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HomeMy WebLinkAboutSanchez, Mrs. Adelaide TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT Name ~S.... Adels/d~.. Sanchez ......................................................................................... Street ..~?'~1...~.~ .................................................................................................................... Town .. ~.t..~.!...~.1~.~.1... ~ t.)[.? ........................................................................................................ Your application for a (single trailer) ([~ permit was reviewed by the Town Board an .................................. ~,X~' ....... ~,9 .................. 19.6~.., and (was)~,,'~) approved. A permit is hereby issued to locate a (single trailer) ~ license number ............................ TO be(suppl&&d) or serial number ............................................ at .............................. ......................................................................... pursuant to application dated ............... ~.~".....~t...19~2 ........................... and the following con d it ia n s: ... P..e,~.~.m~kt...1 ~.~lled...£o~.... ~gl~...~e~.. ~"r. GD...~at e... ozl'[~ ............................... TOWN BOARD, TOWN OF SOUTHOLD · ......... T~wn Clerk TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ..................................... 19 ........ Application No ................................... Approved .... .~.8.y....~.~.~...].~..6..~. ........ , 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 mode 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. i:i~'A'~'fd;~: o~'~f"~iiL'~'~¥~ ........................... ~' .............. '(Address) ~C. ~ - ~ I 0 State whether ~plicant is owner, levee or agent ........................................................................................ Nome of ~ner of premises ~....~.....~ ....................................................... If applicant is corporate, sig~ture of duly aut~orized~nrJ~ed oFficer.of icer. ' 1. Location of land on which proposed trailer will be located ..~_...c~..._/:).~.:..~..~..;?..,,..~...~[c.. Street and number ..~..~....~..'.~..~ ........ ~./<.:.~..~...~'..~.-.. ;.~..c.~ .................................................................. 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: ..>- a. Existing use and occupancy .~....~Z~(..... .~.'~;~. ' . ~:~;(;,..~...~. ,~:hj~... .'~,~,,..%X ......... b Intended use and occupancy ...~'ZJ ~/ c. Period of time trailer is to be located on premises .Z~./~...:..r ....................................................... Fee ............................................ (To be paid on filing application) Dimensions of trailer, length..~.....~. ................. w dth ...... ./.~.~..... ............ he ght.....,&~..~... ............ Registration Number ............................................ Serial Number ............................................................ 5. Size of Jot: Front ./..~...~...~... ......................... Rear ................................ Depth ,~..~.......: .......... 6. Date of purchase or ease of land ~- /.~ /~5~ 7. Zone or use district in which premises are situated .:.~.......~.~~e,~-...~... ................................ Does proposed use violate any zoning Iow, ordinance or regulation? ...................................................... Method o, Seweroge d ................................. b. Source of Water Supply .~...~ ............... . c. Source of Electricity .~..~.....~...~:~ ~' ..... .~. ..................................... 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 troiter on prem- ises, st~owing distances from all buildings and property lines. STATE OF NEW YORK I t .... ~ ~~ ~'~ ~" ~?~7 COUN~ OF SUFFOLK ~ss. ~""I~ ~~ ...... t ~.~. he is the ~pplicont ~m~ ~v~..~e is the ....... ~d~:~.~~ ............................................... ~ (owner or lesseo or of s~id owner or ownors, ond i~ duly outhorixod to m~ke ond file this o~plic~ion~ ond that ~11 st~temonts conjoined in this o~plication ore true to tho host of his knowledge ond belief~ ond that the troller be ~oted in the ~hner se~ {orth in tho a~licotien filed herewith. Sworn ,o before me this ................ ,;~.~.....~. ......... day of ................................ ...... ........ ....... ~..Z..~....~.~~ ............ ~ (Nota~ Public) JUDITH T. BOKEN NoI~ry Public, State of New York NO. 52-0344963, Suffolk County Oommie~ion ~pires ~arch 30, TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N.Y. Examined ..................................... 19 ........ Application No ................................... Approved ...J~Y..4~.,...]~.~, ........, 19 ........ Permit No. 5.Z ........... ~ Ap~..r.~.~ ..f..o..r....o..~Ly..e.~ r...gml.y ...f.r. gg....~ .~.~ .e....~ bo~2 .................................................................................. ...... , > SuperviSor 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 comply with all applicable laws, ordinances and regulations. (Address) ~ ~ ' &~ I 0 State whether applicant is own~ lessee or agent ........................................................................................ Name of ~ner of prem~ ..;;; ................................................................................................................... If applicant is corporate, signature of duly ~uthorized officer. (Name and title of corporate officer) 1. Location of land on which proposed trailer will be located ....:~ .......... ~., .............. ,. ............ ~,;....~:....~ Street and number :Z~..~:.~.~. ....... :~.;:.~.~:.~:::~...~:~: .................................................................... 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: o. Existing use and occupancy (.(:.:Zz:f....~.~::~.:..~.~,~. .... ,-~:~.f.:: ... ,.~?..~n~'~,,..cr:.. .......... b. Intended use and occupancy ........................... : .................. ;. ............................................................ c. Period of time trailer is to be located on premises ...,~4~. .............................................................. 3. Fee ............................................ (To be paid on filing opplicatlon) 4. Dimensions of trailer, length...~. .................... w~dth ...... /..:(.,..~.?.. ............. ' ' " height.......... 7.:...~.. ............. / Reoistmtion Number ............................................ Serial Number ............................................................ 6. Date of purchase or lease of land .......... ....~ ...... ... ~. .......... ~ .......................... ~ ........ ~ ............................... 7. Zone or use district in which premises are situated, ........................................................................... Does proposed use violate a~y zoning la,w, ordinance or regulati,~n? ...................................................... a. Method of Sewerage disposal .,jZ... .............................. .v ...................................................................... b. Source of Water Supply .'..~...'...~ ......... ; ....... '/..~ ............................. ~ ........ m.i'. ....................................... c Source of Electricity ' ,3 ; ' ......... 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 indicote whether interior or corner lot. Ind,icate cleazly Ic~c~ti~n of proDosed tra.i~r on prem- ises, showing distances fram all buildings and property lines. ~ , ~ STATE OF NEW YORK ~ '~ ] ' ~ ' ,~. - ~) ......... he is the *pplicon, n~mod ~ov~.~ i~ the ..................... ~C~ ,~.~~.~ ~ ............................................... ~(1 {ownor or lessee or o~ent) of soid owner or ownem, ond is duly outhorixed to m~ke ond file this oppHcotion; ond thot oll stotements conjoined in this opplicotion oro true to the best o{ his knowledge ond boliof; ond that the troiler be Iocotod in tho m~nner set {orth in the o~licotion filed herewith. Sworn to before me this ...,'. ............ .~...~....~-:~.......day of ................ ......... ............................................ ................... .......... ................ f~<~..~....~z~ .............. ~ (~ff(: P~F)