HomeMy WebLinkAboutKincaid, William AmosTOWN OF SOUTHOLD
TOWN CLERK'S OFFICE
SOUTttOLD, N. Y.
SINGLE TRAILER OR HOUSECAR
LOCATION PERMIT
Date ...SeP~e-a~.e~...~-,~,....3.~3 ................
Name .'.~,.~.~.li~,,l~....~.~. ~..i..~..~,~,l.,.d. .........................................................................................
Street ...~ 1 e~.t.~...N~C~..~l. ....................................................................................................
Town ....¢~.~...~..h....OC.:.:.:.:.:.:~.~, ~k'X~ .~f~,,~.A .............................................................................................
Your application for o (single troller) ~[~:~jj~jl~) permit wos reviewed by the Town Board
on ...................... -~,~:1~?~1;~r...24 .................. , 19..~,~., ond ~ (wos not) approved.
denied
A permit is hereby jti~/J~ to locate a (single trailer) (housecar), license number ............................
at F].ee~.s Neck Road, Cutchoque
or seriol number .........................................................................................................................
pursuont to opplicotion doted ............................ S.e~.~lll~ll~X..~,.4,...~..c,~,~... ond the following
conditions: .. Pa rmi.t-..der~ed ..... $.5 ~.~)0.. ~ash..-f~ee.' rett~ect-.here~ei~ch'~ ..............
TOWN BOARD, TOWN OF: SOUTHOLD
TOWN OF SOUTHOLD
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Examined ...S..e.D..f:..e..m..b..e.f'...2..Lt ........... 19..6.~.... Application No ...................................
Approved ..~..e.P..t..e..m..b..e.r....2..Zt .......... , 19..6.]....Permit No .................
Disapproved a/c .........Nc~ t,..a ~[~ r. fw. fld ..........................................
..L.~.s. ~ %. ~..:...A..!.b. ~.r..~..s.,o.,n..,.. s...u..p.e...qv..!..s.9..r..,..,T.,o.~.q...o..f...s o u t h o I d
Supervisor
APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR,
OUTSIDE OF TOURIST CAMP.
Date ............................... ~.~... ,~ ] 9...~..T.?.
Instructions
a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to
the Town Clerk.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or
public streets or areas, and giving a detailed description of layout of property and proposed location
of trailer must be drawn on the diagram which is part of this application.
c. Upon approval of this application, the Town Eoard will issue a trailer permit to the applicant. Such
permit shall be kept on the premises available for inspection:
d. No trailer shall be occupied or used in whole cr in part for any purpose whatever other than specified
in permit.
Application is hereby made to the Town Board for the issuance of o Trailer Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws
Ordinances or_Regulations. The applicant agrees to comply with all applic,able laws, ordinances and
regulations. . ......... ~ .~. ~;.~..~ ... ~...~...... ..~..~
($ignat~¢~_ of applicant)
............ ........
(Address)~, ,~,.~ /
)
State whether applicant is owner, J~see or agent ......... ~.~.K.~ ...... .~.~ .................... ~ ................
Name of Owner of premises ..... .~.~/.~:.~:~..(.{.;.~:~?....~..:~.~-~,,:.....1~..~;~',~.¢,~'. ................
If applicant is corporate, sig~ture~ duly authorized officer~ ~ ' T
1. Location of land on which proposed trailer w, il, be located ...~¢,...~.¢. '~..,' ' ...... ~. ~....~ ¢'''''~'~
Streetand number ~ ~..~.<~ ~'~(~L~ ~ ~~ ~ .~,'~ ~'~?~ ~/ ~
2. State existing use and occupancy of premises and intended use and occu~ncy of proposed trailer:
a. Ex st ng use and ~cupancy .......... ~.'.L .... ~', .... i~.~.~': .... ~C~¢t.~ ,,
b. occ pa,w ......
3. Fee ..~ .............................. (To be paid on filing applJcatio.,
4. Dimensions o* trailer, len,th .......... l~.~ ..........width ........ ~ ............. hoi0ht ...... .~. ............
Registration ~umbor ............................ [ ............... 5erio~ Number ........................................ ~ ...................
5. Size of lot: Front .................~.~. .................... Rear ....... ~...O.. .................. Depth ......... /..~.~.~. ..............
