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HomeMy WebLinkAboutMarco, Patricia PhillipsTOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined Q ~';~ ~ z7_ t 9..4..r: Application No. -~ ,q~/:' 19~.~.~. '6rmit No. Approved ...................... 2/:.:...~.., ................ Disapproved a/c ..................... x ..................................................... Supe~isor APPLICATION FOR L'OCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date 02~...~.~,,..~,~., 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 Eot 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 cgm'h~ly with all aj)plicable laws, ordinances and regulations. L ?~ ]~:. '~'~ (SignaTUre o~ica nY)- "'- - h (Address) State whether applicant is owner, lessee or agent.._..~,~,.2.,,~?.~?~..~.~. ............................................................. ~ -% ¥, ~ Name of Owner of prem,ses ....... ~;.~..~,~.NkC,:~.~ .......... ~,~\.k~.~.....~'....~...,x.xC~ .......................................... If applicant is corporate, signature of duly authorized offilcer (Name and title of corporate officer) l. Location of land on which proposed trailer will be located ..l.~W..'.x~:.~.~..od......~.~..~..[.i~......,~'-~.O.~ .... Street and number ......................................... ~ ................... ....... -; .............................~ ............ .~ .... 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ............. ~.~ J~.D ............................ b. Intended use and occupancy '"'~'L'¢)f'~"~'~'~'~'~l ............. ~ ~O},,~.C......~....~.~.~.~.~..~7~/~ib~ c. Period of time trailer is to be located on premises ....... ~..t...[~.; .................'. ............................ 3. Fee ~ ~ '~ - (To be paid on filing application) 4. Dimensions of trailer, length ....... ~.~ ............... width ......... ~.~. .................height ~' Registration Number ......................................... Serial Number ~ ~ ~ ~ ~ 5. Size of lot: Front .......... .'L.-(.-1..~.L'~.~ ............... Rear ................................ Depth ................................ 6. Date of purchase or lease of land 3 ~ L.'~ \~L~ ~ ......................... "1 ............ ' .............................. ~ .......................... 7. Zone or use district in which premises are situated ............. ;.~. C?~,,.~.C~..~.....L....~..'.~....~.~.'%..~.....L.. ......... 8. Does proposed use violate any zoning law, ordinance or regulotion? ...~,i~.'~ ................................... 9. a. Method of Sewerage disposal ....... ~.'.~..i.~..C~.....L .................................................................... b. Source of Water Supply ...... ~.~.~.'..L~... ........................................................................................ c. Source of Electricity ......... .~..I...L..~.~ .............................................................................................. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, ond 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. STATE OF Nk;~h/ YORK '~ ~' I 6 ~"~ '~- COUNTY O~ ~UFF(~LK )~, / t ~x ................... , ......... , ............................... bem~ du~y sworn, deposes end soys thor t~ * cont no~& . ........................... he's e pp' o~ed obove. ~e is the ..................................... ~ ........................ ~oWner~r lessee or o~ent) c~ smd owner or owners, ~nd ~s duly authorized to ~ane ond rue ~opp,~cot~onj ~nd thor ~ll stotemenIs contoined in this opplicotion ore true to the best of his knowledse ~nd belief; ~nd thor the troiler will be Iocoted in the m~nner set forth in the opplicotion filed herewith. l l/l l/ ' ............................................................ , ....................... k..../.. ............................. ..................................................................................... x'~-P" "~~:~i~T~a t u r e) (Notary Public) TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined × 'x '-~ 19...,?.:?- Application No Approved '~7'~ 19:~2f~]~-r~ r mit No. Disapproved a/c ............................................................................ ..................................... ....................... Supervisor APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date C~C~L,...~,.~rm~·.~., 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 cgm-~ly with all applicable laws, ordinances and regulations. ~ .. [ (Address) State whether applicant is owner, lessee or agent......~:~.~.~ ............................................................. Name of Owner of premises ..... [~.'~Z~Nk~.~.~.-..'.~.~.~.....~.].~g~ .......................................... 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 ..I...~..'..~...~..~....~.~. ........ ?'..