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HomeMy WebLinkAboutPrice, HaroldTO: Harold Price Bay Avenue Peconic~ L.I.,N.Y. Your application for a House Car permit was.reviewed by the Southold To~m Board on hsy 6, 19%8, ~nd ~ approved. The fee of ~.5.OO accompanied the application. A permit is hereby issued for permanent occupancy upoa the location as ~hown on the application forms. Booth Town Clerk D~ted: May 8, 1958. · 0~'~ CF SOUTHCL~ S~U,';H,?.~ i~ Z Examined. ~ ./~.~-~,, .... 19~ ........... (~*erviscr ~FLICAT~,O~I FCR LaC~ICN CF SIiIGL2 A:.~C:,~i:~K, =~ ILltH aR HOUSE C~., ' .... T O~I ST C;J~ ...... Pate. ............ Application No..~.~ ...... Instructions a. This application nn~st be comp._letely filled in by ty-pewrtter or in ink and mi~ted in ~u!licate to the Town Clerk. b. Plot plan showinM location of lot and of buildings on premises, relationship to a~joining ~remises er pu%li~ streets or areas, and giving a detailed description of layout of property and proposed location of trailer must be drawn cn 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 ~remiees available for in- s?ectlon. d. No trailer shall be occupied cr used in whole or in part for any purpose what- ever other th~,n s~ecifiel in uermtt. Application is hereby made to the Town Board for the issuance cf a Trailer Permit pursuant to the Bull,Sing Zone Ordinan6e of the Town oF Sou%hold, Suffolk County, i~e ~ York, and other aFpllcable Laws, Ordinances or Regulations. The applice~t agrees to comply with all applicable laws, ordinances and re~gulo.~-icns. (Signature of applicant) Address State whether applicant is owner, lessee or agent...,~ .... ..o.. ..... , .............. ~ame of Owner of premises .. ...... ~ ..,...., .... ......................,....,.- If a~l~can~ is a cc~cra~e, s~na%ure cf ~ulI autherize~ officer. (Nnme ~,nd title o~ co~orate officer) 1. Location of land on which ~ropos~d trailer will be %ocatsd.~ ..... . ...... . ...... Street an m er . ...... , ...... ,,. ...,...~.........,.~........,-.,.,... .-.... 2. State ex~ot~ng use ~nd ~ccurancy of ~remises and intended use and ~ccurancy ~f prcvosed. ~railer: b. Intended use and occupancy . ...... ',. ,.~..~fr~;.~.~.~,~%,.... ........ ,...,.. c. Period ef time trailer is tc be located on ~remises .~.~.,~,.< ..... , ..... 3.' Tee ..~.~'~.~ ........... .,.. to %o raid_ cn filing aFrlicati~n) ,$. Dimenoions of trailer, length:'.~O.~.,w£Rth. ,~.-..~ .height, Registration ~T~m~'e~ .... ~ ............ 3trial number ................. ~.. D~to cf purcho~e or lease 7. Zone cr u~c ~i~rict in which nrcmisec are situatcd.,~ Yoes pro~o~ed u~e violate nny zoning law, ordinance or regulaticn?,.~ '9.' ~ p 1 'g..{Gt. ho'd of Zowsr~Ee dig ese %. Source of Water Su~ly · c~ Source of electricity ....... ~ .. .... ~. ..~.M~ ........................ PLOT D I AGPJd~ Locate clearly an~. distinctly indicat~ ail set-back 4imohs~ons,fro~ pro~oervy lines. Give ~roe~ ~ h].oc~ nvm- %ors or icacrt~i!~n according ~c ~a,r~. ~.n~ show-~tr~et ~namcs ~nd iniicato who'c~cr interior er ccrher lot. In4i6~le clc~.rly loea.tion of oro~osod.vrailer on showing ~istancDs fr~m all kuildingg ~d propursy lines. S~ ~ }~'? YORK ,qo~tnty of Suffolk ) ss. .............................. ,,.,~.. ......... ,..