENEWED-YOR-SIX...(.6. ...MONTH-PER.101)................................. EXPIRATION DATE : AUGUST 9 . 1982 ........... ............. EXP 11............................--............................................................ .......................................................................................................................................................... TOWN BOARD, TOWN OF SOUTHOLD . .... . ............ . / . �� ������U � xv.^ vrv � ^�,n ~v~�^�� oov��v.�v �������� ��U ��»��'�� ����U�~� v��v�o� ��u.�oxvx ^� ^~^xoo*~� SOUTHOLD' N, Y. � � Exonnined ...-..,^.^� ./ l9//��- Application Mo. ...64-�oe-nwj*aJ.... Approved ..........................��l., l9-^�.����rnnit No. ......- C}isoppruved o/c .....^.^.....~.-..~-...~...~...,.._~ ................................................... �W .....^^_....~, . ~ ............ .......... Supervisor APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date ...^l=Uaxy.I|� ....... l9-82. Instructions o. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Town Clerk. 6. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets o, areas, and giving o6etoi|od description of layout ofproperty and proposed location nftrailer must bedrawn unthe 6iog,omwhich ispart ofthis application. c. Upon approval ufthisopp|ico1inn/ theTuwnBnordm/i|| iosueotroi|e, pe,nnittotheopp|icontSuch permit shall bekept nnthe premises available for inspection. 6. No trailer shall be occupied or used in whole or in port for any purpose whatever other than specified in permit. Application ishereby made tothe Town Board for the issuance of n Trailer Permit pursuant to the Building Zone Ordinance ofthe Town ufSouthold, � ffo|k[ N Tn Ordinances o, Regulations. The applicant agrees and � regulations. ' -� -��i----'-- Jr----`=-~` � � m�/�n� ~560...J0ho^!*;~.Ro"ad,s-M8-t-t-i-&-uck. 0.Y. (Address) 11952 State whether applicant is owner, lessee or agent.................awo4am............................................................ None of Owner of premises ................. .~.....~.^..-..~...^`...^^......_,,,, |fapplicant iscorporate, signature ofduly authorized officer ^~~~~~~~~~-~"~~~~~^^~^~~~--^---^^~~^-`^* (Non�eond #Henfcorpnn�eoffce6 l. Location ufland onwhich proposed trailer will belocated ..a/aqtl...sjLde..0dE.P.vt.....Rd.,.r./ofƒ Street and number E�.a....XQ.in...Hoad..... �atti.tuck,..D[^]L^^.._,............-.,...... 2 State existing use and occupancy of premises and intended use and occupancy of proposed trailer: o. Existing use and occupancy ...-./JJle.ƒ.amilv...dWP-ll1Jzg.................................................... 6. Intended use and occupancy .........aame.^.-^._-........~....-........-.......-.., c. Pa,kx] of time trailer is to be located on premises .....6.maD.tbs............................................. 3. Foe ....�25vW...^~....,. (To be pok] on filing application) 4. Dimensions of trailer, length .......5.5l..-...width ...10Ll._-...... height ..][1,6................ Registration Number ........................................ .Serial Number ..^.. ........................... 5. Size of lot: Front ...................IN............... ..Rear .........100..'............... Depth ..........,185•!..•.••••••••. 6. Date of purchase or lease of land ........19.62........................................................................................ 7. Zone or use district in which premises are situated ..............X.,...&...::)3::....................................... 8. Does proposed use violate any zoning law, ordinance or regulation? .............rio................................ 9. a. - Method of Sewerage disposal .......cesspoolcesspaol................................................................................ b. Source of Water Supply .............Well........................................................................................... c. Source of Electricity .....................L.L1C0........................................................................................ 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. (Original Plan On File. ) STATE OF NEW YORK I COUNTY OF SUFFOLK f ss' .............2rizislaw:..Miko.Lai.razyk•........................................... being duly sworn, deposes and says that he is the applicant named above. He is the ...............oWAQX'...................................................................... (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. Swn to before me this T�..4� l ............... day of _ In', 19....82.� �r. . ;/'fl. .........................otary P WDM M M.IGRYS NOTARY P=OF NEW JERSEY KOin7 It a MINI.604 MR"a.tea �O• Or �0��:_ L�: TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT No. 6..4...renewal Date ......J..IAIY...8......19.81................................. Name .........Zdzis.1aw..Mikola;jozyk.................................................................................... Street ..........1)...9......BQX�--5.6Q.....Jobn' ..Road....................................................................... Town ..........Mat.tituek.,...Now....York.....1195.2..................................................................... Your application for a (single trailer) fta9eaat) permit was reviewed by the Town Board on ..................July...Z.,................................... 19...8.1, and (was) (*AXRR0 approved. A permit is hereby issued to locate a (single trailer) ftLjfAgak), license number ........................ or serial number ....855—•FEF£-368................. at ........sauth..side..P.vt.....Rd.....off...... eas.t..s.ide..c>f...Main...Road.s...Mat•t i•tuek.;...New••York............................................. pursuant to application doted .................Ma-y•••••4•;•.•1.981............................... and the following conditions: ......PERM.ZT...REMj1'RD..F.QR..S.LXX XON..T.H...P.QRZ.QA........................................... ..........................H XPIZAT Z ON...DA.TE..z...JA NA.A&.Y...7.,...19.82................................................ .......................................................................................................................................................... TOWN BOARD, TOWN OF SOUTHOLD .................. 'J�l`o er RECEM TOW OF SOUTHOLD • JUN z 'i��i` TOWN CLERK'S OFFICE Term CI4d(. outliofd SOUTHOLD, N. Y. _ X. Examined ................... T......, 19.A...!� Application No. ........64,,,Renewal.„ Approved .....................7..,.7...... 19..r/Permit No. ................ Disapproveda/c ............................................................................ .................................................. ?�.z� .. . .................... - _ Supervisor APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date ..............May...4........... 19...&i. Instructions a. This application must be completely filled in by typewriter or in ink and submitted in duplicate 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 port 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 County, New York, and other applicable Laws, Ordinances or Regulations. The applicant agrees to comply with all applicable laws, ordinances and regulations. Zdzislaw Mikolajczyk .................................................................................... (Signature of applicant) ....Box..5611..Jahn'.s (Address) 11952 State whether applicant is owner, lessee or agent..................Q aex............................................................ Name of Owner of premises .........................same....................................................................................... 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 .....5/.5...�Y.t.....�d.....9. ..E/5,........ Street and number .Main..Road.,...Matt.ituc]s,..Natu..Yoxk....................................................... 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ........one...Eami.1y...dxtellittg....................................................... b. Intended use and occupancy ........same......................................................................................... Period of time trailer is to a located on remises 6..manika5.................................... Fee ......$.Zi,5...QQ...................... (To be paid on filing application) Dimensions of trail e gth .........55.!............width ..........10.!................ height ............�. .'.�....... Regi n Number ........................................ .Serial Number .....S.5i2 ........................ .. ttn� in • .. 5. Size of lot: Front ............................IN.........Rear ....................IQA.'.... Depth ............I............... 6. Date of purchase or lease of land .................19.02.......................................................!.........:........... 7. Zone or use district in which premises are situated ........:: ::...&..:: ::........................................... B. Does proposed use violate any zoning law, ordinance or regulation? ..No........................................... 9. a. Method of Sewerage disposal ..CeSSP.Qo.I...................................................................................... b. Source of Water Supply .......V.0.11................................................................................................ c. Source of Electricity ...................LILCO........................................................................................... 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. (Original plan on file) STATE OF NEW YORK 1 COUNTY OF SUFFOLK f ss. ...................Zdzisl.aw...Niko.laiczyk..................................... being duly sworn, deposes and says that he is the applicant named above. He is theowner....................................... ................... .............................. (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 �3•&............... day of 1/1 ...... ... ...................................... 19.A.�.R1 i,::.... ........................................ E....�......... (Signature) l�G 4 . � .. . . ..................... tRMN rumor= �� IL94M w a..rr.yr.p+■.r s n� TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT No. ........6.4...Renewal Date ......De.aembex... ..................... Name .............ZdZialA-W--Mika1ajr-ZY-k................................................................................ Street ..............BQ;K... ..Fbaad.................................................................................. Town ................ ...YorX-119.52............................................................... Your application for a (single trailer) km=�Vermit was reviewed by the Town Board on ............D.eajemher..3.07............................ 19...80., and (was) XOXXNt) approved. A permit is hereby issued to locate a (single trailer) &w=%xk license number ........................ or serial number ...........2.55...TEK...15&.......... at .......5./S..P.V.t.....RQ&d...Q.ff..E.J.5............ ..............'Nair1..RQad'....Ma.tt;Ltuck.....blew..-York.....119a2................................................ pursuant to application dated ......................Nowembex...7.,...19.80............... and the following conditions: ...........ZERMIT..RENEWED...FOR-SIX...(.6.).-MONTIM...................................... ..............................EXP IBATIOBI..DATE..J.UNE..30.,..198.1..................................................... ................................................................................................. ........................................................ TOWN BOARD, TOWN OF SOUTHOLD .............. RECEIVED TOWN OF SOUTHOLD • u L�; 1. 11980 TOWN CLERK'S OFFICE Tn onrk Swithold SOUTHOLD, N. Y. Examined ................J^?/..AU..., 19i-.O.. Application No. .........54...1;e.Alr.Flaa... Approved / `3�...... 19.t�.....Permit No. ...................... ........ . ................ Disapproved a/c ............................................................................ ............................................. . i?, ?.................................. ................... Supervisor APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date ....Navpz er...7......... 19...80. Instructions a. This application must be completely filled in by typewriter or in ink and submitted in duplicate 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 P iymit pursuant to the Building Zone Ordinance of the Town of Southold, Suf County, New York other applicable La s, Ordinances or Regulations. The applicant agreesWtu-W all opp 'c a to ordinanregulations. �p. . . ................ .. ..... ....... p icont) Hox...5&0...elOhri.!.s...Road.,...Mat•tituck.,Xi Y.... 11952 (Address) State whether applicant is owner, lessee or agent..................Owner............................................................ Name of Owner of premises .........................aame...................................................................................... 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 ........... Street and number .................................................... 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ...........one...fami.Ly...dw,ellAng.................................................... b. Intended use and occupancy .........Same......................................................................................... c. Period of time trailer is to be located on premises .............Q..M0.UtWi...................................... 3. Fee ...........$.5...Q0..................... (To be paid on filing application) 4. Dimensions of trailer, length .......55.!..............width ...............1.O.i........... height .....11,!,6.. ....... Registration Number ........................................ .Serial Number ..........5.55...TFK...15,&.. .................... S. Size of lot: Front ........100.1...........................Rear .. ..1.QD.!............ Depth ......185'.................. 6. Date of purchase or lease of land ......19.62........ ............................................................................... 7. Zone or use district in which premises are situated ..& ...&t..':8::.............................................. 8. Does proposed use violate any zoning law, ordinance or regulation? ....Ua......................................... 9. a. Method of Sewerage disposal ........QesSRasZ................................................................................ b. Source of Water Supply ..............well.......................................................................................... c. Source of Electricity ......................LSZCfa.....................................:................................................. 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. (Original Plan on File) STATE OF NEW YORK l COUNTY OF SUFFOLK f ss. .......................Z.d7ialaw..Idi-kalaJezyk.................................. being duly sworn, deposes and says that he is the applicant named above. He is the ................owner....•..(-ow... .r.................................................... (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 ... .. 3.91 .............. day of (. lt Vis.:...... C: ......................... 19....ao... ..... .......4ignaiur'e) � ....�.. / (Notary Publi NOTARY PURK OF NEW JERSEv, My OonnntWa EvIve FdrM 27.190 TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT No. .....61..r.enewal Date .........June...11.,...198.Q........................... Name ....Zdzisiaw Mikoial.C.zXk..................................................................... Street ......Box„560•,John.'s...ff'"O........................................................................................... Town ......Mat.ext,U.0 ,...N.P-W...Yexk........11.9.52....................................................................... Your application for a (single trailer) (ka x permit was reviewed by the Town Board on .......JldJAQ...10.............................................. 19.....$.Q and (was) (%*aVWA approved. A permit is hereby issued to locate a (single trailer) WCSO), license number ........................ or serial number .....,S55...TEK..15.8................ at ....5/.S..Pct.....Rd_.,...off...EJ..S..MaaA..Road, Mattatusk.>...New...Yoxx...................................................................................................... pursuant to application dated .............................May.7.,-19.aQ....................... and the following conditions: .....Pexmlt..xenewed...far...six...0 J..mo7atkts...:fxom...JuxiC...XP.....19.$.Q... .........................Expix.a.uO.R..Dat.e:.....Ilwuwm..la IUB.0............................................ .......................................................................................................................................................... TOWN BOARD, TOWN OF SOUTHOLD ., Dep�orwn Clerk I ���� ����� ^�� ������^�U � , ~~ ,. " ~ �v" ~`����voo����v ������� �°K ���,'�� ��8��U��� ��A�� z Z1QA�� . �^ vr " � �~n.�vxo� ~^ v��oov*�� SOUTHOLD, N. Y. Town Clerk Dmtho|if Examined /�� —^^^ �9!!`' �� -- ^—^^^ .., ... Application Nn. ...—.�4..rpjapAql Approved .,.—`--.^2L«/Z()^/ 14�..Pennit No ......., Disapproved o/c ................................................ .^..^.~.,~. Supervisor APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAN, OUTSIDE OF TOURIST CAMP. Date .``.MR]L.7x..,..../ lDAO, Instructions o. This application must be completely filled in by typewriter or in ink and submitted i d |i theTown [|erk. n upco�e �o 6. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or oreos, and giving o detailed description of layout of property and proposed location of trailer nnust6e6row/nnnthe diogoon` which ispart nfthis opp[icoUon. »co »» c. Upon approval nf this application, the Town Board will issue otrailer permit tnthe opp|icont � h per,nitshall bekept onthe p,ennisesavailable for inspection. � u� 6. No trailer shall be occupied or used in whole or in part for any purpose whatever other than specified in permit. Application ishereby made to the Town Board for the issuance of o Trailer Permit pursuant to the Zone Ordinance of the Town of Southold, Suffolk[ tN York 6 th Ordinances or Regulations. The applicant og regulations. '^°" ^° citure of applicant) -/w-Qu.,uu��.w/�w��-��.9��A��+.��&Ji���������, ������ I1952 (Address) `� � � State whether applicant is owner, lessee oragent ..l}mnlax—.--..~..^.`. ..-. ~........,....^^ Name ~^o~of^nJ-Owner n—of`fc~npremises -o~.f—.fh—.z,�^r.^).^.—..� �doio1" "^^` `��� +' :gnb If 000|h:ont is corporate,�oro�e, signo�ure of �u|v authorized ^n"ffil�er` ^�—one 7. Location ofland nnwhich proposed trailer will belocated .........A/I��,pyt �,,rd�,���f,,,^,,, Street and number ^..�/E|,&�uiz/,Buud+,8��t 2, Stade existing use and occupancy of premises and intended use and occupancy of proposed trailer: o. Existing use and occupancy ...............Oo+»~�KRMj.:l,.y~dm,e3.lj'ng_.-..~—~..~—`^^^`^^—` b` Intended use and occupancy .—.,..'Safue--.^,..`..~.—.....~^-~~^—^^—^`^~~`^^` c. Period uftime trailer is to be located on premises .-..^.-0 m�n.t.h�q -.—......^.--... 3. Foe ..-...^$.a, 1}a.................. (To be pov] on filing application) 4. Dimensions of trailer, length .,... .............width ............].0.1............. height ..........�1,��........... ��i����m Number_~ ...........`..^-.... .Serial Number ....................Sa5.�������,���.^—.., 5. Size of lot: Front ............100.'.......................Rear ...........199. ............ Depth ........1JU.................. 6. Date of purchase or lease of land ............11M.................................................................................. 7. Zone or use district in which premises are situated ..............:Al,...&... .B.I...................................... 8. Does proposed use violate any zoning law, ordinance or regulation? ......N.4....................................... 9. a. Method of Sewerage disposal .......>res.Sppo] ................................................................................ b. Source of Water Supply .............w.el1.......................................................................................... c. Source of Electricity .....................LILCO........................................................................................ 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. STATE OF NEW YORK l COUNTY OF SUFFOLK f ss' .Zdzislaw Mikolajczy ;.. being duly sworn, deposes and says that he is the applicant named above. He is the ................Q.W..� 97. ................................................ (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 /tJ�o before me this ............. day of Cl�sc1 ....................................... 19.....8p.. ...4ir gn (Notary PZfRSEY NOTARY PUBUC OF my u mnissim Fap1m Fewmi 27. 1983 . • RECEIVED TOWN OF SOUTHOLD MAY t U 1979 TOWN CLERK'S OFFICE Town Clerk Southold SOUTHOLD, N. Y. Examined ................° .. Z..., 19.���. Application No. ..6.4...rene'aa1........... °�� ...... 19.7 .Permit No. ................ Approved ................... Disapproveda/c ............................................0............................. 1�..�? ...................... . ...... .... . .. ...... Supervisor APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date .ApriL..23.,.............. 19.....79 Instructions a. This application must be completely filled in by typewriter or in ink and submitted in duplicate 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 County, New York, d other applicable Laws, Ordinances or Regulations. The applicant agrees to comply with all appy' le lows, ordinances and,/ regulations. ) / i �i ature of applicant) .Rox..afi i).....J.ohnl.s..&oad....ylatta.tuck,...DI.Y.119 5 2 (Address) State whether applicant is owner, lessee or agent............Awner.......................0. Name of Owner of premises ..................ZdZLelaw...Mikol.ajcayk....................................................... 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 .........z/.a..Private..XDad...off.... Street and number ....E/..5....Maia.anad, ...MattLtu.dc.,.--Mew..Yozk........................................ 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ......cine..£amily..dwa11-Ing......................................................... b. Intended use and occupancy ....!.ATPiQ.................................................................................0............ c. Period of time trailer is to be located on premises ..........6...mn.thS......................................... 3. Fee ...........$a..DA..................... (To be paid on filing application) 4. Dimensions of trailer, length .........a5•!............width ........... height 11.4.1............ Registration Number ........................................ .Serial Number ........ 1.52......................... 5. Size of lot: Front ........100.............................Rear .........1.QQ.:.............. Depth ......1.$5.................... 6. Date of purchase or lease of land ..............19.62................................................................................. 7. Zone or use district in which premises are situated .....".A.......&...!!B!l............................................ 8. Does proposed use violate any zoning law, ordinance or regulation? .......ri.0...................................... 9. a. Method of Sewerage disposal ........PAP.S1?QQI............................................................................... b. Source of Water Supply ..............117.ell......................................................................................... c. Source of Electricity ......................LILCO....................................................................................... 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. STATE OF NEW YORK COUNTY OF SUFFOLK f ss' ..............................Zdzialaw..PAikol.ajczyls........................... being duly sworn, deposes and says that he is the applicant named above. He is the .............pwner......................................................................... (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. i Sworn to before me this ................................ day q'f •�' ............April.............. 19.3.9...... .G(!�! ...G� .:. . (Signature) (Not P ic) NOTARY PUBLIC OF NEW JERSEY �rte. r�rr n.1su ^ RECEIVED �� ��� �������� � "~°, ,, o � ^~�o ~v�~v^� 000^°vx.�� � Nov | Cl�7(� �������� K~U ����� �� ���K�U��� ~ ^ , '*' � o��vvv� ��o.�v�v� ~v "~vnoo�~� SO;NTHOLUN' N. Y. Town Clerk Southold Examined ....................p�'�?��—, 19.79'. Application Mo. ...�.4...F-el h--w a],.. Approved .......... ., l979...Permit mn. ....^... Disapproved o/c —_..........,..—.... .............................................. ��_ . ._,,,�',,,,,,`^,. Supervisor APPLICATION FOR LOCATION OFSINGLE AUTOMOBILE TRAILER OR HOUSE CAN, OUTSIDE OF TOURIST CAMP. [*ate ..(�Q.tQ.bex.2,5...., 19.19. Instructions o. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Town Clerk. 6. Plot plan showing location nflot and uf buildings unpremises, relationship tuadjoining premises or public streets or areas, and giving G detailed description of layout of property and proposed location nftrailer must bedrawn onthe diagram which ispart ofthis application. c. Upon approval of this application, the Town Board will issue o trailer permit to the applicant. Such permit shall bekept unthe 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 iothe Building Zone Ordinance of the Town of Southold, Ordinances or Regulations. The applicant agrees s and � regulations. �/ � 141 2va�l ���—���— � -------_F4 -- ~~—^^. ne of opp ^wnt J�l�J\' ^ ...� .��.huJaz�°. ,�°D[�%. 11B52 (Address) State whether applicant is owner, lessee or agent ...../�ouner................................................................. yJon`e of Owner of premises .....~Zdzj,s],al0.Zikk............................................................ If applicant is corporate, signature of duly authorized ofAcer ^^^~~~~~~^~~~~~~~^^^^~-~^^^^^^^^^^~~^^—~ (NonneondUHenfcorponztenf �c�� l. Location of land on which proposed trailer will be located ..%/a.Pr.i.va;Le.Roail./zfL...... Street and number .....94$.M,1; i .IQ0,d4.��A1;-UJ;=k,-.NeW.3.Qrk...l2,95.2—......--. 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: o. Existing use and occupancy ...............................�sua^��an�`���~�mvm�ll�.00�............................. b. Intended use and occupancy ................................oao/e�................................................................. c. Period oftime trailer istohe located on premises --��.MQatbs.............................................. 3. Fee ..........$.5^{l0.....,..... (To be paid on filing application) ` 4` Dimensions of trailer, length ...........S.5,..........width .........L8.!................. height ........].l,A........... Registration Number .~....~^......,..... .Serial Number ...........S.552EX.15[[-..,...—... 5. Size of lot: Front ,..............10.0.1....................Rear ........19p................. Depth ........185.'................ 6. Date of purchase or lease of land ...............1.9.b.2................................................................................ 7. Zone or use district in which premises are situated .....'!A'!...&...:.B.'................................................. 8. Does proposed use violate any zoning law, ordinance or regulation? ....No.......................................... 9. a. Method of Sewerage disposal ...............CeSS.P0.Q1......................................................................... b. Source of Water Supply ....................3mll................................................................................... c. Source of Electricity .............................I,1JaCQ................................................................................ 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. STATE OF NEW YORK l COUNTY OF SUFFOLK Jss. .......................................Zdzia1 w..Miko1ajczyk.................. being duly sworn, deposes and says that he is the applicant named above. He is the .................ow.nes.................................................................... (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 .l�.,�fi:................ day of l.... �aLv4t �.i9....7$.... (Signature) u ary P....� ... ....�?..Y.71 .. (Not NOTARY PUBUC OF NEW 1 S ►b Commiaiat Egkn%bort 27.1981 TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT No. ....64...renewal Date ...M4Y...2.3,...1.97.9.................................... Name ...... ....................................................................................... Street .......Box..5.4A...Jgha'.s...Finad......................................................................................... Town .......Mattti-tU-lt.,...Newyork.......1195.2..................................................I..................... Your application for a (single trailer) kgmt �r�}permit was reviewed by the Town Board on ...................May..22..................................I 19.7.9..., and (was) (lw=ma&approved. A permit is hereby issued to locate a (single trailer) Oaaxxaad, license number ........................ or serial number ......S.55...TEK...15.B............... at ...s/..s...private..rioad..off...E/..S......... ...........ftjD..Roada..Klatt i.tuck....N_Y_....................................................................I........... pursuant to application dated ..............................A9K.i.I....23......1.9.7.9............ and the following conditions: ......p.9rmit,.rengwgd„fq:g,.6,.months from Pay,,.22,,,.197 ,,,,,,,,,,,,,,,,,,, ..... ...... . .........................ki?GP.7 rata o>a..stats....... ........................................... .......................................................................................................................................................... TOWN BOARD, TOWN OF SOUTHOLD ` .. . ................. Town Clerk �/ TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT No. ....64...r.enewal Date ...OCtabAr...25.,.A%9.7..8.......................... Name ..........Zdpis.laV..MikoW-=7Y.................................................................................. Street ............Box..56Q John' s Road Town ............Matt it1Ir.k.>...NAW...Yark.....U95.2................................................................... Your application for a (single trailer) ftH9FM) permit was reviewed by the Town Board on .............Qat;ottex.......2.4........................... 19.7.$..., and (was) (w+axxw) approved. A permit is hereby issued to locate a (single trailer) 04aA4XilW, license number ........................ or serial number ....... ............ at ..... 7. M's..Road .Qyt.,... d )............ .........Off.. lutrti.tl4ekA...NA.1%................................................ pursuant to application dated .....................Septgmber 26 ,...1978............ and the following conditions: ....Re=1 t..xenewed..fnr...b..months...from..OGx.QbR.x...2.4.,....],9.7.$........... ........................Eg7at? AP.ri.l..24.x...19 78.. ... ................................................... .......................................................................................................................................................... TOWN BOARD, TOWN OF SOUTHOLD Town Clerk �� �� U � n^�' vvv � ~��o ~���^��noo��,��� � TOWNTOWNCLERK'S�� ~v OFFICE � SOUTHOLD, N. Y. � � Exomwined ......!.!�^!����!�..../ l9/����. Application No. ...61L.renewal........ Approved ..............�.�/�..�—.., l9//6/.Permit No ...,.... Disapproved o/c .~—..—..—....^_..-.-...~.......,_... � /�- . ��`��,�,,,,,,,,I �,. --- `~__--_'------`,-_--,---_—.--..... Supervisor APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Dote .... , 19...7R. Instructions o. This application must be completely filled in by typewriter or in ink and submitted in duplicate 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 o detailed description of layout ofproperty and proposed location oftrailer must 6edrawn onthe diagram which ispart of this application. c. Upon approval nfthinopp|icotion/ theTownBoondvvi|| issueoyroi|erpernnit tothe applicant. Such permit shall bekept onthe premises available for inspection. 6. Notrailer shall 6ooccupied orused inwhole o, inport for any purpose whatever other than specified in permit. Application ishereby made tothe Town Board for the issuance of o Trailer Permit 2ursuant to the Building Zone Ordinance of the Town of Southold, Ordinances or Regulations. The applicant agrees regulations. State whether applicant is owner, lessee o, agent ...../lWA#][........~...---....^.........—^.I Name ofOwner of premises ......�Woiglnw ^hk_~.._.^,,,,,,^,,,_,,,,,,._,, If applicant is corporate, signature of duly authorized officer ^~^~~~~~~~~~'^^~~—^^`'—~~^~—~^'^^^~^—^^ (Non^eondMHenfcnrpnno�eoffi�er} I Location ofland onwhich proposed trailer will belocated .....S/.&/-P.r!vatP-.Rz&d.0f f..... Street and number .,..g/§. ^&oo��+,M4��� `[ork,,.^,___~~,~,,^,I 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer- a. Existing use and occupancy .—.~.AX\g..f Amily.d've] l ^ g.,,,,,,,,'~,.,,,,,~,,^,^,I 6, Intended use and occupancy .—..PAJPX.........................—..........^...,^.,, c. Period oftime trailer isho6elocated onpremises ...........6.=nt6s....^........--.—. 3. Fee ............... .................. (To be paid on filing application) 4. Dimensions of trailer, length ........55...............width .~...L}.^.---..^ height --.]['[,.6.,—... Registration Number ..^—.—_....—.....I I Serial Number ....S5.5.]�E][^1.58...................... ...... I , �.|� 5. Size of lot: Front • UQ........................Rear ..........1.QO............... Depth ....185 ' 6. Date of purchase or lease of land ...................1962..................................................................................... 7. Zone or use district in which premises are situated ........"A"...&...'.:B'.1.......................................... 8. Does proposed use violate any zoning law, ordinance or regulation? ............tto................................. 9. a. Method of Sewerage disposal Cesspool,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, b. Source of Water Supply ....................We.11................................................................................... c. Source of Electricity .......................... LIWQ................................................................................. .. ...... . 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. STATE OF NEW YORK 1 COUNTY OF SUFFOLK Jss. .............................. dzislaw Mikolacxyk............................. being duly sworn, deposes and says that he is the applicant named above. He is the .................O.Wt1eT.........................................................I.......... (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 befor me this ...arf .............. day of / 67 ........ .4!a ............................... 19....7.8.... .. .... ............ .. . . .. ................... r .. (Signature) �� (Nogb ublic) att'Q a�r1 �a Is A3 3f AGN!D 3I1Bfid ANION TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT No. .....64...Renewal Date .........AP.-K ,1..25.,...19..7..$......................... Name ....Z.dzia1.aw..Miko.laj.cxyk........................................................................................ Street ......fax ..5b.9..,Ja}acl.:.:x..ltaad........................................................................................... Town Mattituck, New York 1.1.9.5.2 Your application for a (single trailer) (housecar) permit was reviewed by the Town Board on ..................APr11...25.A............................. 19..7.$.., and (was) (Kamm) approved. A permit is hereby issued to locate a (single trailer) MQUIZA, license number ........................ or serial number .............S-5.5-.TEK-158....... at ....JAhn.'.s...ltaad... ............. N.Y'.................................................. pursuant to application dated ................ ...1.9.7.$........................, and the following conditions: Pezmit—tenewed..fmr...6-months...£rom..Apx'1 ...25«...19.7.&.................... ............:....... ......QCtab.PW?c..2..5.....1.975................................................... .......................................................................................................................................................... TOWN BOARD, TOWN OF SOUTHOLD Town Clerk TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ..................................... 19........ Application No. ...6.4t..senewal ........ Approved ..................................... 19........Permit No. ................ Disapproveda/c ............................................................................ ........................................................................................................ ..................................................................................... Supervisor APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date .Ma=ch..2-8................ 197.8... Instructions a. This application must be completely filled in by typewriter or in ink and submitted in duplicate 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 iss ce of o Troile ermit pursuant to the Building Zone Ordinance of the Town of Southold, Su Con , New Yo and Oer applicable Laws, Ordinances or Regulations. The applicant agrees toompl h icable ws, rdi nc and regulations. Irl ( i ure of applicant) J. !.a...Road,...S?..0.....B 5.6Q,.Mat i.tuck,N.Y. (Address) State whether applicant is owner, lessee or agent.........okmez.................................................................... Name of Owner of premises ..4dzislaw...M1.1,S0.1aj.cxyk...................................................................... 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 .........SI.S.2-rivate...RA.ad..Q;E..f..... Street and number .....E/•S..Mans..&oad,..Tlattitaack,..iq_Y_................................................... 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy .......one...fam:ily. ..-.dwelling..................................................... b. Intended use and occupancy .....same............................................................................................ c. Period of time trailer is to be located on premises .....6..months.............................................. 3. Fee ...$.5_AO............................. (To be paid on filing application) 4. Dimensions of trailer, length ....5.5..................width ....10...................... height ....11'611,........... Registration Number ........................................ .Serial Number S...55...TEKA5.8................................ 5. Size of lot: Front ..............1.00.!......................Rear ..............JWp ......... Depth ...........i85'............ 6. Date of purchase or lease of land ......1.9.62......................................................................................... 7. Zone or use district in which premises are situated .....A.......tSc.....B................................................ 8. Does proposed use violate any zoning law, ordinance or regulation? .........110.................................... 9. a. Method of Sewerage disposal ......Ces.spcla1.................................................................................. b. Source of Water Supply ...........kell............................................................................................ c. Source of Electricity ...................LILCQ......................................................................................... 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. STATE OF NEW YORK l COUNTY OF SUFFOLK f ss' .......................................2d"a1.aw..Miko.1aj.C7lyk................. being duly sworn, deposes and says that he is the applicant named above. He is the .................ownez.................................................................... (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 I ................... ................., i9....M.... .... ..... .. ... .......................... . ........ ... .. ,AA (Signature) yN�G . ... ..... (Notary Public) MLCISLAUS WINIARZ ��4✓✓✓ Notary Public State of n'ew Yor& No. 52-9703725 Suffolk County Comm. Expires March 3% 19JL40 TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ..................................... 19........ Application No. ...6.4..xeneval........ Approved ..................................... 19........Permit No. ................ Disapproveda/c ............................................................................ ........................................................................................................ ..................................................................................... Supervisor APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date Xarota.18............... 197.8... Instructions a. This application must be completely filled in by typewriter or in ink and submitted in duplicate 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 drown 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 P it pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, d her applicable Laws, Ordinances or Regulations. The applicant agrees to Vu. I appli abl low or inances and regulations. (Sii nt) xz�,zu(� ..N.Y. (Address) State whether applicant is owner, lessee or agent........MAK.................................................................... Name of Owner of premises Zdzielaw Mikola�cx�k........................................ 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 ........r5,(S_.Private Road off . ........................................ Street and number ....EAS Main "41. Mattituck,�,,1I;Y ......................... 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ......One family -dwellin8...................................................... b. Intended use and occupancy ........................................................................................................... c. Period of time trailer is to be located on premises 6 monhe 3. Fee Y5 00 (To be paid on filing application) 4. Dimensions of trailer, length ...:K1..................width ...10.1...................... height '6" ....11........................ Registration Number Serial Number S..55.,TEK 158 5. Size of lot: Front .............1110.!......................Rear ..............100!.......... Depth ...........18-5A............ 6. Date of purchase or lease of land ......19.62........................................................................................ 7. Zone or use district in which premises are situated .`A...,...{x.:...5................................................ 8. Does proposed use violate any zoning law, ordinance or regulation? .........110.................................... 9. a. Method of Sewerage disposal .....G68Bp>pal.................................................................................. b. Source of Water Supply ...........NO11............................................................................................ c. Source of Electricity ...................LILCO.......................................................................................... 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. STATE OF NEW YORK COUNTY OF SUFFOLK f ss' Zdzi.slaw..MikoleJCxpk.................. being duly sworn, deposes and says that ........................................... . he is the applicant named above. He is the .................QVMIZ.................................................................... (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 thi ................ ............ day of ............ . ......................1 19...78.... . .. ... .. ...�....... �...G...................... ... . ! `.. (Signature) �� . ..... ............ (Notary Public) _J MLi:i;:L,,US WWWkL C� Notary Pubiir Srate of New Yor> No. 52-9703725 Suffolk County Comm. Expires March 30, 19STJ TOWN OF SOUTHOLD TOWN CLERK'S OFFICE q SOUTHOLD, N. Y. Examined ............... y � ....., 19. Application Application No. .15A..Renawal........... Approved ............ / ......., 19/./.....Permit No. ................ Disapproveda/c ............................................................................ .....................................G.."19X' J .................................................. .. .. Supervisor APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date ...February„15...... 19.J.7.. Instructions a. This application must be completely filled in by typewriter or in ink and submitted in duplicate 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 prcposed 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 mode to the Town Board for the issuance of a Trailer Per pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, oneofker applicable Laws, Ordinances or Regulations. The applicant agrees to com wi all Phlaws, ordin ces an regulations. .......... ....................... . .. ........... applicant) Zoim.'.S...RC1dd...P..Q...l3nzc..56.0.,..klattikuckr NY (Address) State whether applicant is owner, lessee or agent........NIRPX...................................... Name of Owner of premises ......ZdzIslaw..Mikolaj.cxyk.................................................................. If applicant is corporate, signature of duly authorized officer ..........................................4.........4............. (Name and title of corporate officer) 1. Location of land on which proposed trailer will be located ..M ..�Private Road . ........................................... Street and numberMain„Road.i..Mat t:41Gkr.......................................................... 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer a. Existing use and occuponcy ......One-family„dwelling................... b. Intended use and occupancy ...Same.............,............................................................................... c. Period of time trailer is to be located on premises ....6.....months.. ........................................................... 3. Fee ......�AAQ............................ (To be paid on filing application) 4. Dimensions of trailer, length ........55..'..............width ......I.Q....................... height .......11' 6” .... ............ Registration Number Serial Number .....S 55 TEK 158 g' ..................4............... 5. Size of lot: Front .........,1.00.1..........................Rear .......10.01................ Depth .......18..`5................... b. Date of purchase or lease of land .........i9.u...............................................................................I...... 7. Zone or use district in which premises are situated ....7A.".r....1.$...................................................... 8. Does proposed use violate any zoning law, ordinance or regulation? .................................................. 9. a. Method of Sewerage disposal Cesspool............................................................................ b. Source of Water Supply .................Vipl ,...................................................................................... c. Source of ElectricityLILCO ......................................................................................................................... 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. STATE OF NEW YORK 1 COUNTY OF SUFFOLK J ss. Zdz,islaw Mikolajcxyk,,,,,,,,,,,,,,,,,,,,,,,,,, being duly sworn, deposes and says that he is the applicant named above. He is the ...........Qhtnex.......................................................................... (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 th' ...0.....�3.. . . day of f, ...................:.. 19..,7. t .. ..................!.. .. ....)........... ... , g ...tunare (Notary Public) r✓ : � No. 52-9 unty Comm. Expires Mdreh 30, 197fr TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ..............: �....... 19.'7 Application No. .44...R"ewal.......... Approved .................�/la....., 1971.....Permit No. ................ Disapproveda/c ..../......................................................................... ............................. .......... efi. r.�Z.;z.... :z<<.dc�.�v .... Supervisor APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date ....r§WZ? .A;;Y...1.5....... 19...7.7.. Instructions a. This application must be completely filled in by typewriter or in ink and submitted in duplicate 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 County, New York, and her applicable Laws, Ordinances or Regulations. The applicant agrees to Rte all applica aws, rdin es and regulations. pP........... ......... .......... .. T(SiD . liccn/t�) p CC/� �(� ♦ y •fv Jahn MCQ�i..el.N N.I...{.'{N�.M���.Ctl�• N (Address) State whether applicant is owner, lessee or agent.........QWner,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, Name of Owner of premises .......ZdziK1Sw..Mik01&jzX.yk.................................................................. 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 ...V! FrF nte Road . ...................................... Street and number ..4g ...E(S„Main..RoB$R„�lattritygk. . ......................................................... 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy .......One-faL ilY..dwellinq......................... b. Intended use and occupancy ....SStRe............................................................................................. c. Period of time trailer is to be located on premises6 months ...................................................................... 3. Fee .....>>5.5 qq........................... (To be paid on filing application) 4. Dimensions of trailer, length ........5.5...............width ......10...................... height ........14.'.6.7 S 55 TEA 158 Registration Number ........................................ .Serial Number ............................................................ 5. Size of lot: Front .........10.0.'..........................Rear .......IOW............... Depth .......185. ................ 6. Date of purchase or lease of land ..........IU..2...................................................................................... 7. Zone or use district in which premises are situated ". ".r....".8".................................................. 8. Does proposed use violate any zoning law, ordinance or regulation? .................................................. "8 9. a. Method of Sewerage disposal ............3.........�.O1.,............................................................................... b. Source of Water Supply .................NOU...................................................................................... c. Source of ElectricityLIW.0 ......................................................................................................................... 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. STATE OF NEW YORK l COUNTY OF SUFFOLK Jss. ZdZ.i.S1aW. ...Mik. OldjCX�!k being duly sworn, deposes and says that . ... .... .. . he is the applicant named above. He is the .............Qw.noT........................................................................... (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 befor me th .......... ............. day of ...................................'......................., 19.. 7.. ... ................. `. ........ (Signature) f......G .. .j��ay (Notary Public) Notary No. 52.9733725 Suitoik County Comm. Expires March 30, 197 1?'— • i February 25, 1977 Mr. Zdzislaw Mikola�cxyk John's Road Box 560 Mattituck, NY 11952 Re: Trailer Permit Renewal Dear Mr. Mikolajcxyk: This is to advise you that your trailer permit will expire on March 21, 1977 . Enclosed you will find partially completed application forms for renewing same. Please complete these forms, have your signature notarized, and return to this office together with the required $5.00 fee as soon as possible. Kindly make eheck payable to "Town of Southold. " If application and fee are not received on or before March 21, 1977, your special permit will be revoked and your trailer will have to be removed from the premises. Yours truly, Howard Terry Building Inspector HT:med Encs. TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT No. .....§�.......... Date ..........Oct.......26.....197.7......................... Nome Zdz1s1aV....klikolaj.cxyk.......................................................................................... Street ...'i:'.?...SEU.... OlYi.$...1ia.................................................................................................. Town ...... ...' '-`tick Your application for a (single trailer) ( )xpermit was reviewed by the Town Board on ....................................Oct....25................ 19..77.., and (was) (wommatkopproved. A permit is hereby issued to locate a (single trailer) license number ........................ or serial number ,.... .5.. .............. at .........Pvt . .. .�ron�.. .................... off ................................................................................... pursuant to application dated .......4 A... .2....I l•.......................................... and the following conditions: Ere.1 ror-e c,;, Sor E morit1:.S from lift 2' 1(,7' . �........................ .......... ....... ..... .......................................................................................................................................................... .......................................................................................................................................................... TOWN BOARD, TOWN OF SOUTHOLD �,C.2 . Town Clerk zf 0 TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ..................... 19.1.7 Application No. .64 Renewal Approved .................. SJ.., 197 ..Permit No. ................ Disapproved a/c ............................................................................. .. Supervisor APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date ....O.atiabez... 2......... 19...7.7. Instructions a. This application must be completely filled in by typewriter or in ink and submitted in duplicate 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 County, New York other applicab Lows, Ordinances or Regulations. The applicant agrees to I with all a ica laws, ordin ces and regulations. k : ... ..�/..k..... ...... ............... nature ofplicont) John ' s Road, P.O. ox 560r Mattituck, NY (Address) State whether applicant is owner, lessee or agent..... ?W :e ........................................................................ Name of Owner of premises Zd;islaw MikolaicAY)s................................................................... 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 ..........S/S...Private. . . . ...Road. ..................... .... . .. . .... .... .... Street and number ....off ESS Main Roads Mattituck. ................................................................... 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer; a. Existing use and occupancy ....one,..£amily....dwelling........................................................... b. Intended use and occupancy .Same................................................................................................ c. Period of time trailer is to be located on premises A..lOAthS.................................................. 3. Fee ....$.$.,AQ............................ (To be paid on filing application) 4. Dimensions of trailer, length .....5.5.!................width .............IQ..'............. height ......].1.:.6.°........... Registration Number ........................................ .Serial Number ...5..5.5...T.B&.15R............................. 100 , 5. Size of lot: Front .LQV.......................Rear ................................ Depth ..........185 ' 6. Date of purchase or lease of land .,1962 ............................................................................................ 7. Zone or use district in which premises are situated ........A".(.... B"............................................... 8. Does proposed use violate any zoning low, ordinance or regulation? .................................................. 9. a. Method of Sewerage disposal .........Cesspool.............................................................................. b. Source of Water SupplyWell ................................................................................................................. 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 oil buildings and property lines. STATE OF NEW YORK i COUNTY OF SUFFOLK f ss. Zdzislaw Mikola�cxYk..................... being duly sworn, deposes and says that he is the applicant named above. He is the ......OWT14Rr............................................................................... (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 he h. Sworn to before mg this .......... .. day of .1 ................... 19.7 .7. (Signatur (Notory Public) MECISIAUS WINIARZ Notary Public State of N,,�w York No. 52-9703725 Suffolk County Comm.Expires March 30, 1974P_ 0 0 TOWN OF SOUTHOLD TOWN CLERIC'S OFFICE SOUTHOLD, N. Y. �� dS 19.��. Application No. Examined .......................... ....... .. .64..�4Attiw441........... Approved .....................�P. ''?S. 191Z.Permit No. ................ Disapproveda/c/............................................................................ .............................. �PNPcd fl L upervisor APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date ....October...12........ 19...2.7. Instructions a. This application must be completely filled in by typewriter or in ink and submitted in duplicate 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 P it pursuant to the Building Zone Ordinance of the Town of Southold, Suffol County, w York other applicable Laws, Ordinances or Regulations. The applicant agrees to m ly wit a le la o ' Want regulations. . u........ .. . ...... ................ .. . . .. i... at �re of opplicont) John's Road, P.O. Box 5607 Mattituck, NY (Address) State whether applicant is owner, lessee or agent......Owner........................................ Name of Owner of premises .Zdzislaw,_MikolajCxyk„.................. .................... If applicant is corporate, signature of duly authorized officer ..................................................................................... (Name and title of corporate officer) I. Location of land on which proposed trailer will be locatedS/S Private Road .............................................................. Street and number .....of Mattituck. .. .................................... . . . ......................................................... 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ....ane-f.MilY...f W0111A9................. .......................................... b. Intended use and occupancy Same c. Period of time trailer is to be located on premises .6„months................................................. 3. Fee ..... 5:.Q.O........................... (To be paid on filing application) 4. Dimensions of trailer, length ......5.5..................width .............10,............ height ......11'6".......... Registration Number Serial Number ....5.. 55 TER 158 0 0 5. Size of lot: Front 1Q0.:.......................Rear ................................ Depth .........185' ............ . ............. 6. Date of purchase or lease of landA%29............................................................................................. 7. Zone or use district in which premises are situated ......"A"i...."Am................................................ 8. Does proposed use violate any zoning law, ordinance or regulation? .................................................. 9. a. Method of Sewerage disposal .........Cesspool.............................................................................. b. Source of Water SupplyWell ................................................................................................................. c. Source of Electricity .......................LILCO...................................................................................... 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. I I I� I I I I STATE OF NEW YORK l COUNTY OF SUFFOLK f ss' Zdzi.slaw. . . ...Mikola. . . jcxyk .. being duly sworn, deposes and says that . . .. . .. .... .... . .... . ........ he is the applicant named above. He is the ......Owner...................„.,.,.,,,....,....,......._............................... (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. i Sworn to before me this ...I......../�.............. day of ..............�Z ICZ^ i'............. .. 19..77.... . .. ... ..... Cf1. ��... ........ (Signat ... �......LGi.... ........... (Notary Public) M[{ISLAUS WINIARZ Notary Public Stato of Nl-w Yc4 No. 52-9703725 Suffolk County Comm. Expires March 30, 19;w-- TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT No. (> renewed Date ....April.... . ..... .9.7.2........................... NameZds 11lax....MIXR1AAJC.7 A........................................................................................... Eox 560 Street ............................Johna............Rd....................................................................................................... Town .....htsttitltck................................................................................................................... Your application for a (single trailer) hermit was reviewed by the Town Board on ............................April.....32................... 19.77.., and (was) (') approved. A permit is hereby issued to locate a (single trailer) (01:1XICKU license number ........................ or serial number 1r�Y t r�5�................... at ......PYt...Bdq...J.91=3..Road.................... E/..5...1'1#3A..AOar,.......Matt itUok.....X v Y#.................................................................. pursuant to application dated ....ren.•••15....1.977........................................ and the following conditions: permit )?-QA.e.Ked...f9.F...b..Rtaatk?4...fr9a....Awr..1.2......197.7...................... .......................................................................................................................................................... .......................................................................................................................................................... TOWN BOARD, TOWN OF SOUTHOLD TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT No. 8a....re90Yed Date ....A40...22.....1.974................................ Name14411112IIX ........................................................................................ Street ...dohn......Road.......Bo?t..1G9........................................................................................ Town ?!attit.uek .... ......................................._............................................................................ Your application for a (single trailer) (permit was reviewed by the Town Board on ................................... ............... 1918.., and (was) (XXMZIO approved. A permit is hereby issued to locate a (single trailer) (liXMXXltX license number ........................ or serial number .....8..55..TFL.....1.56........... at .........JOkEe..Road..................................... Mattituek F.Y. ........................................................................................................................... pursuant to application dated ..w1K....31......197.4.......................................... and the following conditions: ... for..b..xoAtbA...t.rox....91.21.1.7.b................................ .......................................................................................................................................................... .......................................................................................................................................................... TOWN BOARD, TOWN OF SOUTHOLD ................... Town Clerk � ^�� ��K ���U � o�� vvv � ~~vv ~v~~v�� ono^~�u.�^ "�������� ��U ����y'�� ����U��� o��vvvn �"v°�n�o� +v ^��nnxv�� SOUTH«»LD^ N, Y. 7� �� ������� Exonnine� .�...��,/ ��� ....�, lV�!��� Application No. �Y�� �7L /\pp,oved --....�����./....., l9.�.r�PernnitNo. ................ Disapproved o/c ^..—.—...—.—........^`.—...^^_.~~ ~~~—^—~~~^~~—^~`~^^^^^—'^^~^^—^^^`'^—^~~^^^^^^^~ ...... Supervisor APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date ....AmmzUAt-31...—.., l9.�6... Instructions o. This application must be completely filled in by typewriter or in ink and submitted in duplicate 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 G detailed description of layout of property and proposed location oftrailer must bedrawn onthe diagram which ispart ufthis application. c. Upon approval of this application, the Town Board will issue n trailer permit tothe applicant. Such permit shall 6ekept nnthe premises available for inspection. d. No trailer shall be occupied or used in whole or in port 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 neOrdinance uf the Town of Southold Suffolk� ( applicable �^ | | Ordinances o, Regulations. The applicant agrees 40h cnnd reQw|otinns. ^^..—^'`-. �. ^^^^^^^^~S4� of |int �oq0 ����. tit ~ ] � vNY (Address) m���� State whether applicant is owner, lessee or ogent...�^................—_...,..~..........,....,, Name of [}wne, of premises .. ,,._,,,,,,,,,,,,,,^,,.,,,,,_,_,~. |fapplicant iscorporate, signature nfduly outho�izedofficer ^^^^—~~^~~~`^~~~^—^^^-^^^^^'^^---^^^^^. (��on�eon6Mt|eof �o,pnrotenff�er) l. Location of ion6 on which proposed trailer will be located ...����.]���������. --.....,. Street and number 9/AJ%#. . aoa,,_.,_,,,__,.^,.,,,~^,^^,_, 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: o. Existing use and occupancy ..��0.0ly~dwAlUmg_,,,_,,,,,,,,,,',,,_,,,~^_ b. Intended use and occupancy ..sam�—.,..^—............--...—...^.—.—.....~. cPeriod of time trailer is to be located on premises ...,J15-manths...~..........—...... 3. Foe .....�5...0.0............................. (To be paid on filing application) " /i Dimensions of trailer, length .,,55.".—.—..wkjth ....1.0L.......... height .... ......... Registration Number .......—..^........ .Serial Number .... 15.0.......—,., 5. Size of lot: Front 10.0.....................Rear ......10.0.'.................. Depth ..........1.$.5 r 6. Date of purchase or lease of land 1962.............. ............................................................................... 7. Zone or use district in which premises are situated ..aA".a...a$".................................................... 8. Does proposed use violate any zoning low, ordinance or regulation? .................................................. 9. a. Method of Sewerage disposal ,.Ce88p001 b. Source of Water Supply ........Y04 ............................................................................................... c. Source of Electricity .................TAT49............................................................................................ 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. STATE OF NEW YORK l COUNTY OF SUFFOLK f ss. ,,,,,.,.,,, ................................... being duly sworn, deposes and says that he is the applicant named above. He is the .......Owner.............................................................................. (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 befor e tis ........... /............. day of Cl��z :..................... 19..7 . ... ................4 ............. . . ...................... ..\ .. ..... ..... . . .... •...... . (Signature) ....... .... .. (Notary Public) Lr:J F ,7031. y Jo. "'Mr. 76 TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. .j �� 64 Renewal Examined .......... .. �................ N 19........ Application o. .................................... Approved .................`/V............ 19.k..Permit No. ................ Disapproveda/c ............................................................................ ........................................................................................................ S e isor APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date .....A4.SAS.£...al........... 19.7.6... Instructions a. This application must be completely filled in by typewriter or in ink and submitted in duplicate 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 County, New Yor d other applicable Laws, Ordinances or Regulations. The applicant agrees to co ith I app le Wrdinon and regulations. ... ..................... ........ ` (Si ure of applicant) JO.1in Ir NY ress.%.. .r...�.r.Q.r...�.R?F... .6.9.r...Md£k.] f uGlc (Add ) Owner State whether applicant is owner, lessee or agent......................................................................................... Name of Owner of premises ....Zdzislaw.Mi.YQ+4. .Gat;yj..................................................................... 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 ... ..Private...Road . .......................... Street and number ........................................................... 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ....Qizernfamily...dig*.elliag........................................................... b. Intended use and occupancy ....Same............ ............................................................................... c. Period of time trailer is to be located on premises .........6-months.......................................... 3. Fee .....y., .!.OA........................... (To be paid on filing application) 4. Dimensions of trailer, length ........55.'..............width ........lA.'.................. height .......11 ' 6" Registration Number ........................................ .Serial Number ........,5...5.5...TIEK-1.5.8....................... 5. Size of lot: Front ...............100.'....................Rear ......1.00.1................. Depth ..........185..'............. 6. Date of purchase or lease of land ,1962 .............................................................................. 7. Zone or use district in which premises are situated .. ...r... .$..................................................... 8. Does proposed use violate any zoning law, ordinance or regulation? .................................................. 9. a. Method of Sewerage disposal C.ess. . .p.ool. . .. . .. . . .. . ....................................................................................... b. Source of Water Supply ........F?ell . .................................................................................................... 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. STATE OF NEW YORK i COUNTY OF SUFFOLK f ss. Zdz•is•�a�,?••�I kolajcxyk•••.............................•... being duly sworn, deposes and says that he is the applicant named above. He is the ......OwnP_Y............................................................................... (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 b fore a this .......... !................. day of 19. . ... ......... .. . . ... ..... (Signature) .. .,.................. ................... G..K....... (Notary Public) tdo. 5'"-9703/2.6 7IIl n .,,y TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT No. 64............... Date ....MaTCh....1.7.....1.476 ... ........................... Name .Zdzislaw.....MikoUjcxyk........................................................................................ Street .......A9X.5?Q.....JCtIAISIRA............................................................................................... Town ......!-%t11.V4g1C..... .J.t..................................................................................................... Your application for a (single trailer) (kVjj5d permit was reviewed by the Town Board on ...................................X&rch.......9............ m.7I15., and (was) (w approved. A permit is hereby issued to locate a (single trailer) (I�Iltlicense number ........................ or serial number .5...}55...Ti&...158.................. at ...................................................................... .....F1ft%..hQed...UTIDI iS..k3d.)........MattituCk.....N.PLX.r........................................................... pursuant to application dated ....FQh......Z3.....1976....................................... and the following conditions: .ROT.WU...rA,{lgW4....flor..6.m441.tr!�...f no..Mar..9.A9.7.6............................. ......................................................................................................................................................... .......................................................................................................................................................... TOWN BOARD, TOWN OF SOUTHOLD 1�r. ................ Town Clerk August 31, 1976 Zdzislaw Mikolajcxyk P.O. Box 560 John's Road Mattituck, NY 11952 Re: Trailer Permit Renewal Dear Mr. Mikolajcxyk: This is to advise you that your trailer permit will expire on September 9, 1976. Enclosed you will find partially completed application forms for renewing same. Please complete these forms, have your signature notarized, and return to this office together with the required $5 . 00 fee as soon as possible. Kindly make check payable to "Town of Southold. " If application and fee are not received on or before September 9, 1976, your special permit will be revoked and your trailer will have to be removed from the premises. Yours truly, Howard Terry Building Inspector HT:med Encs. TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. £ ................ 19-7. ............. ( Application No. 64,.Renew. � Examined ..........::..����. -7�-7/ Approved ............:�/.�� ............... 19? .Permit No. ................ Disapproveda/c ............................................................................ ........................................................................................... .,. 5 pervisor APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date February... 3........... 1976.., Instructions a. This application must be completely filled in by typewriter or in ink and submitted in duplicate 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, Suf County, New York,-6n8 other applicable Laws, Ordinances or Regulations. The applicant agrees t co I� ith .ail op�cable Igws ordinances nd regulations. /f / <. ...... ......an.. k........ ... .r.. ... S ature of applict) ...................... (Address) Mattituck State whether applicant is owner, lessee or agent..............Qw.ner................................................................ Name of Owner of premises Zdzislaw MikolajcxXk. ................................................................. 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 S/S„Private,,,Road ............ . . .................. Street and number ...off..E/.X..Main..Road.,..Mattitauck.......................................................... 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy one family dwelling.............................................. b. Intended use and occupancy .......AaMe.......................................................................................... c. Period of time trailer is to be located on premises .........&..months......................................... 3. Fee .............$5.40.................... (To be paid on filing application) 4. Dimensions of trailer, length ..............55.!........width .........10..'................. height ....11.'.b.:'............. Registration Number ........................................ .Serial Number ....5,,,55,_TEK 158 . ..................................... 5. Size of lot: Front 100 feet .Rear ....100 feet Depth ......185 feet ..... . ......... 6. Date of purchase or lease of land .......19.6.2......................................................................................... 7. Zone or use district in which premises are situated .........".A!!v...!!$!!............................................. 8. Does proposed use violate any zoning law, ordinance or regulation? ..............................0.....0..........0.. 9. a. Method of Sewerage disposal cesspool.•...............0.4.4.........•........0..... b. Source of Water Supply .................We.7..1....................................................................0................ .. c. Source of Electricity .....ZSS,CQ............................................................................................0.......... 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. STATE OF NEW YORK 7 COUNTY OF SUFFOLK f ss. ••••••Z4dZ-it slaw•X ko-laj-ex-yk•••••••••••••..••••••••••••.•.......••••......•.••• being duly sworn, deposes and says that he is the applicant named above. He is the .....owner. ............................................................0................. (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 bore.me this ............� .... . day of G ..... i noture) .................. ........ ............... ...^...... ............ (Notary Public) MECISLAUS WINIAkZ Notary Public Stai*a of New Yo, No. 52-9703725 Suffolk County Comm. Expires Mardi 30, 197,6 ������ ��� ��������U � n�� vvon ��u ^�~���� onv��x"�� � ���� ��U�� v�� vrn� �~���m� ~v ^��ono��� SOUTHOLD, N. Y. Examined ......�) '/ .................... . /..—......, l . Application Nu ��. ....,.. Approved ~...---�}�.l...., l9t�..Permit No ................ Disapproved o/c --...........—.~..~....~....'....—^. .—.—.~^.....—..^.....--....~~..—^.,..~—^....^ Supervisor ` APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date E'�����m���.���........... l9.7.6.. Instructions o. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Town Clerk. 6. 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 nftrailer must budrawn onthe diagram which ispart ofthis application. c. Upon approval of this application, the Town Board will issue o trailer permit to the applicant. Such permit shall bekept onthe premises available for inspection. 6. 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 issu f a Trailer Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk Ordinances or Regulations. The applicant agrees q/ regulations. \ gn"ure of applicant) (Address) mattituck State whether applicant is owner, lessee or agent .....°.PV";7............................................................... ���������� ������������ Name of Owner of premises —..—�,.,..,—. —. .�y�..��.. ... .....-- . . .. .. '. . . ...-^ |fapplicant iscorporate, signature ofJu|yauthorized officer ^~—^^~—~^^^--^^^'^^^^~^~^^^~^^`^~^^^`^. (Nnn`eondUVeo� �nrpunz�eoff��r} l. Location of |onJ on which proposed trailer will be located ...^.�?�S.]�1Fiva1t^�.�Ro.ad.---. Street and number .......................................................... 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: o. Existing use and occupancy .........one ~�fa�|il��.�K��e��lixxg,,,,,,~,,,~,,,,,,,,_,,,,, 6. Intended use and occupancy ...��� �....^—..........—.—..—.~........—,....^.. c Period of time trailer is to be located on premises .....fi-months...........,....,.... 3. Fee .............�����..................... be paid on filing application) �� � � 4. Dimensions of trailer, length ..........v--.mi6th ..—...o......... height —.1114% ....................... Registration Number ..~..........--., .Serial Number ............................................................ � �� 5. Size of lot: Front 100 feet Rear .....10•et........ Depth .......185 feet ........... 6. Date of purchase or lease of land .......1.9.62......................................................................................... 7. Zone or use district in which premises are situated ........nAnr a$n 8. Does proposed use violate any zoning law, ordinance or regulation? .................................................. 9. a. Method of Sewerage disposal C®86�01 b. Source of Water Supply .................V.01.1...................................................................................... c. Source of Electricity ......7.LLCO....................................................................................................... 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. STATE OF NEW YORK l COUNTY OF SUFFOLK f ss. ......Zdxis aw.-Miko1a,j"yk.................................................. being duly sworn, deposes and says that he is the applicant named above. He is the owner (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 befpze me this ..... "� ........... day of ..........4 ........... 19..7�... "e. „�1f�. r��..:✓t�� t1}; !/rte .. .. ..., ✓. .. .............................. (Notary Public) 1Vdw Yorz No. 52.9703725 Suffolk County Comm. Expires March 30, 197 February 23, 1976 Mr. 2dzislaw Mikolajcxyk Box 560 John's Road Mattituck, N. Y. 11952 Re: Trailer Permit Renewal Dear Mr. Mikolajcxyk: This is to advise you that your trailer permit will expire on February 27, 1976. Enclosed you will find partially completed application forms for renewing same. Please complete these forms for renewing same, have your signature notarized, and return to this office together with the required $5.00 fee as , soon as possible. Kindly make check payable to "Town of Southold". If application and fee are not received on or before February 27, 1976 your special permit will be revoked and your trailer will have to be removed from the premises. Yours truly, HT:mm Howard Terry Enclosure Building Inspector _ J fi July 24, 1975 Mr. Zdislaw Mikolajcxyk Box 560 John's'Road Mattituck, N. Y. 11952 Re: Trailer Permit Renewal Dear Mr. Mikolaj,cxyk: This is to advise you that your trailer permit will expire on :August 27, 1975. Enclosed you will find partially completed application forms for renewing same. Please complete these forms for renewing same, have your signature notarized, and return to this office together with the required $500 fee an soon as possible. Kindly make check payable to "Town of Southold" . If application and fee are not received on or before August 27, 1975 your special permit will be revoked and your trailer willmhave to be removed from the premises. Yours truly, HT:mm Howard Terry Enclosure Building Inspector r • • TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT No. ...64....,Remwed Date ..N rqli..... .3.....1.K.5............................. Name ..::dzlslau....LikGiaJac k........................................................................................ Street ....;�.Qx-5b11.....J.obxx!.s...Rd............................................................................................... Town :IattituCk.....N.Y Your application for a (single trailer) ( permit was reviewed by the Town Board on ....................................Kara 7......1.1............ 19-7.5., and (wos)J 9 3 approved. A permit is hereby issued to locate a (single trailer) (her), license number ........................ or serial number ......L., n.1, ............. at .......PVA...FiQ.&f1... ..........J.P.�I ?1.=:...F'a....... Ylattitack N.Y. .......................................................................................................................................................... pursuant to application dated Jar.,,,,,28.....1.`l.'/..7....................................... and the following conditions: .kermlt..r enawad...f or...fi-lum ths...f rom...Mar...1.1.....1.97.5........................ .......................................................................................................................................................... .......................................................................................................................................I.................. TOWN BOARD, TOWN OF SOI;ITHOLD i Lj�/.............. r G .................. .............................. ` �� ��� ��������U � o~�� vrv � v�n ~v~~��� 000~`��x� ���U�� TOWN CLERK'S ��ovo^�� SOUTHOLD, N. Y. o� �7 ) Exonninod —.....:'�,.'........, lApplication No. ...6A.A9A9Wl.... �7� /\pproved ..,..... \ / /./�—...., l�/���'PrrnoitNo. ................ APProvoa.f0v.. above date. -.-..............—,'^^—.,,^..~.........~^.—,...`. ..~..�����^��^� +! +� Supervisor APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date .^Iaouaml/... B......` l9]5.. Instructions o. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Town Clerk. b. Plot plan showing location nflot and nfbuildings un premises, relationship |oadjoining premises nr public streets or areas, and giving G 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 o trailer permit to the applicant. Such permit shall be kept on the premises ovoi|o6|e 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 ishereby made tothe Town Board for the f a Trailer Building Zone Ordinance of the Town of Southold, Ordinances orRegulations. The applicant agreesca regulations. ^^ ]hV-&~84Dad-r.��v(}v..��QX^��6A^.^~^—^^.^. (Address) Mattitock Shote whether applicant is owner, lessee or ogenL....93�Pf�T.—..............—.............^, Nome of {}vvne, of premises ...7AdZdS.1aX.Ki .....—..—...---............., If applicant is corporate, $gnohunn of 6u|v authorized officer .._^^....--...—.—.`_...^~^..~.^^....,. (Nonn� onddHec� cn,poro�eoRice� l. Location ofland nnwhich proposed trailer will 6elocated .................. ....`, Street and number .......+of_f.{f/B....Maio. u.��att1tqok,,,,_,,,,,,,^,_^,,'~,,_. 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer- a. nzi|ero. Existing use and occupancy ....one^.fam-i-ly—.dweJ��-ioag^^^^^^^^^^^—^^^^—^^^—...^.. b. Intended use and occupancy ...SaM��............................................................................................ c Period nftime trailer is to be located on premises .......6.zu^zothm............................................ �S,.U�O 2. Fee ............:.. `~.., (To be paid on filing application) 4. Dimensions of trailer, length ......5.5.................width .............. ,0!............ height ^.11L,G"....., Registration Number ........................................ .Serial Number .........SL.6,5.XZIC....158........—. � � • 5. Size of lot: Front 10.0..teet..........................Rear .........1.0.Q..;EeAt.... Depth ........ feet.... 6. Date of purchase or lease of land ......1962 7. Zone or use district in which premises are situated ..... ':1�:'......':A.................................................. 8. Does proposed use violate any zoning law, ordinance or regulation? .........n,o.................................... 9. a. Method of Sewerage disposal ........cesspool............................................................................... b. Source of Water Supply ..................................mall ..................................................................... c. Source of Electricity ....................LS•LC,O......................................................................................... 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. STATE OF NEW YORK l COUNTY OF SUFFOLK f ss. .......... ............................................... being duly sworn, deposes and says that he is the applicant named above. He is the .......awn.er.............................................................................. (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 ..... 2?;�............. day of ....... 19.7........ .......� ... �;��� .... �G"l. ..�... f� i4inature) / (Notary Public) MECISLAUS ;N'NIARt Notary Pub!7_^ Sk r, _, Urrw Yar: Vo. 52-9703725 Suffolk County 'amm. Expires Mardi 30, 197k TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ........................�........., 19..... Application No. ......b.4..R0116W I...... Approved .................. .�.�.. ........ 19...7.f.Permit No. ................ .ApArmrnd..for..six.montbs..only..from........ above date. .................................................................................................. / A ............. G.� d. �rz::.li/ r. •� Supervisor APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date •.Januasy•18-r••.•••••. 19.75... Instructions a. This application must be completely filled in by typewriter or in ink and submitted in duplicate 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 Per it pursuant to the Building Zone Ordinance of the Town of Southold, Suffo d unty, New York, anher appplicable Law , Ordinances or Regulations. The applicant agrees to omp th 1l appli4 laws /ordtr+ances regulations. y� ( ure of applidant) ,�ph Le...Read•�••F�0.... }X..560.................. (Address) Mattituck State whether applicant is owner, lessee or agent.........Q!'44.3 .................................................................... Name of Owner of premises .....ZdziSlabz..Miko1a3Cxyk.................................................................... If applicant is corporate, signature of duly authorized officer ..................................................................................... (Name and title of corporate officer) S S Fwt. 1. Location of land on which proposed trailer will be located .................... ................... i............. Street and number ....... ffiain„Road.r...Matrt tl><4`i�4................................................... ............... 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy .......one...famS..1-y-duvet1€ng........................................................ b. Intended use and occupancy .....Sama............................................................................................ c. Period of time trailer is to be located on premises .......6..Mo&tha............................................ 3. Fee ......................... ....... (To be paid on filing application) 4. Dimensions of trailer, length ......55..'................width .............10............. height ....11'..6................ Registration Number ........................................ .Serial Number .........S•••5a.-TEK•....1.58.................... 5. Size of lot: Front 10a..feet.........................Rear ..........100...feet... Depth ..........1.85..feet • 6. Date of purchase or lease of land .......1.962.........,............................................................................... 7. Zone or use district in which premises are situated .......". !!y...^$!!............................................... 8. Does proposed use violate any zoning law, ordinance or regulation? .......... 9. a. Method of Sewerage disposal .........Ceespacil.............................................................................. b. Source of Water Supply ................................-Wo.11..................................................................... c. Source of Electricity ....................fJ1LCO........................................................................................ 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. STATE OF NEW YORK l COUNTY OF SUFFOLK J ss. .........ASS,T1X1AW..A0Uo1SJRxyk................................................ being duly sworn, deposes and says that he is the applicant named above. He is the ......ownes............................................................................... (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 file h�se�ith. 2 Sworn to before me this .........�................... day of / ......... `` ... ................... ]9...7.x.. �.... .. .. ee Lu . L (Signature) .......... ......... , . (Notary Public) MECKLAUs V'I'iAi Act—'/ i!!: �:_; ,t Ybr; No. 52-,,/, 3/z7 50olk County nmm. 6"')::cs March 30, 197)6 January 27,° 1975 Mr. Zdzislaw Mikola)czyk John' s Road Mattituck, N. Y. , 11952 Re: Trailer Permit Renewal Dear Mr. Mikolajczyk: This is to advise you that your trailer permit will expire on February 27, 1975. Enclosed you will find partially completed applica- tion forme for renewing same. Please complete these forms, have your signature notarized, and return to this office together with the required $5.00 fee as soon as Possible. Kindly make check payable to "Town of Southold" . If application and fee are not received on or before .February 27, 1975 your special permit will be revoked and your trailer, will have to be removed from the premises. Yours truly, HT:mm Howard Terry Building Inspector 0 . 46 TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT No. Date ......*,vtg.jjr,.t.....3 a..... %.jo-v4....................... NameZ&Zlslaw....Rl- kzolajoysyk......................................................................................... Street ... ... John's Road ........................................................................................................................ TownI t,1X0 k....E o X.--k.......................................................................................................... Your application for a (single trailer) kIE13M) permit was reviewed by the Town Board on ...................................A14.......2V............... 19.71+..., and (was) (wYLVjW approved. A permit is hereby issued to locate a (single trailer) (k*g25ff& license number ........................ or serial number ..5...1r ..'LF ................. at .....a >'an.P-17. m7t...Ra)...orar...... E/S i4ain ,oad 1,'attituck .......................................... .............................I................................................I......................I......... pursuant to application dated ...........J.Uly.....1.6.....1.9.7�x............................... and the following conditions: remit.,renewed..fpr., jnpp.t�g...f�V?P... "u9,,.,.^7,....1�),7�....................... .................................. . ik ..........................................................I..............................I............................I................................... ...................................................I...................................................................................................... TOWN BOARD, TOWN OF SOUTHOLD town Clerk � _ =~ , ���� «��~� K �� ^ n �� vvo � ~°,o ^�~���� nxnv���� ,�������� ��� �����v�� ����U��� vv"� vrv� ^��°�ovnx ^� ~°,o : v��� SOUTHOLD, N. Y. 7� Enonwine6 ..�y ��°^/....,...., l9.,... Application No. ........64..Ben���a.l.. Supervisor APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Dote ~—.— l9 � ^^� ~^^' ^7*4' Instructions u. This application must be completely filled in by typewriter or in ink and submitted in duplicate 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 o detailed description of layout of property and proposed location nftrailer must 6edrawn onthe diagram which ispart ofthis application. c. Upon approval of this application, the Town Board will issue o trailer permit to the applicant. Such permit shall 6ekept nnthe 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 nooJe to the Town Board for the issuance of o Trailer Pe it1 tthe Building Zone Ordinance of the Town of Southold, S �applicable Laws, Ordinances o, Regulations. The applicant agrees - regulations. - (�Ilgp ure of applicant) John's Rnad� ��attitoc ^�� N.Y. ..~^.--..-.`... —.—.^.....~[... .. ....... (Address) F 0 ge y 5-Z 0 State whether applicant is owner, lessee or oAent.o»max............................................................................ Name of Owner of premises ......... ...,--......~.--`.^.~..._~,, |fapplicant iscorporate, signature ofduly authorized ���f��er' ^^^—~~~^^'~^^^^^^—^~^~^^—^~^^`^^^^^^—^. (NonoeonJhHeofcnqpo/p�eoffce� l. Location of land on which proposed trailer will be located ....��/S.�nt�^Boad,,',~,,^,,, Street and number .....c1 f...E/.S,Main.Jloadr.Ma±ti.tuck....—..........—....~.,. 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: n. Existing use and occupancy ..PoI�.. ........................................................... 6. Intended use and occupancy .....Sam.—.~.................—...—...........^.^,. c. Period oftime trailer is to be located on premises ..4.n�Qo.tb/a............................................... 3. Fee ...`... ......... (To be paid on filing application) ` 4. Dimensions of trailer, length ........55 ...............width .,.10`.......,.. height ...l,1^A!............ Registration Number .,.................. .Serial Number ..S.5.5.g��.K,�.5B............................ 9 0 5. Size of lot: Front .......y04--feet.................Rear .............10.O...f.eet Depth ..........18.5..Iee.t... 6. Date of purchase or lease of land .....1462.......................................................................................... 7. Zone or use district in which premises are situated ..'.'.A".y...:'.g.4.................................................... no 8. Does proposed use violate any zoning law, ordinance or regulation? .................................................. 9. a. Method of Sewerage disposal ....cesspool................................................................................... b. Source of Water Supply ..............................weu......................................................................... c. Source of Electricity .......LSS,CQ...................................................................................................... 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. STATE OF NEW YORK i COUNTY OF SUFFOLK )ss' ..................zd21.S1.dW...M1. ala.j.czyk................................ being duly sworn, deposes and says that he is the applicant named above. He is the .......owner........................••...................••............................... (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. 1 Sworn to before me this ............. da of / , ' ;• t/y yJ ....l.. .l;... r .ri....:/.. ...... /., 19..1.. ! /\✓ Mj//P. L Jr.Fr �'t .. i ............. .... ... . ... . p.G. f�. ...G. .. ''...: ....... f � � (Signature) ? y .'.:�G.. ecL..........- (Notary Public) - MEC,Iq 1S rrC/IN107 NOtory PW ' K'aw York No. 52-4 '�3795 Suffolk CamrY Comm. E-:pl. Mwnh 30, 141b 9 0 TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ....... ...1. �....JJ..........., 19,1 Application No. ........fit.1tene al.... Approved ........, .,l..........., 197 .Permit No. ................ 4 ........................................................................................ / Supervisor APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date ..................................... 19.. 4. July 15, Instructions a. This application must be completely filled in by typewriter or in ink and submitted in duplicate 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 c 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 rsuant to the Building Zone Ordinance of the Town of Southold, Suffolk Couqq?y, New Yogk, and o r applicable Laws, Ordinances or Regulations. The applicant agrees to comply With I applicable lows, hances and regulations. �. �� . . ,: .... (Sig at � of applicant) ��y a7Q .....Y.............. (Address) Pv z3 U V 57 O State whether applicant is owner, lessee or�tagent.pyn�ep............................................................................ Name of Owner of premises .........Z�q � �I' ���a �rk................................................................ If applicant is corporate, sig nature 53u y out orize is .......................... (Name and title of corporate officer) 1. Location of land on which proposed trailer will be located ........5/.S...PVt.....Rlldf�...................... Street and number ..........tt'Ff... t+Fain..Road-#...lfiatt-i- ak................................................... 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ....jaM..f Mily...dWa.1a,it9.......................................................... b. Intended use and occupancy ..........samel ....................................................................................... c. Period of time trailer is to be located on premises ....6••mon•the.............................................. 3. Fee ..............Is.QQ................. (To be paid on filing application) 4. Dimensions of trailer, length .........§{.!.............width ......S,p!................... height ......11.'..6.."........... Registration Number ........................................ .Serial Number ....6,..55..,pgg...1.S8........................... 0 0 5. Size of lot: Front .......2.00••feet.................Rear .............10fl••teet Depth ..........ig.5••feet• 6. Date of purchase or- lease of land .....1.962........................................................................................... 7. Zone or use district in which premises are situatedMAN-i...«BA.................................................... 8. Does proposed use violate any zoning law, ordinance or regulation? ...... n0 ........................................ 9. a. Method of Sewerage disposal ....COS.Sp.QQ.1...,............................................................................... b. Source of Water Supply ..............................we1.1......................................................................... c. Source of Electricity ......1,1LCI0...................................................................................................... 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. STATE OF NEW YORK COUNTY OF SUFFOLK Jss. ........................Zdzislaw..Miko1aj=zyk...........I..................... being duly sworn, deposes and says that he is the applicant named above. He is the .......Owner.............................................•..... .......................... (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. y Sworn to b are me this ......f...v............... day of �.....'.... . ........L L�z.f 5 :. .................. 19. ........ t . ... .tea .. ....�� ��.... i i (Signature)., (Notary Public) )fl' Notrr, r, T I. I :I=,FCoo-N N6. 5^r >, '�pryyrry. «�lwr Merl 90; July 15, 1974 Zdsislaw Mikolajcxyk John Ia Road Mattituck, New York Re : Trailer permit renewal Dear Sir: This is to advise you that your trailer permit will expire on August 27, 1974. Enclosed you will find partially completed appli- cation forms for renewing same. Please complete these forms, have your signature>notarized,' and return to this office together with, the required $5.00 fee as soon as possible. Kindly make check payabielto "Town of Southold." if application and fee are not recieved on or before August 27 , 1974 yourspecial permit will be. revoked and your trailer will have to be removed from the premises. Yours truly, Howard Terry Building inspector RT:jk Enc. TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT No. 6.4.....lip-naved Date ....Fab.....2.7.....1.9.74................................ Name .4dZlslav....kAkolaj.czyk......................................................................................... Street .....;c7 .....J.Ohns...liciad.....(P.vt..hd...#1..........).................................................... Town ........ ...%.t.....ii u .....C... ........................................................................................................ Your application for a (single trailer) damwc) permit was reviewed by the Town Board on ................................2eb.....27................... 19-74.., and (was) ()kd!KM) approved. A permit is hereby issued to locate a (single trailer) 3&ant9fleo, license number ........................ - . or serial number E................. at ......J.ohzis...:id...kP.vt--hd�....................... 2t'ituck .1 ...............I.......................................................................................................................................... pursuant to application dated ............J-'n.....1-5.....1.9-7.4................................. and the following conditions: ..... t—rjanawesL-far..6...months... I 7?t ............................................................................. ..............................................................I........ .......................................................................................................................................................... TOWN BOARD, TOWN OF SOUTHOLD .................... ...................................... Town Clerk TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. L, Examined ...........`:... ....., 19�. Application No. 64 Renewed ... , PP ............ . .q .............. _/L Approved Y . �:a ?...... 19........Permit No. ................ oordwavc ..ARR> o rad..for..sz .mnptYus...ouly...frnm....... above date. ..................................................................................... / Supervisor APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date ...!14A4 TY,,,lie......., Instructions a. This application must be completely filled in by typewriter or in ink and submitted in duplicate 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 Cou ty, New York nd o er applicable L ws, Ordinances or Regulations. The applicant agrees to com i all app bte�ws, inance and regulations. (Siad 6tGre of app icant) ; 20 5rd. Street1 B �lxn� N.Y. 11220 (Address) State whether applicant is owner, lessee or agent............. Wnel .......................................................................... Name of Owner of premises ......Zdzis12.W..M1J5:o1aj.CzYk...U.CZTRIfirly..Saki0.1ii,t)..................... 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 .....S/S Pvt. Road (John's Road) Street and number ....oxr..E/..S..malim..Road.t...ytatt,7..ttixl...N...Y............................................. 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy one family„dwelling b. Intended use and occupancy .........Same......................................................................................... c. Period of time trailer is to be located on premises .............6..g4:l;hS,,,,.....,,,,,,........ 3. Fee .3...540............................ (To be paid on filing application) 4. Dimensions of trailer, length .......5?r.I..............width ............10.,............. height .......11'611 Registration Number ........................................ .Serial Number5,,,5 „TEK 158 . . ..... .. ............................... 9 0 5. Size of lot: Front ......10.0..f.ee.t..................Rear .....10.Q.. eet........ Depth ...........185...f.eet. . 6. Date of purchase or lease of land ......i9.;2........ ................................................................................ 7. Zone or use district in which premises are situated ........!W!...I...'!w........................................... 8. Does proposed use violate any zoning law, ordinance or regulation? .......I7p ...................................... 9. a. Method of Sewerage disposal ......CeSS.p001 ............................................................................... b. Source of Water Supply ............W.ell........................................................................................... c. Source of Electricity ..................LIL.....O.................................................................................................. 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. STATE OF NEW YORK l COUNTY OF SUFFOLK Jss. ....14AWPw••••MUQ.14jX-.py1i.................................................. being duly sworn, deposes and says that he is the applicant named above. He is the .....I?WT1eT................................................ (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. n ! / Sworn to before me this .... '.............. day of ............. u:� ...................., )9..l�L,. ...�.. .:............. . . 1 (� (Signature) (Notary Public) MECI VJ,'5 i No. 52-`'7'_372= �, F. k C Comm. E,. fres March 30, 1971 0 0 TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined .......... F,.?-Z.:............. 19 ...... Application No. ...6I4—JZen,&Ved••.••.•.• Approved .......::T ............... 19.7 Permit No. ................ c ..Approved.for..aix.m ths.aaly..fmm....... above date. ..................................................................................... /,./(�. \) .............�.. .. ...... ..... ......... Supervisor APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date �........ Iggl'. Instructions a. This application must be completely filled in by typewriter or in ink and submitted in duplicate 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 County, New Yor a d other applicable Laws, Ordinances or Regulations. The applicant agrees to co Vi all ap c le I ws, ordinanc and regulations. Ma�' ! / �...(Sig tuYicant) k hf li �.{c ..,. 20... < . i... 11220 J YLt<<C� Address) 7 l jrri�.. •. State whether applicant is owner, lessee or agent............ounar................................................................. Name of Owner of premises ..... 2 81ati••241 0 $•ggOgggydE••kfarmerly--Geh-elln4..............••••• If applicant is corporate, signature of duly outhorizedoftfcer ..................................................................................... (Name and title of corporate officer) 1. Location of land on which proposed trailer will be located .... .5...!1Qad) Street and number ...a; f•• ..kSlY3••l{oad�...i dt ] �t�ok•Y••ii.Y............................................ 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ........oae..Xaui.,V...dltzlling....................................................... b. Intended use and occupancy ........Ga.......................................................................................... c. Period of time trailer is to be located on premises .............i•-=at....................................... 3. Fee .4,...5.w04............................ (To be paid on filing application) 4. Dimensions of trailer, length .......55..�..............width ............10.1............. height ....... ......... Registration NumberSerial Number :i..5.ri.. tii..L58............................... ........................................ . 0 0 5. Size of lot: Front .......1J0..Q..XQ.