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HomeMy WebLinkAboutAkscin, Raymond J.i t TOWN OF SOUTHOLD I TOV~N CLERK'S OFFICE %, .~, SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT L .............. Date A~.ril 28 1976 Street Cezar ~each Road Town do~thold I'~ .Y. Your application for a (single troiler) (~ permit was reviewed by the Town Boord on .......................... AD~.I1....28. ................... , IGC.6..., ond (wo$) (~ approved. A permit is hereby issued to ~ocate a (single tFoiler) (~icense number ........................ or seria~ number .~.o.....b..e.....s..u.~.D.l.i.e..d. ............. ot ...}.~./.S....~Y..v...l.9.w.....Rg&(l .................. Southold ~,~ .Y. pursuont to appli¢otion da,ted ..... ADm. il....20_....1.9~.6 .................................. and the fo~Iowing ¢ondition~: Permit ~.~.~.~ fo~ ~l;f mgnth~, from ~p.~i~_ 27. $9.~6 .(renewabl,) TOWN BOARD, TOWN OF SOUTHOLD %. ................. ............................. TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ........ :.(?/i?....~. ............ , 19.~..~'.. . ...... Approved ........... ~ ,.i~. ........ , 19 ........ Permit No. Disapproved a/c ............................................................................ Application No .................................. .................. Supervisor APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR~ OUTSIDE OF TOURIST CAMP. Date .~....~.. ........ ..~.......o~...., 19...7...~. Instructions a. This application must be completely filled in by typewriter or in ink and submitte~ 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 I~oard 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 s~ecified 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 SouthoId, Suffolk County, New York, and other applicable Laws Ordinances or _Regulations. The applicant agrees to comply with all applicable laws, ordinances and regulations. (Sig~'a~ure of a~ficant) ...... ..... (Address) State whether applicant is owner, lessee or agent ................. !.~......~..~.~ ....... (-2....c~.....~....~'..~ ...... ner of prem,ses . ............ ...~..A ............................ ~.~O*J~/ ~ Name of Ow ' .~. : .......................................................... If applicant is corporate, signature of~'~July authorized officer. (Name and title of corporate officer) 1. Location of land on which proposed trailer will k~e located ~..~..~..~..Z~uJ ~ Street and number ,/~.~.~ ~.T/~ ~..(d..~.~/./z~?~. .... ~...~. ........ .~...t~..~.,/~...~. ....... .~..~.r~..~. ........... 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing useandoccupancy ....... .~...,~..ffr/ ................ ~t ........ ~.~<~-~..'~...~ ~.~ b. Intended use and occupancy ~.,)~.~ ...... ..~.~.~.~....~..~~...~..t~.%Z~.~ ...... c. Period of time trailer is to be located on premises ...~.5 ........... ~?......~...~..~... 3. Fee ............................................ (To be paid on filing application) 4. Dimensions of trailer, length ................................ width ................................ height ................................ Registration Number ............................................ Serial Number ............................................................ /0 5. Size of lot: Front ............................................ Rear ................................ Depth ..................... ~ .......... 6. Date of purchase or lease of and ....... /..2...~...(~.~. .............................................. 7. Zone or use district in which premises are situated ,.,~J ....... ~.~.,¢....'.T../~i.~P~ ...................................... 8. Does proposed use violate any zoning law, ordinance or regulation? ............ ..~...~..~....¢-.. .......................... ~. Method 9. of Sewerage disposal ................................. .~. ................. .(~../t4..o.~./.. ....................................... .~..~..¢. b. Source of Water Supply ..... ........ ..¢-...~..Z..~...,M'..~' ......... ~..~,././(.......~....~.Z..4~.....7~.. .......................... c. Source of E ectr cty .~...~'...~ ....... .~..~....Z. ......................... £ .... ~ ................. ..,~... 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 trdler on prem- ises, showing distances from all buildings and property lines. STATE OF NEW YORK 1 COUNTY OF SUFFOLK~ss' (owner o~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(/.d4....~.. ........... day of .............................. ...... ....... ......... ........ ................ 6/ ' (Notary Public) ~Ut~ITH T. BOKEIq TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ~1,,/'~ 7. , 19..7~..Permit No...?../~. ....... Disapproved a/c ............................................................................ Application No ................................... ............. ......... ............... Supervisor APPLICATION FOI~ LOCATION OF SINGLE AUTO/v~OBILE TP. AILER OR HOUSE CAR/ OUTSIDE OF TOURIST CAMP. rote ..... ~t .................... .>..., 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 laws, ordinances and regulations. .................... 'g~ture of al~ca~ ) ....... ..... (Address) State whether applicant is owner, lessee or agent ................. :~.~ ...... 2~.~:': ...... ~.:..-~.....~....%,.Z~,~,. ..... Name of Owner of premises ..... ~.z~.~...'~.~?...~...~.... ...... .~........~'J./~.~..~.Z.A~. ........................................ If applicant is corporate, signature of (July authorized officer. (Name and title of corporate officer) 1. Location of land on which proposed trailer will l~e located ....~'.~'...~...~.'..-M.....~.~. ............................. Streetand number ,-/~,~' ~ L ~.~,d-~ ~.'*.~. ~.~ ........ ~.?~/-~.~:.-,~..&/. ....... ../~,~...~ 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ....... .~..z:~./~ ...... ~ ....... .~*~i ......... ~./~J.~Zt~¢,.$~ ........................ b. Intended, use and occupancy ~.¢ ....... *.~.,Z..~./1...A ...... .~.~.t~_¥2.~.~..¢¢~ ...... .~...t~..G/.../r~.~.? ..... c. Period of time trailer is to be located on premises ..... ~.'.~..~....~.~......::.~..-..~. ..... 3. Fee ............................................ (To be paid on filing application) 4. Dimensions of trailer, length ................................ width ................................ height ................................ Registration Number ............................................ Serial Number ............................................................ 5. Size of lot: Front ............................... ?,~,.5.~ear ................................ Depth ...................... ~ .......... 6. Date of purchase or lease of land ............................................................................................................ 7. Zone or use district in which premises ore situated , .................... jl~ ~"~,~ - .4<~.~¢.¢ ................ ........... 8. Does proposed use violate any zonino law, c~o~ regul~.t~,gg?$...~)O.1 ~z.~ o~ ....................................... 9. a. Method of Sewerage disposal ...L, ................... .j.....)./ r)u~'/'/'l -- ...... .~.~,..~.. ....................... .... b. Source of Water Supply ..~.~. Z"~'~i'~"Ic'~Z'C .... "¢Y"/~")~t ......... .~.4 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. 16) STATE OF NEW YORK / COUNTY OF SUFFOLK~ss' ............... .,~.Q..4¢'.. ................ ~..._~....,~... ............................ being duly sworn, deposes and says that he is the applicant named above. He is the ...~.~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 con~'ained 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 .... ........... ....... ...... ............. ......... ~'7~ ......................................... (Notary Public) JUDI'fH T. BOKEN Notary ~ut~Jic, State of New York No 52-0544963 Suffoik Couc,~tfT/7 Commission Expires March 30, 197L/