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Home My WebLink AboutJacobi Sr., Henry R. TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT Na me .llO:ltl~.. It....,~acob~.. F~ ................................................ . ..... St reef ........ J~q 1,1~ ~JJ.. ~,V~ .......................................... : ................................................................ Town ........ ~*~lt~ho~tl~ t..... ~, .~., ............................................................................................... Your application for a (single trailer) ~[~permit was reviewed by the Town Board ~n .............................. l/~r ....... .'L~. .................... , 19(~.r.., and ~[(was not) opproved~ A permit is hereby])~l;~)to locate a (single trailer)(~l~j~, license number ............ or serial number......~,~'~.3....~k].~.....l~,~,C~ at .......... ~[~'"'~O;'~i'"~'~"S~S'""~llt'I~ .... · Vi®~..~,ve.t...,clotl.t h~td. ~....11, .~, ............................................................................................. pursuant to application doted ............................ A.pl"~.~.....c).-..[-~)(:~ ............ and the following cond iti OhS: .. l~r. mt ,~..d~n.:l,e~ ...... ar~.., eh~ek.- .t.~l-.. $.. ~. 00.- ~e~..r~turm~d..t~ ....... ........ O.~li~,~m~th..~l~..~n~....~ ................................................................................................. TOWN BOARD, TOWN OF SOUTHOLD Townf Clerk TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined .................................... , 19 ........ Application No ................................... · ,~,~, ..... .~.~..'2'Z.....~....~....'..., 19 ........ Permit No ................. Disapp roved ~ ......... ~ ...................................................... uperv~sor APPLICATION 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 Doard 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 cr in part for any Purpose whatever other than specified in permit. ' Application is hereby made to the Town Board for the issuance of o 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. - ·. · .q.< [:{ . (Signot~e of ~lic~n~ ........... State whether applicant is owner essee or agent .~- f-/.:Z~. ~-...nt..~.;.~ Name of Owner of premises _/.~/..~..~.'~r...~ t( .~) .~. %.: .~...~....2~, If applicant is corporate, signature of duly authorized officer. (Name and title of corporate officer) on which proposed trailer will be located .~...~..~?.~7..~.~?..~.~.~...D.~.~...~./.~..~.?..~..~.~((?..~..~ 1. Location of land St reet and n u tuber ...... ...~...~..../~?'/q[..~..?..,., ./..~...~'.../~... ,~.... ~ ..~..., .~,/.'.~./~...~.. ~?.../~...../~...~, ~. ..................................... 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ...~...~....~..4 ./~.r ~ o~i~¢/) Z b. Intended use and occupancy ....../~...~..-~../.j..~...~.....4/.~ ~ ........ c. Period of time trailer is to be located on premises ./.;~4-~' Fee ............................................ (To be paid on filing application) Dimensions of trailer, ength ....-~...~'...' ..width ........ ?..~ ................. height ............. 'Registration Number ............................................ Serial Number ....~-.J... ?...~[.~......-~.../..c...././)...t.~....i...?...~. 5. Size of lot: Front ......... ./....~..~ ......................... Rear ...... ../....~....~. ............... Depth,....~....?....~. .................. 6. Date of purchase or lease of land ........ ~.~.~ .................................................................................. 7. Zone or use district in which premises are situated ..... ~.~..~.~.~.~.~.~.~ ....................................... 8. Does proposed use violate any zoning law, ordinance or regulation~ ........ ~..~.;~ .................................. ~. ~. Method o~ Seweroge di~osol ....... ~. ...... , ....................... ~. ................................................................. b. Source of ~amr ~upp~y ................................................ .................................................................... ~ z,'~ c. Source of Electricity ......... ~ ........ :...-...~ ............................................................................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate oil 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 tra.iler on prem- ises, showing distances from all buildings and property' lines. .. 'A STATE OF NEW YORK ~ss. COUNTY OF SUFFOLK ...,~.,/~Az./~...../~,.~.~i.~..?....~.q~..~...~.'....~...~.-- ~ ...................................... being duly sworn, deposes and says that he is the applicant nam~ above. He is the ~.~.~.~..:...R:~.~ ....... .~.~:.f.n~.C~ ......... (owner or lessee or agent) of said owner or owners, and is duly authorized to make and file this ~plication; and that all statements confined 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 a~lica¢ion filed herewith. Sworn to before me this ........... ~....1. .................. day of~ ~~'~ / ~.-%, . .......... ....... ............................. . .................. (Notary P~ic) RY pUBLIC, o ~ = '", ~ *., TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ..................................... 19 ........ Application No ................................... Ap~i'o~l ...:.r~ ................... , 19 ........ Permit No ................. Supervisor APPLICATION 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 Eoard 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 cr 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 oil appliciable laws, ordinances and regulations. .................... (Signat~:l~ of applicar~),// _ (Add'ss) a ent ~. ,~/~. ~; State whether applicant is owner, lessee or g ................................................................. Name of Owner of premises ......... J.~..~.(~...~:~..'/...../>. ........ .!...~..~.~...~..~.. 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 ~.~C.( ...... l. ............................................... S tre et a n d n u m b er ..... ...~....~.. (~ ..J~...~., ..~...~...../..~....~.../~.~.,,, £...~.../.~!;'~., (Z ...~...(...~.../..~...'~../~... ...................................... 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ...~../(~.~....'f:}.~/.~........~..~..~./.).~ .~....~..~..~..D. ............................................ b. Intended use and occupancy ...~.~..~'.,,../.).¢~.z~...~...~.. ....................................................................... c. Period of time trailer is to be located on premises /,.~..'t.~..J.u.'/.-C...~...q.~i¢..~......7.~:......~-f~..~.Ck.~. ............. 3. Fee ............................................ (To be paid on filing application) 4. Dimensions of trailer, length .......,~....,5..~..~ .......... width ........ /..?..../. ............... height ................................ Registration Number ............................................ Serial Number .....~..~J...~...~....~...5..~*..~..~..../...0..L..~.~..../...~.../... 5. Size of lot: Front ......... ./..~.~. ......................... Rear / 6. Dote of purchase or lease of land 7. Zone or use district in which premises ore situated 8. Does proposed use violate any zoning law, ordinance or regulation? ....... .~..~.~ ..................................... 9. a. Method of Sewerage d sposa b. Source of Water Supply ~'4~'~ c. Source of E ectr c tv ~., ~, /_ ,~.,L~- . PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and ind cote 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. ~ ~ ~ ,~r~ ~ <~ c~ STATE OF NEW YORK t COUNTY OF SUFFOLK~ss' ........ · ~ .................... ~ .... : ................................... being duly sworn, deposes and says that he is the applicant named above. He is the ...... ~.~:.~R.~,. ...... A.'.iY.'~.~ ......... ~.~.~...Z.~.~.<;.~. ....................... (owner or lessee or agent) · of said owner or owners, and is duly authorized to make and file this application; and that all statements confined in this application are~ true to the best of his knowledge ond belief; and that the trailer will be located in the manner set forth in the application filed herewith. Sworn to before me this ..... '......'~....~.:.?.~.. ........ ~.doy of ' ......... ~;.~:..%'..~.. ........................ , It2..~....~.. ...... ,T~_,~-~. ,~.~.~/~...~ ....~.1., .................. ~ (Si~ature) (Notary Public) ~/" Term Expires ~rch To Whom It May Conoern% As title holder of the building lot, under contract to M~. Henr.y R. Jaeobi, on which he is ~equeating a Town permit for a trailer, i have no objection to a permit being issued for a trailer on this lore