@t..................Rear .....Ng...rApt. ....... Depth ...........M...fe@t, 6. Date of purchase or lease of land ......................................................................................................... 7. Zone or use district in which premises are situated ........1°.!{°... ...°tB,.".......................................... 8. Does proposed use violate any zoning law, ordinance or regulation? ....... � ...................................... 9. a. Method of Sewerage disposal ......CE.5S�]OU1S . .............................................................................. b. Source of Water Supply ............1+'.4'.ll........................................................................................... C. Source of Electricity ..............�'I 'Q ........................................................................................................... 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. STATE OF NEW YORK i COUNTY OF SUFFOLK f ss. Gd21813W tjii1:o13 CZ IL,,,,,,,,,,,,,,, being duly sworn, deposes and says that . ......................... j.....Y... he is the applicant named above. He is the ......pWY16S.............................................................................. (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. 7 Sworn to before me this .................... ....._........�.. ............. ... . , day of '7 l, �(S/r�.. .............. ........... .... l� tG ./.... . .../� 4 C ignaure) / ... ...............1�....... / (Notary Public. ) CJ/ Notary No. 52-' Comm. r, sires Mar& 30, 19!4 i • January 15s 1.974 Mr. Z¢sislaw Mikolajosyk Johns Road Mattituaks N,Y. 11952 Res Trailer Permit Renewal Dear Mr. MikalzJazyki This is to advise you that your trailer permit will expire on February 270 1974. Enclose you will find partially completed applicatio!► torms for renewing $ester Please complete these formas have your signature notarized, and return to this office oiiathor with the required $ 5.00 fee as soon as possible. K=W sw check payable to "Town of Southols." It application and fee are not received on or before. Mobruary 27 1974 your pseoial permit will -be revoked ayob trailer wil nd have to be removed from the premises. Yours traIrs Howard Terry Building Inspector HTsgk Race • i TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT No. ....b.1...Rentwed Date ..................................kugus-t..31#...19.7.3 Name ....ZdZ;La1AW..kiikala3.CZykZdZ;La1AW.Aik01aJ-CZYk........................................................................................ Street ......529.....53rdvL..j5tr.e9..t................................................................................................. Town Rrooklyn� Few York 11220 ............. ...................................................................................................... Your application for a (single trailer) (h)J90M) permit was reviewed by the Town Board on ................. dli�;tlSt..93........................... 19.7, .., and (was) (,` qct) approved. A permit is hereby issued to locate a (single trailer) (housecar), license number ........................ or serial number " 55 .... 158 Fi'1VatB road (Johns Road) at ...................................................................... 9 ... /..5.. :aai ....:Q.aa.,.. .atxxxuak.,...;...+' ..................................................................... pursuant to application dated ................kuguSt 10; 1973 and the followinq conditions: .. 'er-it..renowed,. for„6,,,aoatiis., fro;J, .iugast ?3s„197 .......................................................................................................................................................... .......................................................................................................................................................... TOWN BOARD, TOWN OF SOUTHOLD Town Jerk 0 0 � ��� ��U ���y � v�°, rro � ~��o ~�~�,�� v � o^�v�.�� �� ���� ����U�� vx�,vv �n v~����� .� ~-^xnv�~� SOUTHOLK� N. Y. Examined ......! /�}� ................ l9...` /\pp|iru\inn uo. .................................... -> N /\no,nvo6 ....^... ...` l9......,Prnni| No ........ AppzuneA.ƒoz�.4iiL.ouzxLtha./uzlx.�-K0m.mb0ve date, ` ~'--.—^.~~^.—..^.^.~.—,.--.—~—~^...' // /'/'�� �~ /�� '^ ` ~'^~~~^^^~^^^^~^—~^--~^—^^`—`^^`^^~^~ Supervisor APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER ORHOUSE CAR, OUTSIDE OF TOURIST CAMP. / ��� /� 7� Do�e ���������. ��-��=����, l9.('/ Instructions o This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Town Clerk. b. Plot plan showing location oflot and ofbuildings on premises, relationship ioadjoining premises vr public streets or areas, and giving G detailed description of layout of property and proposed location uftrailer must 6edrawn onthe diagram which ispart ofthis application. c Upon approval of this application, the Town Bnon] will issue o trailer permit to the applicant. Such permit shall be kept on the premises ovoi|o6|e 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 ishereby made tuthe Town Board for the issuance of a Trailer Permit pursuant to the Building Zone Ordinance ofthe Town nfSouthold, Suffolk County, Nher applicabl34ows, Ordinances or Regulations. The applicant agrees | 0h all Y | s and regulations. // �r �,|r�/� �!/�/^' � ° .�.^....� ��~.....�...^. /{��]nohape of opp|icvn8 /� ~ - y / 52I�p»0}CI�zl~...N.-�C^^.][][22[) State whether applicant is owner, lessee or ngent—. e�7.....~..—...—.—^.............^.. 7- Nome of Owner of premises .... .(Xarmerly...scheLL14.................., |fapplicant iscorporate, signature nfduly outhorizvdnT8cer ^^^—~—^^^^^^^^^^^^^^^^^`—'—^^—` (Non�ennJtitle ufcorporate officer) l. Location ufland unwhich proposed trailer will belocated � .�V��..�Oud,.(JOhors_R��ad) Street and number .aff. E/.S..i,4uj.%L.,RcLad.r.14b,tti.tDakr.N.°.1.............................................. 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer o, Existing use and occupancy ...�UO.family.dwp-],lj.tlg........................................................ 6. Intended use and occupancy ...S.am.......................................................... ...................................... C. Period ofdrne �roi|er is to |nco(e6 on premises .......b....8N..D��s.........—....—..,~ $5"00 3. Foo .......~^............... (To be paid on filing application) �5x ],�v 1116114. Dimensions of trailer, length .—.—���......width ...............� height --.,.......— Renistnohon Number ........................................ .Seri@ Number ..8.5.5.T",lSQ ,,__,~,~,,,. ` 5. Size of lot: Front ........100.............................Rear ..... ................. Depth ........7 $Jr.'................ 6. Date of purchase or lease of land .............19.62.................................................................................. I 7. Zone or use district in which premises are situated ..................nA.....p...93.11.................................... 8. Does proposed use violate any zoning law, ordinance or regulation? ...............n0 9. a. Method of Sewerage disposal .....CeSSJ]ools . ...................................................................................... b. Source of Water Supply ..................well ............................................................................................... c. Source of Electricity .......qI N . ......................................................................................................... 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 prern- ises, showing distances from all buildings and property lines. STATE OF NEW YORK l COUNTY OF SUFFOLK f ss. .......... IaZiSJ 7.t^I.. (UkLQ1rajC.Zyk....................................... being duly sworn, deposes and says that he is the applicant named above. He is the ......Qwaem............................................................................... (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 — r C ............� 4.1 ......................"19.Z.3 3 .. ... .� .. . . . ............9........ ........... (Si natur ynL6� .. (Notary Public) " MECICu'us (Z Notary Pu; r._. "4,k York 6�Jo. 52-970372 _uFt I, :amts :Comm. 5wins March 30, 1974 �� ��� ��������K � n�� �ro � v"^n .��°v�� non~~,�uv � ���� ��U�� o��, rrvn ^~����v ^� ~��o : nv~� $OUTHOLD, N. Y. Examined ..---. `Y...—, l9'7'. Application No. .................................... Approved ......................^ /��*~-` lg.-,..;.Permit No ........ -.fQr.-4U.umwuths.xnln`Lzmmu-wbova date. ..^..—....................~...............~—...�—. ............................................................. ......... Supervisor APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR' OUTSIDE OF TOURIST CAMP. Date ..— ig � . , ......^ Instructions ' o. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Town Clerk. 6. Plot plan showing location uflot and vfbuildings nn premises, relationship tuadjoining premises nr public streets or areas, and giving o 6e1oi|rd description of layout of property and proposed |vcohoo oftrailer must bodrawn onthe diagram which ispart ofthis application. c Upon approval of this nookcohnn, the Town Board will issue o trailer permit to the applicant. Such permit shall bekept onthe premises available for inspection. J. 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 r6 for h f a Trailer Building Zone Ordinance ufthe Town ufSouthold, 5ff Ordinances orRegulations. The applicant agrees t ,15�MoY regulations. /ature —.'�. ��'— ---.'—(3fopp//`onH w^4tweet-f^ ,.N v Ywv^^.1][220 State whether applicant is owner, lessee or ogont..Q.Imqlr...............................—.. 7. Name of []*ne, of premises . .�ge��&3���)...—...^~ |fapplicant iscorporate, signature ofduly outho�izeU'o��Ce, ^^^^^^'^~^—^~^~`^^^—^`—^—^^^^^^^~^—`^ (Name and title ofcorporate officer) l. Location nfland nnwhich proposed trailer will belocated 3A...l�r�!t. . Il944� Street and number .Gff.J��&..Ha-i.%k..Re8d-K^ ~I+wY-s^—~^^~^^^^^^^^^`^`^—. 2. State existing use and occupancy of premises and intended use and occupancy of proposedtrailer: n. Existing use and occupancy ...4Drw.,faLmJ3Y.4JW6J11ng..—..—.—................. b. Intended use and occupancy ..���Re,....°.........—..—....—.............,..,.. c. Period of time trailer is to be located on premises ..............�.��������........—,...—.,. 3. Fee ...���:.m�.0���� ........ .................. (Tu be paid on filing application) 4. Dimensions of trailer, length .....55......width ........IV................. height ....11!V...... Registration Number .................... .Serial Number ..19.55.�U.A58........ .................. ^ 5. Size of lot: Front ........ 100•►•...........................Rear ......7,pp.t................. Depth .......18.}rf............... 6. Date of purchase or lease of land .............1962................................................................................... 7. Zone or use district in which premises are situated ................jo...Y...!!F3.!'................................... 8. Does proposed use violate any zoning law, ordinance or regulation? ................410............................. 9. a. Method of Sewerage disposal .....C+0sapoolm............................................................................... b. Source of Water Supply ........we11............................................................................................... c. Source of Electricity .......LILGO......................,............................................................................... 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 comer lot. Indicate clearly location of proposed trailer on prem- ises, showing distances from all buildings and property lines. STATE OF NEW YORK lss COUNTY OF SUFFOLK f ' .....I•••.••••• Zd21BAl.-aw-NFA-kO38lC&yk...................................... being duly sworn, deposes and says that he is the applicant named above. He is the ......OWWaF.............................................................................. (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. IS . ......14Q............... day of r Sworn to// b me thi � ( � kv�'::4G�u.. .................t 19 .i... .. � ........ y (Signa ure) (Notary Public) MECI%. AUS 4Z Notary Put; .= tare of New York No. 52-9703725 Suffolk County Comm. O.Wirr March 30, 1974 August 69 1973 Zdzislaw Mikolajozyk 520 53rd, Street Brooklyn# New York 11220 Re: Trailer permit renewal Deur Sirs This is to advise you that your trailer permit will expire ox August 27# 1973* Inclosed you will fined partially completed application forms for renewing same. Please complete these forms have your sighatuTe notarizedt and return to this offlcog together with the required $5.eO filing fee# as soon as possiblee If application and fee are not received on or before August 26 1973 your special permit will be ravoked and your trailer will have to be removed from the premises. Yours Truly# Howard Terry Building Inspector HTtjk Eno* TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT No. '':..I.....reaewed Date ...March.....1.3-1...1.973............................ Name ...Zdzislaw....M1kolajaL.yk....................................................................................... Street ........520.....53.T.d...St.......................................................................................................... Town .......Brmoklm....F.Ya.......1.1220..................................................................................... Your application for a (single trailer) (I + permit was reviewed by the Town Board on ......................Feb.......27........................... 19.73..., and (was) 0@LjC=approved. A permit is hereby issued to locate a (single trailer) (k .7C1L7Ca k license number ........................ or serial number ..S...5.5..TZK.....1.58............... at ......Private...road••(Johns..Road).... 9.. f..E/.5.44KIn..RQ.Rd.....;�RttIt<AC.k.....N s X.1................................................................... pursuant to application dated .............Feb.......16.....l.-73............................. and the following conditions: ..}.'.anal:t..reA.9wed..1'or..6.. 2..y...1. (J..................... .......................................................................................................................................................... .......................................................................................................................................................... TOWN BOARD, TOWN OF SOUTHOLD Town Clerk �� ��� ���� U����U � "�vvrn � ~��x ^��~,�� voov-,��^ � ���� ���K�� n �� rrv � ^^��n�� �� v�'nno�~� SOUTHOLD, N. Y. ^/� / l� Examined .....~+,.-...—., l9. Application No. .................................... /\oo,nved .—.^,.*`/��.7....` l9. Permit No ................ ..Aplazormd.fur.uio..muu±bw.00l.y..ftznm-ahovr date .—,.—..~...~..........--.^....,....^..—'—...... ` ` Supervisor APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP, � / y� Date .......-�'.������/............ l9..��7..,. Instructions n. This application must be completely filled in by typewriter or in ink and submitted in duplicate 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 o detailed description of layout of property and proposed |nco|ivn oftrailer must bedrawn nnthe diagram which ispart ofthis application. c. Upon approval of this application, the Town Board will issue o trailer permit to the applicant. Such permit shall 6okept nnthe 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 rnnJe to the Town Board for the issuance of n Trailer Permit pursuant to the Building Zone Ordinance ufthe Town ofSouthold, Sf [>r6innncesorRegulations. The applicant og,e ' la ordinances nd regulations. � p^`~ vf/ , .�.�.�. � ���..^` 7/e IMature of applicant) 20 (Address) State whether applicant is owner, lessee o, ogent...Q.KTLP-\[...................—.—.......^,. Name ofOwner ufpremises ....�dgi�la»v� � . l3�.���/�lio),_,,,,,,`-. |fapplicant iscorporate, signature ofdu|yauthorized officer . (Name and title ofcorporate officer) l. Location of |on6 on which proposed trailer will be |ocvted �G/S.I`vt�..�8c�ad^�(zo�bo,�o_]load) Street and nun`6e, ^����.��/G.�baio,�8oad��` «,0�y .^~,,,^,,,,,,_,,,_,^~ 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: u. Existing use and occupancy ....R�lq... ........................................................... b. Intended use and occupancy .—....^.....,..—.......—.~.—.......—...,,^,. c. Period of time trailer is to be located on premises .......6...nuzn.tb� ............................................. 3. Fee .................�A:0O............... (To be paid on filing application) 4. Dimensions of �n�i|e� length .........5.S.'...—..width ...,.~l.U.`..,..... ll ' �n �cig�k .......,...... Registration Number ........................................ .Serial Number ...S. 55^�����,l58,,^_,,__,,^ 5. Size of lot: Front ..............100'....................Rear ........... ............. Depth ....... 185.................. b. Date of purchase or lease of land .......1962 . ........................................................................................ 7. Zone or use district in which premises are situated .'A."...&...::A...................................................... 8. Does proposed use violate any zoning law, ordinance or regulation? .............no...... ...... ........ ........ 9. a. Method of Sewerage disposal .......ceasPOA.J.S.............................................................................. b. Source of Water Supply .............well .............................................................................. c. Source of Electricity .....................LILCO........................................................................................ 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. SEE ORIGINAL APPLICATION ON FILE STATE OF NEW YORK L COUNTY OF SUFFOLK f ss. ........................Zdzislaw...Mikolajcz.Y.k... ..................... being duly sworn, deposes and says that he is the applicant named above. He is the ......oWX1eS............................................................................... (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. ,: 1 .. ...... y % Sworn to before me this .................:. da of / f i / (Signature) ,- (Notary Public) C MECI5LAU5 V'n. "- 1RY PUBLIC, Wtc Of t. N:. 52-9703725 rV} n e TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ..................................... 19.../... Application No. .................................... Approved ..................... ............... 19...!•/Permit No. ................ Rih21RWN&dcAh& date .................................................................................................... ...................... Supervisor APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date ........... ............ Ig/ 5. Instructions a. This application must be completely filled in by typewriter or in ink and submitted in duplicate 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 County, New York,and other applicable Laws, Ordinances or Regulations. The applicant agrees to cppyly with all ,appikoble laws, ordinances and regulations. . .... ....i........ /;na applicant) ..520...53xd..Stxeetr...Bxook1yj;,=N.Y....112 2 0 (Address) State whether applicant is owner, lessee or agent......Ossnex....................................................................... Name of Owner of premises ....ZdZIS law..Miko-la.j.=gX...(formetly. ..SchalLn)....................... If applicant is corporate, signature of duly authorized a icer .—............................................................................... (Nome and title of corporate officer) 1. Location of land on which proposed trailer will be located SI.S...Pvt.......Road (John's Road) ..................................... Street and number ..off... ............................................. 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer a. Existing use and occupancy ....QA0...-f 414ily—dw.011ing........................................................... b. Intended use and occupancyA��.............................................................................I................. c. Period of time trailer is to be located on premises .......6...mqnt....hs............................................. . .... .. . 3. Fee .................$S.40............... (To be paid on filing application) 4. Dimensions of trailer, length ........55 9..............width ..........10'............... height .....11 ' .....11 '6n ...................... Registration Number ........................................ .Serial Number ......6...5.5..TA,K..15A..............11......... 0 0 5. Size of lot: Front ...............i.00.!....................Rear ...........1(lO A............ Depth ........18V............... 6. Date of purchase or lease of land ........1962........................................................................................ 7. Zone or use district in which premises are situated 'AN...R...nBn................................................... 8. Does proposed use violate any zoning law, ordinance or regulation? ..............no............................... 9. a. Method of Sewerage disposal .......eesspools.............................................................................. b. Source of Water Supply .............wel.1.......................................................................................... c. Source of Electricity ......................LILCO....................................................................................... 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. SEE ORIGINAL APPLICATION ON FILE STATE OF NEW YORK lss COUNTY OF SUFFOLK ) ' .............................ZdZiSl.aw..Mik018}C.Zy)c........................... being duly sworn, deposes and says that he is the applicant named above. He is the .....owner ............................................................................... (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. 7 Sworn to befo�me this ......... .. ... ........ day of (Signature) (Notary Public) February S. 1973 Sdsislaw Mikolajcsyk 520 53rd Street Brooklyn, New York 11220 Re: Trailer permit renewal Dear Sir: This is to advise you that yorr trailer permit will expire on March 12, 1973. Enclosed you will find partially completed application forms for renewing same. Please complete these forms, have your signature notarised, and return to this office, together with the required $5.00 filing fee, as soon as possible. If application and fee are not received on or before March 9, 1973, your special permit will be revoked and your trailer will have to be removed from the premises. Yours truly, Howard Terry Building Inspector HT:tle Eno. TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT No. .IL4......Tkgxiewed Date A�ppt.....1.9..... 9.72 ................................... Name ...Zd7eiM Aw.....M 014-jcZyk...................................................................................... Street ........J5.20......5.3--St.............................................................................................................. Town ...B.r0*k1yu...K.Y.*.....1.1.220......................................................................................... Your application for a (single trailer) (hip permit was reviewed by the Town Board on ................................,Sept.....12................. 19.72.., and (was) (approved. A permit is hereby issued to locate a (single trailer) (hg0tppXjbt license number ........................ or serial number .......... .............. at ........P.x1XWta...RSAdA...J9.1M .A.04) ?...::.......................�................................................... pursuant to application doted .......................A ..... .... ..9.(.`....................... and the following conditions: .....Edi:'tt,�l...r..Fi.4r::.an:�...::.1:a...F:....v4:C.':U�1.•3....b.Q�G+..!7f3L2ti...1.Z..x.....7.7,2................... .......................................................................................................................................................... .......................................................................................................................................................... TOWN BOARD, TOWN OF SOUTHOLD . . ......... l �tit—Town Clerk � �� ������K � vv� vro � ~~�v ^vv°��� ovv����^ ��U ���'�� ����K�^� o~w� vr � n v~o°�p^v`^ ~� ��.vvo^~� SOUTHOLD/ N^ Y. /7 / /, '7 »' 64 RenewalExonoineJ ....... . ,..—.,...'.., l9..... /\pp|ico!ivnNu. ......'......'.............. � /� — /\oo,oveJ —....�'�-��...--� l9'/'�Pennit No. .,—.... ,, . , T0yPd.ƒ ...uolv.{..X08\—., .................above-date°................................................................. ^ .,~........ Supervisor APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Dote ....��goot,J.O............ l9..72 Instructions o. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Town Clerk. b. Plot plan showing location oflot and nfbuildings nn premises, relationship toadjoining premises nr 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 ispart vfthis application. c. Upon approval of this application, the Town Board will issue o trailer permit to the applicant. Such permit shall be kept nnthe premises available for inspection. J. No trailer shall be occupied or used in whole or in port for any purpose whatever other than specified in permit. Aookcuhun is hereby made to the Town Board for the issuance of o Trailer Permit pursuant to the Building Zone Ordinance ofthe Town ufSouthold, Suffolk County, New York andother applicable Ln Ordinances or Regulations. The applicant agrees | i regulations. ---'E���--'----- ---~^. opp|ioz,"/ � , ���gkllglf,R�l[�t.....ll220 (Address) State whether applicant is owner, lessee or agent—...�}xu- X.................................................................... Name nfOwner ofpremises O4islavv .... toKgf�)�ly,Sb/zelio),,_~,,,,,_`, If applicant is corporate, signature of duly authorized officer ��,,,^�,,,,,,^�,,,,,,,,�,,,,,,~^`,��^,. (Nome and title ufcorporate officer) SIS Pvt. Road (John' s Road) , l. Location of land on which proposed trailer will be located .............................................................. uff E/S Main Road, MattitookN.Y. I�/ee� om6 number ....,^.--...—..... ..°....,,.—~�... .. .......,...^.—.,—.... 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: o. Existing use and occupancy .....ol�f�...Pznily..P�eLli!la._^_,,,^^,,,,,,~,,,,,,^^`^. b. Intended use and occupancy ...5.=PA.............. ............................................................................... c. Period of time trailer is to be located on premises ...........6.ozo��tba............^....-- 3. Fee ..--.���^{>[[........ (To be paid on filing application) 4. Dimensions of trailer, length ......5.5.,.....wi6db ,.....-l{l!...... height .... ..... Registration Number ........................................ .Serial Nun`bo, .. .S5.TU.l58,,,,,,,^_,,,,, �� 5. Size of lot: Front ......10.0 v.............................Rear ..............10.0 Depth .....1.8.5..................... 6. Date of purchase or lease of land ....19.62............,............................................................................... 7. Zone or use district in which premises are situated A ...&.....A.:.................................................. 8. Does proposed use violate any zoning law, ordinance or regulation? ..............na............................... 9. a. Method of Sewerage disposal ......Ce.S.5P.OA.1a............................................................................... b. Source of Water Supplyell ...........w...................................................................................................... c. Source of Electricity .............................J.I C(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. SEE ORIGINAL APPLICATION ON FILE STATE OF NEW YORK l COUNTY OF SUFFOLK J ss. ............................Zdzislaw„Mikolajczyk............................. being duly sworn, deposes and says that he is the applicant named above. He is the ......o..w.nex............................................................................... (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 beforethis ...... f ?! day............. (Signature). /o r,N� / (Notary Public) MECISLAUS WINIARL ,CTMY PUBLIC, State N N" �a• Na 52-970721 .._ drop era u. e..••_�;t•�ti TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ..........9 ................ 197..E Application No. 64 Renewal . ................... Approved . ................ 19........Permit No. ................ pxosed..for..six.trnatha..,oaly..f...rosa....... .................above••data.................................................................. ,T Supervisor APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date ....August...10........... 19..72 Instructions a. This application must be completely filled in by typewriter or in ink and submitted in duplicate 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 County, New York, and other applicable Laws, Ordinances or Regulations. The applicant agrees to cWpplicant) all a 'cable laws ordinance d regulations. I r ....�........ . ............... n //2O...S.3Kd..S.tr.eet....$7 PPK YnR..N.Y......11220 (Address) State whether applicant is owner, lessee or agent.........QF'i?.A .................................................................... Name of Owner of premises ......................... If applicant is corporate, signature of duly authorized officer (N .......ame......a....nd.....tllee'" ...... .corporate.. .... ..of..... ..................................... tiof ficer) 1. Location of land on which proposed trailer will be located ..S/S Pvt. Road John's Road) , ............. t..................(John's Road) , Street and numberoff E/S Main Road, Mattituck, N.Y. ................................................................................................................................. 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy one familx dwelling. b. Intended use and occupancy ...6AMP............................................................................................... c. Period of time trailer is to be located on premises 6 months 3. Fee .............$3.40................... (To be paid on filing application) 4. Dimensions of trailer, length ..........5 !............width ............10..'.............. height .......1V.6.'.'.......... Registration Number ........................................ .Serial Number ..S„55„TEK,,,158 . ................................ 5. Size of lot: Front ......10X2.'.............................Rear ..............jo !......... Depth .......18yi................. 6. Date of purchase or lease of land ....1.96.2........................................................................................... 7. Zone or use district in which premises are situated ...IaAP....&.. s.L.n................................................ 8. Does proposed use violate any zoning law, ordinance or regulation? ...............no...........................1111 9. a. Method of Sewerage disposal ......CeeBpopl.d............................................................................... b. Source of Water Supply ............Wm.1L........................................................................................... c. Source of Electricity ..............................LI.LC.0............................................................................... 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 fines. SEE ORIGINAL APPLICATION Oi FILE STATE OF NEW YORK l COUNTY OF SUFFOLK f ss. 13daislaw.Mikola ox k ....1'................................ being duly sworn, deposes and says that he is the applicant named above. He is the .....ckwa L................................................................................ (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 9 /�� L/ 1111...., 19./... .. i .: /.. : .C :.Y....... . . 7 / ... (Signature) .............. y :C' �..'. .'...iF.>.s,c.f ..... / (Notary Public) MECISLAUS WINIAXL .IOTARY PUBLIC 7SWO f N" )ae: August 1, 1972 Zdzislaw Mikolajczyk 52053rd Street Brooklyn, New York 11220 Res Trailer permit renewal Dear Sir: This istoadvise you that your trailer permit will expire on August 10, 1972. Enclosed you will find partially completed application forms,for renewing same. Please complete these forms, have your signature notarized, and return to this office, together with the required $5.00 filing fee, as soon as possible. If application and fee are not received on or before August 9, 1972, your special permit will be revoked and your taailer will have to be removed from the premises. Yours truly, Howard Terry Building Inspector HT:tle Enc. i • TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT No. 6.4.......renewed Dote .............Feb....22....119')2....................... Name ...Z1dls.lea[..M1ke1&jezy-k......................................................................................... Street ........520..........53,SZ............................................................................................................ Town .......Brooklyn.......N.Y.......1.1-220.................................................................................. Your application for a (single trailer) (hXXX3Cgkpermit was reviewed by the Town Board on ...........................Feb.....1.Q 19.72.., and (was) (fit) approved. A permit is hereby issued to locate a (single trailer) &snotgo1jr license number ........................ or serial number ....$...55..,�g..1.58.............. at .............g/C, Off..E/S..Main.Rdsj ttitui;)E.s N.Y.. ........................................................................ pursuant to application dated ..............;aU.....26.1.97,2................................. and the following conditions: ....P.ermi.t..neneved..f,ar...6..months...from....F.eb...1.0.9..1.972.................. .......................................................................................................................................................... .......................................................................................................................................................... TOWN BOARD, TOWN OF SOUTHOLD ............ �Qown Clerk V TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. c Examined ........... .� ............... 19........ Applicoticn No. ........6.4...l:snewa.1.... Approved ........... .............. 19........Permit No. ................ X St Yr%k •••A aovadfor..sdx.mcmths..onL ...from........ ab Y �. above date. Supervisor APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date .J4AIJArY.•215.R.......... 19..7.2.. Instructions a. This application must be completely filled in by typewriter or in ink and submitted in duplicate 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 County, New York, nd other applicable Laws, Ordinances or Regulations. The applicant agrees to co with ,II ,poli le I ws, ordinances nd regulations. C i r ..'. ..............{rd' . `. .�� (Si ature of applicant) (Address) State whether applicant is owner, lessee or agent.......Qum er...................................................................... Name of Owner of premises ...................... ..Szlialina..... If applicant is corporate, signature of duly authorized officer ..................................................................................... (Name ,nd title of corporate officer) 1. Location of land on which proposed trailer will be located ..S/.S..P.uk....Road....(,T.ahn'.s...8.aad) , Street and number ........aff...E,l.S..Main...Road,,••.Mattituck.,...New...fox:k............................. 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy .........Qn.e..;�.a1Aiy—dwe.11.1nig....................................................... b. Intended use and occupancy .....same............................................................................................ c. Period of time trailer is to be located on premises ...............5..mon.ths.................................... 3. Fee ......$.S...RA........................... (To be paid on filing application) 4. Dimensions of trailer, length ..............55...........width ..............1A..'............ height .......11..'.6.'.'.......... Registration Number ........................................ .Serial Number ..5...5.5...11. 7I .....7.58........................... 5. Size of lot: Front ......1.00.!.............................Rear .........1.00.!.............. Depth .........18.5................. 6. Date of purchase or lease of land ....19.62............,............................................................................... 