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HomeMy WebLinkAboutOhlmann, Robert o..69..exte ded TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT Name · RO J)e~'.t,. · OJg.~e,t~l. ......................................................................................................... Street ..... I~EL~. ,..~.I~.w.. ~o~d ......................................................................................................... Town ..... 80~o~dt.....~.~, .................................................................................................... Your application for a (single trailer) ~) permit was reviewed by the Town Board on .................... ~u~....~ ....................... , 19..~, and (was) ~approved. A permit is hereby issued to I~ate a (single trailer) (~ license number ............................ or serial number ........... ~...~..~.~ ........... at...~....~&~..~.~Wm. RO~ .... ................................................................................................................... pursuant to application dated ....................... ~*~y.....~.t...~ ......... and the following conditions: ..... p~...~W~.. ~...~.-~.~t.--~..~, ................................... TOWN BOARD, TOWN OF SOUTHOLD '' m m.' ~ ~X~:~ ' ''--' '~ ........ 'TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ...... ~l.?.g.g.~.Cy...]..Q .......... , 19...~.~. Application No .........~..~...~.e.,.~..e..~?..,]:.. Approved ..g.O.~.J,J...~.y...].5. ........... t 9.~.LL..Permit No...,.~] ......... Disapproved a/c ............................................................................ /,/ Supervisor Town of Soul:hold APPLICATIO~I FOR LOCATION OF SINGLE: AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date ................. .~ ~..g..~. ~.r ~... 1..~ .., , 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 bpplication, 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 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, Suffoll~-County, New Y~ork, and other applicable Laws Ordinances or _Regulations. The applicant agrees to cc/reply with al~/'a?~P, Jiea.ble laws, ordinances and regulations. ......................... ..................................... (Address) State whether applicant is owner, lessee or agent ....... .~.~..e..~..~ ..................................................................... Name of Owner of premises ...~...o..~..~.z].¢.....O..!~..1...~..~...~..~. .................................................................................... 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 ..g~..s......~..~.~.....~.~.e..~....~..o..~.~.~.~....~g..o..s..e....]~J..e.a~ Estate, Southold Street and number .................................................................................................................................... 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ......t.,e..~.?...o..~..~?.~....~?.v..e..]=..]:.~.~j~. ............................................................. b. Intended, use and occupancy ...~.,e..~.?...o.~..~.~....d..w...e...~..]:.i...~..~. .............................................................. c. Period of time traile~ is to be located on premises .,.~;g.¢.J,.~..D..e..~.v....J.~..q.L:R.e....,QP.~Zo.~.e...t..e...c]: ............ 3. Fee .."i~..~..:..0...©. .............................. (To be paid on filing application) le t 50' - 10' ' · ht 10'6" 4. Dimensions of trailer, ng h ................................ w,dth ................................ nelg ................................... Registration Number ............................................ Serial Number 50]--z~40 100' 100' 150' 5. Size of lot: Front ............................................ Rear ................................ Depth ...................... , .......... 6. Date of purchase or lease of and 1952 7. Zone or use district in which premises are situated ............................................................................ Does proposed use violate any zoning law, ordinance or regulation?......n..©. ............................................. a. Method of Sewerage disposal ..... .q.e..~..s.~.o...o..1. .................................................................................... b. Source of Water Supply ................................. .v.?..1..]... .......................................................................... c. Source of Electricity ............................................. .~..:....I..:...[.L...,....C..9..: ............................................. 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 Iocc~tion of proposed trailer on prem- ises, showing distances from all buildings and property lines. 150' 10' 62' i i 20, _+ 40'+ STATE OF NEW YORK COUNTY OF SUFFOLK Samuel J. Glickman ........................................................................................................ being duly sworn, deposes and says that he is the applicant named above~ He is the agent (owner or lessee or agent) of said owner or owners, and is duly authorized to make and file this appl'iccrtion; 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 al~olica,tion filed herewith. Sworn to befOre me this ....1..4...t..h.. ....................... doyof ....... ................ (Notary Public) ! ,, ~ te of New¥orl~ TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Application No ....... . .