~. ................... ~ .... Street and number ............................... ;~'% ........... O.~.~..!.(~ ...... 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 .. .... c. Period of time trailer is to be located on premises ....... ..~...~.: ................. ~ ............................ 3. Fee ~' '~ ~ (To be paid on filing application) 4. Dimensions of trailer, length ....... --~.'..i ............... width ......... !..."~.. ................. height ...~.~...~. .................... Registration Number ......................................... Serial Number ......~..!~.~....(p......~.......~..!.~.~...r~. ............ 5. Size of lot: Front .......... .1. .. !~..C..~,.~.. ............... Rear ................................ Depth ................................ 6. Date of purchase or lease of land ............. ~..~...b;.~...'~ ........ ),..~.! ........................................................ 7. Zone ar use district in which prem ses are s tuated ............................ ,..C.. ......... 8, Does proposed use violate any zoning Iow, ordinance or regulation? ...~.~ ................................... 9. a. Method of Sewerage disposal ....... ..~;.~..'..~..~..L,~ .................................................................... b. Source of Water Supply ...... ~.~..~....L~.... ........................................................................................ c. Source of Electricity ......... .~..1...~..~.~ .............................................................................................. 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. STATE OF NjL~ YORK COUNTY C~ ~UFF~K ~ he is the applicant na~d above. He is the .................................. _ ~.~ ........................................................... ~;;;~, lessee or agent) of said owner or owners, and is duly authorized to make and file t~pplication; 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. (Notary Public) HgNRY E. RAYNOR..1¥.. Chafrman JAME~ WALL BENNETT ORLOWSKI. Jr. GEORGE RITCHIE LATHAM, .Ir. William F. Mullen, Jr. Southold, N.Y. 11971 January 20, 1982 Mr. Rudolph Bruer Attorney at Law Main Street Southold, New York 11971 Re: Patricia Phillips Marco Dear Mr. Bruer: At a regular meeting of the Southold Town Planning Board, Monday January 18, 1982 the following action was taken: RESOLVED that the Southold Town Planning Board grant a set-off on the property of Patricia Phillips Marco, located at Peconic, to receipt of amended maps and $50.00 filing fee. (106-13 subject .-cry truly, HENRY E. RAYNOR, JR. , CHAIRMAN SOUTHOLD TOWN PLANNING BOARD · - By Susan E. Long, Sec~eh~y No ......... ..... TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT Name ......... ~.~t r£cia.. ~.h~t 1 lip~.. Mam. c a ........................................................................... Street ............ ID.di~.n,.~e,~k..,La.~ e ............................................................................................. Town Peconic~ New York 11958 Your application for a (single trailer) (~1~ permit was reviewed by the Town Board on ......... ..S..e.~.~.e...m..~...e..~. .......... .2...2.?. .................... , 19....~.~., and (was) (wc~;emt) approved. A permit is hereby issued to locate a (single trailer) ~,~'~ license number ........................ or serial number ...... FK6.122.~.~,9.~.(~ ............... at ..... ~D.i~.~,I~..~.;J,.C~.....~..D...~.~..~..~....N...e...C..~.....~..~...D.§, ...P. egoaia,...l~em..Y.o rk ............................................................................................................. pursuant to application dated .................. Se.p~.eJ33.~er...1.R+...l~.18 ............... and the following conditions: ........ ~F~I~IT...GILiN.~EEt.. F.C)tL. S.~ X...(.~ .)...~0.N~J~,. ~.~J~ ~ .Q.~ ............................... ............................ EXP.. J, RAT ~,QN.. DAT K; ............. ~{~]~...~.~ ~ ...~, ~.~,2 ......................................... TOWN BOARD, TOWN OF SOUTHOLD TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT Dote ......... Ap~.il..2.1.,... 19.8Z ........................ Nome .............. Pgt r.i gi m..Pkil.% i.ps...~grco ....................................................................... Street ............... .~ .! 7..O.....Ln..d..i..a..n.... ~..e..~..k... ~.a.n..~ ............................................................................ Town ............... .P..e.c, oil i.c, ~ .. lqe.~...Y oz'X..... J_1.~.5 B. .................................................................... Your application for e (single trailer) :f~P~ag~ permit was reviewed by the Town Board on ..........Ap.l:il..2O ....................................... , 19._82, and (was) (~a~r:x~t~ approved. A permit is hereby issued to locate o (single troiter) (~iais~r~), license number ........................ or serial number ..~...K.....~..1...2.....2..Z..~...9..~.....C. ............. at ........$.W.lg.t..h.....$..5..d...e....o..%....I..n...d..5...a..~.....N..e...c..k... Lane, .P.e.c.~tIl.%¢.,...Raw...Y.ark.... 2,1R 5.8 .............................................................................................. pursuant to application doted ............... IV[al'.ck..2.[.,...3.~).82. .......................... and the following conditions: ......... P. F~I~I~ IT...G~A,~I. TE~... ~.Og.. S.IX...(.6 .)... ~O.~J.Tl~li..P. ~..~.I..Q~ .......................... ....................... ~....~.×?...z,.~T..!o. ~....p~.T.~ ........ O.C.%o..~....~ .0......~¢..8.~ ........................................... TOWN BOARD, TOWN OF SOUTHOLD Town Clerk~r SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICEe CASH RECEIPT R~F~HEHCE NO. /o~- p_~. ~ ~ ~NVIRONMENTAI O DA ~OPYIPAYER COPY2ADMINISTRATION DOPY 3 PAYEE ~.MOUNT C$~--0-- 3 iCENTER PROVIDING SERVICE [] MH CENTER [] Te [] OPR OTHER "it should be noted that since this property is located in an agriculturd area, the possibifity exists that the water supply may contain trace amounts of pesticides and/or nitrates. Special anolysis'-[-~r~ 'q C- requ.ired' 51T~ Fl..AN GARRETT 'A. iTRANG Brchitect Main Road RO. Box 1412 Southold N.Y. 11971 516 - 765 - 5455 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 October 15, 1981 ?atri¢ia ?hillips Marco Indian Neck Lane ?econic, New York 11958 Re: Stop Work Order, dated October 1, 1981 Trailer Fermit #100 Dear Ms. Marco: This morning I made an inspection of your property on Indian Neck Lane, Feconic, New York. The trailer has been moved to a location that is in accordance with your application to which permits had been issued. The "Stop Work Order" is removed and you may resume work with hook up of this unit. You~.trll~/~ / Building & Housing Inspector EFN:jd TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 October 14, TEL. 765-1802 1981 Patricia Phillips Marco Indian Neck Lane Peconic, New York 11958 Re: Stop Work Order dated Trailer Permit #100 Dear Ms. Marco: set the October 1, 1981 This will confirm the location of the westerly stake, by Roderick Van Tuyl, land surveyor, as acceptable for relocation of your trailer. When you have moved the trailer to this location call me so that I may varify, once again, before you proceed with any permanent h°°k uP' ou~/Y truly,/ Edward F. ]{indermann EFH:jd Building & Housing Inspector Adg. Date File. JAMES P. KNOWLES INDIAN NECK LANE PECONIC, NEW YORK 11058 '~t%"t~ r~ i?-~' ~;;~"~ OCT 13 i28~ We, the members of the Indian Neck Park Association, Inc. support the position stated by Mr. Edmund J. Baumann in the enclosed letter, dated October 1, 1981. ~¢. 325 Wood Lane Peconic, NY 11958 October 1, 1981 Honorable Supervisor Pell and Members of the Southold Town Board: It is requested that the following items be added to the agenda for the Southold Town Board Meeting, Tuesday Evening, 10-6-81: A Status Update be provided from the Southold Town Board regarding the placement of a live-in trailer, on the property of a Mr. &/or Mrs. Marco, property located Southside of Indian Neck Lane, bordering Indian Neck Lane and Arrow Head Lane, Peconic. Of particular concern, which should be addressed by the Town Board, are the following items: 1. Incompatibility of the pre-fab mobile structure with existing Southold Town resident zoning and building codes. The setting of precedents for other mobile home sitings in Southold, other than in areas sanctioned as trailer parks. The failure by the Scuthold Town Board to notify the general public in the form of a published variance, written notification or news media release regarding the placement of this structure. 4. The renewal of the s~x-month siting permit for this structure. o The possibility of occurrence of a similar situation, as stated, items 1-~ above. It is also requested that I be g~iven the opportunity to speak before the Town Board after the Status Update Presentation. Edmund J. Baumann ANTHONY B. TOHILL, P.C. RECEIVED OCT 6 198! October 6, 1981 Supervisor of the Town of Southold and Members of the Town Board Town Hall Southold, NY 11971 Re: Patricia Marco Dear Mr. Supervisor and Members of the Town Board: I represent Patricia Marco who is the recent purchaser of the Kull and Billard farms at Indian Neck Lane at Peconic, and who was issued within the last few weeks a special permit to install for a period of six months a mobile home at the farm in order to provide temporary housing for a foreman, his wife and infant child who were enroute from Virginia. Since the issuance of the permit the mobile home was purchased and installed and the foreman and his family are now residing there. The application for the permit provided that the mobile home would be located south