7. Zone or use district in which premises are situated ..A...&..S......................................................... 8. Does proposed use violate any zoning law, ordinance or regulation? .....no......................................... 9. a. Method of Sewerage disposal ......CC.SS..Ro..01.S............................................................................... b. Source of Water Supply ............wall........................................................................................... c. Source of Electricity ....................LILC.O...................................................................................... :.. 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. SEE ORIGINAL APPLICATION ON FILE STATE OF NEW YORK 1 COUNTY OF SUFFOLK Jss. .....I.....................Zd•Zi&law..Mikola.3CZ.yk.............................. being duly sworn, deposes and says that he is the applicant named above. He is the ...................owner . ............................................................................ (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. C'o Sworn to before me this ..................... . . day of ............... Gi/lCt....l11zG• l��� / /9�✓/ /...� d................. 19..7.2...... Y. ........ ' ..... (Signature) ......... .....:� �� . .. (Notary Public) `� CCCIII TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ................. 19 ..L Application No. .......6.4..zeaewal..... Approved ........... �G.............I 19.2..YPermit No. ................ X�Q9Flf C36�F Apptowedfor..miat•%"the..onip..from........ above date. ................................................................ A ................. .. ' Z � � Supervisor APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date J R144;=.Y...2.6............. 19.7.2.. Instructions a. This application must be completely filled in by typewriter or in ink and submitted in duplicate 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 County, New York, an her applicable Laws, Ordinances or Regulations. The applicant agrees to co ly w' h all�appliclaws„ordinances and regulations. ' f /-A eure icant) /eetY.....11220 (Address) State whether applicant is owner, lessee or agent.......QH'.OPr...................................................................... Name of Owner of premises ...................... ..... 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 locatedRoad....(John'.S..Road) Street and number ........off...E/S..�Iain...Road,...."Aattitua....NAW..XAxk............................. 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy .......one„fakir„dwelling......................... b. Intended use and occupancy ......A?L=............................................................................................ c. Period of time trailer is to be located on premises ...............6..i!693?.!!5.................................... 3. Fee ......�A?.QA.......................... (To be paid on filing application) 4. Dimensions of trailer, length 5`�..........width ..............10.............. height ......11,' 6” Registration Number Serial Number ..5 55 TEK 1.5.8 5. Size of lot: Front ......1.00.!.............................Rear .........1.00.!.............. Depth .........18.5.!.............. 6. Date of purchase or lease of land ....1.95Z........................................................................................... 7. Zone or use district in which premises are situated ..A...&..5......................................................... 8. Does proposed use violate any zoning law, ordinance or regulation? .....no........................................ 9. a. Method of Sewerage disposal ......C<SSS.P0.01's............................................................................... b. Source of Water Supply ............well........................................................................................... c. Source of Electricity ....................LILCO......................................................................................... 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. SEE ORIGINAL APPLICATION ON FILE STATE OF NEW YORK 1 ss COUNTY OF SUFFOLK f ' ...........................Zdki.slaw..M.i.kA1a3GzyX.............................. being duly sworn, deposes and says that he is the applicant named above. He is the ...................AFZri�.I.................................................................. (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. t6-- Sworn to bef me this ........`....(. .r.. ......... day of J2itLu19.7.2...... ..... .... ... .: ......:.`. � (Signature) .... ................... .:. ... .... .. ... .. L (Notary Public r: t January 24, 1972 Zdislaw Mikolajczyk 520 53rd Street Brooklyn, New York 11220 Re: Trailer permit renewal Dear Sir: This is to advise you that your trailer permit will expire on January 26, 1972. Enclosed you will find partially completed application forms for renewing same. Please complete these forms, have your signature notarized, and return to this office, together with the required $5.00 filing fee, as soon as possible. If application and fee are not received on or before our special permit will be revoked and your trailer will have to be removed from the premises. Yours truly, Howard Terry Building Inspector HT:BN Enclosure TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT No. 04.....roaa.Wed Date ...JU17.....14.....1971............................... Name .ZAIZ133AW....Mao3AJczyk......................................................................................... Street ......52-0.....53.9t.................................................................................................................... TownBr.00kly$.......&.Y......1.1220......................................................................................... Your application for a (single trailer) Jb3Mg=) permit was reviewed by the Town Board on .....................................suly.....13............ 19....01, and (was) approved, A permit is hereby issued to locate a (single trailer) ( , license number ........................ or serial number ....8...55...TZK.....1.5j8............ at ..........Johnf-9...R*&A..(pvt--Rd)..off. ..E'.X..Maia• Road.......MattStuak.....N*Y*............................................................................. pursuant to application dated ............................;Ul !....... .....71................. and the following conditions: ..Permit..renewed...Tar....6-m®ntha...Tram..duly...26...1.9.7.1....................... .......................................................................................................................................................... .......................................................................................................................................................... TOWN BOARD, TOWN OF SOUTHOLD 2� f• � 7 � Town Clerk TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined .......... . ........................ 19........ Application No. ...6A...r,enewal.......... Approved CA...�.s., 1 /Permit . ...........D�Mppivyad a/c .. .. Pppp oved ....�:.r..J...'............... .9.:�:! .Permi�.30�,..... ::"...." " ................................................................................................... .... ............ . r � . . .: .. � lipervisor APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date ......July.......26......... 19.31.. Instructions a. This application must be completely filled in by typewriter or in ink and submitted in duplicate 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 County, New York, qno other applicable Laws, Ordinances or Regulations. The applicant agrees to 5o,7ply w' all appl' a e ;Rws, ordinances an regulations. 7 ... .... ........................ .. .. . .. ....... g ature of opplicont) .52.Q..5.3r.d..Stree.t,...,Szraoklyxi,...N_.Y_...112 2 0 (Address) State whether applicant is owner, lessee or agent............Zdzi.%1& t..Mikcolajczyk............................ Name of Owner of premises " ......................................................................................................................... If applicant is corporate, signature of duly author ized officer ..................................................................................... (Name and title of corporate officer) 1. Location of land on which proposed trailer will be located .....mattituck,...xew..york........... Street and number ..S,/S...Sohn.'.s...kPut_.)...Road,...o.ff..E/.3..Ma xl..Road........................... 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy .......L..£anUly...d5.tel,1 ng.............................................................. b. Intended use and occupancy ................same................................................................................. c. Period of time trailer is to be located on premises ....6..MQTltbg................................................ 3. Fee ..............$.5.•00•............••••• (To be paid on filing application) 4. Dimensions of trailer, length .............55.!.........width ...............1.0.'........... height ...11..'....6.''........... Registration Number ........................................ .Serial Number ...S..5,5..TEK..1.58............................ 5. Size of lot: Front ............100!........................Rear ..........1.p0.4............. Depth .......1&5.'................ 6. Date of purchase or lease of land ............1.162................................................................................... 7. Zone or use district in which premises are situated A.L..B........................................................... 8. Does proposed use violate any zoning law, ordinance or regulation? x10............................................. 9. a. Method of Sewerage disposal .....Q.eSSp.0ols................................................................................. b. Source of Water Supply ..........w.ellW.ell............................................................................................. c. Source of Electricity ..................LILCO.......................................................................................... 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. SEE ORIGINAL APPLICATION ON FILE STATE OF NEW' YORK 1 COUNTY OF SUFFOLK J ss. ...................Z.dzislaw..Mikalaj.czyk...................................... being duly sworn, deposes and says that he is the applicant named above. He is the ............ow.nex......................................................................... (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 befor me is ............. ............... day of... 19..7 . .% ...`. �( ....... ........... . (Signature) G%G/ ....... ....... . .. (Notary Public) MECISLAUS wINIARZ ROTARY PUB' IC, St-t' of New YNm N" 52-9703725 Qualified in e,�s,.�y mrnq TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined .......?.P� ............ 19'� Application No. ...64-renewal......... -�hermit No. ................ Approved ....................... Ij .......................... ......................................................................... LL.... .................... —k- .......... Supervisor APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date ......J.0 ly........�.Ci.....-, 19.12 . Instructions a. This application must be completely filled in by typewriter or in ink and submitted in duplicate 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 G 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 County, New York, and other applicable Laws, Ordinances or Regulations. The applicant agrees to comply with all ap cable lows, ordin/ans and regulations. . . ......... ... .......... .. ................ gnature of applicant) (Address) State whether applicant is owner, lessee or agent.............ZcL7-i,%1&xc.H iko I a j r-7.yJ;............................ Nome of Owner of premises "................0 ........................................ If applicant is corporate, signature of duly author ized officer . ................................................................................... (Nome and title of corporate officer) 1. Location of land on which proposed trailer will be located .....Nat.titucX,.XeAL..YorL............ Street and numberUvt..)...Aoa�L...af 9-VA-Maim-Road........................... 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer a. Existing use and occupancy ......J—famlly. ..dwelling.............................................................. b. Intended use and occupancy ................Same-............................................................................... c. Period of time trailer is to be located on premises ....6..months. . ................................................. . .. .... 3. Fee ..............$5.00.................. (To be paid on filing application) 4. Dimensions of trailer, length .............SS.!.........width ...............1w!........... height ...11.'....W,............ Registration Number ........................................ .Serial Number ...s...55..T.EK-152............................ 0 5. Size of lot: Front ...........LOW........................Rear .........1.00.!.............. Depth ......Ix:°.................... 6. Date of purchase or lease of land ...........1915.2..........................................................:......................... 7. Zone or use district in which premises are situated A...#...1)............................................................ 8. Does proposed use violate any zoning law, ordinance or regulation? PP............................................. 9. a. Method of Sewerage disposal ...gf,45. P.QQA0.................................................................................. b. Source of Water Supply ...........,a.e.1 .............................................................................................. . ... c. Source of Electricity ..........................LZLCO........................................................................................... .. . 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. SEE ORIGINAL APPLICATION ON FILE STATE OF NEW YORK COUNTY OF SUFFOLK f ss. ..............AU.10.1aw..1° jX.4.1,AJqAYk...................................... being duly sworn, deposes and says that he is the applicant named above. He is the ............AVOW:......................................................................... (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 befo 4met ...........W................ day of....................., 9..71.... �.� ( ignature) �.. . . . . .. ........tar ................ : (Notary Public) MECISLAUS WNIARZ 40TARY PUBI!r. Stot•_ of NeW Yam Nc 52-9703725 �a 7L i r July 2, 1971 Sdsislaw Klkolajcsyk 520 33rd Street Brooklyn, Now York 11220 Res Trailer Permit Renewal Dear Sirs This is to advise you that your trailer permit will expire on 41Y26. 1971. 8aclosed you will find partially completed application forms for renewing same. Please complete these forms, have your signature notarised, and return to this office together with the required ;S.00 filing fee, as soon as possible. 2f application and fee are not received on or before July 26, 1971, your special permit will be revoked and your trailer will have to be removed from the premises. Yours truly, Howard Terry HTsBB Building Inspector TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT No. 61r.....iienewed Date .....ifan....27...1S,7.1.................................. Name .. .{1Zislaw.,i; ln;ola�CZYk.......................................................................................... Street .....5j20..........5j3...St............................................................................................................. Town .......UT.oAkly.A....i...X. ......1.1.22Q..................................................................................... Your application for a (single trailer) (hcXXM) permit was reviewed by the Town Board on .......................................Jan........26........... 19...7.1., and (was) (w,ttt2k approved. A permit is hereby issued to locate a (single trailer) qL9tk� license number ........................ or serial number .5...55.'5...7 h...1.5.F ................. at ...°vt.. ,10jad...U.0.hrl ... cPrA). ................ U.g£...1;,/w••diain• �ioad............ ............................................................. pursuant to application dated ................Jam-19......'1.9.7.1............................... and the followinq f t °71 conditions: .....i. enalt..Senewr. .ed...fo ...6.. : nt.hs... .x o.::.. T h 1.tti�..�.. .. ... . ...................... .......................................................................................................................................................... .......................................................................................................................................................... TOWN BOARD, TOWN OF SOUTHOLD Tow Clerk 0 TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ..................................... 19 ........ Application No. xAng.wa],........ Approved ........ ...... ................ 19f.. ..Permit No. ................ Disapproved a/c .......................................................................... Supervisor APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date ..January...... 8......... 19.71... Instructions a. This application must be completely filled in by typewriter or in ink and submitted in duplicate 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 County, New York, and other applicable Laws, Ordinances or Regulations. The applicant agrees Vcowth allapplicable I mor antes and regulations. rre of applicant) (Address) State whether applicant is owner lessee or agent ...........QW.Uer...................................................................... FORIMLY Now Name of Owner of premises ........Roy..A....Sc17e1 xA........ Zdzislaw T_iikolaacz .......................... If applicant is corporate, signature of duly authorized officer 1`:ail Adress = 520 53rd. St me .......an....d....titl....e.......of ......corporate...........o..fficer........).......................... Brooklyn N.Y. 11220 (Na 1. Location of land on which proposed trailer will be located ..Matti.tutk.,...h1ew...Yark................... Street and number SIS...JO-br.:.s....MV.t—)... 19.Y. 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy .........kx'ai..1.ex—harue...................................................................... b. Intended use and occupancy .........same.......................................................................................... c. Period of time trailer is to be located on premises ......6..months................................................. 3. Fee .....$.J`-0........................... (To be paid on filing application) 4. Dimensions of trailer, length .............55.!...........width ............1A.!.................. height ....11.'....5.'.'........ Registration Number ............................................Serial Number ..S...SS...'RFK...15$............................. 0 5. Size of lot: Front ...........1.00.!..........................Rear .....10A!....................... Depth .....1a5................ 6. Date of purchase or lease of land .........1.462......................................................................................... 7. Zone or use district in which premises are situated.......:'A'.'...&c...':R...................................................... 8. Does proposed use violate any zoning law, ordinance or regulation? ..)aQ............................................. 9. a. Method of Sewerage disposal ...... ................................................................................. b. Source of Water Supply ..............well............................................................................................. c. Source of Electricity ...........LILC.Q.................................................................................................. 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. SEE ORIGINAL APPLICATION ON FILE ATE OF NEW YORK /COUNTY OF SUFFOLK }�' .................I.......:... '.�QY•..�....,517.��.:�ri........................................ being duly sworn, disposes and says that tie is the applicant named above. He is the ........:............oiahex...................:................................................ (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 ....... 1.9.'V')............. day of GI ....... ............................. 19.. .......................................................... ... .................... ... . ... ............(Si .. J/ ' (Signature) (Notary Pub ic) i. N31AR NPT, cl Pavi Yorl No. 52-81253:17. Su(fg( Cour y Term Expires March 30, 19 / TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ..................................... 19 ........ Application No. ........ Approved �14............. 1921—Permit No. ................ ........................ Disapproved a/c ........................................................................... ...................................................................................... // � > Supervisor APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Dote ..JAD AXY.....28......... 1971... Instructions a. This application must be completely filled in by typewriter or in ink and submitted in duplicate 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 County, New York, and 0th Oppl'cable Laws, Ordinances or Regulations. The applicant agrees to c i)h ou applicable I or nongoes and regulations. j , (Sign ure of applicant) John's.t?�r.)...RAPA....ftt1#1V.4 )SA...111.11J.,.... (Address) State whether applicant is owner, lessee or agent ........PpJ49.> ...••..•••••........................................................••• FUR1 LtZLY cz,Y...k Name of Owner of premises .......RRY...Aa..ACh6.44%..........Zdzisla.. Mikola ...................... If applicant is corporate, signature of duly authorized officer Avail Adress = 520 53rd St .... Brooklyn N.Y. 11220 (Name and title of corporate officer) 1. Location of land on which proposed trailer will be located .EI.I' tt. tock.•.••ItZow..X=k.................... Street and number @IB..John'0.... ..4A.M.411..49..i4.., ....M#.1'r,X:tV4*.eA11rY. 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: trailerh .......................................................................... a. Existing use and occupancy .............................. b. Intended use and occupancy ........AAM........................................................................................... c. Period of time trailer is to be located on premises .....b...IRQA.thn................................................. 3. Fee .....;..5.......... (To be paid on filing application) 00 4. Dimensions of trailer, length ............$5.............width ...........1V.................. height ... .'....6.n.......... Registration Number ............................................Serial Number ..45„TSX„158 . . ............................... ���h �N�� 5. Size uflot: Fnont ..... ...........................Rear ....LOW....................... Depth ....185.v.............. &. Date ufpurchase ur lease of land —..196.2....—,...—...^'...~--^^^—^~^^^^`^^^^—^^^^� 7. Zone uruse district inwhich premises are situated...w�kw^��,��X�m,,,,,,,,,,,,^^,,,,_,,_~,,_,. O. Does proposed use violate any zoning low, ordinance o, regulation? AQ.--......`'^^..^—..~. 9. o. Method ofSewerage disposal ._POA4P«�p�#.--........—.^..~~....—^............^' b. Source ofWater Supply ..—.—A04^,,^,_,,,,,_,,,_,^~,.,,,~,_^,,,,^^,,,,,,,^` cSource of Electricity .......... ................. ........................................................... ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, proposed,ed nJin6ico1eo|| t'6ock6inoen` sionofronnproperty lines. Give street and block nvm6eourdescription ' �according todeed, and show street names and indicate whether interior orcomer lot. Indicate c|eor/' |nmaN�nuf �xropnsed �ai|e, onp,eo,` isen, showing distances �r�nm o|/ 6ui|6ingo onJ property |ines� ` SEE 01RIGML "PLMATION ON IP= STATETOF NEW YORK COUN Y OF SUFFOLK ............................�D����,0k�,.�3���� ���_,,^___—.--...—. being duly sworn, deposes and says that eisthe applicant named o6nvo� Heisthe —..--,.�O0��*U�........,...`^._,,.,,,_,~,,,^,,^_ ` (owner or lessee or agent) nfsaid owner o, owners, and isduly make and file this application; and that all statements contained inthis application are true &othe best nfhis knowledge on66e|ief; ondMiotHhetpoi|erwi|| be located in the manner set forth in the application filed herewith. / //~�� Swornto before this � � �4,� � , , .°����. r�.. 8 (- � (Signature) ^^`'"^—. '`'.:` --^- `- i 1 (NntaryPu@id NOTARY moeo, cu, mn � �n *, No. 'zoum�orsuoo/xoo xvwcxv/^suuxo3o, 19_l� January 5, 1971 Mr. Roy A. Schelin Pvt. Road (John's Road) Mattituck, L.I. , Now York 11932 Ret Trailer Permit Dear Mr.schelint This is to advise you that your trailer psrmit will expire on January 28, 1971. Enclosed you will find partially completed application forms for .renewing same. Please complete these forms, have your signature notarized, and return to-this office with the required $5.00 filing fee. Yours truly, Howard Terry Building Inspector one. HT/bn 0 6 TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT No. 64.....Penewed Date .....Ju1y....30i..1970............................. NameRoy..d.i...8eh&1.in........................................................................................................... Street .......LOOtleti...La.................................................................................................................. Town ......SoUtho. 6.....N.sy..s....................................................................................................... Your application for a (single trailer) (�Z3C permit was reviewed by the Town Board on ...............................JX1.4....28................... 19..70., and (was) ( approved. A permit is hereby issued to locate a (single trailer) QJM88CX% license number ........................ or serial number ...SW55&TEKWI.rg................ ot .............. $�g...F�It..R09d...(.JOhA�e• Rd) Off ..Main--Road.......Mattituek.....N rpti;.................................................................... pursuant to application dated .....Jy1y.....223......1.t370..................................... and the following conditions:Permit•••remwed•••for..6..moigths...from..July..28-i...1970........................ .......................................................................................................................................................... .......................................................................................................................................................... TOWN BOARD, TOWN OF SOUTHOLD � wCf -- , own C er TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. /z Examined ........:............................ 19 ...`.. Application No. AA..x.+~nQWa1.......... Approved .........?. ?.. .Appzowed..£nx..sLx..months..onlg..Ezom..above date. / r/ �. ....... .Cl .�. .A/il.erviso.� . �::t pervisor APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date ..,Tuly........lar........... 19...,V p Instructions a. This application must be completely filled in by typewriter or in ink and submitted in duplicate 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 County, New York, and other applicable Laws, Ordinances or Regulations. The applicant agrees to comply with all applicable laws, ordinances and regulations. ignature of applicant) ..Jokins...(,put. ...R.aad,...Mattituck.,...N...Y.. (Address) State whether applicant is owner, lessee or agent ..021ne3:............................................................................... Name of Owner of premises .......Roy...A.....Schel•in.................................................................................... 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 ...Mattituck......New...Yraxk................... Street and number ......S,/S...lohna...(.P.uta.••Roadr••.o€,£••&/S...Main•••Road,...Matti•tuoky.-N.Y. 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy .............' X'.da, . ..kiAmE:................................................................... b. Intended use and occupancy .............5amp....................................................................................... c. Period of time trailer is to be located on premises ..........8..A1QAthS.............................................. 3. Fee .........45...0.0....................... (To be paid on filing application) 4. Dimensions of trailer, length ......5.5.!.................width ..........1,0•'•••••••••••••••••••• height ...yl.!.ron............ Registration Number ............................................Serial Number S...55..TEK..15.8............................... 5. Size of lot: Front .........100..`............................Rear .......10.Q.'.................... Depth ........18.5.'............ 6. Date of purchase or lease of land .........1962........................................................................................ 7. Zone or use district in which premises are situated..........:'A.'.'&...'.'.B.'.'......................................................... 8. Does proposed use violate any zoning law, ordinance or regulation? .....T410......................................I_ 9. a. Method of Sewerage disposal .........cesapools.............................................................................. b. Source of Water Supply .................wgll.......................................................................................... c. Source of Electricity .....................LILCO................................................................................. ....... 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. SEE ORIGINA7APPLICATION ON FILE STATE OF NEW YORK COUNTY OF SUFFOLK k. ..................�=.:.S.chelin............................................ being duly sworn, deposes and says that he is the applicant Homed above-?He is the .....LQwlact...,....... Id .. ,,,,,,,,,,,,,,,,,,,,,,,,,, (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 .........04_44-CL......... day of y / ... ................ ..._... S ........................., 1 ? . .. w..�/N n : �/qq (Signature) ext( 4............ (Notary Public) ELIZABETH ANN NEVILLE NOTARY PUBLIC. State of New York No. 528125850. Suffolk Cou ty Teem Expires March 30, 19 TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ' ................. 19 Application No. .. ..JGAI1AWAt1.......... Approved ....... :........f................, 19........Permit No. ................ fbvPPMxKk A= •Approved••Eor..six.-wim4ho••o ily..,frem.*bove dote. s' Supervisor APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date ..JuLy........13............ 19...74 Instruction a. This application must be completely filled in by typewriter or in ink and submitted in duplicate 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 County, New York, and other applicable Laws, Ordinances or Regulations. The applicant agrees to comply with all applicable laws, ordinances and regulations. -o Signature of applicant) ..4 ...W16.)..RQA41..yMttla`k'...Xw p. .. (Address) State whether applicant is owner, lessee or agent ...O.Max.............................................................................. Name of Owner of premises .......ROY..A...Bchelin................................................................................... 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 ....K&U; UCX,..R0V...YQi'k.................. Street and number ......AA..JAhni...W.—O...ROad....OtY..B/.8..Main.-Road...Xattltuck,.- N.Y. 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy tFOXA i...b.."o.................................................................. b. Intended use and occupancy .............*AM. ...................................................................................... c. Period of time trailer is to be located on premises .........6.. tN!............................................. 3. Fee .........fgr."....................... (To be paid on filing application) 4. Dimensions of trailer, length .......55. .................width ..........10'................... height ...llW........... Registration Number ............................................Serial Number8..`�S...T$....44.............................. 0 S. Size of lot: Front .........I**?............................Rear ........1001.................... Depth ........Isp........... b. Date of purchase or lease of land .........JA6$........................................................................................ 7. Zone or use district in which premises are situated.........!+,Am&..!%!«,,,,,,,,,,,,,,,,,,,,,,,„............................... 8. Does proposed use violate any zoning low, ordinance or regulation? .....lto.......................................... 9. a. Method of Sewerage disposal .........Camp=141.............................................................................. b. Source of Water Supply .................wall........................... ............................................................... c. Source of Electricity .....................Luca........................................................................................ 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. 138E 0RIBIJSiJABPLICATI0W DE BILE STATE OF NEW YORK COUNTY OF SUFFOLK �'J •......••••....•.........."y.. ..:sl. 6lin............ ........................... being duly sworn, deposes and says that ,1 �n�' he is the applicant named above5 He is the .....(OWne;............." 11.1.1....................01.............10......... (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 ........fJf. ....... y'�� 7.0 do of � �� .^• ........................... 19.../. y .... ............................ ... ✓: .:. � .....(Signature) . :. .Cl .....,.�... .... .... , ............ 3 (Notary Public ELIZABETH ANN NEVILLE NOTARY PUBLIC, State of Naw yark No. 528125850, Suffolk County Term Expires March 30, 1$�,,.,�, July 1. 1970 Mr. Roy A. Sohelin Pvt. Road (John's Road) Mattituck, L.I. , Now York` 11952 eta: Trailer permit Deas Mr. achelint This is, to advise you that your trailer permit will expire on July 13. 1970. Snclowed you will find partially aomplated application forme for renewing Same. please complete these- forms have your signature notaxia•d, and return to this office with the required 85:00 filing fee. Yours �truly* 8o+aard Tassy Building Inspector enc. HTIbsl TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT 64 renewed :an 16, 1970 No. ................... Date .............................................................. Name ............R©y Sohelin n Street ................Johs.............R....oad............................................................................................................. Town MattltUek. N.*Y• ............................................................................................................................................... Your application for a (single trailer) (housecar) pereviewed by the Town Board on .....................................................Jal9.....1.3, 19........, " (was) (was notlF ved. A permit is hereby issued to locate a (single trailer) (housecar), license nuMjCKMX=................ orserial number............................................ at...............................S..... .... ....................5/S•.Private...Read .(Johns..-load............Matti-tuck.....N.iY.y................ pursuant to application dated .........................Dee........1.2.....1.)669............... and the following conditions: ....................Pe,Tmtt,,,jr6..montha..from.,Ru..Lan...1.3...1.9.70 ......................................................................................................................................................... .......................................................................................................................................................... TOWN BOARD, TOWN OF SOUTHOLD ...... .0 �.6sG �s:.::,,��:..! ��' ....... ........ Town Cler TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ..................................... 19 ........ Application No. ...64...:K9X1gA4J,........ i Approved .......::�......................... 192�..Permit No. ................ ABOVE...DAT.E ................. / � ...lL�. � � L ... Supervisor APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date .aerember......12...... 