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HomeMy WebLinkAboutTaylor, Frederick & CaroleeNo. ~.~ ............... TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT Nome ..l~e~eriak..&..C~.o.l~e .Taylor ................................... Street ...... 14.es.tphali~..Ra ........................................................................................................ Town ......... 1~ ~'.%..i .t...~..q .k. ,....~.'..~.~. * ................................................................................................. Your application for a (single trailer) ~ permit was reviewed by the Town Board on ................................... ~.~'. ....... ~ ............... , 19.~3..., and (was) ~ approved. A permit is hereby issued to locate a (single trailer) ~ license number ............................ (to be supplied) or serial number ............................................ at,....~.Z~......~...~.~...~.P.~...~..~...~..~.....~.~ ......................... ................................ ..................................................................................... pursuant to application dated ................... ~.1~......]....~.....~.~3 ................... and the following conditions: ..... ~..~. ~...~.....~..~...~..~..~...d.....~.0. ~.....~..~..~...~....~. ~1~.~..~...~.~..~...~ ~ .................... TOWN BOARD, TOWN OF SOUTHOLD TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ...~..u..[y....[ ..................... , 19...~.~.. Application No ................................... Approved ...Jn.l¥...! ..................... , 19...6.~..Permit No....7.~ .......... Disal::~o roved a/c ............................................................................ ~,~ __ NY APPLIC~a. TION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST GAMP. Rte ....................................... , 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 applic,able laws, ordinances and regulations. ... ~. · .~. ~..X,'~.~/~.~..~, ................................ (Signature of applicant~t2' (Address) State whether applicant is owner,~./v~lessee or agept'~Z~Z~"~4~'"'Z'~~Z~~ --~ ~ ~-- ....... Name of ~ner of premises .~/~.~,~..~~...~~ ............... If applicant is co~orate, sig~ture of duly authorized officer. ~ (Name and title of corporate officer) 1. Location of land on which proposed trailer will t~e located . ~: .................................. Street and number ....:..~/~../,-~).~..~',~/~iCZ,~., ...~..~.. ........................................................................ 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ..,,~.x.~.4~ .......................................................................................... b. Intended use and occupancy ...~... 2~ . ' .. ' .~ .................... c. Period of time trailer is to be located on prem',Ses_~xr~..~(-.,(~.~..~~ 3. Fee ............................................ (To be paid on~'~'~// /~ '~filinglappli6ation~7-"c~)4''~'~ ~/~c~O) (j~'/_4.z4-~J/~'~-- x/, ..... ~. ...... .~....../. f[(. L. )ne,ght ................................ 4. Dimensions of trailer, length ........ ..~.~?.~.~..)..*Z(,~Cf~)idth ~'~;~- c> '__ ~ Registration Number .~(~.~.'.zZ~'/~2c~.).?~Serial/' -- -- Number .~f~2..~ .~.,.~2~..~,~.. ......... 5. Size of lot: Front ./~.~.,.~...~.,..,'~... ............... Rear/.~.'.~,..~.~'~.~..... Depth 6. Date of purchase or ease of and ~....~.C2.,..../...~.'.~..~.. .............................................................. 7. Zone or use district in which premises are situated ............................................................................ Does proposed use violate any zoning law, ordinance or regulation? ......... ~'.~... .................................. c. Source of Electr,city ...~.~.~;~...~.~.~..~;..~...,~..;.,~.~/~.~;;;~...~ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-bock dimen- sions from property I nes. Give street and block numbers or description according to deed, and show street names and indicate whether interior or corner lot. Indicate cleazly location of proposed~trailer on prem- ises, showing distances from all buildings and property lines. ;c/~ STATE OF NEW YORK i COUNTY OF SUFFOLK~ss' ..... ..... ~s-~...~ ................................................. being duly sworn, deposes and says that V he is the applicant named above. He is the ....~i~/~'.~',2<F_,~.~ ...................................................................... (owner or lessee or agent) of said owner or owners, and is duly authorized to make and file this appl!cation; and that all statements conteined 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 .................................... da,/of (Sig nat(,tr~ (Notary Public) TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ....3..u..l.~....J. ..................... , 19...6..]... Application No ................................... Approved ...................... 19...~.~..Permit No. ,.7.~ .......... Disal~oroved a/c ............................................................................ ~ Supervisor, To~n of SouthoJd, NY APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Dote ~.~-~:~......~.~. ................... , 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 o 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)~7 (Address) State whether applicant is owner, levee or agent....~.:~6.~..~..~....~z....~..~.~ Mome o{ ~ner of promises .. ~ ~.. I~ opplicont is co,orate, sion~turo o{ duly outhorizod o{{icer. (Name and title of corporate officer) 1. Location of land on which proposed trailer will be located ..M<"/~:.~.~?~..'.~.../~.., ..~.~..~./.~Z~zr(~}~ Street and number .................................................................................................................................... 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ...,,~J)~z2Z4~. ....... · ................................................. .......................... b. ~ntended use~nd~ccu~ncy~.2?.~.~`;t'.z~/~..~5~.~.~~-'-'~/~.~<~..~.~:.~6~.~./'~b~ '-~ ........... c. Period of time trailer is to be located on premises'...J-~.'~.~.~.~..~..-~ .~'...~.~'~- 3. Fee ............................................ (To be paid on filing opl~Jffcotion) · · 4. D,mens,ons of tra,ler, length.......~..~/.(.' ....... /.~.~v,dth ........~....~..~..../...~.)he,ght ................................ Registration Number .~.~.~2..:.'J.,~.'O.~.... ~:..~...SerialNumber /~?.:...~....///.~.:~,y~.~..c. ~...~.. .......... 5. Size of lot: Front ../.4~...~.c~2.~...~.~.. ......... Rear ...../.~...(~..,.,~.~..../7. Depth ,4~'~',,~z'~-:7..~x~,~./-~:~,4~,,~O~f~c 6. Date of purchase or lease of land ..~ ...... ~.~...Z.~...~ ......................................................... 7. Zone or use district in which premises are situated ............................................................................ 8. Does pr~osed use violate any zoning law, ordinance or regulation?.....~ ....................................... 9. a. Meth~ of Sewerage di~osal ~<~'.~ ..... ~ ~..~..~.~;~ ~..~. ...... b. So r e of Water c. ~urce of Electrici~ ...~..~...~.~...~.,.~.~..~~)~....~., PLOT DIAGEA~ 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. Indicete clearly location of prgposed tra.i er en prem- ises, showing distances from all buildings and property lines. STATE OF NDvV YORK 'l. ss. COUNTY OF SUFFOLK he .is the appt[cant named above. He is the ...... ~.~(z~-2;2.F_~'x~. ................................................................... (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 ore true to the best of his knowledge and belief; and that the trailer will be located in I'he manner set forth in the application filed herewith. Sworn to before me this .................................... da,/of -- --~(Signature)' (Notary Public)