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HomeMy WebLinkAboutPollock, Arthur TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT Date ................ I~t~temb~l~...9 ,...t %1'~ .... Nome ..A~r.~.~7~'...P.~l~).Ck ....................................................................................................... Street ....... 1113.....1~in,. Silent .............................................................................................. Town ......... 5~ e.e.,apO~t~...I, .. I ................................................................................................... Your application for a (single trailer) (~[~i~Z.~/,~0~ permit was reviewed by the Town Board on .................................... S~.]).l;e~b~I~.....8....., 19.~,.., and (][~][ (was not) approved. A permit is herebdy~lto locate a (single trailer) (~ license number ............................ or serial number..2k~ ................................... at ¥~./~.....i48. i~..~l~e~.t~' ' ............................. ..................... .~:~.~e~P~ ~.~... ~,..~., ............................................................................................... pursuant to application doted ................. ,~,~t~....~,~...3..9(~1~. .................. and the following conditions: ...... l~e~..(;.. ~ ~'li~;t~ ~... ~.. ~'...OO. ~) ~.-~h. · .~ t~e · · ~ e ~,~4.~. e (]. · · [~.. ~ ~, ~.~.. ~ ............ TOWN BOARD, TOWN OF SOUTHOLD .fl-.,. .. Town Clerk TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, Ft. Y. Approved .................................... , 19 ........ Permit No ...... ~ ........ Disapproved a/c ..... ~..e. ~ ~ e...~..~..¢Y..~.....8..~..I-.c). 0..~ ................................ Superwsor Application No .................................. APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. ,~ Date (ALL I/4. ........... ~.. ........................... , ,&~. Instructions a. This application must be completely filled in by typewriter or in ink and s'ubmitted 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 o 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, end other applicable Laws Ordinances or Regulations. The applicant agrees to comply with all applicable laws, ordinances and (Signature of applicant) ~;;;; ....................... ~'"'~ ~"'~"'~'a~ ~,~ whe,~ ~pp,,~n, ,~ own~, '~e~ o~ ~e~,...., ................... ~~..~-~..~~ ~ o, ow~ o~ ~m,~ .................................... ~~'' ~ ~~~:~,..~.~..~...=~.~...~~ ~ ................ Jf 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 Street and number .................................................................................................................................... ~. of oremisez an intended use and occupancy of proposed trailer: 9 State existing use and occupancy .,'e. mise~ anZ a. Existing use and occupancy ............................................... i ........ b. ntended use and occupancy ~...~ .~' ~ ~' .......................... ~ '~':~'"'~"Z~-~ ................................... c. Period of time trailer is to be located on premises ~.....~..L ............................... 3. Fee ~ ~ ~ (To be paid filing application) 4. Dimensions of trailer, length ......... ~..~ ............ width ....... ~..~..~..:.... height....~.~ .................... Registration Number ...~.~...~.~...~.~..~.~.~Serial Number ..:.....;....~. ....... ;....,~ ................................ 6. Date of purchase or lease of land .....I.~ ~'' -~ .................... ~ ........... ;.....: ........... '~J~ ,~/IOP ................................. 7. Zone or use district in which premises are situated ~.(~.~...:....~.. ..... ./...~....~'.. ...~..I. ................ ..~y/Z~ 8. Does proposed use violate any zoning law, ordinance or regulation? ...................................................... 9. a:. Method of Sewerage disposal ............................................................................................................ b. Source of Water Supply .................................................................................................................... c. Source of Electricity ....... .~...~...!.~.....J~.......~....~...! ..................................................................................... 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 property lines. STATE OF NEW YORK lss. COUNTY OF SUFFOLK .................... ..................... ;iE: ZZ7 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 Che application file~.h~rewith. Sworn to before me this ............~ ................ day of ............. :EI.).~ ....... ~='[~'~ , TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined .... ~ e.l~.t,~m~ ~. ........ (~, 196~... Approved .................................... , 19 ........ Permit No ...... X ........ Application No .................................. Disapproved a/c ..... 8e-~t. eml~'.. ~.~.gG~ ................................ ...................................................................................................... Supervisor APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. x~ Dote ......................................... 14- 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 o 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 inspectiom 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 Count~ New York and other applicable Lows Ordinances or Regulations. The applicant agrees to comply with all aoalicable laws ordinances and regulations. (Signature of applicant) State whether applicant is owner, lessee or agent ..................................................................................... Name of Owner of premises if applicant is corporate, signature of duly c~uthorlzed officer. (Name and title of corporate officer) 1. Location of [and on which proposed trailer will he located .................................................... '. ............... Street and number ................................................................................................................................... 2. State existing use and occupancy of premises ar!~J intended use and occupancy of proposed trailer: a. Existing use and occupancy ............ ..~ ......................... ...., .............................................................. b. Intended use and occupancy ....... ~..-~....°T.~.....~ .......... ..'~........~...'. ................................ c. Period of time trailer is to be located on premises ....Ct .................................... .' .............................. 3. Fee ....... .~../....~..?. ........................ (To be paid on filing application) 4. Dimensions of trailer, length ......... ~J. ............. width ........ ~'~.i. ................. height ................................ Registration Number .?..../~....L...!...~...~...~.....~....~...~..~.t...$erial Number ............ .,. ........ ., ......... ............................. 1 S. Size of lot: Front,iL~(~ Rear ............................................................................_epr~ th.. ~.....................~-°^~ ,J ....... ~ ... ~q ~7 6. Date of purchase or lease of land ................................................................................ ~ .......... ~'~'-E" ~' - 7. Zone or use district in which premises ate situated-- ~(2~-~0~ 8. Does proposed use violate any zoning law, ordinance or regulation? ...................................................... 9. a. Method of Sewerage disposal ............................................................................................................ b. Source of Water Supply .................................................................................................................... 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 buildiags ~,ck~d~prop~rty lines. STATE OF NEW YORK ~ss. COUNTY OF SUFFOLK ,4 2:t' t~-~,~,~ ,",~, ~'~ nn r' ................. a...., ......................... , ................................ ; ..................... ~,~ ~ ~m, a~ he is ~ appJ~t nam~ ab~. ~ ~ the .......... : .............................. .,.... ......... '..;...,..~].:.~L.J'.: ...... (~ner o[ le~; ,.eu0r~e~t~ · : ;~ of said owner or owners, and is duly authorized to~q~this ~pl'ic~ion; ~d ~t all s~tements confined in this application ~e true to t~ best ~dge a~ ~l~i ~ ~.t ~'%miler will be I~ated in t~e man~r~h jn~ a~'licution fil~ifh. Sworn to be¥ore me this ........... ~LJ. ................. day of ": ....... ~" (N~t?' .... ~u~.~a .~ ~b ,,. ~ION ~ eT'- 'T