19..6.9. Instructions a. This application must be completely filled in by typewriter or in ink and submitted in duplicate 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 County, New York, and other applicable Laws, Ordinances or Regulations. The applicant agrees to comply with all applicable laws, ordinances and regulations. (/ (5ignatufe of applicant) ,Iohna...(PVI)...Road...Aattituck,...N.Y..... (Address) State whether applicant is owner, lessee or agent ..........Qwner....................................................................... Name of Owner of premises .....................Rixy—A....S,chelin..................................................................... 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 ......Mattituck...:.................................... Street and number .S.I.S....T.ahixa... Y. 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ...*railer..home............................................................................. b. Intended use and occupancy ...s.ame................................................................................................ c. Period of time trailer is to be located on premises .....6..morsthiz.................................................. 3. Fee ...........$S..LiQ..................... (To be paid on filing application) 4. Dimensions of trailer, length ..............55••'..........width .................y0•'••••••••••••• height ... ......... Registration Number ............................................Serial Number ..,5..5.5...7.'U-1.5i3............................. 5. Size of lot: Front ....................1II0.'..................Rear ...........1.00.!................ Depth ...........185.!........ 6. Date of purchase or lease of land ...............196.2.................................................................................. 7. Zone or use district in which premises are situated...!'A'....&...:'.J3:'............................................................. 8. Does proposed use violate any zoning low, ordinance or regulation? ......no......................................... 9. a. Method of Sewerage disposal .....C.e5.SP.9Q,1.9.................................................................................. b. Source of Water Supply .............WeU.............................................................................................. c. Source of Electricity .................LI AC.Q........................................................................................... 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. SEE ORIGINAL APPLICATION ON FILE STATE OF NEW YORK COUNTY OF SUFFOLK }ss. ...................Rczy..A....Scbeliia............................................... being duly sworn, deposes and says that he is'the applicant nornedeabove. He is the ...........'......ew. n'1ax......'...............:................................................. (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.,f h.............. day of � �- ` ( � �.� ��p (Signature) .......... .... (Notary Public) V A 19 0 0 TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ..................................... 19 ........ Application No. ...64„renewal......... Approved ...1/..13........................... 19..M.Permit No. ................ bRi61001DllipNF3dXaxl( ....ME ROVED FOR 6 MONTHS ONLY FROM ................................................................ ...ABOVE.,DATE.............................................................................. ............................CGC�.1`...!..C'�?t:L!•`:• .:.t.”, . Supervisor APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date .D.QCM& Gt....12...... 19..6.9. Instructions a. This application must be completely filled in by typewriter or in ink and submitted in duplicate 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 County, New York, and other applicable Laws, Ordinances or Regulations. The applicant agrees to comply with all applicable laws, or ' ances and regulations. ..�..t) . .................................... (Signatur of applicant) ..I?ltlm...irVV..A0A§L...l'attit.{3aaA...Kw Yn.... (Address) State whether applicant is owner, lessee or agent ..........Qf4AOX....................................................................... Nameof Owner of premises ......................RQy.. A....SChR11A..................................................................... 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 ......KA-:14t);SSG........................................ Street and numberA/0..J.QhAlA....QVTJ...R.9.4I4....Q.f.9...A/A..K41R..90A...!'!�!1;141N k.r...*?Y. 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ....trAilOr-home............................................................................ b. Intended use and occupancy ...RaM................................................................................................ c. Period of time trailer is to be located on premises .....6...WnthaWntha................................................. 3. Fee ............$5..010.................... (To be paid on filing application) 4. Dimensions of trailer, length ..............55...........width ..................LQ.'............ height ...11.'.-6........... Registration Number ............................................Serial Number ...3...55 T ..158 5. Size of lot: Front ....................1QO.:.................Rear ...........100.:................ Depth ...........185.!........ 6. Date of purchase or lease of land ...............31%.2.................................................................................. 7. Zone or use district in which premises are situated...°A"...4... A".................................................I........... 8. Does proposed use violate any zoning low, ordinance or regulation? ......AO......................................... 9. a. Method of Sewerage disposal ....C¢9H.P.O.9X.4.................................................................................. b. Source of Water Supply .............W 1II.............................................................................................. c. Source of Electricity ................1rII+CQ............................................................................................ 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. S88 ORIGINAL APPLICATION ON PILB STATE OF NEW YORK 1 COUNTY OF SUFFOLK ROx A. SCY1Blia ................... being duly sworn, deposes and says that he is the applicant named above. He is the ..............._O!wqX........................................................................ (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. worn to before me this .............. � ............ day of (Signature) ........... ..... (Notary Public) EuzaeErl nrr NOTARY Pl ';11 �- E No 52<. ff Ya Yr Ter^i January 5, 1970 Mr. Roy A. Schelin Pvt. Road (John's Road) Mattituck, New York Res Trailer Permit Dear Mr. Schelin= On November 28, 1969, application forms for renewing your trailer permit were mailed to you. Your trailer permit expired on December 12, 1969. We have not received your application for renewal to date. Enclosed please find another met of partially completed application forms to renew your trailer permit. Please complete these forms, have your signature nothxt ad, and return to this office with the required $5. 00 fee as soon as possible. Yours truly, Howard Terry Building Inspector HT/BN November 28, 1969 Mr. Roy A. Schelin Pvt. Road (John's Road) Mattituck, L.I. , New York 11952 Re: Trailer Permit Dear Mr. Schelin;. This is to advise you that your trailer permit will expire on December 12, 1969. Snclooed you will find partially completed application forms for renewing same. Please complete these forms, have your signature notarized, and return to this office with the required $5.00 fee. Yours truly, Building Inspec r® TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT No. ...64._renewal Date .........June.....12.....1969.................. Name ........RQY..A.r...*4*4P................................................................................................... Pvt. Road John's,. Road ............................................................................ Street ...................................�.............. ...... . Town MattituCkq New York ...................... ........................................................................................... Your application for a (single trailer) 05XKM) permit was reviewed by the Town Board June............ ................... 196.9..., and (was) WSWARR approved. on ............................. .. A permit is hereby issued to locate a (single trailer)V09WISK, license number............................ or serial numbers„55...TEK... 58.............. at...... f„EIS...Main..ROad,,,,,, .... (John's Road).....Mattituck.r...NeY+..XGT?4................................................................... pursuant to application dated ...............7twe............. ......7 9.69...................... and the following conditions: ..Permit...renewed...for...6..months...from June...12.,.,.1969..................... ......................................................................................................................................................... .......................................................................................................................................................... TOWN BOARD, TOWN OF SOUTHOLD .............`......:. ....../f.. :::.:.:::t. ...... Town Clerk TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ..................................... 19 ........ Application No. ..b4...-..2enel4al.... Approved .... ................... 109....Permit No. ................ N=eSM"XdXXXZS ApprpxaA..fAr...bmon.ths..An.l.y...f.rom.a.brave. date ..........................................................................................I........... ............... ? Supervisor APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date .......June.......3.,......... 19.69.. Instructions a. This application must be completely filled in by typewriter or in ink and submitted in duplicate 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 County, New York, and other applicable Laws, Ordinances or Regulations. The applicant agrees to comply with all applicable laws, ordinances and regulations. .(. � .(�1.:,✓\�1:' .E.✓1:.G.!::✓. ..........-.........�........... . f applicant) t��... y3- 79blRal...IRV.Tl..AQas ,...Xattitt19ks...N..Y....... h� c (Address) State whether applicant is owner, lessee or agent .......0WneS......................................................................... Nameof Owner of premises ........ ...................................................................I............... If applicant is corporate, signature of duly authorized officer ......*m-e—.an....d........title...o..f...co......orate............of.f..icer.....).......................... (Name rp 1. Location of land on which proposed trailer will be located ••••Mattituck.......................................... Street and numbersP...JV{171AI...IRV.TI...R.Gdd-off..E/.3...main.RGadr...Mattituck,...N..Y. 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ....U.44;UO '...hme............................................................................ b. Intended use and occupancy ...eWIW................................................................................................ c. Period of time trailer is to be located on premises ............ '0"/p n/ ... ... . ................................. 3. Fee ....45•.00............................ (To be paid on filing application) 4. Dimensions of trailer, length ............55...............width ...............10.'............... height ...11..'.m6•"..•....... Registration Number ............................................Serial Number .5..55...TBS-l58.............................. 5. Size of lot: Front ............................1.00...........Rear ..............100............... Depth ..........1185............ 6. Date of purchase or lease of land ......3952........................................................................................... 7. Zone or use district in which premises are situated....aA.ng.u18n................................................................. 8. Does proposed use violate any zoning law, ordinance or regulation? .AO............................................. 9. a. Method of Sewerage disposal ............Cesspoolg.......................................................................... b. Source of Water Supply ....................wern..................................................................................... .. 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. 888 ORIGINAL APPLICATION ON FILE STATE OF NEW YORK COUNTY OF SUFFOLK }ss. .••.••...............••••.••.• �DSCh81•fn•.... being duly sworn, deposes and says that he is the applicant named above. He is the .......owner.................................................................................. (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, ` ......... (Signoture) (Notary Pub'h MARION A. REGENT NOTARY PUBLIC, SWe of New Y.. ft 523233120 Suffolk County ,arm Expires March 30, 1941 TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ............................. ....... 19 ........ Application No. ..64...-..XI±XIeWAI..... Approved ...J.YA0.k..0.................... 19..69..Permit No. ................ DQXd04XaLdlXdXdf Approv.ed...fur...&.mon.ths...only...f.rcm.zhave date C— <. /?kL .7,11 71 �z1rG;... ......................................... . Supervisor APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date .......June........a ......... 19.6.9.. Instructions a. This application must be completely filled in by typewriter or in ink and submitted in duplicate 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 County, New York, and other applicable Laws, Ordinances or Regulations. The applicant agrees to comply with all applicable lows, ordinances and regulations. ( (Signature of applicant) ,John.9...(k.VT.)...RoacL...Mattik uck'..R.X....... (Address) State whether applicant is owner, lessee or agent ........own.er......................................................................... Name of Owner of premises ........ROY..A....,Schelin.................................................................................. 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 .....Mattitucic......................................... Street and number S/S...Sohn...(.P.HTJ..Raad..aE£...E,IS..Ma.in..Road,...Mattituckr..N..Y. 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: o. Existing use and occupancy ....trailer...home........................................................................... b. Intended use and occupancy ....same......................................................L............................................ c. Period of time trailer is to be located on premises x/e./?.:7.�/..................................... ........ ....... .. 3. Fee .....$5..Q0........................... (To be paid on filing application) 4. Dimensions of trailer, length .............$$.!...........width ................y0.!............. height ....1y!...,6• ....••.. Registration Number ............................................Serial Number .5..55...TES..15a............................. 5. Size of lot: Front ...........................2,Q0............Rear ..............10.0............... Depth .........185............ 6. Date of purchase or lease of land ......19.fi2............................................................................................ 7. Zone or use district in which premises are situated......'.A..$'&."R.':................................................................. 8. Does proposed use violate any zoning low, ordinance or regulation? -no.............................................. 9. a. Method of Sewerage disposal ............lies.spools........................................................................... b. Source of Water Supply ....................Well....................................................................................... c. Source of Electricity ........................LILCO.................................................................................... 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. SEE ORIGINAL APPLICATION ON FILE STATE OF NEW YORK COUNTY OF SUFFOLK ss ..•• ••••••••••.•.•.........rI.....1toy;;A,..S.Ch,e11n..................................... being duly sworn, deposes and says that he -is the applicant named above. He is the ......nwaex.................................................................................. (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. r Sworn to before me this ..............v23................ day of ........ 19.17 X....A (Signature) (Notary Pub I ) MARION A. RIIIEN[ NOTARY PUB' C. Stain W Ficn York No. 52 3255t2p timiclk CouN r+ -7erm L%Plrr, t4,-h i May 7, 1969 Mr. Roy A. Schelin Johns (PVT) Road Mattituck, L. 2. , New York 11952 Re: Trailer Permit Dear Mr. Schelin, This is to advise you that your trailer permit will expire June 3, 1969. Enclosed you will find partially completed application forms for renewing same. Please complete these forms, have your signature notarized, and return to this office with the required $5.00 fee. Yours truly, Howard Terry,"1 Building inspector TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT No. g4.....rsaewed Date ....Dei.ember..6.l,...1.9.68................... Name ..ROy..RChe3.1a............................................................................................................... Street .......;ObA$...(.PVT)...A0&d................................................................................................ Town ....MattltV*....N.Y.:....................................................................................................... Your application for a (single trailer) permit was reviewed by the Town Board on ..........................Deaember.....3.................. 19.68.., and (was) (Imm=) approved. A permit is hereby issued to locate a (single trailer) (0qils@qQF1 license number............................ or serial number....S..f5...TEX...1.58.......... at...........S/E••,RRA.ua•te...Road••off..E/S..MainROad .....Mattituak,.... ............................................................................................................... pursuant to application dated .....N4DV.r..2..,1...*C)68............I........................... and the following conditions: ...permit•••renewed...for..6..montha..f'rom..Dec..3.;...1968........................ ............................................................................ ............................................................................ .......................................................................................................................................................... TOWN BOARD, TOWN OF SSOUTHOLD Town Jerk TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ..December, 3,,,,,,,,,,,,, 1968..... Application No. .A..4.. ...... Approved ..................................... 19........Permit No. ................ fBASiiWM4dxSXLr ..AG'AA.ed..fq,r„s,}x,mgn);.hsonly„from„above te. ......... �r� ............... .................... ... .... . .................................. Supe Lor APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date N.Qvember..23.......... 19..raS.. Instructions a. This application must be completely filled in by typewriter or in ink and submitted in duplicate 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 port 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 County, New York, and other applicable Laws, Ordinances or Regulations. The applicant agrees to comply with all applicable laws, ordinances and regulations. y (S nature of applicant) ti .Johns....(.P.V.T.)...Road,_Matti.tuck.,...X..X...... (Address) State whether applicant is owner, lessee or agent .......QW.nPX.......................................................................... Nameof Owner of premises .....Ray...A.....Schelia...................................................................................... 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 ...Mattltuck.....U..Y............................. Street and number ...,SSS..U..Qhns....(P.VT.)...Road..o££..E/.S.. ......... 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ....traiter...b..ofnp............................................................................. b. Intended use and occupancy ........SAMP............................................................................................ c. Period of time trailer is to be located on premises ..until...ab.1e...t.Q..bui1d.hPme............... 3. Fee .......$.5,..QA.......................... (To be paid on filing application) 4. Dimensions of trailer, length ..............55............width ...............1Q................ height .....llmra........ ... Registration Number ............................................Serial Number .....8...55..2'kK..15.8.......................... 0 5. Size of lot: Front ................IN......................Rear ............IN................ Depth ..........x.85........... 6. Date of purchase or lease of land ..............1962.................................................................................... 7. Zone or use district in which premises are situated............ A ...{x..."B...................................................... 8. Does proposed use violate any zoning law, ordinance or regulation? ....No.......................................... 9. a. Method of Sewerage disposal ...Cesspools.................................................................................... b. Source of Water Supply ............Well.......................................................... . ...................................... c. Source of Electricity ............. 0................................................................................................ 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. SEE ORIGINAL APPLICATION STATE OF NEW YORK COUNTY OF SUFFOLK ss Roy„A.;,.SChelin........................................... being duly sworn, deposes and says that he is the applicant named above. He is the ..........O .ner............................................................................... (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 ...........:2.�.............. day of 1 ' .................... 19( ... .. :. �:� � (Signature) X (Notary Pu c) P111iOn,) CHpPMAN NOTARY NUit6C, `�?, of P!ew York tin. 52-0515^s March 30. 1`l, � Comm'ss,on Exo TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ..Dae"bez 3............. 1968..... Application No. ...554..4Xt-1n-404...... Approved ..................................... 19........Permit No. ................ DfflW#WA%XW ..APDFQ.V..0..Cgs...'4iyunnift..R(1lXli4.W..t46ovet . ..................................................................................................... ��. .l 7 .. .................... ............... .... ... .............. . ................... Supe isor APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date .ATx VAVbeX...23......... 19..68.. Instructions a. This application must be completely filled in by typewriter or in ink and submitted in duplicate 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 County, New York, and other applicable Laws, Ordinances or Regulations. The applicant agrees to comply with all applicable laws, ordinances and regulations. . ..............�/�..�.........-ican.t)........... .........�..... . .....�. e. ( ignature of applic �-�.'�-�- (Address) State whether applicant is owner, lessee or agent ......a;KT.......................................................................... Name of Owner of premises .....ft.QY.Aw...$CkielAn...................................................................................... 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 ...,M&tt tUCk.....k1..X.............................. Street and number ...3/A--qQhT%4....(]?.VT.)...IK(Md..4?X9..F✓.$...KAIA..fK9.4.4 ...Xd.ttAtt.;AN......... 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ...tY;A4er..1.1..9"q............................................................................ b. Intended use and occupancy ........@$ ........................................................................................... c. Period of time trailer is to be located on premises ...%At.II...0.1@...t.P...l?.pl.14...14QMO.............. 3. Fee .5. 00.......................... (To be paid on filing application) ....... ........ . 4. Dimensions of trailer, length ..............55............width ...............1•.Q................ height .....114........... Registration Number ............................................Serial Number ..... ...5`1...T$K..15.$................I......... 5. Size of lot: Front .................10.0......................Rear .............100................ Depth ..........185.......... 6. Date of purchase or lease of land ...............19.fx2................................................................................... 7. Zone or use district in which premises are situated.............'%."..&...".W!................................................... 8. Does proposed use violate any zoning law, ordinance or regulation? .....Np.......................................... 9. a. Method of Sewerage disposal ....CBA.sp.0016................................................................................... b. Source of Water Supply ............Well............................................................................................... c. Source of Electricity ..............L.ILCQ............................................................................................... 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. SEE ORIGINAL APPLICATION STATE OF NEW YORK COUNTY OF SUFFOLK }ss. ...........................R9Y...Ar...CPA0.14".......................................... being duly sworn, deposes and says that he is the applicant named above. He is the ..........Ownes.............................................................................. (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 .........:X..�r................. dcy of G .... .. �d. t .rt2. ? .<c r............. 19...C.�./l.. L� c -� ....... . ................. /? (Signature) t t1 .... (Notary PLP ic) -1,M.nR .,,-....,1 NOTARY Fd _,6, No. S Got81UJ au 'rt 9911 Commission Expires March 30, 16ne October 26, 1968 Mr. Roy A. Schelin Johns (PVT) Road Mattituck, L. I. , New York 11952 Re: Trailer Permit Dear Mr. Schelin, This is to advise you that your trailer permit will expire November 23, 1968. Enclosed you will find partially completed application forms for renewing same. Please complete these forms, have your signature notarized, and return to this office with the required $5.00 fee. Yours truly, qI Z Howard Terry Building Inspector r TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT No. ...64.....Renewed Date ...FAY..1'f.P...1.968.............................. NameRoy..,&... Schal n............................... ............................................................................ Street ...JQb.n. 's...(FrAn&t0-ApAd........................................................................................ Town ........Mattit=k.....KwYw.................................................................................................. Your application for a (single trailer) ( ) permit was reviewed by the Town Board on ..............................ki8Y............ Y................ 19..0, and (was) 4444A approved. A permit is hereby issued to locate a (single trailer) r), license number............................ or serial number...Is...55...TEK...1.5$........... at........SIB..Sohn!.a..Road...PVT..road—off ....E/..S..k;ain..Hoad.9... attitur.,ka..N•. !............................................................................. pursuant to application dated ......Y47 79. . .0...................................... and the following conditions: Permit...r£tIl'1r'.we.d...Or..6...IDOA,ths...fr..an-1u'..;*...23.r..1916.&......................... ......................................................................................................................................................... .......................................................................................................................................................... TOWN BOARD, TOWN OF SOUTHOLD To Clerk 0 TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ..................................... 19 ........ Application No. .................................... Approved ...MAY...I!t.....................1 196$....Permit No. ................ X>ffi&0fft;40(1Xy&AX Approved..for...sl.x..months..on.ly................. from above date ti Supervisor APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date .......r:ay....23............. 19.68.. Instructions a. This application must be completely filled in by typewriter or in ink and submitted in duplicate 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 County, New York, and other applicable Laws, Ordinances or Regulations. The applicant agrees to comply with all applicable laws, ordinances and regulations. .. ... .:.. � '...t ?:. %..�........... (Signature of applicant) Johns,,, PVT),.Road,,..I,. tt.ituck ..................... (Address) mer State whether applicant is owner, lessee or agent ..........O................................................................................... Name of Owner of premises ..xRY..t!. ...?Chelin............ .............. ................................................... ....... 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 ...Zit.tt.7. =.Ii.q... ).PYn............................ Street and number ... ?./..*...J.AY)SIS...+i9:dtl....(PYT.)... n..Hp d„l attituck . .............. 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ........t.T.4.-JUA3:..UQxg4........................................................................ b. Intended use and occupancy se.'c:e....................................................................................... c. Period of time trailer is to be located on premises ....until..able to build home . . ................................................ 3. Fee .5 j�g................................. (To be paid on filing application) 4. Dimensions of trailer, length .......55..................width ..............1�.................. height .......?1.-6 Registration Number ............................................Serial Number ...S...J5..�K.A2............................ 5. Size of lot: Front ...........1.QD............................Rear ............1.QQ................. Depth ............. .8.rd......... 6. Date of purchase or lease of land .....1.G62............................................................................................. 7. Zone or use district in which premises are situated......."Arr &rrBrr........................................................... 8. Does proposed use violate any zoning law, ordinance or regulation? ....... 0........................................ 9. a. Method of Sewerage disposal ...........gmSp � .............................................................................. b. Source of Water Supply .................:.ell........................................................................................... c. Source of Electricity ..............................L.l ..� C.9....................................................................... 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 comer lot. Indicate clearly location of proposed trailer on prem- ises, showing distances from all buildings and property lines. See original Aonlication STATE OF NEW YORK COUNTY OF SUFFOLK 1 ss RO=y. .[i... .........e l SChel .iri......................I......................... being duly sworn, deposes and says that . he is the applicant named above. He is the ..................Ui•mer . ............................................................................. (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 ..................7..............r... day of y� 7 (Signature) (Notary Public/ CiUfRRY V'U 9'JC, :.�_s >l,N Yo,,* No. 52 06,813L, � 0m omiwnn Fepirn march 30, 1P. 0 0 TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ..................................... 19 ........ Application No. .................................... Approved .....Milky..J4.................... 1968....Permit No. ................ D X4@WMMXdIM ..Appraved..far...six..umanths..an).ysJ--..uiQnths..anJ.y............ ..............................frgm,abov„e date......................................... ......I......:......... ....... ��'�... . ..... � \ Supervi r APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date .......!%z.....?3............. 19.66.. Instructions a. This application must be completely filled in by typewriter or in ink and submitted in duplicate 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 County, New York, and other applicable Laws, Ordinances or Regulations. The applicant agrees to comply with all applicable laws, ordinances and regulations. -&gnot�e of applicant) Jnhna...(.P:P21-Road*..Mttituck...................... (Address) State whether applicant is owner, lessee or agent ......On@r........................................................................... Name of Owner of premises .AQ7..4.r...4.QbA.1Jz.......................................................................................... 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 ..Hattituck....R.Y............................... Street and number ..5./.S...TWIns-Road...LP.Y.T)..joPt...US--Xa1n...RGad..Hsttituek............ 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy .......traileT.AA01 8......................................................................... b. Intended use and occupancy .............%4mo........................................................................................ c. Period of time trailer is to be located on premises ...ilnUL.IILWAt...UlJ Uild ..h=O............ 3. Fee 5..t00.................................. (To be paid on filing application) 4. Dimensions of trailer, length ......17r0.................... ...........V................... height ......1.1!4.......... Registration Number ............................................Serial Number .$..55...T.FX..�.56.............................. 0 s 5. Size of lot: Front ...........100...........................Rear .............1AQ................ Depth .............18.5........ 6. Date of purchase or lease of land .....1.962............................................................................................. 7. Zone or use district in which premises are situated.......„A°..dcpll"............................................................ 8. Does proposed use violate any zoning law, ordinance or regulation? .......31p....................................... 9. a. Method of Sewerage disposal ...........GeS.pOD1S.............................................................................. b. Source of Water Supply .................i`.0.13.......................................................................................... c. Source of Electricity ..............................1.1.1.co....................................................................... 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. See original Application STATE OF NEW YORK �u COUNTY OF SUFFOLK AOp A• Schelln ............... . ........................................................................... being duly sworn, deposes and says that he is the applicant named above. He is the ................ ? e ......................................................I................. (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 ....... . . . 1J,1A . .. %........................... 19. ..E ......X..... ......C. : (Signature) i Notary Public MILDRED CHAPM0 NOTARY PUBLIC, Stale of PlaC York ty No. 62-061C1UJM S'c"ol0 C10o_—X. commiasron I'xP May 2. ,19" Mr. Roy A. Schelin Johns (MV) Road Mattitu " C, b.1., Draw York 11652 Re: Trailer permits Mar Mr. ichelin? This is to advise you that your trailer permit will expire May 29, 1%9. amlosed you will find partially completed application form for renewing $ane. !lease eaaplste these forms, have your signature notarised, and return to this offiee with the required 95,00 fee, Very sincerely, Howard Te syildipg as ,tom' TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT No. 64.....Tonowd Date .....AT.UM...6*...1967........................... Name .Apy..Ap_.BohtllA.......................................................................................................... Street ...!TGZffi�s........ ..............................................................:...................................... Town ......................................................................................................... Your application for a (single trailer) (permit was reviewed by the Town Board on ................................... .......23................. 1967..., and (was) (vet) approved. A permit is hereby issued to locate a (single trailer) 11 1 1,t), license number............................ or serial number...R...55..TFA..158........... at........5/.&..dohms..Rd..(PIT...RA0.►.W.►...o;r.x. ....R/8..X&JA.ROad}..Xaxtituck,o...Nole............................................................................ pursuant to application dated ..............M#Y......10.....1,96..7.......................... and the following conditions: ..DQx: 1t.."Xk6 .ad.Jo.r...6..loaQ th9..rroR:- day...23*..19.67........................ ............................................................................. ............................................................................ ............................................................................. ............................................................................ TOWN BOARD, TOWN OF SOUTHOLD Town Clerk 0 TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ......May...23.................. 19 6d.... Application No. ...... Approved ..................................... 19........Permit No. ..64......... l###### #r #•.Appr.oued..for....6-months...f.r=-Xay..23.,...l967 .................................................................................................... ....... ........ ................ ..... ......it...................... t... Supe isor APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. 44 ,( Date ........S:3;t� ....JS ,......., 19..w2.7 Instructions a. This application must be completely filled in by typewriter or in ink and submitted in duplicate 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 County, New York, and other applicable Laws, Ordinances or Regulations. The applicant agrees to comply with all applicable laws, ordinances and regulations. �eR.......: . �. (Signature of applicant) .John.!.s...Road...(PV.T4..Matt ituck Y...New...York (Address) State whether applicant is owner, lessee or agent ...........Owner............................................... ....................... Ro A Nameof Owner of premises ...........,X.............Schelin................................................................................................... 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 ..Mattituck� New York .................... Street and number ..#2 John' s Road (PVT R.O.W. ) , EA Main Road, Mattituck ................................................................................................................................. 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy .....Traiier..home........................................................................... b. Intended use and occupancy same c. Period of time trailer is to be located on premises ....unitl..able. to build home . ....................................... 3. Fee ...... .$5. 0 0.......................... (To be paid on filing application) ....... .. 4. Dimensions of trailer, length ...........SS.1.............width .......IW...................... height ..�a .....�2............. Registration Number ..................................... S 55 TEK 158 ......Serial Number ............................................................ t' r • 5. Size of lot: Front ............ 0.............................Rear .....i00'..................... Depth ...185, ................ 6. Date of purchase or lease of land ...........,1.962 from Boucher ..................................................................................... 7. Zone or use district in which premises are situated..........A r...& B ...................................................... 8. Does proposed use violate any zoning low, ordinance or regulation? ...........NQ..................................... 9. a. Method of Sewerage disposal .......cesspools „••.I....... b. Source of Water Supply ..........,...well•,,,,,,,,,,,,,,,,,,,,,,•„ ........................................ C. Source of Electricity ..................LILCO ...................................... 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. SEE ORIGINAL PLOT PLAN � o STATE OF NEW YORK 1 COUNTY OF SUFFOLK ss ��&' 7zr S r? /• !)�tG• i tom..., being duly sworn, deposes and says that he is the app{icant named above. He ....... (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. /X Sworn to before me this ...... ..................... day of 'yy J} ....: .. (Signature) (Notory Public)/' MILDRED CeF,.-"1'7: NOTARY FU C!IC, No. 52-0618100 Suiicl'� G�ry - commission €zpuas Macch 30. 19�_ v TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ......Ift .Al..................1 1967.... Application No. ..6JNP!k19A@4...... Approved ............................:..:.:.., 19........Permit No. .. ......... �..Approxtal.,£eu..�..mAnit►S...f, .. 3:... x967 ................................................................ . i�f�'/Y'"" '7• ...................... .......................:...................................... Supervisor APPLICATION FOR LOCATION Of SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. XDate ........ '�Ezs ..../.G:.�... :19. .�. Instructions a. This application must be completely filled in by typewriter or in ink and submitted in duplicoig to the Town Clerk. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises 61E 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 County, New York, and other applicable Laws, Ordinances or Regulations. The applicant agrees to comply with all applicable laws, ordinances and regulations. (Signature of applicant) .John!.&.Xaad...(7M.nattituck.--iiiew...York (Address) State whether applicant is owner, lessee or agent ...........9!!"r...................................................................... Name of Owner of premises ...... 3Chelin 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 ... attituCk, New York .................................................... #2 Jehn'S Road (PVT R.O.N. ) , RA !Iain Road, Xattituak Streetand number ................................................................................................................................... 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ai'3'� hG1oe ......................................................................................I...................... b. Intended use and occu one same. c. Period of time trailer is to be located on premises ....uA..........it ... arl able to build home .. ....................................................... 3. Fee .....A5..0O........................... (To be paid on filing application) 4. Dimensions of trailer, length ..........5V.............width .......lV1...................... height Jkl.'...6............ Registration Number ............. S SS TEK 158 Serial Number ............................................................ 5. Size of lot: Front ........... 100.r..........................Rear .....100.r...................... Depth ...185................. 6. Date of purchase or lease of land ...............1962...................from...Bouchez...................................................................... "A" & "B" 7. Zone or use district in which premises are situated..................................................................................... 8. Does proposed use violate any zoning law, ordinance or regulation? ..........moo . ...................................... 9. a. Method of Sewerage disposal .......Cesspools . ................................................................................ b. Source of Water Supply Well c. Source of ElectricityLILCO ......................................................................................................................... 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. Ws ORIGI1RAL PLOT PLAN STATE OF NEW YORK lss. COUNTY OF SUFFOLK J /� •`J�`••:< •• ••�.�.ts •(t. c .�r[! r ::t lam•./ . 4 C. ( 4being duly sworn, deposes and says that / f he is the applicant named above. He is the ...........0.....?.:........................................................................ (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. xSworn to before me this ..........�.4..................... day of Ur/ cryU (5 nature) (Notablic) NOiFai �.;IaCK Gountf No. on EX IM% 30 1V Commission ExpiBS Merck March 30, 1967 Mr. Roy A. Schelin John's Road Mattituck, New York 11942 Ret Trailer permit Dear Mr. Schelins This is to advise you that your trailer permit will expire on April 18, 1967, Enclosed you will find partially completed application forms for renewing same. Please complete these forms and return to this office with the required $5.00 fee. Sincerely, ;J - .L Howard Terry Building Inspector HT^d enc. TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT No. ..6t...ext tided Date .......QC 0P;r...2.5.f...1.90............... Name ....ROy..A.`...SAhelin....................................................................................................... Street ........J.ohn!.S..Road.....MT.).......................................................................................... Town ...........Matt,itUCk*...N,Y°s............................................................................................... Your application for a (single trailer) ( d=1 permit was reviewed by the Town Board on ......VCt,..18,r..1966................................. 19........, and (was) (wj5t3C& approved. A permit is hereby issued to locate a (single trailer) (ham), license number............................ or serial number.........g...51y..T9X..1.8...... at....S/Z...grivate.••Road.-off...S/S..Main..ROad ..............Mtt.i.tuak,.. ?..T.A...................................................................................................... pursuant to application dated ....1.966........................................ and the following conditions: P.ermit..reneved..far...b..montha..from..QC.t..18#...19.66......................... .......................................................................................................................................................... .......................................................................................................................................................... TOWN BOARD, TOWN OF SOUTHOLD 0 0 TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ...QGtghf r...J.�.............. 19 .bb... Application No. .64..Renewal . . . ........... Approved ..................................... 19........Permit No. ................ x Approved for six months..onl,yjrom,........ above date. Superviso APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date ..................................... 19........ Instructions a. This application must be completely filled in by typewriter or in ink and submitted in duplicate 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 port 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 County, New York, and other applicable Laws, Ordinances or Regulations. The applicant agrees to comply with all applicable laws, ordinances and regulations. 2�G- G• ). (Si otufe of applicant) j.ahn'.s...liaasi...(VV .�)...kld kt7 L1�?4.,... 9ew„York (Address) State whether applicant is owner, lessee or agent ........ .................................................................................. Roy A. Schelin Nameof Owner of premises ............................................................................................................................. 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 ..Matti.tuck, New York . ................................................. Street and number ..#�..John' s Road(PVT R.O.W. ) , E/S Main Street, Mattituck ...................................................... 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ..........Trailer..home...................................................................... b. Intended use and occupancy same C. Period of time trailer is to be located on premises ......until...able. . ... ... to build. . . . ..home. . ............ .. .... .... . .. .... .. . .. . .. .. .... .. 3. Fee .............$5..QQ................... (To be paid on filing application) 4. Dimensions of troller, length .............5.5.'...........width .........1Q.1.................... height ...,11' 6.......... Registration Number ............................................Serial Number ....... 55 TEK 158 5. Size of lot: Front ........100.r..............................Rear .......100.r..................... Depth .......185.............. 6. Date of purchase or lease of land ......1,962 from..Boucher . ........................................................................ 7. Zone or use district in which premises are situated...... A"„&, "B, . 8. Does proposed use violate any zoning law, ordinance or regulation? .Al?............................................. 9. a. Method of Sewerage disposal ..................Cesspools ......................................................................................... b. Source of Water Supply .........................wel.) ................................................................................. c. Source of Electricity .............................. ........ILCO ................................................................................. 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. SEE ORIGINAL APPLICATION STATE OF NEW YORK j COUNTY OF SUFFOLK ...N. ... ..................... ng my orn, 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. /C Sworn to before me this ..........! ..................... day of (Signature) (Notary PublicY mi_o .Ec c As;acr+ NGTARY PHLIC, S' .:_%' York s'e et No. 52 C61810G Counts Commission Exp�res Mz ch A 19 lam_7 TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ...poiobsa•••18.•••.••.••.•.. 19 .".• Application No. .(,4..R8 ;........... Approved ..................................... 19........Permit No. ................ &v4ggB[RJE%kx9eS6cAppr.oY ad..far...sl x..stanthx...Qn.1.Y...f irm........ .00Y.ItAo t ................................................................................ Supervisor APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date ..................................... 19........ Instructions a. This application must be completely filled in by typewriter or in ink and submitted in duplicate 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 County, New York, and other applicable Laws, Ordinances or Regulations. The applicant agrees to comply with all applicable lows, ordinances and regulations. /............. ........................................... .. ature of applicant) � es...toaaQ { }••liatfi4teae� ltew..?Orlc State whether applicant is owner, lessee or agent .......OWIM......................................................................... Nameof Owner of premises .....JRQY..Ar.... ..................................................................................... 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 ..Nattitucrk.-Raw...Yozk.................... Street and number ..Street,...Hattit%u* 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy .........Traiia!'..temo...........................................I........................... b. Intended use and occupancy .........NAM.......................................................................................... c. Period of time trailer is to be located on premises ...until...abllR..f.Al-build.23Ai 0............ 3. Fee ............$5.00.................... (To be paid on filing application) 4. Dimensions of trailer, length ............Sp...........width .........1D•'.••••••..••••••••••.. height ....11.'...fi!........ Registration Number ............................................Serial Number ......d..$$..'.) IIIIK..158......................... 100, 5. Size of lot: Front ..............................................Rea r .......100...................... Depth .......185............. 6. Date of purchase or lease of land ......1962 from...Soueh. �. . ..... ......... .... ............................................................. 7. Zone or use district in which premises are situated....... .. .. Sp......................................................... 8. Does proposed use violate any zoning low, ordinance or regulation? .AR............................................ 9. a. Method of Sewerage disposal ..................06HepD018..................................................................... b. Source of Water Supply ..........................welx................................................................................. c. Source of Electricity ..............................LMIP .............................................................................. 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. SBE 0alcomm- "PL3)CASI01 STATE OF NEW YORK COUNTY OF SUFFOLK •• ••• r•>•••• ................... .... ....... .....��........ being my s orn, deposes and says that he is the applicant named above. He is the'N'...7 .....................I............... 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. i�Sworn to before me this ..........:......................... day of tiVw� s' Z/..... ......... ... (Signature) (Notary Pubh N0TA',1' fv York zlk County Commission Ewres r,!w-o 50. 19_,9 September 1. 1966 Roy A. schelin John's pond Xattitvck. Nov► York Rot Trailer permit Dear Mr. Schelias This is to advise you that your trailer permit will expire this month. inclosed you will find partially coat- plated apIfteation forms for renewing pour permit. Please Complete thank forms and retsrn to as with the 65.00 lee. Wry sincerely. Howard Tarry Building Inspector Ad one. I TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT No. .....64..Renewal Date ....March T3, 1966 . ....................................... Name .........&9.y..A.,, Schalin.................... . Street ...........John'• Road ................................................................................................................ Town Mattituck• few .Tork ............................................................................................................................................... Your application for a (single trailer) OPPAPIM permit was reviewed by the Town Board on .......................................#!1. 94*... ............ 19.66.., and (was) (APPMapproved. A permit is hereby issued to locate a (single trailer) 000MAK license number............................ or serial number.......B$.,5 1'js............... ot..PllVita right. .99.."y..(JohnIS Road) off the east side Main Street, Mattituck, Now York ......................................................................................................................................................... pursuant to application dated .................. 1a1Ch..lA..196.6......................... and the following conditions: ......p M#...is.,.granted for six months only from the date .................... 9f..App ................................ ........................................................................... .......................................................................................................................................................... TOWN BOARD, TOWN OF SOUTHOLD / Town Cler 0 0 TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ..................................... 19 ........ Application No. ....64, Renewal,,, *ppt**. .....March..22...............1 19.6.6...Permit No. ................ �Dsx t��eu3xot}acx...Appravzd..far...si.x..manihs..on.ly..frOro... j date of app...icat,ion —� % ...�.... y Su a iso APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date ..............March..l....., 19...66 Instructions a. This application must be completely filled in by typewriter or in ink and submitted in duplicate 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 County, New York, and other applicable Laws, Ordinances or Regulations. The applicant agrees to comply with all applicable laws, ordinances and regulations. ............................................................................. (Signature of applicant) *A..RQ 3...UT91...MAt;ti:tUCX,...New..York (Address) State whether applicant is owner, lessee or agent .....Owner ........................................................................... Name of Owner of premises ..................RoY..%...SSS.Iel?,R......................................................................... 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 ..X4.ti<.4,t!a.9,SF.,.JTAW..XQ91.................... Street and number ............#2 John! s Road,,,,(PVT„R.O,W,,,),,,E/S„,N�a} Mattituck ................. ........... . 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy .......xxad.J.ex...home......................................................................... b. Intended use and occupancy ......Same............................................................................................. c. Period of time trailer is to be located on premises .U.t3tIl...WAq...;4..>2.Rkld„klolt}e............... 3. Fee $5. 00 (To be paid on filing application) 4. Dimensions of trailer, length ......5.5....................width ............1.0................... height .......7 ........ Registration Number ............................................Serial Number ..$55TEKI.58..................................... 5. Size of lot: Front ......100.................................Rear ..........100 Depth ....... 185 ' ................. 6. Date of purchase or lease of land ....1962..from„Boycher,•„.,•,•, 7. Zone or use district in which premises are situated........................:'.A.'.'...&c...1.li,"..ais*r ict.................. B. Does proposed use violate any zoning low, ordinance or regulation? .....Na.......................................... 9. a. Method of Sewerage disposal ......cesspools.........................................................................I....... b. Source of Water Supply ..............W.e,11............................................................................................ . 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. (SEE ORIGINAL APPLICATION) STATE OF NEW YORK COUNTY OF SUFFOLKK� }ss. •.............. ��•.•• •• t ..... .................... being duly sworn, deposes and says that he is the`applica t nomed 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. /worn to before me this .........�..�....../...... day of ...................... 19....(CI.?� 4d..G.�cry.. - (Signature) (Notary Public) MARIOiI NOTARY PUBLIC, Nh txP[�sJmarSh W. 19_i/p 7 TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ..................................... 19 ........ Application No. .....6.4..Renewal Re.ne.wa.l........ *Vow11d ....Aar.Gh..ZZ................ 19fifi....Permit No. ................ ttatsxnl<tsx...P,AA.rnved..far..s i .man[hs..actl.y...f.rcxir... date of application ... ........................................................... Supe ' or APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date ..............ila7teh 1 19...66 Instructions a. This application must be completely filled in by typewriter or in ink and submitted 4n duplicate 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 County, New York, and other applicable Laws, Ordinances or Regulations. The applicant agrees to comply with all applicable laws, ordinances and regulations. (Signature of applicant) John'* Road...(IPY'!')..lgat 4.*.....1i tv...XQrk (Address) State whether applicant is owner, lessee or agent .....Owtter........................................................................... Name of Owner of premises ................. 'X..A. SCbell:In.............................. .................................. ......... 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 ..11attALUCk,..flew..York York.................... Street and number ...........#z John's„ Road,,(BV'P, R.O.M.) E/8 /laltf $treett„l4tttituek ........ ....... 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ......TZ,aAllm-h: ......................................................................... b. Intended use and occupancy ......$ ............................................................................................. c. Period of time trailer is to be located on premises thitll„dDle..t0,build he+me . .............................. 3. Fee .......$S......00................................ (To be paid on filing application) 4. Dimensions of trailer, length .....".0..................width ...........IQ.*.................. height ......AIX-.4.......... Registration Number ............................................Serial Number A.55 5..6..................................... 5. Size of lot: Front ..............................................Rear ......... 100................... Depth .......185............. 6. Date of purchase or lease of land ....1962from...Boucher. . . ..... .... ...... .................................................................. 7. Zone or use district in which premises are situated.........................-.A. i.....".B" D18ti1Ct............•..... 8. Does proposed use violate any zoning low, ordinance or regulation? .....*QQ.......................................... 9. a. Method of Sewerage disposal ......"SOP001s ............................................................................................. b. Source of Water Supply .............wall . . .............................................................................................. 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 comer lot. Indicate clearly location of proposed trailer on prem- ises, showing distances from all buildings and property lines. (MB ORIGINAL A•PL=ATION) STATE OF NEW YORK COUNTY OF SUFFOLK ss .7....... .................................. 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. /worn to before me this ............d.. -e.............. day of n ........................... ,9...G?. v ; .. ... . � .......... .... .. (Signature) (Notary public) oan_ H 'T NOTARY H' IC, NerJ m fxpires TMarch V3 �19� �] 11!71 March 4, 1966 Roy A.- adh*141 in ,7ohn'a .Aoad Mattituak., New York Rot Trailer "vomit D*ar Nr. "helin: This is to 44VIsre yqq that your tiailor, permit will expire on Marsh 30, 1966. fieeloNdl yoo will find partially empl4ted! applileOtUft *circa. ter reaewinq Your persiti, please eoMpleto there form- and . Aurn to at *I* the $5.04, 960. -fiery sincerely, Howard. Skrit1► - xtlildllaag Inspaatos ne; ;` 17 0 1 TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT No. ......64-Aanewal Date ...December..22...1965.................. Name ......RQY...A,....8.cholu..................................................................................................... Street ........ ................................ ........................................................................... Town *1.k"#4!;NA..*ew..York............ ............................................................................ Your application for a (single trailer) JOEM3 [) permit was reviewed by the Town Board on .......................December...21...................... 1965..., and (was) Dga=t) approved. A permit is hereby issued to locate a (single trailer) (OCK30 , license number............................ or serial number......855TEK15a................ at.....John'.s..Road...(ftt....Right..01-May) .......east..aide-Maln..ROad....Nattituck.•••New..York................................................. pursuant to application dated ........................SoRtembelr...3A......1965....... and the following conditions: 4rom„8®ptember„30,..1965 .......................................................................................................................................................... .......................................................................................................................................................... TOWN �BOARD, TOWN OF SOUTHOOOLD .� ��-. ......... T n Clerk 0 TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ..................................... 19 ........ Application No. .........15.'k..R(AAAWd.7.... Approved ..................................... 19........Permit No. ................ x&WW6W ..4Rj.Y...f Eq-ul........ the..date..gf..th.is..aau.1.isax.iso........................................ Suervisor APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date ....S. P.tembex.3.0..., 19...65. Instructions a. This application must be completely filled in by typewriter or in ink and submitted in duplicate 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 County, New York, and other applicable Laws, Ordinances or Regulations. The applicant agrees to comply with all applicable laws, ordinances and regulations. .. .. ................................ �-i�qnar2re of applicant) John' s Road Road,,,(PVT) Kattituck,, New„York (Address) State whether applicant is owner, lessee or agent ....................QWX3eX'.............................................................. Nameof Owner of premises ................. ......................................................................... 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 Mattituek, New York ......................I........ . ................ Street and number .#�..... LX.eeb....Xat; ItIl k 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ...........TX:a.7ler..klome..................................................................... b. Intended use and occupancy .............Same...................................................................................... c. Period of time trailer is to be located on premises V2 1,,,abbe,,, o„build home................ 3. Fee .......0,t,00......................... (To be paid on filing application) 4 Dimensions of trailer, length ..551.....................width . .9.'............................. height ...a,A-.rl.............. Registration Number ............................................Serial Number .....555.Tgr.?;OifS ................................. 0 9 5. Size of lot: Front ..10A..'...................................Rear ...........10.0................... Depth ...........J.$.5.......... 6. Date of purchase or lease of land ...1..62...fx.q.m..A.P.U.0he.: ............................................................... 7. Zone of use district in which premises are situated.........".A,'.'...RQ5.....ix..A9V.........1# ..':B:'....................... 8. Does proposed use violate any zoning law, ordinance or regulation? ............No.................................. 9. a. Method of Sewerage disposal .......cesspoo.ls................................................................................ b. Source of Water Supply .....................................S7.el'l...................................................................... c. Source of Electricity ..Long..Island..Lighting..Co.............................................................. 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 comer lot. Indicate clearly location of proposed trailer on prem- ises, showing distances from all buildings and property lines. STATE OF NEW YORK COUNTY OF SUFFOLK }SS. (� tS a�.�.......i:-1. .......?.f ..................... being duly sworn, deposes and says that ........................... . at .U — � he is the applicant named above. He is the ................:..............y..C . 'JV.kr.�...:.......................................... (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. o�_b Swor to before me this .................... ............... day of '1 X!a? ................ 19.. ... ! ...':L.:.. '� ...........:...... ... 1 (Signature) 4N.. ry Public) k WILLIAM G. ALBERTSON Nosry Public, State of New York -t No 520033800, Suffolk County Commission Expires March 30, 1914 i • TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ..................................... 19 ........ Application No. .......... 6�..ReneMe}.. Approved ..................................... 19........Permit No. ................ xRjG4RXF0WGdLm(xx••Renewed•-for••six..isonths.•on•i y.from....... ••the•date•o8••thl•s••appllcatton.......................................... / .. fes�. . Supervisor APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date .....geptember..3Q., 19...$43 Instructions a. This application must be completely filled in by typewriter or in ink and submitted in duplicate 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 County, New York, and other applicable Laws, Ordinances or Regulations. The applicant agrees to comply with all applicable laws, ordinances and regulations. — 4 / (Signat r e of applicant) gs••Road...(OW.)...Nottiteck-r- few.-York (Address) State whether applicant is owner, lessee or agent .....................OwneS............................................................ Name of Owner of premises ................... If applicant is corporate, signature of duly duthorize hall ice? ..................................................................................... (Name and title of corporate officer) 1. Location of land on which proposed trailer will be located .............lfit;tit4JGkv..ilgw--Y40Kk......... Street and number .-*2,,...fohp.rs••Road;••• afs••ilatn••8tzeet•;•••Mattftuck 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ............ 2Tatler..hx�................................................................... b. Intended use and occupancy ...............Sam—................................................................................. c. Period of time trailer is to be located on premises ..pnt3� tebie h.0 bts3ld belle•••••••••••••. 3. Fee ..#5w00....................... (To be paid on filing application) 4. Dimensions of trailer, length ....55t....................width ...}or........................... height .....}l,6.R......... ,Registration Number ............................................Serial Number .......85539Si 055ilMSS............................... 5. Size of lot: Front ..300.x...................................Rear ..........lOtit................. Depth ..........,185!......... 6. Date of purchase or lease of land ..1962...!!'ORl I.Boucher............................................................... 7. Zone or use district in which premises are situated.....,.!A?!...g&a,,...&.,.A.........j„«S 8. Does proposed use violate any zoning law, ordinance or regulation? ............So.................................. 9. a. Method of Sewerage disposal .......ceasp0018................................................................................ b. Source of Water Supply .....................................well...................................................................... c. Source of Electricity ..ton+g..Za3atnd.•L• tghting••Cor............................................................. 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. STATE OF NEW YORK i COUNTY OF SUFFOLK (� ......................................................I.... .................... being duly sworn, deposes and says that he is the applicant named above. He is the ....................... teJ rV.V-_1 .?........................................................ (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 ................... 19. ?° ..... .per/.....:. /.. ........................... ... 4 " / ttII /\ i ' rI l (Signature) (Not Public) WILLIAM G. ALBERTSON Kle,%q Public. State of New York No, 520033800, Suffolk County Commission Expires March 30, 19b� December S, 1965 Mr. Roy A. Schelin John's Road Mattituck, New York 119.2 Re: Trailer permit Dear Mr. Schelin: Please be advised that your trailer permit expired on October 27, 1965. On September 30, 1965 you were sent application forms for renewing your permit. Please complete these forms and return them to this office before December 21, 1%5. Very sincerely, Howard Terry Building Inspector /bd September 30, 1965 Mr. Roy A. Schelin Joh6Ia Road Mattituck, new York 11952 Res Trailer Permit Dear Mr. Schelins This is to advise you that your trailer permit will expire on October 27, 1965. Enclosed you will find partially 000pleted application forms for renewing your permit. Please complete these forms and retrun to me with the $5.00 fee. Very sincerely, Howard Terry Building Inspector HW/bd Snc. TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT No. .64...Henewal Date ..Apr.11...2g'...1965.......................... Name .....ROS/...A....fthelin ..................................................................................................... Street .......John!.X..1RCad............................................................................................................ Town .......NAtt;M%;CJk....NAW...YOXk............ ............................................................................ Your application for a (single trailer) (000=0 permit was reviewed by the Town Board on .............................Apr11...27....................... 19..65.., and (was) (`YW-M) approved. A permit is hereby issued to locate a (single trailer) 0011300151M license number......]Q=......... or serial number.....55.5TYXIS8................. at..............Sohn••s.•Roadv•••.Pvt.•-•itight••of ..........way.)...east..eide..Main..Road....11attituck,...1trw...York................................. pursuant to application dated .............................April.-20v••-1.965••.••••••• and the following conditions: .pormit..la..grtnted..for...six...(.Fi1-manths...from..Apri]...27.,...1965 ............................................................................. ............................................................................ .......................................................................................................................................................... TOWN BOARD, TOWN OF SOUTHOLD ...... .... � ... .- ,8 .... Town lerk TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ..................................... 19........ Application No. ...6.4..renewal....... ''J Approved ..................................... 19........Permit No. ................ :... Dlsapproved`ofc . .. -1 Oa r- .... -0'1'-A, i CT "'r,11. _ ......... ......... ............................ . .. f ..... ...... . ........ .. . . ................................... Su (visor APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date ..................A.PrAl.....2Q..... 19.6.$.. Instructions a. This application must be completely filled in by typewriter or in ink and submitted in duplicate 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 County, New York, and other applicable Laws. Ordinances or _Regulations. The applicant agrees to comply with all applicable laws, ordinances and regulations. 0�. .... .. ............................. (Signot(are of applicant) (Address) State whether applicant is owner, lessee or agent.........Owner.................................................................... Name of Owner of premises ....RpY...A!..Schelin' ... .... ....................................................................... 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 .....blatti.tusk.f...IIT....J............................. Street and number#Z..J.Q.ba2..13oad... ,..l:11atthturk............ 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer; a. Existing use and occupancy trailer home........................................................................... b. Intended use and occupancy ..............S.ame.................................................................................... c. Period of time trailer is to be located on premises ..U.Cltd.l...able...tp..:glAld.. acuse.......... 3. Fee .......... ...5^9Q.................... (To be paid on filing application) 4. Dimensions of trailer, length.............55..............width ..........ID................. height......11.—..6................. Registration Number ............................................Serial Number .... .................................. 5. Size of lot: Front .....1Q.Q................................Rear ..........100............... Depth .....1a5..................... 6. Date of purchase or lease of land .........162,,,from„Bouch;T . ............................................................ 7. Zone or use district in which premises are situated ........!!A!!..&...'.'$!'...dis:t:.................................. 8. Does proposed use violate any zoning low, ordinance or regulation?.......S1Q.......................................... 9. a. Method of Sewerage disposal .............. ......................................................................... b. Source of Water Supply we11................................................................................... c. Source of Electricity L. I.L.Co 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. f i i I y f1 f l — ,. . r O t ?A h 'J I STATE OF NEW YORK Iss. �(�'1 COUNTY OF SUFFOLK ° ..��.....5.0�k�.: ..................................................being duly sworn, eposes and says that he is the applicant named above. He is the ..........::.:.:..........1 k✓ .-Z�..................................................... (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. rh ... 2 t m' this ..............:z...7.............day of Sworn to before m — / --� n /�. ......... . .. ............. 19...6.:7.... .......... ...7............................................................... �- (Signature) ......... Notary Public) NANCY R. CCU^,LASS NOTARY PUBLI'- of New York Residing in. Soilolk County Clks. No. 52-6086585 Commission Expirs 41arch 30, 1965 0 0 TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ..................................... 19........ Application No. ...&.-reneWai....... Approved ..................................... 19........Permit No. �`............. i n . . 1:, r) _ .. 1 ...::.... .k?..:.. ...:..... ..... .. � ................................................................................. .................. ......... ......... ........^ •• f .......................... Supervisor APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date ..................4W.11.....20..., 19.65.. Instructions a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Town Clerk. d. 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 County, New York, and other applicable Laws. Ordinances or _Regulations. The applicant agrees to comply with all applicable laws, ordinances and iregulations. ,, , .- ... - ............................... (Signat re of applicant) Jahn!s..Road,..(.PYY J.•.Nattituck*..X.Y..... (Address) State whether applicant is owner, lessee or agent.........Owner................................................................... Name of Owner of premises .....Roy..A,r...fth*I IV� .......................,....................................................... pF applicant is corporate, signature of duly authorized officer. Name and title of corporate officer) 1. Location of land on which proposed trailer will to located ......Nattltuck,•••N,..Y.........................•• Street and number#12-Johns.-Road...GFIFT...R.O.W..)...R,/8._Xain..BLr..MattLtuC]e........... 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ........trailer..home.......................................................................... b. Intended use and occupancy ...............SAM................................................................................... C. Period of time trailer is to be located on premises ...Until.-able...to...bu:Lld..hoUo*......... 3. Fee ..........s...51JW.................. (To be paid on filing application) 4. Dimensions of trailer, length..............5.5..............width ...........y0................ height.......,Um6................ Registration Number ............................................Serial Number .....$5.5T1Q0................................. 0 0 5. Size of lot: Front .....,N................................Rear ..........1 .............. Depth ....181x..................... 6. Date of purchase or lease of land ........1962 YTOm..BOUlheP. ... ............................................................... 7. Zone or use district in which premises are situated ....... b"...6F.. !!...dist.................................. 8. Does proposed use violate any zoning low, ordinance or regulation?.......xtA.......................................... 9. a. Method of Sewerage disposal ..............R.P.SS.A.4Q141......................................................................... b. Source of Water Supply ........................well . . ............................ c. Source of Electricity L.I.L.CO 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. {�t r y a• STATE OF NEW YORK 1 COUNTY OF SUFFOLK ss. .�,?> i °l ..........................being duly swc oses and says that l he is the applicant named above. He is the ............ .........:./.V.I?C.i............................................................ (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. 7 Sworn to before me this .............:LZ..............day of ............ 'Zt �.............................. 19. .5..... �� .. c%� ........................... (Signature) .L� .G(11 �'. �.:..lL!4 C �C/I[ .................. (NotaryP lic) VNICY R. COMA NOTARY rffUJ!;. Ete, of New Yorti Resir!Ing ''.n Suriolk County Clks. fto. 51 bu"5635 Commission Expires P;r;ch 30, 1960 i • April 20, 1965 Mr, Roy A. Scheline John's Road Matti tuck, N.Y. Dear Sir= Enclosed please find partialy completed application forms to renew your trailer permit which has expired. The Town Board meets again on 7th to review applications, if you have it back by then I will take n for you or you may take it directly to them with a fee of !6 5.00 Yours truly 41�rw(�,, � L)I^'A Building Inspector 40 TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT No. ..61 ......extended Date ...........October—I.,...19&............... NameRqy--A,--8ahe1tn.............................. ............................................................................ Street ....John?-s ..Road............................................................................................................... Town ......Matti-tuck................................................................................................................. Your application for a (single trailer) ( EUM) permit was reviewed by the Town Board on ............Reptember.....2.9.....1961.............. 19........, and (was) boU=t) approved. A permit is hereby issued to locate a (single trailer) jbbt§ffC2* license number............................ or serial number... T3'.551 .TM..58.................. at...........F/S.....JoImA.g..ROBd........................... ...................................................Mattjtu.qk................................................................................. pursuant to application dated ......."ptember.....3y......1-964..................... and the following conditions: -Permi-t—i-asued...for-&-mon-ths...from•...Srpt•...29Y...3.964......................... ......................................................................................................................................................... ......................................................................................................................................................... TOWN BOARD, TOWN OF SOUTHOLD ....... 6-W.- Cl'.rl �� ��� �������U � v �� rro � ��n ^�^���� � ov~-,��^ � ���� ��K�� x �°v�� / � ^~��m�� ~� ^^vunn��� SOUTHOLD, N. Y. Examined -. utx..2q'....., Application No. .6��.. .. Approved .................,, l9........Permit No. ......�!j...... .........a�,��.. ���������%lt` �, r ­).ove ^`^^^—^~^~~^~°~~~~^^^~`~^~^^^^^^^^~^^~`.^^^—~- .`.... o°.~^°~ °.....�° ~~°..~...~~~.. ...— APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Dmte ..........8 apteatber..319.64. Instructions u. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Town Clerk. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets nrareas, and givingndetailed description oflayout ofproperty 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 tnthe applicant. Such permit shall bekept nnthe 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 o Trailer Permit pursuant to the Building Zone OrdinanceofthelownnfSoutho|J, Suffo|k [nunty, Nov. `/ork, on6ctheropp|icnb|eLu*/s Ordinances or Regulations. The applicant agrees to comply with all applicable laws, ordinances and regulations. � �� ' - � � _x—�__+~�_,,~,,,,._^_,,. ( znot�kurr of opp|icont) °....—.. (Address) State whether applicant is owner, lessee or agent '..�\M8r...—.~.....—..—...........—..... Nome of Owner o( premises ....]lpy,A. ,apbellne,,,,,,,,,,,,,^,,_,,,__..,°~,,,.,,,,,,,,_ If applicant is corporate, signature of duly authorized officer. (NomeondtiHeofcnrpnroteoff��d l. Location nfland onwhich proposed trailer will belocated ....Matti±uck.7.J�v��°... ....................... Street and number ....#2.J8}lna-R/Jad...(PVT. ..�/5;...M*ln..Reead4—^^.^^~.' 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer- a. Existing use and occupancy .........Tl����i�Te�� �}�n�u�............~......~`..—.—~........... 6. Intended use and occupancy ............$=.e............-.....^^—~..—.....~.~' C. Period nftime trailer istobc located on premises ...llIlti]^,@ble.�o.��glld..hfq&se.... 3. Fee ......S.5�O0 ......... (To be paid on filing application) 4. Dimensions oftrailer, lenuth......55...ft..........width .........10'ft........... height .....11-n6 ,,^,. Registration Number ............................................Serial Number 5R..................................... 0 0 5. Size of lot: Front ...........100..........................Rear .........100............... Depth ... 185..................... 6. Date of purchase or lease of land ..........1.962...from....Boucher....................................................... 7. Zone or use district in which premises are situated .............A!!...&.1i....dl.Sti.................................... 8. Does proposed use violate any zoning low, ordinance or regulation?................3].0................................. 9. a. Method of Sewerage disposal .................Cess,POo1S...................................... ............................... b. Source of Water Supply ...........................Well ............................................................................... c. Source of Electricity ........................ ........L..I..L.zo............... ...................................................... 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. 'P Tf1ea�� 1 STATE OF NEW YORK l pj COUNTY OF SUFFOLK 1 t � ..........1.•�..G.. ...........:.... FC /.....................................being duty sworn, de ses and says that he is the applicant named above. He is the ..........0.n1).4EA)................................................................... (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. CC /� Sworn to before me this .............i2...r:................day of +� � ................. ............. ... y . . ............ (Signature) ...........;l.. Notary Pu11 blic) NANCY R. DOUGLASS NOTARY FUD:IC. Stata of New Y0111 Residing in Suffolk County oks. No. 52-6066635 Commission Expires March 30, 1961 TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ...AVAtA...290............ 19..6 ... Application No. ...................exended I.............. Approved ..................................... 19........Permit No. ...... ..... EMNWMA .!K&stxaxed...faze..a.Ia.-Manths...fnam-above date Supervisor APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date ....................September..3196 .. Instructions a. This application must be completely filled in by typewriter or in ink and submitted in duplicate 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 County, New York, and other applicable Laws Ordinances or _Regulations. The applicant agrees to comply with all applicable laws, ordinances and regulations. (S1gin ure of applicant) John!..s...R9$a.t...ft t t?�G>;s r.Y.*............... (Address) State whether applicant is owner, lessee or agent.........OMPT................................................................... Name of Owner of premises ......... .ROY $. SCh®line . .............................................................................................. If applicant is corporate, signature of duly authorized officer. .................................................................................... (Name and title of corporate officer) 1. Location of land on which proposed trailer will be located .....�ttituck.t...R..l'............................. Street and number .....#2.1.alms...Raad... .....Main-Road................. 2. State existing use and occupancy of premises and intended use and occuponcy of proposed trailer: a. Existing use and occupancy TPa11eP home b. Intended use and occupancy ........................same C. Period of time trailer is to be located on premises ....bR7lti 1.01e..t.Q.Ja11lld...t3f U50....... 3. Fee ..........$..15.0.0................... (To be paid on filing application) 4. Dimensions of trailer, length..........55...;..........width ..........10-ft.......... height............470 . . .......... Registration Number ............................................Serial Number .955T. 5$.................................... 5. Size of lot: Front ...........IN.........................Rear .........100............... Depth ... 85..................... 6. Date of purchase or lease of land .......... 91 62..PTOm..•.,Bouc ler....................................................... 7. Zone or use district in which premises are situated ..........".A!!...1k.8!!...da &t................................... 8. Does proposed use violate any zoning low, ordinance or regulation?................T.1Q................................. 9. a. Method of Sewerage disposal .................. ..................................................................... b. Source of Water Supply ............................Weld ............................................................................... c. Source of Electricity ........................ ........L..I.L.CA..................................................................... 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. If I lc I 1 I t <, n --- �--- - STATE OF NEW YORK lss COUNTY OF SUFFOLK I 1•� ••...`?.,..:...:��!.4{ :L.�:y.l /.........................................being duly sworn,�eposes 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. IkI Sworn to before me this .. 19.Z..r C ` �c No Pu ....................na ........................................ 4 i ry (Signature) 'a�f.41/l .......... f bli ,i;C� r ASS NOTAP :8..4, L L'Illy ., ^ 'fitly York Clk,. Na 5?608uSA5 Commission [xfires March 30, 190 September 39 1964 We Roy A. Schelin #F2 Johns Road Mattituck, N.Y. Dear Sir; Your trailer permit will soon expire! Enclosed are partialy completed forme for renewal of same, Kindly complete them and return to me with $ 5.00 fee if you wish to renew the permit, The Town Board mets on Sept 8th at 3;0* PM an will receive applications at that time. Yours truly Building Inspector 0 r TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT No. ......64........ Date ...................September...2 ....... 963 Name ...Apy..A...Schelin ................................ ............................................................................ Street ..... Ale side Main„Road) Town .....MSttltuck.t.. New._Y9=k. . . .......................................................................................... Your application for a (single trailer) (hXV0VAW[permit was reviewed by the Town Board on .........................SePte r..;A............. 19..53.,. and (was) (approved. ..... A permit is hereby issued to locate a (single trailer) (A , license number............................ 85STW5.6.............. at Johns Road (pvt, r.p.w. s/e orserial number.............................. ................. ................................... side Main Road) , Mattituck, New York ......................................................................................................................................................... p pp Se tember 9, 1963 and the following pursuant to application dated ..............................:�.......................... penuit renewed for one year - September 24, 1964. conditions: ........................................................... ...... ........................................... ............................................................................ ............................................................................ .......................................................................................................................................................... TOWN BOARD, TOWN OF SOUTHOLD . ;........:;;;�o........... TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ........Sep.tambax..2.4..... 19..63... Application No. .{Zenet:al Approved ......September„24 1g63.....Permit No. .6.......... Disapprtsvattalld.Approved...fox..Ane...yea.r...onLy...f.rom..abave date , Z2 1 1104 ....... Supervisor, Town of Southold, N.Y. APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date ....... ........ 19..63.. Instructions a. This application must be completely filled in by typewriter or in ink and submitted in duplicate 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 cr 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 County, New York, and other applicable Laws. Ordinances or _Regulations. The applicant agrees to comply with all applicable laws, ordinances and regulations. .. . r . ..Gi........................... (Signatbre of applicant) ......................... (Address) State whether applicant is owner, lessee or agent...�';in=r.......................................................................... Name of Owner of premises ..... ':.4 '...ti,... CJ;S Tl................................................................................. 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 ..... �att.1.hlack. ...i:................................... Street and number ..sT.afU;l:... SJ.::G. 1?. 9...A.)................... 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ......t1-a J.i a-...hrm.............................................................................. b. Intended use and occupancy ............... .................................................................................... c. Period of time trailer is to be located on premises ...Ula.t i.7...2.b1:::..:Lo...1r:j ......... 3. Fee ...........[....51.x.................. (To be paid on filing application) rr 4. Dimensions of trailer, length..............�.a..............width ...............1.0............ height........�.L-.Ct.............. Registration Number ............................................Serial Number .......5.5T2-1.0............................... 5. Size of lot: Front ..........10.0 10.0...........................Rear .................. ...... Depth ............ 05.............. 6. Date of purchase or lease of land ..... 1 rc."1.. ;SL.C.}::: ............................................................ .......... ..... 7. Zone or use district in which premises are situated .......'.'. .. .'.t ..... di t ....... . ........................................ 8. Does proposed use violate any zoning low, ordinance or regulation?.............no,,,,, 9. a. Method of Sewerage disposal ............c,^ ; poo.l............................................................................. b. Source of Water Supply C. Source of Electricity L LC'Q• .................................................................................... 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. i i i STATE OF NEW YORK COUNTY OF SUFFOLK ss. Roy A. cne_ln ...................being duty sworn, deposes and says that he is the applicant named above. He is the ............ o.i.mF;r... ...................................... (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 ............1Y..1�k..........day of .. , .................. 19....6.3... ... ��:...52. .. . r.1 ... ....... ...................... ` , (Signature) .................< ......... ,. (Notary Public) TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined .......&aptainbar..24.•.•, 19.63,... Application No. -ReneW81•-OP••#••,64 Approved ......Saptamhaf..24......, 1963.....Permit No. .64........... Disq pmautAxKk Approved..for...one..year...only..from..aboue. date / ...................................................................................................... Supervisor, Town of Southold, N.Y. APPLICATION FOR LOCATION OF SINGLE: AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date .......g,eptember.....9 ........ 19-463.- Instructions 9.46j..Instructions a. This application must be completely filled in by typewriter or in ink and submitted in duplicate 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 cr 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 County, New York, and other applicable Laws. Ordinances or _Regulations. The applicant agrees to comply with all applicable laws, ordinances and regulations. '��./.... .az.S�> ............................. (Sig ture of applicant) It(Xiadre0))2r3 ROet13...Mattltuck......................... State whether applicant is owner, lessee or agent..Owrler.......................................................................... Name of Owner of premises .....M If applicant is corporate, signature y outTiozed officer. .................................................................................... (Name and title of corporate officer) 1. Location of land on which proposed trailer will be located ...14at.tStUok.i... ' ;-f-i............................. Street and number #2...Johns••iloaey(•••pVtw• )................... 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer- a. Existing use and occupancy .....f:Ta.j.le.2`..home............................................................................. b. Intended use and occupancy ...............senB.................................................................................... c. Period of time trailer is to be located on premises ..unt•1$•••able...to•-build••.house•"•"•" 3. Fee ..........$...5s.00................... (To be paid on filing application) 4. Dimensions of trailer, length.............5.5..............width ...............}0............ height.........1.1_6.............. Registration Number ............................................Serial Number .......5'55TYK-1-Y$............................... 5. Size of lot: Front ..........10.0..........................Rear ..................100....... Depth ,..........15.............. 6. Date of purchase or lease of land ..... 2.....from...J30UC,Y}e.T ............................................................. 7. Zone or use district in which premises are situated ....... A"...&!!BI!, ...dist. . ... . . ...................................... . . 8. Does proposed use violate any zoning law, ordinance or regulation?............n0.................................... 9. a. Method of Sewerage disposal ............C f!jMPq 1............................................................................. b. Source of Water Supply .......................W0.11.................................................................................... c. Source of Electricity .......................LILG.O... 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. U� I I f +1 48 aI'i*� L rJ tl" TALX�� STATE OF NEW YORK }ss. COUNTY OF SUFFOLK Roy A. .CT�elin...............................................................being duly sworn, deposes and says that he is the applicant named above. He is theOwner ................................................................................................ (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 ........l..1. ................day of t� .................f/ .. ... & - /-�/ / 3 (Signature) (Notary Public) September 9, '1963 Mr. Roy A. Sehelin Mattituokq N.Y. Dear Sir; Your trailer permit # 64 will soon expire. Enclosed please find renewal application blanks. Kindly complete them and have notarised and return to me with a $ 5.00 fee if you wish to renew same. Yours truly Building Inspector t TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT No. ....&.......... Date ......September..fig-i...1962............. Name ..Ray ..A. 9theitTl............................ ............................................................................ Street .......2..5..R-1var'i.iegh...Axle............................................................................................ Town ......Riverhead...................................... ............................................................................ Your application for a (single trailer) (jjq'ij!R5ff) permit was reviewed by the Town Board on .......................&# PteMbor........8............., 19162..., and (was) u� approved. A permit is hereby issued to locate a (single trailer) kkift56 license number...595...1-7-7........ or serial number....855T.M.5S.................. at......2...JUhne--Rd..-,...PVT....ROWr...O€.f........ .main...Road...-RT2.5,F...Matti tuck....................................................................................... pursuant to application dated ........................Stp-pt<-k%ber.....11}.....19622..... and the following conditions: ...permit...i msued..For••one••ye-ar...Prom••above••date.............................. .......................................................................................................................................................... ............................................................................ ............................................................................ TOWN BOARD, TOWN OF SOUTHOLD TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ..........$AR.t.MWX..I.$.... 19...62.. Application No. .................................. Approved ..........$JgAt.MhPA.r..].$... 19...6Z.Permit No. ...64......... A%zoppmavalxWim.Apir.aved..for..ane..year...only..f.rom..aboue date Supervisor APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date ....513.pt=t1Qr..a..4............. 19..6n. Instructions a. This application must be completely filled in by typewriter or in ink and submitted in duplicate 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 County, New York, and other applicable Laws. Ordinances or_Regulations. The applicant agrees to comply with all applicable laws, ordinances and regulations. (Signal a of applicant) (Address) State whether applicant is owner, lessee or agent..........QXM.A :.................................................................. Name of Owner of premises .... ...tr.Q...be...pv=h"edby...i1pplIci 1t...=..apl-xwa1 If applicant is corporate, signature of duly authorized officer. OY permit. .................................................................................... (Name and title of corporate officer) 1. Location of land on which proposed trailer will be located ......:::.....::....:.....a......l... .t......................... Street and number ...A iQ...1V.QWN..R0.ifGj....(,Rxx.V-a-t-Q...rozd..jo:X...RodiQ...,'.5.).......................... 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ....;;.Oud..Jand.................................................................................... b. Intended use and occupancy .AQ.!AQ................................................................................................. C. Period of time trailer is to be located on premises ..... .:. .:.: ..:: .......... .i................)R...`vQ.bpold. 3. Fee .... r .rp........................... (To be paid on filing application) 4. Dimensions of trailer, length.....&5...fgpt..........width .....yix..#•®et.......... height.....1.1-ft.l91—O... nehe8. �rG . ....Serial Number ....:.: ,_ _. .• Registration Number .....:.:.t..::..: .................................................. 5. Size of lot: Front .......jQj0..S.oe.t..................Rear .......10C1..feet...... Depth ....1.1 5..teat......... 6. Date of purchase or lease of land ......te.G...@...P.vx..wA,1.>.0... ............. 7. Zone or use district in which premises are situated .....reaiden.L:Ia l..and...buzIrwza.............. 8. Does proposed use violate any zoning law, ordinance or regulation?....nq............. 9. a. Method of Sewerage disposal ......OP.8APDAls................................................................................. b. Source of Water Supply ..............paint..AP.d...pump..................................................................... c. Source of Electricity ...................L!t ,...0.Qa............................................................................... 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. see sheet attached STATE OF NEW YORK 1 COUNTY OF SUFFOLK (� .....1i01•..A....SGUJA 5.................................................................being duly sworn, deposes and says that he is the applicant named above. He is the ......1ntendad...owner........................................................ (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 opplicat;on filed herewith. Sworn o beforg me this ............ ....................day of . 19........ . ..e�C./cx-e l (Signature) ......... . ........................ ........................................... wA[dOS y dika o Notary PokLe in tiv-^" c` flew York '.'Jilty l/ Commissic -= cii 30. ?O6 j" • i - • � y✓XT�R � J - WA i • el"s POO • - � t I woo ps _.--- X, John Bvatcher, do herr state that I approve of Oe placing; of a mobile home on, the property described in the attached applicmtion- presel�tly ovmed by ire arol to be purchased ;y goy it. & Joanne Schelirn. TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined September 18 1 19...62. Application No. Approved Septembgr...l$............. 1962°...Permit No. ..64.......... ®1sYsj§151dV idfnc ...AP.P.! RY.ecj„fpr„pne..Y. Q. e dale ............. .................. ... ......................I............. . ... ...... Supervisor APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date ... ............. 19... ,.. Instructions a. This application must be completely filled in by typewriter or in ink and submitted in duplicate 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 County, New York, and other applicable Laws, Ordinances or _Regulations. The applicant agrees to comply with all applicable laws, ordinances and regulations. �y !••.. ......................................................... (Signature of applicant) Ad v...:�:. (Address) .... State whether applicant is owner, lessee or agent.........-i:- 1 :................................................................... Name of Owner of premises ..vf ...... _ .... Y. 7`.. ' 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 ...i. ,,::... :.:i..G.'.:a... :.f...Y:........................... Street and number...-..” A:..... ... ._............................ �. ........................... 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. , Existinguse and occupancy ' P Y ....:. :........-::.-........................................................................................ b. Intended use and occupancy ....: ...:.................................................................................................. C. Period of time trailer is to be located on premises clJ I,:. :. 3. Fee ............................................ (To be paid on filing application) 4. Dimensions of trailer, length.....:. ....:.....:...........width ............ height.....�,:...t,4a:+...;:...::. Registration Number .....:...........I...........................Serial Number ............ ...... ....................................... 5. Size of lot: Front ......... .. ..........r....................Rear ....... :: ...::::._:: ...... Depth .......... 6. Date of purchase or lease of land .'..:r...: ........' ' ... :.,.. ....i. 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 ...... v. .:).:. ;::: +.................................................................................. b. Source of Water Supply ............. >7. .......r...........M.:..................................................................... c. Source of Electricity ...................R,:.T::'..:....v.:.:............................................................................... 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. STATE OF NEW YORK ss. COUNTY OF SUFFOLK 4:............... LTr .................................................................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 efore/me this ..........(.... ... .......day of ............. 19..6....... . ................................. (Signature) J . 4. . .... (Notary ublic) WALTER R. SILLECK Notary Putlic in the Siwe of New York Residi .pry • • • - • M �cX A. ScNkbiN • • • • dAT,�n f - - • C I o _ - • _ oI Li • • - eis$, Pooi • - - 47f7 --�_ - WoOvs' _ ' ?, John Foi:.tcher, do heOg stwte that I wprror� oP�he placing of a mobile home on the property described in the aitt:.ch.ed appJ_ieat' on- rresertly owned by no and to be purchased by Rog I.. & Joanne Schelin. g