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HomeMy WebLinkAboutReich, Norman A. TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT Nome ...~'.~ialX A,..]~II::~4~ ..................................................................................................... Street ....... . .~.~.....~ Z'D, en.. ~.t~ ........................................................................................................ Town ..... ~..~. ~'1~1. ~.. ~ ~ ~..t.-. ~. '.~-' ........................................................................................ Your application for~ (single, trailer~(~ permit was reviewed by the Town Board on .................................... ~.....~ ............ , 19...~., and (~(was not) approved. ~ied o~ ~e~o~ ~be~ ................................................ m ..... ~-si~e...prl~...rea~...(Cc~ar. Birch · ~.....Or. ie~...Pe~.t v-.L...X.v..M .~.. ................................................................................ p~rs~o~ ~o oppHcotio~ doted ............ ~e..2.~.~...~ ................................o~d the ~oHow~ ...~la.a~.pr.e~e.~.~...~...~..OO...cas~..f~e.,.re~d...~e~ ............................... TOWN BOARD, TOWN OF SOUTHOLD "'"'"" :' :'-':'~:~f '; :4 ';~ ............. : ....... TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ..................................... 19 ........ Approved .................................... , 19 ........ Permit No ................. Disapproved a/c ............................................................................ Application No ..................................... Supervisor APPLICATION FOR I~OCATION 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 G 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 comply with all applicable laws, ordinances and regulations. ,(.~.~...~..~..~..~.,...~. ~.. ~ (Address) State whether applicant is owner, lessee or agent .......... I~.~....:......-.~. .............. * .................... wz ...... 1. Location of land on which proposed trailer~ will b~, Ioca.~d St reet and number ,~/~~/...~~ .. ~....~. ~... 2. State existing use and occupancy of pre~nises 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 ............................//'? width ........... ' .7.../.~....( ...... height ...... ../....~....../. ......... Registration Number ..~,.~....~.../....--....~....~.-...~. ......... Serial Number/~...,~....~..~....~......~..~....J.,~....~..( .... / 5. Size of lot Front ..... ...~...Z.~... ......................... Rear .... · .~'....Z..~.. .............. Depth ....../.....~....~...,./. ........ 6. Date of purchase or lease of land .......... .~...~ ~../. ~..,~...~..~.. 7. Zone or use district in which premises ore situated ........... ............ 8. Does proposed use violate any zoning law, ordinance or regulation? ............... ~ ........... ;. .................. 9. a. Method of Sewero§e disposol ............... b. Source of Water Supply r~ , t~ c. Source of Electricity PLOT DIAGRAM Locate clearly and distinctly ail buildings, whether existing or proposed, and indicate ail 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 SUFFOLKjss' .......................... ~o.~.n..~f~,ch ............................... being duly sworn, deposes and says that he is the applicant named above. He is the ...................... Q-~r.e.r. ....................................................... (owner or lessee or agent) ....... of said owner or owners, and is duly authorized to make and file this application; and that ell 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 appfication filed herewith. Sworn to before me this ........ ~1~ ............... day of ~"~, ~ /) ................. J. un~ ................................. , 19..7.1 .......... .................... · ......... ~ ...... ature) (Notary Public~/ ELIZABETH ANN NEVILLE NOTARY PUBLIC, ,~late of Nev~ ~'k No. 52-8125150, Sutfolk Coqn~v Term Expires Marr. h 30, I TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined .................................... , 1c) ........ Application No ..................................... Approved .................................... , 19 ........ Permit No ................. Disapproved a/c ............................................................................ Supervisor APPLICATION FOR L'OGATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Rte ....... , Instructions a. This application must be completely filled in by typewriter or in ink and submitted in dup!icate 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 comply with all applicable laws, ordinances and regulations. ...... .... State whether opphcont ~s owner, lessee or agent ......... ~.~.....,...~ .................................... Name of Owner of premises ......... If applicant is corporate, signature of duly authorized officer / 1. Location of land on which proposed trailer will be located ...(..~,~...~......l...~.~'.,,,r?.. t d 2. State existing use and occupancy of premises,and in ende use and occupancy o proposed rai er: a. Existing use and occupancy '"' '"~"~'~"~;/'~Z(~"~/"~" b. Intended use and occupancy .~~ ..... c. Period of time trailer is to be located on premises .~,~,..~...~~..~ .......... 3. Fee ............................................ (To be pQid on filing applicetion) 4. Dimensions of trailer, length ,./~..~ ............... width .......... ~..5 ....... height ..... /.~....(. .......... 5. Size of lot: Front ............................... Rear "Y ~ Depth 6. Date of purchase or lease of a~d ~ ..~..,,,< /~ r ....................... ' .............. "~ ;~'~ ................. 7. Zone or use district in which p em ses are s tuatea ........................................................................ Does proposed use violate any zoning law, ordinance or reguloJ. Lg~;~ ..................... ...~....~,t ............... a. Method of Sewerage d sposa ~,~z,~ , b. Source of Water Supply c. Source of Electricity PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate alt 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]ss' ......................... ]~O~¢,l~',..B. fl~,~ ................................................... being duly sworn, deposes and says that he is the applicant named above. He is the .................... ~1~.~ ................................................................. (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 me this ....... .2.],$.1r, ................ day of ................ ................................... , ~ ...... z. ~. (S igi~7~] ~.e)~..,¢ ' .,,-~.......'m.. ...... (Notary Public) / ELIZAB[-rH ANN NEVILLE NOTARY PUBLIC, State of New York No, 52.8125850, Suffolk Co t Term Expires March 30,