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HomeMy WebLinkAboutCook, Capt. RoswellTOWN OF S©UTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILFR OR HOU~]~C LOCATION ?ERMIT No. ~ _ Date I~;' 21~ 19~8 Name Street Capt, R. Cook Town ~,~,,~-~,.~,~, w v Your ~lica~{on fo~ by the Town Board on ~y ~ 19 ~, and (wa~) ~ approved. permit is hereby issued to locate a (~ingle trailer) (~, license M number~/~[~t~ or serial number pursuant ~o ~pplication dated M~ ,'f 17 195~ and the following conditions: FOr summel TOWN BORRD, TOWN OF SOUTHOLD _ To~vn Clerk APPLICATION FOR L06~TiON OF SINGLE .AU~(~L'gBIk% TP~ILER ~R HOUSE CAR, ,gUTSIDE OF TOURIST C.~J.~ .~,~,~ . · .. / .... ,.. ...... , · ...... Dar e ...... .(~. · · In~t~ction~ Thi~ application ~st be co~lete~y ~illed in by t~ewriter or in i~ and sub- mitted in duplicate ~o the Town Clerk. b. ~lot pl~ showing Ioc~l~n of lot and of ~il¢ing~ on premise~, relattonsh~ ~$jotning premises or pUbliC'~treets or areas, ~nd givl~ a detailed of layeut of property and proposed location of trailer ~t ~e drawn on the df~ram w~ich t~ p~t of thi~ c. ~on approval of thl~ ~rplioatfon, the To~ Board will i~sue a tr~lZer permit to the applicant, ~ch permit ~lZ be kept on the p~emk~e~ available for d. ~ trailer shall be occupied ~' us~ ~i:n twhole or in part for any pu~o~e what- ever other than specified in permit; ~.. mt * ~ Application i~ hereby ~de to the Town Board for the issu~ce of a Trailer Permit pur~nt to the ~ilding Zone $~dinance of the Town oF $ou~hold, Suffolk County, New York, and other applicable ~ws, Srdi~nces or Repletions. The applic~ agrees to co~ly with all applicable lams, ordinances and repletions. ?i~;~tur e of.applicant) ~; Address State whether applicant is ownQr, leslee or agent ..... .......,. ...... ~ l~ame of "Wner of premices ~ bO ~'~f~ ....... If ~pplican% is a co.orate, s~ature of auly authorizet officer. (N:.me o,n~ title of co~orate officer) Loca%io~ '6f 'lane 'en.whJch propOsea .t~aller will ~, loc~,t e~,. ~.~2.. ~% ~ :.. ' St tee% aha Number ... ~~m.. ~,:..'.'..: .', .~~ [ ~ g.',~'., ..... 2. S~ate existing use ~.na occuv~ncy of ~remise~ ant in~endea use ~,nt 9ccupancy b. Intended use and oc~v~cy ..... ~ .................... ~ 3. Fee ......................... ,(to be p~,td Cn filing rTTlicati~n) 6, Dat~ cf ~urchase or len.se of tand~ ,..~'.'..'.'.'.'/~¥(~., .','.'J.',.'.'.'.'.'.'.'..'. 7. Zon~ or use district in which pro~i~es are situated.. Ioes propo~ed~us,e'vtolate n~ zoning laWm, ~rdinancc- ~. So~ree of ~ater S~3~17 ....... '[ ............................... -. IL~T Locate cleverly and distinctl~ All '~uildings, whethcr existing-or indicate.all sot-Sack %imensions from prd~oerty lines.' .'Give s~rue~ mud block'num- bors .or descriutiQn ~ccoEding ~o toe~. n,nd show s~r~6t' damd~ ~d ih~ic~te whctho~ iuterior or corner lot. Indicate clearly loc~.tion of proposed' trailo~ on promises. showing dis~n~Q~ item ~ll %uilding~ ~d propcrsy linss. STATE OF h~1~ YORE- ..... ). SS~ ,. -~ Cmlnty ~ S~zffolk ) ' ' L(ow~er or lossoe~r agent) of said or.mcr or owners, ~nd is duly ~uthcrized to m~kc ~z~ file this application; ~md'that ~l].'~tatc~nts containe~ in this-application a~e t~e to tho ~ost of his knowlo~ge.~.nd.~eliof; and that thc.trail~r,v$$~ ~e~locatod in the manner s~t forth zn $h~ c,~pl~catzon ftlod thcrewSth. ......... '' '/2 Sworn,to~bafore me thza day ofc z~ ~ ., ........ -~..~.. z~.~.~ .... · " ~ ~ .................. (~otpryPubl~ c) I~ Public grate o! New Y~ sid ng in ~uffork CounW No. 52-0~7800 ~ ~mmission Expires March ~. 15 ~ / TO~, CF SOUTHOLD TO1'~T CI~Zf' S OFFICE SOUTEOLD N.Y Examned ....... Ap~li cat ion No ....... ( ~or ~PLICATION 2CB LOCATION 0F SINGLE AUTOi~BI~ T~ILER OR HOUSE C~, ~SIDE OF Date, ...... · · * Inst~ctfons a. This application ~s~ be co~letely filled In by t~ewrtter or tn ~ and mttted tn duplicate to the Town Clerk. b. Plot pl~ showing location of lot and of ~ildlng~ on ~remise~, relationship ~$joinlng premises or ~bllc s%reets or area~, ~nd giV%~ a detailed descrl~tion of layout of property and proposed location of ~ratler ~t be ~rawn cn the di~ram which is pa~t of this application. c, ~on approval of this application, the Town Board will imsue a trailer perml~ to the applicant, Such ~ermit ~11 be kept on,the premises available for in- spection. d. No trailer shall %e occu~led Or used in whole or in part for any p~ose what- ever other thn,n specified fn permit, Application ie hereby made t.? the Town Board for the issuance of a Trailer Permit pursuant to the Building Zone Ordinance o£ the Town oF Sou%hold, Suffolk County, Ne,;r York, znd other ~pplicable Law~', Ordinances or Re~l~tions. The ~pplic~t e. grees to coldly with all applic~ble laws, ordinances ~nd re~l~tions. (Si~ature of ~pplicant) Address If applicant is a co~orate, signature of duly a~thorized officer. (lJnme ~,nd title of co~or~,te officer) '"~ b, Intended use and oc~ncy ..~~ c. Per~od ~f time traile~ ts to be located o~ premises ..~~.**~.~ 3. Fee ...................... to be r. aid o1% filing a cation Registration }Tumber . , . iai number ....... '..:'. .... · "~ :, 9. a.~o%ho~ of S~w~ra~ ~is~osal . , .~%~ ....... ~ .................. ~ , . (owns' or lessee o~ 'cf.~s~.i~.mwner or owners, end is ~ly ~l~t~orized to make omi file this ,.E~hcation, -- - ...an~ .t}~t all STp, Dements cofftp:i~e~ i-n .this aFvlication are ~.~e to the best of his knowledge an~ ool~of; and that thc trailer will %e located in tho manner sot forth in thc ~vrl~,tion filed thcrewith.~ Sworn %o-%ofore m~ this/ ~ ~'~ d,,y" (NotrryPublt c) ELOISE BOWDEN Notify PubliC, State of New YOl~ Residing in Suffolk County No. 52-03~7800 Itt/CommiSmon Expires March 30° lJ ~-~ /