~..9.....~..?..~..?.?..~.]:..... Examined ..~l.a..n..¥.a...r.¥...]..b. .............. 19..G.~.. Approved ~.~r~t.i.i..~'C~y...L~ ........... , 19...6?...Permit No ..... 6.] ........ Disapproved a/c ............................................................................ ...................................................................................................... ..... ~ Supervisor Town of Southold, N.Y. APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Rte ................. 19..~..4.... 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 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 all applioable laws, ordinances and regulations. ~. ~..~/.~/~:.· '7 , (Signature of ap~'J~i~:ant) agenl; · Greenport, New York (Address) State whether applicant is owner, lessee or agent ...... .~..~..e..~..~ ...................................................................... Name of Owner of premises ........................................................................................................................ 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 .~.../..~....~..l~....~?.?.....~..O..~.~..t.....~..O..O.l~..?...~.e..ok Street and number ..................................................................................................................................... 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: temporary dwelling a. Existing use and occupancy .............................................................................................................. temporary dwelling b. Intended use and occupancy ............................................................................................................ c. Period of time trailer is to be located on premises ~.'.~....t.~.l.....~..~.?....b...o. De.....o..o...~.~..~..e...¢.~..~. ............. 3. Fee $5~00 (To be paid on filing application) 4. Dimensions of trailer, length ..............?...0..l. ........... width ......... ..~..0..!. ............... height ...... .]...?...6...". ............. Registration Number ............................................ Serial Number 100 ' 100 ' 150' 5. Size of lot: Front ............................................ Rear Depth 195Z 6. Dote of purchase or ~eose of land ........................................................................................................... 7. Zone or use district in which premises are situated ............................................................................ 8. Does proposed use violate any zoning law, orcJi~a~ce or regulation ....................................................... 9. <=. Method of Sewerage disposal ceeepool b. Source of Water Supply well c. Source of Electricity ...................................... ' ....... .~..:.....I........~.......~..O..: .............................................. 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. 150' 10' 62' j HOUSE j I 40'+ 20 1 + iOU~ STATE OF NEW YORK }ss. COUNTY OF SUFFOLK Samuel J. Glickman ........................................................................................................ being du~y sworn, deposes and says that agen~ he is the applicant.named above, iNa is the ................................................................................................ (owner or lessee or agent) of said owner or owners, and is duly authorized to make end 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 mOnner set forth in the ap~alico~ion filed herewith. Sworn to before me this .................................... aay aT January 64 ................... , , ,~ ............ ~ ................ .~ ............. ............ .c.~....(L~'~,:.,..~.,.:.-_~, .... .~ , ~,-~ (Notory Public) ~f New Yor~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ORDER TO REMEDY VIOLATION TO .. ~]~$r.t.. H.. &.. ~/~r[.. A o...Ohl2ar~ ........ (owner or authorized agent of owner) .;...;.~,~y".¥~ew..R~ad¥...-..Sou.t-hold-,--'~-~'o" taaaressor owner or authorized agent of owner) PLEASE TAKE NOTICE there exists a violation of: Zoning Ordinance Article VT ~.e~...6.01 ........................... Other Applicable Laws, Ordinances or Regulations ......................................... at premises hereinafter described in that......tr&:~lel~..]~er.l~..t..~..6.~.ha~...e~]~.Ct.~e.d~ ............ (state character of violation) ....... Renewal...o£..this.. permit..was...denie~..by... ~he...Town..Boar. dt...ther.ef, ure. .... ....... · the...tr, a.~.l~r.., mu~t...be...r.~moved., f.r om...th~...premises. ........................................... in violation of....A~t..M~....se~..6Ol~...hulldini~..zor~e..ovd~nanae$...T~wll..o~..~outhold (state section or paragraph of applicable law, ordinance or regulation) YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the law and to remedy the conditions above mentioned forthwith in or before the .................. l~..t,h ...................................... day of ................... ~'~1'111~*1~. ................ 19....~... The premises to which this ORDER TO REMEDY VIOLATION refers are situated at N/~..~..V.~.e~..~a~w..~out, ho'l~1 ............. County of Suffolk, New York. Failure to remedy the conditions aforesaid and to comply with the applicable provisions of law may constitute an offense punishable by fine or imprisonment or both. Building Inspect7 No....6.9 ............ TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT Street ~8~r Vie~ Road Town ....... ~??.h.O..Z..a..,... ~.....Z.... ..................................................................................................... Your application for a (single trailer) (~ permit was reviewed by the Town Board on ................ ]).e.~.eilll~.e~.....~0. ........................ , 19..6~.., and ;~llgl~ (was not) approved. denied A permit is hereby;~l:l~lJ~o locate a (single trailer) ~ license number ............................ or serial number..~.O~.'.~.lf:..O.....O[...~l~....O.t,~l~l'....'l;'l't.~,'~],.~. ............ ~,~L.N/.~....]~...¥..~.e...~...Ro&d ............... ~..o. ~.z...a. ~ ...~.,..~'.: ......................................................................................................... pursuant to application dated ...l~.~.~t~.~...~,.~.~..!c~.~J .............................. and the following conditions: . p...e..~....1~...t,.....~...~..~...i..~...~......~...~.....~...~..~..~...~.....0..~... ~.. ~ ~. ~.. ~.~.~ ~ .. ~.~.~ ......... TOWN BOARD, TOWN OF SOUTHOLD ........... :"~": .......... :i:~;;~' j~;~' .......................... TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined .................................... , 19 ........ Application No. Approved .................................... , 19 ........ Permit No ................. Disapproved a/c ~t~.p. ~ .~ c a ~. i...o..n...... ,~.e~....i..e...~. .... ~ - Supervisor APPLICATION FOR LOCATION OF SINGLE: AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP., Datek/~.~/~~....4.~...~... 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 cr in part for any purpose whatever other than specified in permit. Application is hereby mede 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 compl~)with al! applicable laws, ordinances and (Signature of (Address) State whether applicant is owner, lessee or agent.....~..0..~:~..~.?...~.: .................................................................... Name of Owner of premises ~ob~z't 0}zl~.:.~.zl .......................................................... 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 ................ ~/..?. ....... ~.9,~f...¥..~:~'...~J.9.~.-'.C~, ..... Street and number ...~.~g.~?.~...~?...C.~f-..~r.~.~..~...-.::..O.~'i ~.'c:?''~' .................................................................... 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ............ ..~.~.~.O..~.@~.,.!~.~:~...~.~ ....................................................... b. Intended use and occupancy ............................................................................................................ c. Period of time trailer is ;o be located on premises ..... .?~.~.:.i.~.~...~.'l.~.m,.~.';..-¢.g~?~.:;.~.?,~q, ......... 3. Fee .........~;...-~.,.~:.~, ..................... (To be paid on filing application) 4. Dimensions of trail;r, length .............. ~.C) .............. width ............... ZbC~ ............ height ........... ~.~7.~. ........... Registration Number ............................................ Serial Number ..... ~'~.....':..!.+.~.~. ................................. 5. Size of lot: Front .............. ,~g.Q .................... :.Rear ........~l,.O...O. ................. Depth ..............Z.~...O. ............. 6. Date of purchase or lease of land 1952' 7. Zone or use district in which premises, are situated "A'i 8. Does proposed use violate any zoning law, ordinance or regulation? ................... ~P .............................. 9. o. Method of Sewerage disposal .............. g...e.~.s..12..o..o...].. ........................................................................... b. Source of Water Supply .................... ?.{.e...1.~. .......... K'~,"~'/:~' ....... F:~'~?''''r':'t'~';t;''t ................................ c. Source, of Electricity ........................ ~......Z.....~....C..O. .............................................................................. 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, ~howing distances from all buildings and property lines. STATE OF NEW YORK ~-ss. COUNTT~, OF SUFFOLK .... .';,,.,,.,,.,....,..z...,..:.......,..,.....;..;~.z.m...~...,~.~~ ............. ~lng o~ sW~, ~ep~es a~d says that he ~s the opphc~ nam~ o~. ~ is the ............ ...~~ ...................................................... (owner or lessee or ~ent) of said owner or owners, and is duly authorized to make and file this appl'ic~ion; and t~t all statements confined in this application are true to the best of his knowledge and belief; and that t~ trailer will be Ioc~tod i~ the ~u~et ~et fo~' in ~e a~lica*ion filed herewith. Swo_rn~0 befsr~ rne this .:~...x~.......?..~:..'...! ......... day of ...... ........ ...... NOTARY pUBLIS, ~. 52-l~2~, TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined .................................... , 19 ........ Application No.....~I.....I'.J~II.~IW~. .... Approved .................................... , 19 ........ Permit No ................. Disapproved a/c ~.~.~.~. ~..~..~..~.~:D, .... ~.Jll~ J,.tl.