HomeMy WebLinkAboutSalter, Robert E. TOWN OF SOUTHOLD
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
SINGLE TRAILER OR HOUSECAR
LOCATION PERMIT
Name Ilo'bet t.. ~ '~.. 'Sal'~el,' .....................................................................................................
Street ....... ~O~;S ~lal~' 'JL~¢II ...........................................................................................................
Town .......8'~h~I~ .......... N;Y; .................................................................................................
Your application for o (single trailer) (l-~l~ermit was reviewed by the Town Board
on A~i~,.J;~...~.~...&..Ap,Z,~I,~...2~ ...................... , 19...~., and (~(was not)approved.
A permit is hereby issued to locate a (single trailer) (h~ license number ........................
or serial number ......
pursuant to application dated .......... ~8.~P,~]~....2~ ....... .1.9.~2. ........................... and the followin¢~
condition s: ...... I~'~1:~,~.~...d~.l'l..i.~d...i~.~...~oI~1 - .~ ~.. · ~1~ '~.1... ~.j....~ 9~.~.... ~1i~,..~.'~.
cash fee returned here~&th
TOWN BOARD, TOWN OF SOOTHOL,D
Town Clerk
O
TOWN OF SOUTHOLD
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Examined .....~ . .................. , 19. ..? Application No .....................................
Approved .................................... , 19 ........ Permit No .................
Disapproved a/c .......... .~o.~..ABR ~:t~ .~f~.~^ .......................................
~ Supervisor
APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE GAR,
OUTSIDE OF TOURIST CAMP,
D te ................ ,
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~ all applicab~ and
..... ~....~ ..... y ....... ;! .................................
(Signature of applicant)
.~B~.ias eau..Av.e.,.,...Sa~zt~ ~ d,..N..Y .............
(Address)
State whether applicant is owner, lessee or agent ........ .9...w~.~.~. ....................................................................
Name of Owner of premises ..... ~.rad...O.%.is...I~£~ .......................................................................
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 ..O..]-..~....0.;t'.c.~.~.~'...c]....~..a.....z~....s.,....g.~.g.~..o.~ze
Street and number ~e.J.~z..~oe, d?...0.~J;,c1~o~'~e.,...~,Z .................................................................
2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer:
a. Existing use and occupancy ..... .~..~,C~,~...]]L.o.J; ...............................................................................
b. Intended use and occupancy .....~..J:..¥.~..~..~....g.?:.~,.?.~.e..z'...~. ..................................................................
c. Period of time trailer is to be located on premises ...~,....~..~.$~.9,~.~ ............................................
3. Fee ..~[~,.OJC). ............................. (To be paid on filing application)
4. Dimensions of trailer, length .6..0..!.....~.]g~.?..9..~..:..width ..]:.~.!.....~.1~.?...o..~..: ..... height ...]:.O...~.....~.]g,,!q.z'..9..~..*.
Registration Number .~'.g,~2,$~.~.~..~l..~,.~.e.~'...Serial Number .~.'g~q~is~e~l...l~.'J;~.~.. .....................
5. Size of lot: Front _3~)~ ................................. Rear., ~-00. .................... Depth ..1.4..~ .......................
6. Date of purchase or lease of land April 1, 1972
7. Zone or use district in which premises are situated ~lC~.~.~.g,~...~..~. .............................
8. Does proposed use violate any zoning law, ordinance or regulation? ..~.0 ...........................................
9. o. Method of Sewerage d sposa ,......c..e...~..~.~..o...o.~. ..........................................................
b. Source of Water Supply ..... ~.O.~,S.~.]).~ .....................................................................................
c. Source of Electricity .~,ve,~.3..a.~'Le....~.~...o,v.e~'.h~..~.'L£~s...~;~....~,~ ............................
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposec~, 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 dearly Iocatian of proposed trailer on prem-
ises, showing distances from all buildings and property.lines.
STATE OF NEW YORK /
COUNTY OF SUFFOLK ]ss' ~
being duly sworn, deposes and says that
he is the applicant named above. He is the ................................................................
(owner ~) ............
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 ......~....~.....T. ............... day a
........ ....................... , ................. : .............................................
.......................... ;'"~/"~/' ~'(Not~. ' ' ............................... JACOBS
Notary Public in State of New York
No, 52-7057150
Residin~ in Suffolk County
TOWN OF SOUTHOLD
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Examined ................ 19...~....~ Application No .....................................
Approved .................................... , 19 ........ Permit No .................
Disapproved a/¢ ..... ~.~.II~i~4~, .......................................
..................................................................................... ::::::::::::::::::::::::::::
Supervis6r
APPLICATION FOR I~OCATION 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 lacation 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
(Signature of applicant)
.. ~a'~i as aa~z ..Av.e..., ...S a~thald, .. ~I ,.Y. ...........
(Address)
State whether applicant is owner, lessee or agent ......... ,o...W~.~' ....................................................................
Name of Owner of premises ...... A~l£.rad...O.C.ia..Da~&ds ......................................................................
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 ..O.~.~....0.?...q.~..~?..~..~.~....z~....s. ..................
Street and number .JY~'it3...t~a~.cl.,...C~J;.ako.~g.z~.,...~..~ ................................................................
2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer:
a. Existing use and occupancy ....Y~,Q.~¢3.~...,],Q.~ ................................................................................
b. Intended use and occupancy .... .1.iu.i~...q~e.m¢~.~ .................................................................
c. Period of time trailer is to be located on premises .... ..l.r.,.~,..~..~.~JC$ ............................................
Fee ...~.5.,.Q.O. ............................ (To be paid on filing application)
Dimensions of trailer, length /eO.h..e~p]p~e:~.~.width ..1..~.".....~..~.~).?..°...~.:. .... height ...]r..O.~....~..~.P.?..O...~.:
Registration Number ...~.~?..~. ~.~.]fL~.~...~.~.~.~.:R...Serial Number ..~.~I'D.J.,?~3.e,~...la.~ .....................
5. Size of lot: Front .~,QQ.~. ................................ Rear ...~L(}0~ ................... Depth 144'
6. Date of purchase or lease of land ....... ~.~.J:.].....~....~9.7..~ ..................................................................
7. Zone or use district in which premises ore situated agricultural
8. Does proposed use violate any zoning law, ordinance or regulation? ......... .~...O. ....................................
9. a. Method of Sewerage disposal ....... CD.~.P..0.Q], .................................................................................
b. Source of Water Supply ..~o.u~.e]~.~ .......................................................................................
c. Source of Electricity .~.~.~..~..];..~.~.]r..e.~.f.~.~..m.....~..~e.?.h..e...~..c1:....~.~..~..e..F.. .~o b~.z~..~ .........................
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.
j ~ ~ /~0~.
~ I
COUNW OF SUFFOLK jss.
........ .....................................
he is the opplicont homed obove. He is the .................................................................................................
(owner ~
o{ sold owner or owners, ~nd i~ duly ~uthorized to m~k~ ond {lie thi~ o~plicoHon; ~nd that o1~ sto~oments
contoined in this opplic~tion om true to the best o{ his knowledOe ~nd belief; ond that the troller will
be I~oted in the monner set forth in the opplicotion fil~ herewith.
Sworn to before me this ....~....~. .................... dayof ~6(Si
~ 'g oture)
(Notory~Publ
ANNA W. JACO[~S
Notary Public in State of New York
No, 92-7057~50
ResJdJnE in SUffolk Coun~
Commission Expires March 30, 19