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HomeMy WebLinkAboutErb, RobertMay 12, Rev. Robert Erb Bowery Lane (Ackerly Pond La) ~outhold, N.~. Dear ~ir; Your trailer permit # 70 is about to please find a~plication forms to renew same. '£¢uzs truly expire~ Mnc]~osed Buil~ing Inspector No....70 ........... TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSEGAR LOCATION PERMIT Date ........... ~une..1 ~...1.9.6~ ................... Name Rev.,...Ret~ez,~.. ~ ,-.-.~b ................................................................................................ Street ...... .l~],~ ....... ~eq~.n.. ~ ........................................................................................................ Town .......G~een~,...L,.~,. .................................................................................................. Your application for a (single trailer) (~ permit was reviewed by the Town Board on .................................. ~e.-..-.~l ................. , 19.6~.., and (was) (~) approved. A permit is hereby issued to I~ate o (single trailer) ~, license number....2~O~ .......... or serial number....2~3~ ......................... at,.....~/~.....~..~o~d..~..(~.er~..~) ............................ ~p.~.~s.....~,..~. ......................................................................................... pursuant to application dated ................................ ~.....2~.....~ ........... and the following conditions: ...~e~tt...i~tl~¢L.~..o~..~e~...(.~ewab~.)...~l&e~...~..t~.. .~..ase~..~o~...1.1v. tng...q~a~t~a, ............................................... : ..................................... TOWN BOARD, TOWN OF SOUTHOLD TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Application No ...... #.'Z D. ..................... Supervisor APPLICATIOt4 FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. 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~a, II applicable laws, ordinances and regulations. ~~.~ ~~ (,'~ I~. '1 ' o i, ~, ¢" (Signature of applicant) - . ....................... .¥. (Address) State whether a,pplicant is o~J~t, lessee o~l~t ....... l',~.~.e.~ ................................................................... Name of Owner of premises ....... ~'~.r..~.~.~..~..~.~:~.~..~..~.~.~.~...~.i.~.~..5.~.z..~Q~.~~Q~e If applicant is corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which proposed trailer will be located 0££ Botlery T,~e ........................................ Street and number .................................................................................................................................... 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ........ ~ ........................................................................ to be parked ~npremiSes- b. Intended use and occupancy ........................... ]:.i.V.:i~?§Li.~t~.~.S.;...~...~.~...~.~.~.~...~,~...~ c. Period of time trailer is to be located on premises ..~..~.?...~....1...e...~..B..e.....o..~...J~.~.~2J.~.fJ~ ................. 3. Fee~.~..:..0..O.. ................................. (To be paid on filing application) 4. Dimensions of trailer, length ......:~...~..~. ................... width ..8..~. ........................... height...8.J~,P..~..o...~....~,t. ......... Registration Number ....~.~..~.0...~..1. .......................... Serial Number .~.~.(~..~..~..~ ............................................. appro~ 16~ 5. Size of lot: Front ............................................ Rear ......... ~9'~ .............. Depth 6. Dateof~tr~eor easeof ~rT~i;...~.~}.~Z.....~]~..~.~...~...{~...~..~ ..................... 7. Zone or use district in which premises are situated ............................................................................ 8. Does proposed use violate any zoning law, ordinance or regulation? ...................................................... 9. a. Method of Sewerage disposal ............................................................................................................ b. Source of Water Supply .................................................................................................................... c. SOurCe pfElectricity r~ 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. 'STATE OF NEW YORK 1 COUNTY OF SUFFOLK~ss k ' .-m~.--~' Z/~ . ~ ~'~r )~. bain duly sworn, deposes and says that .e is ~he opplicont n~med obo~e. He is the ...... ~;~.X~ ......................................... 2 ..................... (~ lessee ~) o~ soid owner or owners, and is duly ~uthorized to moke *nd file th~s o~plicotion; and that oll statements con~oinod in this opplicotion oro true to the best of his knowlod~o ond belief; ond that the troiler be Iocotod in ~e. monner set {o~h in the o~lico~ion filed herewith. Sworn to before me this ....... ~...~ .................... doy o{ TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date ............................................ , 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 o. 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 applic,able laws, ordinances and regulations. ~ ~~..~.~....~ ............ (Signature of ap~olicant) ...... ~ ................ .~,~6 ..M.~.~. a~;.~, .. ~.~'.e en, p s)~ f,., .1~ .Y. (Address) State whether applicant is o~1~1', lessee ~,~e~g~' ....... .L..~..~.?..?. .................................................................. Name of Owner of premises ........ ..M~....:....~.....M.?..~.:....~.~....~...~.....D..?.?..i..?*~t~..~.z.~e~e~.~..A~G~.~'e If applicant is corporate, sign'ature of duly authorized officer. (Name and title of corporate officer) Off Boeery Lane I. 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 ........ ~ ............................................. . ........................ to be ~ar~c~ ~n preml~e~- not oonneote~ for b. Intended use and occupancy ............................ c. Period of time trailer is to be located on premises ..~,~rg,..~,e~e...cf...pr.e~et ................. 3. Fee ~'.00 (To be paid on filing application) 8' &pproz 4. Dimensions of trailer, length ................................ width ................................ height ................................ Registration Number ............................................ be 'a Number ............................................................ approz 16A ~ 5. Size of lot: Front ............................................ Kear ......... ~.9. j~.~ ............. Depth ...................... : .......... 6. Date of l~l~l[l~le or Pease of ~ h~l~.lt~.-. J.II~.tt ~.~..~]ll....l}.~..~l'.lillL!.~....~..~.~.]ll...],..9.,6,.~. .......... 7. Zone or use district in which premises are situated ............................................................................ 8. Does proposed use violate any zoning law, ordinance or regulation? ...................................................... 9. a. 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-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. COUNTY OF. SUFFOLK ~'~ ~"t'q'""~*~ [~~ ~'~r ' in duly sworn, d,poses and says that ................................................. ~ .................................................... De g he is the applicant named above. He is the ....~.~.~...~.. ............................................................... 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 t~,~ L,~ ' ~Pdge and belief; and that the trailer will be I~ated in the manner set ~h in the a~lica.tJon filed herewith. (Signature)