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Home My WebLink AboutDavidson, Carl G.NO. TOWN OF 80UTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSEC,~R LOCATION ?ERMIT Date Name Street Town Carl Go Davldson 1368 '~-- ~ Ave~ Bronx Your application for a (single trailer) ~permit was reviewed 19 , and~ {was not) approved. by the Town Board on ~ ~ permit ie hereby '~to lecate a (sinsle trailer) (~ license number or serial number ~,~.~and the followin~ pursuant to application dated ~U~'~ ~f TO WN BO.a. RD, TOWN OF ~cOUTHOLD TOUN CF SOUTHOLD TO%,~ CLEPJ~' S OFFICE SOUTHC, LD N. Y0 , Approved', ..... .,., ....... 19.. Permit Inst~ctions a. This application ~st be co~letely filled in by t~ewriter or in i~ ~d sub- ~ ' mitred in. dup.ldc~te, tc~ .the ~o~m Clsrk ......... ' ~ b. Plot pl~ ~howing location of lot and of ~ildi~s on premises, relationship to ~' ~'J~ini~ ~ml~. om ~ublic mt~ee,t.a om. ar~.,. ~d glvi~ a detailed description of layout of property and proposed location off trailer ~st be drawn on the di~ram which is part of this apFllcation, c. ~on approval of this applicatfgn, the Town Board ~ill i~sue a trailer permit to the applicant, .~c~h permit ~11 be'kePt1 ~ on the presses available for s~ectlon~ d. No trailer shall be ¥ccupie~ or used in whole 'or in part for any p~ose ever other thom specified in pemit. ~ Application i~ hereby ~de'~to the Town Beard' for the, f~su~ce Off a Traiier~Pe'rmit pur~t to the ~ilding Zone Srdinance off the Town oF ~outhold, Suffolk Cowry. t~ew York, and other applicable Laws. Srdinance~ or Re~lation~, The agrees to co~ly with all applicable laws. ordin~ces ~d ~la~onsj Address t~e of S~er of presses , ......... ~-,~r.~ .... .... If applic~t is a co~crate, signature of duly authorized offfic~r, (Name and title of corporate officer) Street mnd Number .... ~.~.'~..,'~.~......~..o~..~ ........... 2. State existing use and ~ccupancy of premises, and intended ~se mhd 9ccupancy ~f~ proposed trailer:~ . ~ ...~ ~//~jS~jy~.-~_~--~ a. ~xisting u~ and occupancy...~~/~,~ Fee .... ] ..................... (to .~e raid on fi~n~ c~lig~<t%~). Regi~t ration }~ber Serial number . ~. , /m~ .. ~ -./~ -;..~..~.... · ' ... Zone or u~e ~i~trict ~n~ which promi~se~ ~re eitu~ted.~.{ ~~~ Doe ~. propo ~e~' u~ violate' any zoning' law,' or~i~e" or' ~e~t ion? ~.~ ~. ~. S~uree ~f W~tor ~}ty . · ....... c. .Source.'of'elecgricitT~, . ~ ..... EL~T. DtAGPJG~ Locate clearly and distinctly all' buildings, whether existing or ~ro~ceed. and ind~cat~.,all, set-hack d~me~si~ns fr~m~ propoer~ ~in~s, ~ge ~treet ~md o].ock num- bore or descrio~io~ a~cor,~ing to.deed; '~nd 8ho~ ~t'~eet ~,~gs and in~ic'dte whether ~terior or cor~ngr %et.. Indic~go cloaT~ .locn,tion o~ prlo~osod trailer on itemizes, ~howtng ~iatp~coe~ from all, buildir~ ST~EOF"~I'L,~O~- ) SS. · ...,f: .......... ....~being ~uly sworn, dc~o~ee ~n& eays ~.t he i~ the ~D~t~ ~bbve n~med. He is tho ......... ~ ..... ~ ....... . ............... .... (owner or lessee,or ~.ge~) of e~id owner or owners, o~d ie duly m~thorized to m~kc o~i file thio ~plication; ~nd. th~t all Statements contained in this aDplic~tion are ~o ~o the best cf his knowledge ~nd belief; ~nd that thc trailer will be located in the manner set forth in the ~rlic~tion filed thc~c~iith. Swo~n t~eforo ~e thi~ /~ d~,y of .