of all of the barns on the property and 450 feet south of the bed of Indian Neck Lane. Philip Marco, the husband of the owner, prepared the application in haste on Friday, September 18, 1981, and did not compute the actual distance from Indian Neck Lane to the back of the barn. He merely indicated that the distance was 450 feet. In the last week, we have learned as a result of a certain complaint from a neighbor on Indian Neck Lane that the area adjacent to and south of the barns is considerably less than 450 feet. Unfortunately, by the time that the significance of the distance was learned and as a result of the general haste with which the project necessarily was pursued, the septic tanks had already been installed, the well had been driven, the electric had been strung, and the mobile home had been placed and levelled. We understand that some of the complainants have withdrawn their objections, realizing the predicament of the Marcos and their for~aan and his family, and particularly the temporary nature of the current arrangement. Supervisor of the Town of Southold, et al. October 6, 1981 Page 2 I am writing to you specifically to request that we be permitted the continued approval of the Town with respect to the installation of the mobile home as it now stands and that effectively the application be deemed amended nunc pro tunc to reflect the present location. The Marcos appreciate the difficulty in which they find themselves and their for~aan and his family. They are new to the area and badly wish to demonstrate their good faith and interest in proper neighborly relations. They did not understand that an error had been made or indeed that the error was of such significance until after the site work had been essentially completed. In order to assuage any complaints or objections, the Marcos would be happy to comply with any direction of the Town Board or the Building Department with respect to erecting or installing a berm, a row of 8 foot evergeens, a continuous line of fencing (with Building Department approval) or any other arrangement that would permit the existing location of the mobile home to stand, and more specifically would permit the existing location of the site improvements (electric, septic system and well) to remain as now installed. The Marcos anticipate that the problem will be resolved within the Spring of 1982 and that the mobile home will be removed from the premises. They have no interest in continuing to have the mobile home on the premises since they candidly share their neighbors' lack of enthusiasm for such structures. I apologize that I cannot be present to present these remarks to theBoard. Unfortunately, after I advised Mr. and Mrs. Marco that I could be present for the Tuesday Board meeting, I was required to fly out of state in connection with another client's problem and I will not be able to return to New York until Wednesday, October 7. I would be grateful if the Board would work with the Marcos and my office so that a solution can be reached with respect to this problem consistent with the needs of the neighbors and the quite unintentional manner in which this problem arose. Respectfully yours, Anthohy B. Tohill ABT/bb cc: Robert Tasker, Esq. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ¢ / 92/ ORDER TO REMEDY VIOLATION (owner or authorized ogen_t~ of owner) (address of owner or authorize~ ~gent of owner) / /C/ ~y /t/. d PLEASE TAKE NOTICE there exists a violation of: Zoning Ordinance Other Applicable Laws, Ordinances'or Regulations ............................................ at premises hereinafter described in that ,~.~.f.~.,m~...,.,..:..: ....... : ........ =....,.../...::~...:...,~..~<...~;.~'/.,.../<-- (state character of violation) - _ ~ ~ ~, : ~/ ; / ~; ., : ~ ~ ~. ........ : ~.~ ~ . ~ .. - ~ ~ ~ / . ~ ................................ ~.~ ¢~ ~ ~ ~'F~.~:. , . - " ' {Stoto ~ecHon or p~ro~roph of opplicoble Iow~ erdin~nce or re~ulolion) YOU ARE THEREFORE DIRECTED AND ORDERED Io ,._...,.!, ..'.t'.. t!._ ~ .... J !-~ .....J~ !1.._ -~ ' '~ ~U..~)..~'.F...~. day of ....... ~"~..~.......~.~.~.~'~ ............... , 19 ........ The premises to which this ORDER TO REMEDY VIOLATION refers are situated at ~'~.[...~..~.. ~.~'~Z.'~-./~,...,~.~... Z~-~. /..,.,~.f,~,Co y of Suffolk, New York. Failure to remedy the conditions aforesaid and to comply with the applicable provisions of Iow may constitute an offense punishable by fine or imprisonment or both. / Building Inspector TOWN OF SOUTHOLD' TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT Name ......... lq. a~t r£cia., lq. hi lli p~.. Maz. cm ........................................................................... Street ........... ;I ~dian..Ne.ak...Lane. ............................................................................................ Town ........... .?..e..g..o..~.. ~ .g. ,.....~..e..W.... ~.9. r..~. ....... .~..~: .9..5...8. ...................................................................... Your application for o (single trailer) (~1~ permit was reviewed by the Town Board on .......... .~.,e.~.~.e...~..b...e.~. .......... .~..%. .................... , 19....8..1.., and (was) (~:Js:;~"~t) approved. A permit is hereby issued to locate a (single trailer) ~i~,s~, license number ........................ or serial number ...... FK6J,2:~.lf~,9.5.C: ............... at ..... sp.g,.~..~.$.~.e.....l..z!...d.,i...a.~....~..e..g..~.....~..~...p:.e., ...P. eaoaim,...Ne~..~Lork ............................................................................................................. pursuant to application dated ........ ; ........ .Re.pt.e,c~b. flz...~,.~,...~.~).3,~ ............... and the following conditions: ........ ~. ~q~J.~.T...G~A.N.~:E~.. ~.0~..~.;[ ~. ,(.(~ .)...~q~T2'~.. ~..]~ ~ .O...D. ............................... ............................ EX~. X. RAT X .~N.. DATE. ;: ............ ~Jt..~.~.. ~ ...~..g..8.2 ......................................... TOWN BOARD, TOWN OF SOUTHOLD .................. TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ~'? /~'~ '~ 19 . . . . .~. . ./ .... Examined .................... y~_ ........... , Application No ..................................... Approved ..................... .~...~.....'~...., 19...~:. ./. Permit No Disapproved a/c .................... .~. .......................... ~, .......................... ............................................. ............ APPLIC:ATION FOR LOC:ATION OF SINGLI AUTOMOllLi TRAILfR OR HOUSf 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 adioining 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 port 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 Yorl~ 9rld other applicable Laws, Ordinances or Regulations. The applicant agrees to co,~y with all appli~a~llE, Jaws, ordinances and re u,o, ion,. ~S~g (Address) ~ Store whether oppli¢ont is owner, lessee or ooent ............ ~.~.~..~ ..................................................... If opplic~nt is co~orot~, si~.oture of duly outho~iz~d offic, r (Name and title of corporate officer) 1. Location of land on which proposed trailer will be located ..... .~..I, .................. .~.....~........~..~....~.. ....... Street and number ................................... ~....~../.~...~......!;.~....~...~....~.......~..~..~.~.. ...... ~,,~.....~..!.~.....~....~. 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 .................. .~ ...~. .......................................................................... c. Period of time trailer is to be located on premises .............. .I...~..~,,. .............................................. 3. Fee ....... .~...~',,..~..C~. ............. (To be paid on filing application) , · ....~.~ ..................... height 4. Dimensions of trailer, length .......................... width ............................ Registration Number .~...~...~.~..C..O...~....~..!.~..(~.. ........ Serial Number ....E?C~..~..!...~'.......°~...(...~.;..~.~.....~.. ......... Size of lot: Front ~.. ................................ .................. Rea ................................ Depth Date of purchase or lease of land ~L~ ~Ot~ ~ Zone or use district in which premises are situated ...... .J~.~.JL..C...~..~..~..~..~...L ....................... Does proposed use violate any zoning Iow, ordinance or regulation? ....~ .................................... a. Method of Sewerage disposal ..... .C..E~.~..~.~I...~...L. .............................................................................. b. Source of Water Supply ....... ...~....~,...L..~ .......................................................................................... c. Source of Electricity ...... ..~..Jl[...~....~.~p. ................................................................................................... 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. TDT~ STATE OF NEW YORK '{ ' j!~ t-- Jl/~l~ t~.amt~, q,~l ,~.~ · COUN~ OF SUF~FOLK ~ss. ~ ~./ ..................... ~ ........ ......... ~worn, ~oy* h~ i~ the opplicont nomad above. He is the ................................ ~ .............................................. '......~ ~owner~r lessee or agent) { of said owner or owners, and is duly authorized to make an~i~a~cati~; and ~at all ,atement~ 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 he,~with. [) Sworn to before me this ......... /..~...."/..~ .......... day of ~ /J ' ~'~/~ .... ................ ...... ....... ELIZABET~ AI'/N NEVILLE NOTARY PUBLIC, State of New Yolk No. 52-8125850, Suffolk Cou~y~ Term Expires March 30, 19. o-~.E.../ EIc)n'-7 40 ~7 27 No. 2! f ,?