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HomeMy WebLinkAboutBurke, EdwardNo. ]7 TOWN OF $OUTHOLD TOWN CLERK'S OFFICE S©UTHOLDi N. Y. SINGLE TRAILFR OR HOUFEC LOCATION 'PERMIT Date Name Edward R. Burke Street 2br-[~l 202~t Town Your application for a (single trailer) (}~permit was reviewed by the Town Board on Itl!~' ~ 19 z^, and (was) (v~ approved. permit is hereby issued to locate a (single trailer)~), license number or serial number 167~ P.,,o Av~ ......... ' pursuant to ~pplication dated ~ll~_e 20 and the following on condition a home is to be built on TO WN BO:,RD, TOW~,N OF~OUTHCLD /.' ~.-t- ..... 6-~: q~own Clerk TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ...... . ~f .~....~.:~. L ....~. ......... , 19.~.:...0.. Approved 19~,: ....Permit .............,~ ~-:~-' .... ................. Disapproved a?c ............................................................................ Application No. APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CA", OUTSIDE OF TOURIST CAMP. ~, Do te~ ...'~......~z~........~.~....C2, ....... , 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 wilt 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) State whether applicant is owner, lessee or agent ............. .~../x(~/~'~/"/~-~/-~ ................................... Name of Owner of premises ............ .~.~...~.~..~.:'~"../~.~'~f.f,....~..~.~i...Z..~..~..~hnri~ed o ...... r. .................... If applicant is corporate, signature of duly authorized o 'car. (Name and title of corporate officer) ~ 1. Location of land on which proposed trailer will be located ....... /...?..../~...~...... ~.~....~....~........~....~..././..~...///....~..C/(z~/~ Street and number .................. ...'Z~..~ ............................................................................................................ 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ...... ///~(~"~v A/~ ~ ~"-- b. Intended use and occupancy ............... .~J..~....L.:/...~...~. ........... ~...~..~../...'~......~ .................................. c. Period.~.~_~ t4 £n°f time trailer is to be located on premises ............... ...~...'~ .......... ..~..,.~.~,,L~.~ ............................... 3. Fee ............................................ (To be paid on filing application) · -, / / / 4. Dimensions of trailer, length .......... ../...~.4'. ............. width ............ ~ .............. height ......... ~ .................... Registration Number ....... ~..i.../~..L~....~...?.../. .............. Serial Number ............/.~.....?..:~..'~.. ............................ ~. S,~e of lat~ Front ........... /...~ ..................... ~ear .......... ./.....~.... ......... Depth ..... '.4..~., .......... 6. Date of purchase or lease of land ................ )~....C?...~.....~... ...... L..~. ............. 1~.~..~ ....................... 7. Zone or use district in which premises are stuated .............................................................. u. ~ource of Water Supply f..'...,~..l..'J b ................................................................. PLOT DIAGRA~ 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' he is the applicant named above. He is the .......... ..~,.'..(..(..b.j.~.~..--f..~.. .............................................................. (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 end 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 ............................. .. ..... ""~"~::":'""'~.. ~ ~, ~~ ~, (Signature) ............ ~:g.~....~..:..~:~ (Nota~ Public) TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Exomined ..... i '. .... ~., Approved ............... 7~, ~.,~;,(..~'.,., /'" '~7 - ~ 19~.M/..Permit No ................. Disapproved a/c ............................................................................ Application No ............... ~....Z .......... ~S?bervisor APPLICATIO~I FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. ~ , Date ! &/1'LT, ,'q~ (v~. , ..... ........................... 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 -- ,,/;/~'~ ~ ~ (Signoture of a~lic~nt) ......... ....... / State whether applicant is owner,~ / .& ~m ~less~ or agent....~...~f..~.f,~ ................ Name of Owner of premises ...~~..~.'..~.(.~.~ ............................................ If applicant is corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of Iond on which proposed troiler 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 ............... ~d.~....~..~....'~. ~./......~ ...... ..~....~...~. ............................................. b. Intended use and occupancy ......... i......~.....L.'.f~/.~.. ......... ....~....~...../~....~ ...................................... c. Period of time trailer is to be located on premises ................ ..~......~..~....S'.. ...................................... 3. Fee ....~/. ~G..../.'.~~. ..................... (To be paid on filing application) 4. Dimensions of trailer, length ...... :.,'.~...~.~.....~ ............ width ........ ../~..~..../. ............... height....Z..../. .................. · . A c · /& ..................... Reg,strat,on Number .....~.~ ........ ,.~..~:.~. ...... er,al Number ...................................... /r ~ ~ /~ o ..... ~..a.7.~ ............... 5. Size of lot: Front ............................................ ~eor ................................ Depth /\ 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 STATE OF NEW YORK ~-ss. COUNTY OF SUFFOLK ......................... ~.('.~?Z',/,..c~.(..~.~.~.......~':..,~.:~.:.~':~:.~ ........ being duly sworn, deposes and says that he is the applicant named above. He is the ........... ~.~.(,.~..:((...?..7.~. ........................................................... (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 .............................. ...... (Signature) .... ....... .... (No (N tary Pdblic)