~ ............. .............................................................................................. ......... · .......... A~LICATION 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 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 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 compl?~ w?h al! applic, gble laws, ordinances and regulations. ... .......... (Signature ofc?~licant) · .B.a~'...¥1ew...l~td.,.....B c~u.tho~d~...N..¥. .......... (Address) State whether applicant is owner, lessee or agent ...... O~l,~,l~,f:.~ ................................................................... Name of Owner of premises .... ..~..o..J~..e.~*.~...(~J3~ .................................................................................. 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 .............. ~J'..q ....... Ti~jr...~';J,e~..~r ..... Street and number., .~...0..0..~., .e.,., .~ .e..~.~..~.~.~.,...~.~tl.l;ho]4~ ..................................................................... 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ........... ~..G. JLII~.O..~...~..~'....~.~..JI:.,].~D~ ........................................................ # II b. Intended use and occupancy ............................................................................................................ c. Period of time trailer is to be located on premises .... tJJ3.~L..~..ID, G~..J~Olll~..13.OIJ.~a.t, Gl~. .......... 3. Fee .......~...~.(~ ....................... (To be paid on filing application) 4. Dimensions of trailer, length ............ ~'.(~ ............... width .............. 3-O ............. height ......... ,~,~...6 ............. Registration Number ............................................ Serial Number ...,,~0'1 ...-.....b~(~ .................................. 5. Size of lot: Front ................-].~O .................... Rear ......... ']~)G ............... Depth .............. -t.~'O:. ......... 6. Date of purchase or lease of land .................... ],9.~[..~ ............................................................................... 7. Zone or use district in which premises are situated .............. #.A# ....................................................... 8. Does proposed use violate any zoning law, ordinance or regu at on.;> ..................... ln.O ............................ 9. a. Method of Sewerage disposal ............... ee~8.])o~- .......................................................................... b. Source of Water Supply ...................... ~/e~..'l ...................................................................................... c. Source of Electric ty ........................ .~,.][~.~.,~]~. ................................................................. i .......... 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 namesi gnd indicate whether interior or corner lot. Indicc~te clearly location of proposed trailer on prem- ises, shOwing distances from all buildings and property lines. STATE OF NEW YORK 'I COUN~C)OF,. SUFFOLK~'~' ~./ .. ~- ~ ,? , , ~., ~' .................... ~...l,....~.~.~. ................. ?~L ........ ~..belng du~ sworn, dep~es and says that he is the applier named a~ve He s the .......... ~.'. ......... ~.~.~ .................................. (owner or lessee or agent) of said owner or owners, and is duly authorized to make and fJ e th s aDplic~ion; and that all statements contained in th s application are true to the best of his knowledge and belief; and that the trailer will be located in the manner set fo~h in ~e a~lication filed her~ith. ........ ................... MONICA (~. GALLAGHER NOTARY PUBLIC, S~ate of Haw Vor~ NO, 52-1362900, 8uflo~k Bay View Road Southold, N.Y. November 22, 1963 Dear ~ir$ Your trailer permit ~ 69, will soon expire, enclosed are partialy completed application form8 to renew same. If you wish an extention please sign and complete where checked with red pencil, have it notarized and return it to me with a $ ~00 feeS I will take it to the next Town Board meeting for you. Yours truly Building Inspector C TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSEGAR LOCATION PERMIT No....6~. ........... Name ..lt~Ber. t...Ol~l~ ........................................................................................................ St feet ...... ~B~....~. ~GW.. ]~l)J~l~ ........................................................................................................ Town ......... ~Ollt~ho~d I'"N*'~' ................................................................................................... Your application for a (single trailer) (~ permit was reviewed by the Town Board on ............................... ~ ....... ..~ ................. , 19.63.., and (was) (X~]JJ~) approved. A permit is hereby issued to locate o (single trailer) ~ license number ............................ or serial number.....~Ol,-J~',O ...................... ot,...J~//J~..J~ly,..~'~,.~..R~O!~ ............................. ........................... S~utl~ol~ ....... ~..Y.. .......................................................................................... pursuant to application dated ........................... ~ .......... ~,.~. ....... 3.~.~. ........ and the following conditions: ... p.e~.l~t.t ...~, s~e~l ...f. oF...~..~1~;~!~...f.l~l~ ..jt~ ..t.1. w..t9~~ .................... TOWN BOARD, TOWN OF SOUTHOLD TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ,.