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HomeMy WebLinkAboutHallock, Daniel H.:,% TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT No .................... Dote ................... ~l~y....."1-1 ~ ...tc)~: ........... Name ..Daniel. H,..Hallock ................................................................................................ Street ..... MS,-~,D,..R.O.~,~ .................................................................................................................... Town .....Laurelt.....l'/..~. .......................................................................................................... Your application for a (single trailer) ~ermit was reviewed by the Town Board on ............................... ,[~t~. ......... ~ ................... , 19.6.~.., and ~ (was r~ot) approved. DFNI~D A permit is hereby~-to]ocate a (single trailer) (h~ license number ............................ or serial number.....~.9~[~ .............................. at ....... N/S.....[~l~.l.v.a.te..f.a~..~.o&d.~...~f..~/S Laurel...L~net.... Laur~l.,... l~,,.Z, ......................................................................................... pursuant to application dated ............... I~y-..-.-~.~...:1.96.~ .............................. and the following conditions: .Pel~mi:~..d ~.nzLed. r.. $...~[,, CtO.. ~& sh:..~'~e...l~,~n~d...he~w~~ ................. TOWN BOARD, TOWN OF SOUTHOLD .z. ~..z.<. .. Town Clerk .... ¢ TOWN TOWN OF SOUTHOLD CLERK'S OFFICE SOUTHOLD, N. Y. Examined .................................... , 19 ~ Application No ..................................... Approved .................................... , 19 ........ Permit No ................. D,sopproveda,c ................. .......................................... Supervisor 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 af tot 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 oppraval 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 af 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, ordinancxes and ...................... ~..~ ................................. ~ ................. (Signature of applicjm3t) /) ~. '~ ........... '//2./ ................................... ~. ........ (Address) State whether applicant is owner, lessee or agent ..... ~.~.-~..~ ............................................................... o, ....... ................................................................. If applicant is corporate, signatu~ duly aatHorized officer /~ ~. Loc~io. o~ ~.d o. wh~h~o~ed ~,~.~w~ b. ~oc~.d .... ;.~:~:~;:~ .......................................... Street and number ......... ~:~..~,.....(~ .................................................................................. 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ......... v ...................... ~ ...... "t; .............. iL..... ........................................... b. Intendeduseandoccupancy.,.,~,.~::,~,,,,~,, ~ .t?,. ...................... c. Period of time trailer is to be Ioca.ted on pre~nises ! ......................................................................... Fee ..... ..).....~:c.~. ........................... (To be paid on filing application). Dimensions of trailer, length ...... ~.~...../.. .............. width ............. g ..................... height ...~'.. .................... Registration Number ............................................ Serial Number ....~.~....?/.:.~...i?.. ...................................... 8. Does proposed use violate any zoning law, ordinance or regulation? ..... ...~....../~.. ................................... 9, a. Method of Sewerage disposal ........ ~..~..Z..~.~...~'.f.../ / b. Source of Water Supply ............. .~..?.,4,../.,/, ...................................................................... c. Source of Electricity ............... ..~..b.:.?~.....~...[.f::: .................................................................................... PLOT DIAGRAM Locate clearly and distinctly oil 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 c~nd indicate whether interior or corner lot. Indicate clearly Io~ation of proposed troffer on pre n- ises, showing distances from all buildings and property lines. STATE OF NEW YORK 't COUNTY OF SUFFOLK)~ss' ................. ~~....~..~..~..'....~...~r.~f~ .~...~.//~ ............. being duly sworn, deposes and says that he is the app'cont homed obo,e. He is the ...... ~~_~. ............................................. (owner or lessee or agent) 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 the best of his knowledge and belief; and that the trailer will be IoGated in the manner set forth in the application filed herewith. ........... ............ .............. ......................... ................ .......... ~.~ "~":i. '.~ .4~.~:~-~ ....... (Signature) (Notary Public) TOWN O.F SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Ex.mined .................................... , 19 ........ Application No .............. ~ ...................... Approved .................................... , 19 ........ Permit No ................. APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date ...... , Instructions o. 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 wi,~h all appl, jcable lows, ordin~nce~ and regulations. '~i'~;~ture of applicator) ,/ . ~ "'~ ...... ........ ......... (A~r .ss) State whether applicant is owner,levee o~le ee or agent ..:<..~~. .......................................................... If applicant is corporate, signatu.~f duly authorized officer ......................... Street and number '"'~"~'~'/~(/~"~'J'~"':'~'~'-'~-"--'~' r./~ ............................................................................. 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 ....~....~,,.,~¢. ~,(d/~4.,~4~.'~., ....... b.......,~f... ................. ' ' ~'~/sises ~~.....~ ~-'~-~-~ c. Period of time trai er is to De eaotea on premiss ..... ~,~',/..~ ................. : ..................................... 3. Fee ..... '~.......~..~..~..~. ..................... (To be paid on filing application) / 4. Dimensions of trailer, length .......... ..'~....~../.. ....... width .............. .~....~. ............. height .......................... Registration Number ............................................ Serial Number ........ ,/..~....~..~.... .................................. Does proposed use violate any zoning law, ordinance or regulation? ....... ..x~..~'~7.../. .............................. a. Method of Sewerage disposal .......... ~..~..~. ...... ~;~.(./ ......................................................................... b. Source of Water Supply ..............~..:-~.../'l .......................................................................................... c. Source of Electricity ................... ~..~.~r~?..~../..c~. ................................................................................. 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 comer lot. Indicate clearly Ioc~tion of proposed trailer on prem- ises, showing distances from all buildings and property.lines. ~ STATE OF NEW YORK ~ COUNTY OF SUFFOLK~'ss' ................ ~,-~/.~(~..~....~..../.......~....~.~.L~¢ .......................... being duly sworn, deposes and says that he is the applicant named above. He is'the ...... ~ ............................ (owner or lessee or agent) 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 the best of his knowledge and belief; and that the trailer will be 'located in the manner set forth in the application filed herewith. , ~ ~ / // - · .~.~..-f.~-,;Sw°rn to before me this'~/ -- ......... ...... ~ .......................... ~' ,- doyof fZ /\ f //'~'///,~..' .~' h~' ..~ ................ ./ ...... , 19.....-~, ................. ....':..::.~:~" ........... ............ (S,gnotu ) (Notary Public)