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HomeMy WebLinkAboutTerp, Ambrose R. VICTOR LESSARD PRINCIPAL BUILDING INSPECTOR (516) 765-1802 FAX (516) 765-1823 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 OFFICE OF BUILDING INSPECTOR TOWN OF $OUTHOLD October 12, 1989 RECEIVED DEO 07 1989 To: Judith Terry, Town Clerk From: Victor Lessard, Principal Building Inspec subject: Terp Trailer Curtis Horton made an inspection of the Terp Property on November 15, 1989, the trailer has been removed. VGL/lmr VICTOR LESSARD PRINCIPAL BUILDING INSPECTOR (516) 765-1802 FAX (516) 765-1823 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD October 12, 1989 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 RECEIVED OCT: 1 2 1989 Southold 1',-,,,~ To: Judith Terry, Town Clerk From: Victor Lessard, Principal Building Inspec~or~~ Subject: Terp Trailer This trailer has been moved from its approved position to a position at the rear of the Terp shopping center parking lot. Curtis Horton reported that the newly constructed hardware store will be used for something else other than a hardware store and recommends that upon expiration of the present permit, a new permit not be issued. I concur with this report. VGL/lmr JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 FAX (516) 765-1823 TELEPHONE (516) 765-1801 October 26, 1989 To: From: Re: Victor G. Lessard, Principal Building Inspector Judith T. Terry, Town Clerk/~~ Terp Trailer The Town Board, at their October 24, 1989 work session, discussed the permit of Ambrose Terp for a temporary trailer at his property on Main Road, Cutchogue, which permit expired on October 18, 1989. The Town Board directs that you take necessary steps to see that the trailer is removed from the premises. Na ...... 121 TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSEGAR LOGATION PERMIT Date ....May...1.0.,...l.58.9. ...................................... Na me .................... ,/~.~3.b.r.~fl.. R ,....T.~ r.p.,.. ~1 or. th..Eo£k...V, ar.j~t y... $.tor.~ ................................ Street ...................... Mai. n..~oad ..................................................................................................... Town ...................... .C...U..t~:..h..O.g..U..e. ,.., .N...e..w.....V...o..r.~ ....... )m))~ ............................................................. Your application for a (single trailer) (F,~X~ permit was reviewed by the Town Board on ............................. .M..a..y. ........ .9.~. ..................... 19..J~9..., and (was) (~(~X) approved. A permit is hereby issued to locate a (single trailer) (tx~¢~.~, license number ........................ or serial number ................................................ at .:..Mail3...R~a.d,...~u/;.cho~u~...18.O...ff~Jr,.. .e..a..s..tL..o..f...~..ri f.(i r~g ..S.t r.~.e.t ,....C,u.tchague.,..N ~.¥ ......................................................................... pursuant to application dated .................. /~p..Izi.[...1.~,....~.]J~q .............................. and the following conditions: ..... P. EJ~ M LT....RE, N.E ~/ED.. F.O.R.. 5d X..£~).. MO.N.T.~..P.E E J.O.D ..... .T. RAI.LE.R..JS... ......................... BE, IJN.G...IJ S£D...9/.H.ILE..~/IR. T E RP' S.biF-W.. R I IS.[~ES, S..B LII.LDI.NG..IS..B El N G ' ......................... .C..Q ..N..S...T...R...U. '..C..T...E...D. :......E...X...P.I..R...A..T..I. 9. ~....D...A...T...E. ;......O..(;.T..Q ~ 1~.1~...1.0.,...1.9.8.9. .......... TOWN BOARD, TOWN OF SOUTHOLD Town Clerk /UDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 FAX (516) 765-1823 TELEPHONE (516) 765-1801 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON MAY 9, 1989: RESOLVED that the application of Ambrose R. Terp for the renewal of his temporary business trailer located on the property of A. J. Terp, Jr., north side of Main Road, east of Griffing Street, Cutchogue, which trailer is being used while Mr. Terp's new business building is being constructed, be and hereby is renewed for a six (6) month period. -3udith T. Terry (/ Southold Town Clerk May 10, 1989 VICTOR LESSARD PRINCIPAL BUILDING INSPECTOR (516) 765-1802 FAX (516) 765-1823 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 RECEIVED APR 0 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD TO: FROM: SUBJECT: DATE: JUDITH TERRY, TOWN CLERK VICTOR LESSARD, PRINCIPAL BUILDING INSPECT~ AMBROSE TERP TRAILER APRIL 20, 1989 Trailer remains in approved position. Mr. Terps Hardware Store is about half complete. Probably store completion will take three to four more months. JUDITH T. TERRY TO~N CLERK REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 1 179 Southold, New York 11971 FAX (516) 765-1823 TELEPHONE (516) 765-1801 March 3, 1989 Victor G. Lessard Principal Building Inspector Southold Town Hall Southold, New York 11971 Re: Ambrose Terp