6. Date of purchase or lease of land ....... L..&,9M.~ ......... (...~.~....~. .....................................................
7. Zone or use district in which premises are situated ......... J~. .............................................................
8. Does proposed use violate any zoning law, ordinance or regulation? ......................................................
9. a. Method of Sewerage disposal ........... ~.&~.~,~:-~.(i...,~.~...~:..~f..~.2...~:..x~,,~.
b. Source of Water Supply ................ j/~. L[,(~ ....
c. Source of Electricity ...................... ~.~.....',~,,.~i..../..%..~/~.f.'L~..:~.T~.........~.../~__ ................................
PLOT DIAGRAM
Locate clearly and distir~ctly all buildings, whether existing or proposed, and indicate all set-back dimen-
sions from property lines. Give street and bloc'~ 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-
buildl~,~ and property lines.
ises, showinc~ distances from all
STATE OF NEW YORK '1
COUNTY OF SUFFOLK~ss'
....... .......................... being du,y sworn, deposes ond says thor
he is the applicent named ~bove. 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.
Sworn
to
before
................
x · (Signature) l' --
(Notary Public)
JUDITH T. BOKEN
Notary PuNic, State of New York
Fio 52 0344963, Suffolk County ...r"'
TOWN OF SOUTHOLD
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Examined ..JL~g.I;.~J~.~F...~ ........... 19..(~]... Application No...................................
Approved ..~.tl~.l;~.t£..~.~. .......... 19..l~.t...Permit No .................
Disapproved a/c ......... ltoZ..al~t~/~ ..........................................
...L..e.?..~.~ .r...~ :...~ !..b.?..r..~.?..o.?..: ..,S.,u.p.?..r..v..1..s..o..r..: ..~.. R~' .Southol d
Superv sar
APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR,
OUTSIDE OF TOURIST CAMP.
g te ............................... ,
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 13oard 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/~ply with all applicable laws, ordinances and
regulations. /
·
(S~ture of applicant) ......
............ : ........... ........ ) ......... .........
(Address)/~,_, , k~ /
State whether applicant is owner, J,essee or agent ....... k.~.~;g...~...~.'.'' ........................................................
Nome of Owner of premises ..... k...jk~..~...~.~"~'~....(z.~.~..~.......~.......l/J~...~.. ((.,~.....Z~.~..~d~t¢/.~...~? ....
ff opplicant is corporate, sign,atur~'~of duly authorized officer. I / ~ "
(Name and title of corporate officer)
Locat on of and on wh ch proposed tra er w E e ocated
Street and number .~.~...~.~QJ....~_, ..~..~:~.~~.~.~~..~.7[~,~
2. State existing use and occupancy of premises and intended use and occu~ncy of proposed trailer:
a. Existing use and ~cupancy .~....~.tx~J. ~:~.C....~fr~....~v /
b. ntended use and occupancy ..~.~,~ ' ~ ,~ ~ fi] ~ '
...........
c. Period of time trailer is to be located on premises ........ ~....~..)..~..[~..~...~.~..L~...
3. Fee ..... ~ .................................... (To be paid on filing application)
4. Dimensions of traJJer~ length ........ ~ width
Ro strot on ~umber 5er o ~ "'~
~' ' · ...................................... ' ~umber ..........................................................
6. Date of purchase or lease of land ....... ..~'.~ :.~..'~ ...............................................................
7. Zone or use district in which premises ore situated ...... /J~. ................................................................
Does proposed use violate any zoning law, ordinance or regulation? ......................................................
a. Method of Sewerage disposal ................. ; ........ j. .................. ~ .....................................................
b. Source of Water Supply ....... ~'..~.~..~.~ ...............................................................................................
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. Ind.icate clearly location of proposed trailer on prem-
ises, showing distances from all buildings and property lines.
"STATE OF NEW YORK
COUNTY OF SUFFOLK
/
............. ~,~... f; . ................ being/ " duly sworn, deposes and says that
he is the applicant nam~cl above. He is the ..... ~--~-~.,-2~f~.~... ....................................................................
(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 ore 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 ................ ..<~.:..';~.....;T......doy of ': I~J? * ~/' ~'1d~ , ~
............... ...... .....
(Notary Public)