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Home My WebLink AboutFriis, Margaret TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT Name .. ~t-~a~ e ~..~ ~ ·. ~:t~l_.iS ................................................................................................. Street ......... ~.Q]ff...L~J~J~ ............................................................................................................ Town ......~u.l;Cl~ g3.1e.. · ..~. ,Y,., .................................................................................................... Your application for a (single trailer) (~ permit was reviewed by the Town Board on ....................... ~y. ......... ~ .................... , 19..~., and~) (was not) approved. A permit is hereby~ocate a (single trailer) (~ license number ..~9.~.~ ....... or serial number ...S2~2~IO22BS~ ............. ~t ......... ~.bo~...~ .................................. ...g~.~ ....... ~.~.~ ................................................................................................................ pursuant to application dated ..... ~ ........ ~.%~ ........ tV.....4.9~ ......................... and the following conditions: ... ~.e ~.. ~e~ e~ ~..... ~.. ~.,Og ...~...CO ~e ~.)...~*~.. ~e.~e~ ..... TOWN BOARD, TOWN OF SOUTHOLD TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ....2../.~...g(. .................. 19.~.,..~.~. Approved ...................................., ]9 ........Permit No ................. Disapproved a/c ....~.~. ................................................... Application No ..................................... APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUT$1DEOFTOURISTCAMP. /-~ ~ 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 G 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 end regulations. /' k. c / , ] ~-~'"7"r~ ~, ,- ,. ~ ,,-'..-.--.--.~ ................... ,o,.,, ......... :.. ........................ , ~ . , .~ l~J,_ ~., ~ , ,~ , (Signatu~/of applic~t) ~9 &~ddress/ ~ , State whether applicant'~'s owner lessee or ~L~~_~ ~~ ~_ ~~~'~ -- '~'~ qT' '~ ..... u ......... o, ......... IT appHcan[ is corporate, s~gnature aT Quay aurnorizea offi~r ................................................... z....:~.Z ............... (Name and title of corporate off cer) ~ f , ,. ,oco,~o~ o~ ,~ o~ ~h~:h ~ro~e~ ~,~,, ~e ,o~W.~V...~.....ZA~ .................... 2. State exisfin~ use ond occuponcy of premises ~nd intended use ond~c~poncy of proposed c. Period of time trailer is to be I~ated on Dremi~'2'7~?~ ~~ ,. ......................... on ......... .......... '"' 4. D~,io,, of t~,i~,~, ~e,g~h ..~...~.~...~ia~h ' ' Number .......... ~....~...~ ......... Serial 6. 7. 8. 9. Date of purchase or lease of la d ./~ '..~.., ..:~ Zone or use district in which premises ore situate/d~,~....?....~ Does proposed use violate any zoning,law, ordinance/,or~re~ulation?'.-...~.?........'~.f(,~. ........................ a. Method of Sewerage disposal .... .....~... ........... .~........, ....................... . .~..'. ..................................... b. Source of Water Supply ................. ...._.....~..l..,.x....~..ii~..~~...~~/,,T~x ~q./..~ c. Source of Electricity .......... './...._._...T'~"'"'' ........ xr(~:"'~"'~~'--~--'~('" ........ / 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 tot. Indicate clearly location of proposed trailer on prem- ises, showing distances from all buildings and property lines. STATE OF NEW YORK)'~s~' COUNTY OF SUFFOLK ........... ./.:u.(~.'f.-~,~..~.~~.~.. .... .~../~:~_,~.~,,.-~.~,? ................................. being duly sworn, deposes and says that he is the applicant named above. He is the ~ ~ ~ .(. ~ 'C ~ (owner or lessee or agent) of said owner or owners, and is duly authorized to moke 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 ....... ./....C~. ............... day of ............. 4;/z .................... (Notary Pu~c) ADELE PAYN£ Notary Public, stere el New TOWN OF SOUTHOLD TOWN CLERK'S OFFICE $OUTHOLD, N. Y. Examined ............... 7./...~...~.. ......... , 19...'~..~/ Application No ..................................... Approved .................................... , 19 ........ Permit No ................. Disapproved a/c ....... ~..... ................................................ 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 G 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. , , . .-.- J~~~ ~ '_ ~ . (Zfi~;[~]) '~':; Z ................................ "=;"~l ........ ri ~ whether appmicaM i~ner, lessee or age~~..~/Zf~~.~.~.fJ,::~ ...... o, o, ...... .............................. If applicant is corporate, Signature of duly ~uthorized (Name and title of corporate officer) ,, , ..... 1. Location of land o~ which proposed~ ~ ~ . ..'raile)'~w'll be located ~..?...~.]..~ Street and number ,x~g.d~.~~....~~~..~.~.w,,~,./,]..¢..S.~.~.Q 2. State existing use and occupanc~v of premises and intended us,e,oncl~:c/ppan~c~y of proposed trailer; a. Existing use and occupanc,'~.~~,.' ~.3..~...~..~-~ ....~~ b. Intended use and occupancy .~.~../....~. ~/~/0,,(~.~..'~' ' ~ c. Period of time trailer is t° be prem~sesZ~..~L~~Z../... 3. Fee ~.....~-. 0..~.~.. .......................... (To be paid on filing applicat]~)' ~/ 4. Dimensions of trailer, length ~..:~...~.....width ...~ ................ height ...~...~ ....... ~ N.m~e~...m~.=.=~.:.~ .......... S~r~.~ N.~b~ .:.....:.../...'...~ ..................... ~....~ a. Method of Sewerage disposal ........................... ~ ......................................... b. Source of Water Supply ...........................~......~,..~ .................. c. Source of E ectricity . ~. ...... ~ ............ ?.~....~.. ~./r j ' ' .... ... ~ .... 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 ~e,~r iriferior or carnet lot.' Indicate clearly location of ~ trailer on prem- ises, sh~~ from all b~ildings and property lines. - -- :, i/ COUNTY OF ~SUF, FOLK (owner or lessee or agent) of said owner or owners, end is duly authorized to make ~nd file this opplic~tlon; end that ~11 statements contained in this application ere true to the best of his knowledge end belief; ~nd that the trailer will be located in the m~nner set forth in the application fil~ herewith. (Not~ Public)