~%ein~ du sworn, deposes and so~s that ho is tho %??licant a%cve n~med, Ho is the ,, .Q~C~. k ,~.Z~% .................. (owner or lessee,or agcn'~) of said o~<nor or owners, and is duly autherized to mmkc omi file this aFplicgtion; and tLgt gl! s~6,~6kbf~tb contg.inei in this'g~plication are t~e to the test of his kncwlcd~o ~nR.%c~cT-~ and that ,h~, ~rgilcr will ~e located in tho manner set forth in thc n~licat~on f{ioi t~erewith. Sworn to toforc ~e this 8 day of Not,~ryPubl~c) S¢,U'fHCLD if. Y. Examined. 0 ...... o ca on No ,. Ao~roved', ...... ! rmit l, Te. .. Iieappreved a/c.; ........ , ..... ,, ........... ~ ..... '~ ..... ~ ~'~R ~R HOUSE C~, )~oI~E CF TO~I ST CA~ .... L:~. ~ a~ '~e, ..... ~. . ~ . .... Zn~a51on~ · ,. ~hi~ ~p~ltc~1on ~s% be,~9~la~el~ ~llled fg'~y,~aWrf~er or t~ ~ and of 1~o~ o~ Fra~er~ and Fra~o~e~ loaa~fon of ~ra, tler ~ ~e ~r~wn cn ~he a. ~on ~p~oval o~ %ht8 ~plt~%lon~ ~l~e Town ~o~&.Wfll f~sae ~ ~r~fler 1;o ~iler ~h~ll ~e occulted or use~ ~n whole or in ~ar~ ~or ~ny ~u~e~e ever o~h~r ~h,n ~ec1~1o: in Ay~lication is hereby made to the Town Board for the issuance bfa Trailer rermit Fursuant to the ~utlSing Zone Ordinance of the Town oF $outhold, Suffolk County, l~e~ York, and other apFlicable Laws, Qrdinances or Regulations. The a~plica~t agrees to com21y with all arplmcable laws, ordim~mces ( Signature of aTrlicanJ~)~ A~dress State whether applicant is owner, lessee or agent..V;~.~.~.~,~ ................. ?a,me of ~wner of premises ........ ~Y-~.~.. ~ ~.q ............ ,. ................... If arrlicant is a corporate, signature cf duly autherize~ officer. (N~me and title of corporate officer) ~Location of land on which ~roposeS: trailer ~tl~l be ~loc~,.ted...: .... State existing u~e snd.cccurancy of p~e~es and intende~ use and ~Ccupancy '.f 3. Fee. .~.~.~QV ........... (to %e uaid cn filing 4. Dimensions of trailer, length..p.0o..wii,th.-,.1.O..,o'height.,~..~ Registration }~umber ..... ~ ...... Sorial~ nuM~ .......... ~ ~, Size cf lott Front ...... ........ Rear~,,,,, ........ ,~e~t?/..., ............ ,,, ............. ........................... ~. Pate cf Turchase or lease of''' .. ,. ~4 ' ?. Zone or use ~t=t-rict in wh~ch.~romises are sztuatc& ....... , 8. Zees.proposed u=e violate any zonin~ law, ordzn~mco or re~lation~ .... ~ .... ~, a[Ho~ho& of 3ow6ra~e &isposal ..... ~¢~ ................................ t. Sourc~ of Wa~or Supply · ........ , ....................................... c. S~urce.of ~lcctricity .............. ,.~ ..... ~ ............................. Locate clearly and 4istinctly alt ~ildi~s whether existing or proposed', nde,-%~ ail sc5-%ack i]meno~cns fron. p~o~oer~y Tines~ Give str~e% n~d bt.tek m~m- %er~ or description accorting ~o deei ~.nd show s~reet names Arid indicnt'e. inter,or cr corner lo~. Indicate cl~r~y loc~tion of proposed trailer on [u~dznso ~d pr~pcrsy lines. showing iistanccs from all ~ '~ ' ~ ' STA~E tP -R~I'; YOP,K -' ') . .:. . ~W~..~.k~ ..... - .............. ,being duly sworn, ~oyoses anA says th~.t he is thc a~Fllcant a%cve ~.med. He zs th~ ............. , ...................... -- -'- (owner or lessee%or agent) of sai.d owner...or, owners, and is duly a{~%~,~h~d' %o'~:nkc'nm~ file this e~licatton; and Ikat al! ste,t'ofents con%ain~i in thi~'u~'licat&on ars %~e zo the host of his kncwl'6d~3 '~nd :'elib'f? ~md that 'She trailer will %~ lo~tod in the manner se~ forth in the ~.~rl~ca:~on f~l~'d therewith, Sworn to l. ofore me %his ~ da.y of .... .......... .... ( Not-~ ryPublic)