^u,,,n~u ..... ~:....;; ................ :...; ]~....:.. ., Application No ...... .~.~ ..................... ~l~p~,~a '; .~.~ . , 19 ........ Permit No ................. gi~/d~f/~.....A.ppl.~a.t,~_.~..~p.~o.v.e~..&..mo~bs, f'z-o~ ~'~e ~., ~-gG3 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 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 c~tl~t~' with all applicgble laws, ordinances and regulations. (Signature of applicant) ..................... ............ (Address) ,~' State whether applicant is owner, lessee or agent .......... .c.,..~ .................................................... Name of Owner of premises ...... ?~.?..[~: ...... .~.~..~c..~..L£~.:?.~:~- ............................................................. If applicant is corporate, signature of duly authorized officer. (Name and title of corporate officer) I. Location of land on which proposed trailer will Ize located ........................... Street and number ................................................................................................................................... State existing use and occupancy of premises and intended use and occupancy of proposed trailer: o. B×istin use and occupancy ................. ..... ........................... b. Intended use and occupancy ...,/~.:...'"'fc4~'....4,m~....~.~...~' ....~ c. Period of time trailer is to be located on premises .... ~.....6~'.....~. ....... ..~./..~ ............................... 3. Fee ............................................ (To be paid on filing application) 4. Dimensions of trailer, length ........ ...~....~..../~... ........ width ....... /...~....,~...:. ...... he ght ......... /....~..~.~...']..~..'"?~, Registration Number ............................................ Serial Number ..........~....~..~.../..Z...~....~....~. ....................... 6. Date of purchase or lease of land ...'__J.~.~' ~ . i ....... ~ 7. Zone or use district in which premises are situated ~" Does prol~0xsed use violate any zoning law, ordinance or regulation? ...................................................... a. Method of Sewerage disposal ................. ~ 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. Indicate clearly location of proposed trailer on prem- ises, showing distances from all buildings and property lines. STATE OF NEW YORK 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 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 t~re me this ...2..~......~... 19 ~ do,/of ~ (Notary Public) ELOISE BOWDEN ~tal7 Public State of New ~l~ding in Suffolk County No. 52-03~7800 Jl~ Commission Expires March TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. L~L~ !'.~f.//~.'.'..~..~:'..~/.z.!!;!~.~./.L~.~.,~_-9~.#.~.~ Application No ...... ~1~ ..................... ~¥~//~/. ............................., 19 ........ Permit No ................. 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 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 tj~'m~gly with all applicable laws, ordinances and (Signature of applicant) ............... .......................... (Address)/' State whether applicant is owner, lessee or agent ............. ~..-r~...:..c~...~i ............................................... Name of Owner of premises ..................... .~....~......~..~..'..~..~..~,;~ - .~,c.~ ............. ~.4, ~.~_,~ ..................... If applicant is corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which proposed trailer will lze located ....... ~.~4~.. ................... Street and number .................................................................................................................................... 2. 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 ..... ].~.....~....~ ....... .~./Z.~,~.~.../..:....~ /' ' ............. 3. Fee ............................................ (To be paid on filing application) 4. Dimensions of trailer, length ............~.~...~..~..width ...........~....~....~..4.. height ........ ./...~....~......:...~.~-~ Registration Number ............................................ Serial Number ...... .'~,.,.¢-.../....%..,,,~,....~...~..). .................... S ze Iot Front ................ ,... ....................... Rear...,. ................ Depth ..... 6, Date of purchase or lease of land .......... 1..,...:,...~.. ............... ,,.. .......... 7. Zone or use district in which premises are situated -- - Does proposed use violate any zoning law, ordinance or regulation? ...................................................... a. Method of Sewerage disposal ............... ~ .................................................... b. Source of Water Supply ............... ~.,/,,~,~......~~ ............................................. c. Source of Electricity ................... ~........~.._..~;E...~../~r~. ,. ........................................... 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 COUNTY OF SUFFOLK ........................................................................................................ being duly sworn, deposes and soys 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 lite 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. ~,~ , ~.J :~ (Signature) (, (Notary Public) ~;Lols~ BOWDEN ~l~)t~Y Public State of New ~Jn~ in Suffol~ Coun~ No. 52.0361~00 ~ ~mm~s~on Expires March 30,