HomeMy WebLinkAboutStiefer, Joseph TOWN OF SOUTHOLD
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
SINGLE TRAILER OR HOUSECAR
LOCATION PERMIT
Nome ..........~..°..s...e. 12..h ·..~ ~ ..1.-e-~..e.r ..................................................................................................
St re et ........... ?.. :..O.. :.....B..o...x....1...1..6...?. ..................................................... . ...............................................
Town ........... ~.~ %.~. S.~.~fi..~., ...~.e.w...Y~).~ k.... i 195.:~ ....................................................................
Your application for o (single trailer) (JA'cA~ permit was reviewed by the Town Board
on ................................. Al~r.i-l...2~ ............. , 19..g5., and (was) (~o'Jd approved.
A permit is hereby issued to locate o (single trailer) :(~"'~o~. license number ........................
or' serial number ................................................ at .....6.~.6.Q...~.IATLc~..,~,~.~A~.C~.~ ......................
,...M..a..~ .t...i..t..~ .q k ~.. IxI .e.?....Y. o r.l¢ .........................................................................................................
pursuant to application dated .............. ..A,p...r..i.!...1..~..~...~.9. f~.~5. ........................... and the followinfl
conditions: ~...P..E...R..~. I.T...~.U.~D~.~.~.~.~...~.~}...M.~.NT~.~.E~I~J3...t~...t.e~p~r.ar~...
...................... .1...o. gA~ .e.... A ...¢..F.~..~..1...e.~...q ~...h.$..~...l?r.o. l~..e, rJ~ ~... ~.~;....6.Z ~.~ .. 5.o~a ~ ..~ e~ue- ~
...................... g..~.~.~..~.~;.U.g.~ ~...tf.,.~.,...w. bd. lw...k~,a..a.e.w., l~om~...i~..he ~...ca~ s.~c~e d ·
EXPIRATION DATE: OCTOBER 23~1985 TOWN BOARD, TOWN OF SOUTHOLD
TOWN
TOWN
OF SOUTHOLD
CLERK'S OFFICE
SOUTHOLD,
Application No .....................................
APPLICATION FOR L'OGATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR,
OUTSIDE OF TOURIST CAMP.
Date .................. · .~.r/-..~. ~........, 19 .~../.'~.
Instructions
a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to
the Town Clerk.
b. Pint 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 Jaws, ordinances and
regulations. ~ ..~..~.~ ~
(Signatcan
(Address)
State whether applicant is owner, lessee or agent....',~~ ..............................................................
Name of Owner of premises ~..~..~ ,(_~,..~~ .......................................
If applicant is corporate, sig~6ture/~6f duly authorized officer /
(Name and title of corporate officer)
1. Location of land on which proposed trailer will be located ..............................................................
Street and number ..~.....'~...~,..d.'J.....~....~..c.~.~z..z~c,...-~-(../~.~,.:Z,~.~4.-.~ ....... ~.~`.~..~'.'..~.~.~../~..~.~.~.~.~.~.~.~.~.z~.~.~/.~.~.~/..~?../.~:~7/
9 State existina use and occuoancy of premises and intended use and occupancy of propnsed trailer:
.... ......
O. Existing use and occupancy ..... j.~..~¢ ~ ..~. .,.~,,....-....'~4~.
b. Intended use and occupancy ~:~z~``~/~*m~c~4~f~z~4~1L~[~~
c. Period of time trailer is to be located on premises ..... a.?~....~...~.~..~.~ ......
3. Fee ............................................ (To be paid on filing application)
4. Dimensions of trailer, length ............................ width ................................ height ............................
Registration Number ......................................... Serial Number ...................................... - ......................
5. Size of lot: Front ........ .'.....<. ............................ Rear ................................ Depth ................................
6. Date of purchase or lease of land .................................= ........................................... .~...~....~....~....
7. Zone or use district in which premises are situated ..... ~,<~ ......... .~ ................................ ~.
8. Does proposed use violate any zoning law, ordinance or regulation? ..................................................
~. a. ,~e,hod of Sewerage d,sposa, ............... ~Z~.,./..~/..:.-.:. ........ z..'.>.-..~:..~ ..........................
b. Source of Water Supply .......... ...~...!....~-......~..(.. ................................................................................
c. Source of Electricity ~.. /' ~/ ~' ~
PLOT DIAGRAM
Locate clearly and distinctly oil 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.
STATE OF NEW YORK 'l
COUNTY OF SUFFOLKjss'
........... :~.~...~....J) ........ .~...'...~.-/...~...~....~....~.-.: ....................................... being duly sworn, deposes and says that
he is the applicant named above. He is the ~ vL/E%~
(owner or lessee or agent)
of said owner or owners, and is duly authorized to make and file this application; and that oil 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 t..his._. .............. , . .,/...~. .... .... . .... day of A ~,
................................~';..<>..:..~.~:/... ....... . ,,.~.~ ................ ~4~~ .................
. ~/ -- [' ~ (Signature)
':" ' "~'~';i'~'~,"'#~i;ii~i:~, ' ..................... ;/ I
No. 52'0344963 Suffofk County~
Commission EXpires March 30, ~ 9~,-~'
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4:/ ,: W'IRTZ
S. ~I ° 49 '~0 "E. ~o
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