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HomeMy WebLinkAboutCleaves, Fred A.~eptember 3, 196~ Mr. Fred A. Cleaves O/O Gerald Tuthlll 602 Bailmy Ave. Greenport, Dear The Town Board has directed me to return your $ 5.00 cash fee submitted with the trailer permit application June 30th, 196~ t as the trailer has been removed before they acted on the application. Yours truly Bui~di~ Inspector TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ..................................... 19 ........ Application No ................................... Approved .................................... , 19 ........ Permit No ................. Disapproved a/c ........................... ':...: ................ , ............... :_~......~ ~'C~ -- 3upervlsor ~ ~ APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Rte ..................... , Ifl~truetiofls a. This application must be completely filled in by typewriter or in ink end 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 Js part of this application. c. Upon approval of this application, the Town Eoard will issue a trailer permit to the applicant. Such permit shall be kept on the premlses available for inspection: d. No troJler shall be occupied or used in whole cr 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 cornply~ with all applicable laws, ordinances and regulations. ............................... (Signature of applicant} (Address) ~ State whether applicant is owner, lessee or agent.....~.~.[...~.....~...~ ................................. Name of Owner of premises ...~:~L.....~.' ........ I.....~(~. ....................... , ................................. If applicant is corporate, signat~ of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which proposed trailer 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 ...... ~~.~...: ..................................................................... b. Intended use and occupancy ..... .~..~ ............................................................................. c. Period of time trailer is to be located on premises .~......~..~...~..~'~..~...~......~..' Fee ............................................ (To be paid on filing application) Dimensions of trailer, length......~,.~, ................... width ................................ height.......~.. ....................... -; Registration Number .~....~..~...~....~...w,~.~,.'T...~..~.Serial Number 5. Size of lot: Front ...... .?...O. ................................ Rear ..... ~..~ ...................... Depth ...... ../.~....6 ....... : .......... and~~ - ~- - . ..... 6. Date of purchase or lease of .................. ~ ............................... 7. Zone or use district in which premises a~e s~tuated , ........................................................................... 8. Does proposed use violate any zoning law, ordinance, or regulation? ...................................................... 9. ~. Method of Sewerage disposal ...... ~ ................................................................................ b. Source of Water Supply .....~..,..~.....~.. c. Source of Electricity ........~...~.....~,...~.; ..................................................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed and indicate all set-bock 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. ~; .c~' STATE OF NEV~ YORK ~ t ~ . ~ ~/ ~J ss. i~.,An~t-~.. - COUNTY OF SUFFOLK ,' 'U~', ..~..~...~.me.2~.~..~..~ ...... : .......... ~ ~,~ ~om~ o~ose~ o~ ~ thor ............................................ ~ ~ (owner or lessee or agent) of said owner or owners, and is duly authorized to make and file this applJc~ion; and that all statements con~,ined in this application are true to the best of his kn~ledge and belief; and that the trailer will be Ioca~d. in the m~ner s~t foff~ in the a~lication filed herewith. Sworn to before me th'i~ ............. :~ ........ ,,~.~?. ...... day of. ................. ; ............ ........... ...... ...................... I . I L/~ x~ ,- (Signature) .......... .Lu....ZV....~ ~ TM ( N a[p~7 '~,','l~]i~:~ - -' .......... iq0TARY PUBLIC, State of Nsw l~e~ Suffolk Count~, No./~2-~19260~ ~ Commission l~ir~ ~r~ 80, 1~~'~ TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined .................................... , 19 ........ Application No ................................... Approved .................................... , 19 ........ Permit No ................. Disapproved o/c .............................. ......... ............ APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Dete 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 Eoard 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 cr 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 Co,unty New York, and other applicable Laws. Ordinances or_Regulations. The applicant agrees to comply with all applicable laws, ordinances and (Signature of applicant) .... (Address) State whether applicant is owner, lessee or agent.....~.~;,...~ ..................................... A . . .... Nome of L~'ner or premises ..... ..~./.k~.~,~....v.:....~..~.., .................................................... If applicant is corporate, sigr~3t~4~ of duly authorized omcer. (Name and title of corporate officer) Street and number ....~..l~.~.......~....~A/~.....~..~...,~';.~_~'~ ..................... 2, State existing use and occuponcy ~ pre~ses ~nd intended use and ~cu~ncy o~pr~osed trailer: Existing u~ and ~cup~cy ..,.'~~ .............................................................................. b. Intended u~ and ~cuponcy c. Peri~ of time trailer is to be I~ated on premises .~....~...~.~'~...~.~~ ~ ---- ~ 3. Fee ............................................ (To be paid on filing application) 4. Dimensions of trailer, le~th.....~.~.~ .................. width ..................... height...~../. ..................... Registration Number. . ~. ......... Serml Number ....... :.~ ...... 5. Size of lot: Front ........ ~.~. .............................. Rear ...... ~..d ..................... Depth ....../..~..-O. ...... , .......... 6. Date of purchase or lease of land ./.~)~ ........... ~...~ L/ 7. Zone or use district in which premises are situated ............................................................................ 8. Does proposed use violate any zoning law, ordinance or regulation.;> ...................................................... o. Method of Sewerage disposal ,..~ .................................................................................... 9. b. Source of Water Supply ....... ..~. ~J. .... . ............................................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and nd cate a set-back dimen- sions from property lines. Give stree.t 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, ~hoWing dista~a~ngs and proper ty lines. STATE OF NEW YORK 'l _ ,4 ..~' . COUNTY OF SUFFOLK ~ss. ~'~ .... ._)-- 'l · '~(~'"J-'"~ ...... :..!~.. - ,id says that he is the clppl~eant named above. He ~s the ...~.~..~. ~_~., ~ .......................... (owner or lessee or agent) of said owner or owners, and is duly authorized to make and file this application; and that all .con~.ined Jn th. is application a.re true to the best of his knowledge and belief;, and that the statements oe ocated'in me '~a'n'n'er'~et 'tatth in the ara ication fi ed herewith, trailer will Sworn to b~fore me this ......................... ,~..~?.....day of ............................ ............. ..... .................. ....................... ..... ,. .................. w. m tsE¥ ~TOFAR¥ PUBLIC, State Of ~m~olk County No. 52419'Z600..~_~ ~l.~i,~ ~l~ire~