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Home My WebLink AboutBowers, DorothyNo. TOWN OF $OUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y, SINGLE TRAILFR OR HOUSEC IR LOCATION PERMIT Date m-~h 11; 1~ Name Street Town Your a~plication for a (single trailer) ~oermit was reviewed by the Town Board on ~~l~j.~, and (was) ('~'~_~_"_*~_ approved. permit is hereby issued to locate x (single trailer) 4~,~3~, license or serial number ~-2~4392 number at &/l~ ~augles ~rive~ East of Luthar R~a~. pursuant to ~pplication dated ~.__~.~_-y ~ ~,,=,~ conditions: and the following AS sho~n on appli~ation dt~_m~m; fn~- I,~a,,i'~n.+. TOWN BOkRD, TOWN OFSOUTH@LD Apflication No../..~. .... llsapprcve~. .................................. .................... ( Supervisor .... AP2~LICATI.ON .FOR .LOCATION OF SII[GLE A~'IT0~,HBIIZ~"r ~ TRY, ILDR OR HOUSE CAE, 9UT, SIDE OF 1' ' ~ ......... ...... 'Instructions ~.'''THT~ 'ap~_l£c~fc~ 'must'be 'com!~ete~y 'fille~ in 'by typewriter or 'in ink. and sub- mitted in duplicate to the Town Clerk, ' ~.'' ~ ~I~n shdwi~g location oF'~-s:nd 'cf buildings on premises, relationship to a~joining premises or public streets or areas, and giving a detailed description of layout of property and proposed location of trailer must be drawn cn the diagram which is part of this ~pplication. 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 sp~ction. d. No trailer shall ~e accupied er used in whole or in part for any purpose what- ever other than specified in permit. Application is hereby nm.de to the Town Board for the issuance of a Trailer Permit pursuant to the t~uilding Zone ~rdinance cf the Town oF $outhold, Suffolk County. Pew York, and other applicable Laws, Srdinances or Regulations. The applica*t agrees to comply with all applicable laws, ordin~.nces and regulations. (Signature of apDlicant) Address ~ State whether applicant is owner, lessee or agent, owner Yams of Swner of premises ,.. ~Q~9$~.$~.w~E$ .................................... · ~f applicant is a corperate, signature cf duly authorized officer. (i~me and title of corporate officer) sL~cati°n of land on which~/.~roposed~8.u~$~trailer~y~wlll be located ....... . .... [ ........ rest and Numbe¥ .......... , .......... . ..... ;...... ...... ..., State existing use and occuvancy of premises and intended use and ~ccupancy ~f propomed trailer: '~'.' E~s~[~g'~s~'4~d'¢ccupancy vacant land private home b; Intended use and occupancy . ............................... . c. Period of time trailer is to be located on ~remises indefinitely 3. Fee.. .' ................... Itc be paid cr~ filing rTl~lication~ Registration ~ber .... ...., ............. Seri~ ~ er.,... ......... February 16, 19~ 6. Date of ~urcha~e or lease of l~d.. ....................................... I~oes proDosSd u~e violate ~ zoning law, ordino~co or re~lation?~ 9, a. Method of Sewgrage disposal ..... S~$%~PgP~, .............................. Source of electricity,.. ..... '. ~ ........................ indicate all sot~b~ck dimensions fro~"~r~o~$~ li~.. G{ve 'street' ~htd~k nvm- ~r.a'or-descri~i*~ ~cco~ing. to deed~~ ~ show..~t~.ect m~a ~d ~{~.~e-~hethor · tnt~ior or $or~o~ l~. In&icate ~le~ty le~t.~$~ ~oposgd tz~Zlcr om~rom~ses, showi~ dis~omaes from all tulldir~s,~roporty S, TATE. ~,F E;E~'f. YORK ,-~. ) SS, ~]mml;y, of 6'~ffotk ) · -' :" ' ' ~ ho~~'{~ tho ~pp~ni '~6Ve 'm~.m6d. ~He i~ tho ,...~:~'~ ;'~ ~,; .... ;:[','~ ........ ~- ,. ~ ...... : . . .(owner.or lessee qr o~ent) ~f said Qwner.o:.o~ers ~d is duly authorized to ~%d t~Tt all s~fatoments cqntmine~ ~ ~tm application Gte t~e..~tO'~e.~t'~ his ~owle~go and bolmef; and that tho ~tra{~cr wilI be located in ~he me, er set forth ..... TO~T CLEI~' S OFFI~ .~ro~e~'.~'/~,; ....' ' ~* :" .............= ~LtCATION ~R ~Oc~TIoN 0F S~N~LE A~OI~BI~ T~IL~ OR HOUSE C~, O~SIDE OF .... Instmction~ '~. This a~lication ~at be co~letely filled In by t~ewriter or in i~ ~d ~b- mitred in duplicate to the Town Olerk. b. Plot pl~ showing locat~n of lot. sn~ of ~ildi~e ~Joining premiaem or ~blic streets or areaa, and givi~ a detailed ~escrl~tion ~ of l~ost of property and proposed location di~r~ w-hich' is ~art of this application.. c. ~ea approval o~ th~ a~p!~cation, the Town Board will i~'s~e a trailer permi~ to th~ applican$~ ~ch permi~ m~ll be k~t on t'he.'pre~e~ available for in- ~. No tra~r ~11 ~e occupied or uaed in whole or in part for ~y p~eae w~- ~r ether tham ~ecified im pe~it. Appl$~tion ie hereby ma~e to the Town Board for the issuance of a Trailer Permit pursuant to the Building Zone Ordinance of the Town o~ ~outhol(l, Suffolk County.~ 17ew York, and other applicable Laws. Ordinances or Regulations. The applicaht agrgea to comply with all applicable laws, ordi~.~cee ~n~d regulmtione. State whether applicant is owner, lesqee or agent...q~..e~'.,,.., .... ,,., .......... ,. ~Tame of .$wner of premises ,,.$9$'.C~1~!)2.~qU~..,, .... ,,.,..,,...,,, .... ,, ......... , ~ If applicant iea corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on whl~h proposeS trailer,will be,located....;;;,;...,.., .... . Street' ~. n~,b.r. ,. ~(..? .~%m"; ~$'~ .... ~....., .'. ;~..:.... ,.. ,.. .... ...v., 2.. ~tate exiati~ u~e p~oaed trailer~ a. Exiati~ uae ~ c b. Intended use ~ oc~P~cy ,..~Y~,~.~PM2 ...... ~...,..,,,.., .......... ,. c, Pe~od of ti~ t~iler 3. Fee..$.5.'.0.0- ................. '.(to be paid en filing applicatinn) 6. Date of ~urcha~e or lease of ' ' Februar 16 1~59 ' · ' ~'A District I, oee proposed use violate any a. Motho~ of Sewe~6 dis~6~%~ Source of Wator.~u~pl~ ,. Source of electricity .... zoning t~w, ordinoncc, or regul~tion?~?'....~. :s-oo driven well Locate clearly .~ud d.~s,~nctly all buil~ngs~ "whp.t~e~.e~ng 6r propc~ed, ~n~. from ~o~oer~y ~e~, Give Stree~ ~d block n - indic~t~ all set-back dimensions interior or corder.lot. Indicate clcar~ !ocn~, 0f. ~o85~ tra![~;on.Trom~es, ' Oo~u~t~' 'of Suffolk' ' ' ) ' ' o~e ~med, ~e is tho ,... (owner or los~oe.or .~en~) 6f sai~ .owner or 6~ers~ '~ is d~ly ~t~orize~ to m~c ~ f~l~'t~is a~li~atiq~ ~'o~c~gc ~ ~eli0f'; and t~t thc tr~Ior wiI1%0 I~c~ted in'{~e ~er set Torth