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HomeMy WebLinkAboutBosnyak, Richard JUDITH T. TERRY TOWN CLERK REGISTRAR OF V~TAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 FAX (516) 765-1823 TELEPHONE (516) 765-~.801 December 11, 1996 Dear Mr. Bosnyak: Enclosed is a refund check in the amount of $100.00 with regard to your application for a trailer permit, which was denied. I asked the Town Board to consider issuing this refund inasmuch as they were unwilling to grant the permit. They agreed. Happy holidays! ~ JUDITH T. TEP,~Y TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 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 NOVEMBER 26, 1996: RESOLVED that the Town a refund of $100.00 to the filing fee for his Town Board. Board of the Town of Southold hereby authorizes Richard E. Bozsnyak Jr., which amount represents trailer permit application which was denied by the Ju.dit. h. T_. Ter~r.y . Southold Town Clerk November 27, 1996 TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ApProved .................................... , 19 ........ Permit No ................. APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date ...... :.~..~..~......~... .............. , 19..~...(-~'. Instructions a. This application must be completely filled in by typewriter or in ink and submit one copy to the Town Clerk. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property and proposed location of trailer must be drawn on the diagram which is part of this application. c. Upon approval of this application, the Town Board Will issue a trailer permit to the applicant. Such permit shall be kept on the premises available for inspection. d. No trailer shall be occupied or used in whole or in part for any purpose whatever other than specified in permit. Application is hereby made to the Town Board for the issuance of a Trailer Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations. The applicant agrees to comply with all applicable laws, ordinances and .ou,o,ons. UNDA ~, TAOOAI~ ..................... ~III~PI/d~oIHIWY~ (S'g a u · o applicant) ~a~lltlll~ae Expires Ma~h ~, 1ge.._/ (Add ress) State whether applicant is owner, lessee or a ent ....... ~. Name of Owner of premises .../~/./..~.~..(-~.//."~.J~.~. .................................................................................... 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~.~.~.....~.~.~,,~/4/]"'~/)'/? 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ..~_.¢/.~.(--~.....~.....~../.~..~.........~......~....~....~..~.J~....~. .............................. use and oceupa,,, ............................ b. Intended c. Per od of tree tra er s to be ocated on prem ses .~..~./..----- ...... ...~...t~<~..~J- /--...~..~......~ ........ 3. Fee /Od), aa (To be paid on filing application) 4. Dimensions of troiler, length .............. .m..~.....width ................................ height ............................ Registration Number ?~..~..~......h~.~......Serial Number ..... ,,~.C~, ............................... : Size of lot: Front ~' ~C~r-' Rear ................................ Depth 6. Date of 'pufcl~ase or lease of land ........................................................................................ 7. Zone or use district' in which premises are situated ........................................... 8. Does propos?d useiviol~e any zoning law, ordinance or regulation? ~ 9. a. Method of Sewerage disposal ............. ...~..~...~....~. .............................................................................. b. Source of Water Supply ................. .~..~.¥.-~.. ................................................................................ c. Source of Electricity ............................. ~ ............................................................................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whe~cher 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 SUFFOLKjss' . ~ ,,,~,,,c~,. c~ ~ ' /~O~.~/'~...~...C~.. ~(~being duJy sworn; deposes and says that ~' 'i';"h'~"~'~p ~;"n~;"~;~. ~1;" i";~"iiiil[iiilji....~'ii~.'.~.'i~.~..? ......................................... (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. UN~ ~. TAI~AI~T