~/~.~ . ..... ~. ~¢.5.L.. (NotpryPublic)· ( Supervisor .A?~PLICATION FCR LOCATION OF SINGLE A~0H~BILZ TRAILER ~ House CAR, ~UTSIDE OF ................................. TOURIST C~[P In~t~ctions This a~licat~on ~st %e co~letely filled in %y t~ewr~t~r or ~n ~ and m[tted in duplicate to the Town Clerk. b. Plot pl~ showing lo~tlcn of lot and of ~lldfngs on premi~e~ relationship aSjoinfnE'premises or public .streets or area~, and g~v~ a detailed descrl~tlon of layout of.pro~er~ and prcp,osed location of %railer ~st be drawn on the dt~ram which is part of this application. c. ~on .approval :of thi. aapplication, the Town Board wlli issue a trailer permit to the appllcant~ ~ch permit s~ll be kept on the presses .available for d. ~ tra:$~r shall be occurled or used In whole or fn part for ~y p~ose what- ever other th~n specifiet in permit. Applicat_ion is hereby made to the Town Board for the issuance of a Trailer Pgrmit pur~uan~ to the Building Zone~ Ordinance of the Town oF $ou%hold. Suffolk County. ]~ew York, and other applicable Laws, Ordinances or Regulations. The applicant agrees to comply with all applicable laws, or. cee ~ .~u~tions~ ../.3. .... .. Address State whether applicant is owner, les~ee/~r agent... Pame of Swner of premises 0 .......... ~/~-~...,/~. ~ .... ..... If applicant is a corporate, signature of duly authorized officer. i., Location of land on which 2. stare'existing use ~ ~ccup~cy of praises and intended us~ an4 9ccupancy Cf proposed t railer~ // . a.' - Existing use and occupancy. b. Intended use and occurancy ... ~..~C ..... 7 ........... c. Period sf time traile~ Fee ............ i ............ i(t6 $c paid on filing a~rlicat~tQn) , Registration hk~mber .............. , .... Serial number ............. ;. · · 5. Size of tot~ Front. ~%~ear~ .. s~ 6. Dat~ cf purchase or lease of 1~..~'.~.'.'-'~'.~~ ~ - ~ ............. 7. Zone or u~e ~istrict in which. ~r~ are ~ituated. . 8. Does proposed use vtola~ nny' zonin~ low. ordimnce or 9.. ~.Method of Sewerage disposal , ........................... ~. Source of Water S~ply ...~......~.~~.,...~ ...... . PLOT DIAG~- Locate clearly a~ d~s%inc%ly all buiidi~s, whetMer e~isti~ or proposed, and indicate all sot-hack i~mensions from prof6er~y~"lf~e~. Give s~re.e~ ~d block num- %er~ ar ~scription ~cbo~dfng ~o too~. and s~ow, ~trect ~names ~d indicate whetnc~ inter{or or corner lot. Indicate clearly loe~,ti6ffSf proposed t~a!lor showing, dist~cos from all %uildings ~ propcr~y line~ STATE OF A~E%'T YORK ) SS. , ' : ~"' ~ 'i ', Oo'tnty of Suffolk ) ho is tho %pplicant above named. He is tho ............ ~ .... . ......... ,' - (owner or lessee.ar a~ent) of said owner or owners, sad is duly ~zthorized to m~ko and ~ilo.this application; 'gmd ~%~ ~! ~statoments contained in.this application are true to the %est of his knowlodg~ end.belief; and that thq ~ailer will %e located in tho~manncr~et forth ~in t~e avrltcat~on filed t~cr~3~lth. Sworn to ~fore'me. this /~ day of ......... (NotaryPublic)