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HomeMy WebLinkAboutJohnson, Anna B.No. ~ TOWN OF $OUTHOLD TOWN CLERK'.~ OFFICE SOUTHOLD, N. Y. FINGLE TRAILFR OR HOU~'-FC !R LOCATION OERMIT Date September 2~; !g61 Name Mrs. Anna B. Johnson Street J~%in Road Town Cutch0gue~ N.Y. Your application for a (single trailer) ~permit was reviewed by the Town Board on ~1961, and~ (was not) approved. ~ permit is herebyD'~to locate a (single trailer) (housecar), license number or serial number pursuant to application dated ~p ~m%~ !3~ ~and the following conditions: denied ~ f~c of ' {.00 ret~uiea herewith TOWN TOWN SOUTHOLD, N. Y. Examined ..... ..~.'...~..~'..~.7..:.~.....(?......., 19 ........ Approved .................................... , 19 ........ Permit No ................. Dispp~roved a/c ..... ~ ~Z..:~...(.? ....~('~....( ................................ OF SOUTHOLD CLERK'S OFFICE Application No. X/~ ~- ................................. /...: ...... .F..: ................................... Supervisor OU~S'DE OF ~OUR'S~ C^M". ~ Date -'ZC~.~..,'~-~../.~.....,~:. ....... , 19...~...'.j. 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 all applic,able laws, ordinances and regulations..~.....~.~ ~ :,~,...~ :...,. ~:.~:.. (Signature of applicant) (Address) State whether app cant is owner, lessee or agent ..~.' ~:k.~..'~..~r ............................... Name of Owner of premises .~Z..~.........~..... ~.~'.~...~.t~r~'...~...~.:i:i:i:ill If applicant is corporate, signhture of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which proposed trailer will ~e located .. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: c. Period of time trailer is to be located on premises ........................................................................ Fee .: .......................................... (To be paid on filing application) 6.Date of purchase or lease of land .~.~...,¢;.'.4 - ................ ~'";:;'i-f"Z~· ....... ~'~;~'if'"]~':"~_ ........................... 7. Zone or use district in which premises are situated ,~ ~.~Z ~ ~-~'-~' ' 8. Does proposed use violate any zoning law, ordinance or regulation? ...................................................... 9. o. Method of Sewerage disposal ....... ?..~..,.~.....C:...,,~-..~..~....~....o...~....~:,,. ....................................................... Water Supply ,,~,~.:,.~,,~:~;~....~ ............................................................... b. Source of c. Source of Electricity L, 1, L 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. b-,~.A ~/,>~.~ P--4&Ls'*~d STATE OF NEW YORK }ss. f COUNTY OF SUFFOLK  being duly deposes and that sworn, says he is the applicant named above.~e 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. ! 3 Sworn to before me this .................................... day of ............... ~ ................. , ~...¢'..:. .... TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved .................................... , 19 ........ Permit No ................. Application No. //~/¢J ~ Supervisor ~/ r~' APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Da te ~,~.~...,.. Z...?.....'~%. ~./...., 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 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 all applic,able laws, ordinances and regulations. ~pplicant~! "-- ~' ........................................ ..... (Address) State whether apphcant is ~ lessee or agent.._ .¢.~..~..-..~..T.~.g~..~...'.~ ........................................................ If applicant is corporate, sigr~ature of duly authorized officer. (Name and title of corporate officer) Street and number/~,'; . .... 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: II c. Period of time trailer is to be located on premises ........................................................................ 3. Fee ............................................ (To be paid on filing application) / 4. Dimensions of trailer, length ........ ~.../.. ................ width ........ ./....~.. ............... he ght Registration Number .........~..~ ............................... Serial Number ......................................................... 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 .....~....K....E.........C.'..~..s..?...?..~..~.b ............................................................. b. Source of Water Supply .... ......................................................................................................... c. Source of Electricity ..... b...(.'......L...~...~...~...T.z.j~...~. ........................................................................ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimem 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 ~ss. COUNTY OF SUFFOLK ......................................................................................... 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 appliccrtion; 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 aRolication filed herewith. th, Sworn to before me 's .................................... day of ............ D--%' ............ ; ................... ," ........ ............. flrW i ..... L~.L~....,..-./.i~i ................ ~. ........................ :~Signature)