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Home My WebLink AboutAmfar Asphalt Corp TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT Date .............. t~vember...8.f.-.-'196,~ ......... Nome ...Amfal~..As.!0hal~;...C~l~ ............................................................................................. St reet ....... ].~'.. ~0~.. ~t ............................................................................................................... Town ......... Ee. St~.y~......L,.I, ................................................................................................ Your application for a (single trailer) (~r) permit was reviewed by the Town Board on ............................... ~O~e~..~ .............. , 19.~2.., and (was) (~) approved. A permit is hereby issued to locate a (single trailer) ~), license number ....... A2-~i~..Traller Cc or serial number ............................................ at.N/B...~.dd.te...Road, i...W/S...W.ickham..~e ..... ............................................................................................................... pursuant to application dated ........................... ~V~F...~.i...~.~~ ........ and the fallowing c o n d i ti on s: ....Pe~m.i.t...l s-su~..-f~r-, s~--m~ths--.from...a~ve., al. ate j....for.- of f.i c e -.~s~..~l~. ................................................................................................................................. TOWN BOARD, TOWN OF SOUTHOLD TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ..... ~JgY. g~]~.q r... 7. ........... , 19.6..2. .... Approved ..... NftY..~[oJ~.R-F...7. ........... , /9..6.2.....Permit No ...... .6.~. ....... Application No ..... .6..6. .......................... above date. //'/~ ~..~_ .................................................................................... ;.:; ........ Supervisor APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Dote .~..~...~..*.....,.~. ...................... · 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 o 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 apl~lic,abl_e, lows, ord regulations.- ~''~ ~ ~/.~...~..-'nances and (Signature of a/~/l~ant) "' C~i~. ........................................... ................... ..... (Address) State whether applicant is owner, lessee or agent ........ f~../..~..../~..~..-Z..'~ .......................................................... Name of Owner of premises .Z~....~...~.. ....... /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 ....~....~'.......7~.../~'...~.......~?..~..?.../,~.. ~'~.~..~.~ ~..~'.././.~.~(,~- Street and number ...~......,~/~Z-...~...~...~..~-~....~.....~....,:~......~Z.d..~...,~Z..,d(..~..:.~....-~......,~..~.?2.~..z.;~..~_~...~.:.,:~Z/......~ 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ..... ~..z~.~..~;./...('.xc..~........~....'~...-~.../.~...~....~. ....................................... b. Intended. use and occupancy ......~....x~.X~../..(-.~.....Z,~...,~.¥.~....~.~./.,~. ........................ c. Period of time trailer is ,o be located on premises ..... ~.....'~../~..~.~..~..~..~7..-:'~...:~. ....................................... Fee ............................................ (To be paid on filing application) Dimensions of trailer, length ......... ..~...~..T...o. ......... width ....... ../.f? ...... g: ........... height ...... ..~.....~....0... ............ Registration Number ....~..~..(...~zt¥~.,~.,¥~......~....~.Seriol Number ............................................................ ................................ Depth ...................... : .......... 7. Zone or use district in which premises ore situated ....... ~....~/:.~../...~'.?-..-~ ........................................ 8. Does proposed use violate any zoning law, ordinance or regulation? ......... ...~..~..'. ..................................... 9. a. Method of Sewerage disposal ....... ,(.~.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 trailer on prem- ises, showing distances from all buildings and property lines. STATE OF NEW YORK ~ss. COUNTY OF SUFFOLK h. ~ the .pp~c..t ..m.d ~bow. H~ ~ the ~:....~7Z~.;..b~.~.~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 a~licaHon filed herewith. Sworn to before me this ............... .,~'~....~'..____ .......... day of ........................... ................. , , ......... ~ , ~ ~ /~ (Signature) .... .......................... {Nota~ Public) ~1~ BOWDEN ~ Public, State of New iding in Suffolk No. 52-0367800 ~ Commiss{o~ Expires March ~, TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ..... J~Yf~J~.~r...]~ ........... , 19.(~ .... Application No ..... .~.~. ........................ Approved ..... I~.~J~.~£..~/ ........... , 19.(~....Permit No ......(~ ....... above dace. /' /" ~ ~; Supervisor APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE OUTSIDE OF TOURIST CAMP. CAR, 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 thon 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 oil app/~icable laws, ordinances and regulations. .'~.--~' -, -(Signature of .......... -,~--- ... ~.~. Z)...~/...7 · Z~.~.~.. z~z/~, ...... (Address) State whether applicant is owner, lessee or agent ........ Q~,~.~.'~, ......................................................... Name of Owner of premises ..... .,,~..~'T..~:x .... /_,~,Z.z~..~.~..;¥ ............ If app icant is corporate, signature of duty authorized o~rficer. '"' (Name and title of corporate officer) 1. Location of land on which proposed trailer will L'e located .....~...~......~...~.~.....~.~.~.~.....,~...[..,~..~. Street and number .....~'~ ...... ,~',.,~'?/~t......~.~fT.,~..~.....~..~.....~,~'./.~d~..,dx'...~...~;l....~....~?.~..TZ/:.x .;~-.._,~....,,~...../_ ~-, 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ...... ~..~.~../.~.~.-~......~.~...~./..~...~.....~ ................................ c. Period of time trailer is to be located on premises ....... ~..~.~,~..,,~(.~ ..................................... 3. Fee ............................................ (To be paid on filing application) 4. Dimensions of trailer, length .......... ,,:T.~<,~.z.O ....... width ......... /.~ ...... ~: ......... height ........ ~.....~..O. .......... Registration Number .....~,z.~',¢,~,,,r,~......~.-~.,...~erial Number ............................................................ 5. Size of lot: Front /..3~-t~ w- Rear / ''~- ~ + Depth / o c~ - o 6. Date of purchase or lease of land ....~.~../d..,....~..7 ../...~.~......~... ........ : ........................................................ 7. Zone or use district in which premises are situated ....... ~..//.~x~.4~....~7.'.~..~. ...... .~.) ............................ 8. Does proposed use violate any zoning law, ordinance or regulation? ......... .~..~.. ...................................... 9. a. Method of Sewerage disposal ....... ./_.~.~..~. ........................................................................................ b. Source of Water Supply ......./9.!~E..4.. ....... ..~.C?. ~.~.g...T.,..~ ................................................................... c. Source of Electricity ......... .~../.Y..."~...~..~.~. ............................................................................................... 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 1 COUNTY OF SUFFOLK~ss' · ~.~.,~/,~.~...~.'.~..Z'/x/..."~.....Z~.....~~~.--¢~..' lng duly sworn, deposes and says that he ~s the apphcant named above. He is the ................................ J~. ......... . .... ~ c~.~ (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 ................ .M......x. .......... day of ....... ................ .......... .................................. .................................. (Notary Public) £LOI~ BOWDEN ~s P~blic, State of New iding in Suffolk County No. 52-0367800 qPW~ Commission Expires March 30, ltlcz "~