Trailer Permit No. 121 Dear Victor: Attached hereto, please find photocopies of permit, application, etc. regarding the above referenced trailer permit. This permit was initially granted by the Southold Town Board on October 18, 1988 and was issued for use while Mr. Terp's new business building is being completed. This permit was granted for a six (6) month period and will expire on April 18, 1989. Please conduct an inspection of the property to determine whether or not the trailer has been removed from the property. Very truly yours, Judith T. Terry $outhold Town Clerk Attachments (4) No....12.1 ........... TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINC~LE TRAILER OR HOUSECAR LOCATION PERMIT Date .......... October..2.0., 1 9.8.8. ...................... Name ........ Ambr. ose..R....T.e r. p ................................................................................................... North Fork Variety Store Street .......... .M....aj .n.....R..o..a...d. ................................................................................................................. Town .......... ~.u ~.cho gtu e ,... hie ~z...Y.c~ r.k ...... .1J935 ......................................................................... Your application for o (single trailer) (boaxec~ permit was reviewed by the Town Board on ............... October...18~. ............................. , 19.~.., and (was) (~e~o~) approved. A permit is hereby issued to locate a (single trailer) ~0~c, oe), license number ........................ or serial number ........r.:=.::.::=:~.-:.-:.~.~ .................... at ....,9.o.r. tb. ,%j~.¢ .Q.[ M~J~..I~.O. O91,.. eas.t. ..... ..q.f,...G.r.J.f..f.[ D....S. tr.e.~.t ,....C.u.t .c b.Q.g u.e.,...N.e.w...Y, or.k ...... .1.I,~5 ......................................................... pursuant to application dated .............. ..O..c..t..oJg.e...r..J.~.,....1..9..8..8. ............................ and the followin: conditions: ...................... P..~ R .M.I I.. R I~.1~ [W.l~ D....E.O.I?,...5. I.~[ ..(.6].. ~.O...N I k[..p...E. IB. LO..D.. ................ ......................................... .F~f.P./.R.6.TJ.O. tJ...DA.TJE ;.....AP. RI.L..la~..I~ ...................................... TOWN BOARD, TOWN OF SOUTHOLD Town Clerk JUDITH T. TERRY OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box I 179 Southold, New York 11971 TELEPHONE (516) 765-1801 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON OCTOBER 18, 1988: RESOLVED that the application of Ambrose R. Terp for the location of a temporary business trailer on the property of A. J. Terp, Jr., north side Main Road, east of Griffin Street, Cutchogue, which trailer is to be used while Mr. Terp's new business building is being completed, be and hereby is granted for a six (6) month period. Judith T. Terry(./' Southold Town Clerk October 19, 1988 OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Instructions a. This application must be completely filled in. I~y 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 $outhold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations. The applicant agrees ~~ith all applic~s.,.~._~_ .inances and ~i~at~ur~ ".i-i.i~'~ ................ (Address) State whether applicant is owner, lessee or aqeot ....... ~~ J . Name Of Owner Of premises ..~,,.;....~..~~..~...,? ....... ~.. . If applicant is corporate, signature of du~o~i~'l~ .................................................................. 1. Location of land on which proposed trailer wi. II ~e Iocatzed~. Street and number .J..~....~..~.....~..~ ~.Z,~o pr~0p~ ........... ........... a. Existing use and occupancy ................ .. b. I ntende'd use and occupancy /~'~.~..~...~.~ Veriod at time tra,ler is to be located on i~remises ,~. ~..~..~/~.J~r?. Fee ~,00 ,,~...~.,¢~ .... ' ....... ~'~'' .... - '/ 3 .............................. ~'ro De paia on Tiling application) . 4. Dimensions Of trailer, length .~ .............. width ..../....~.. .................. height ....... ~.~....~ ..... Registration Number ......................................... Serial Number .............................. : ...................... 6. Date of purchase or lease of land ................... · ..................................................................................... 7. Zone or use district ~ which premises are situoted ...................................................................... 8. Does proposed use violate ony zoning law, ordinance or regulation? .................................................. 9. o. Method of Sewerage disposal ..~...,...~ ................................................................... i ....... b. Source of Water Supply ~ TZ.. ....... 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 trailer on prem- ises, showing distances from all buildings and property lines. STATE OF NEW YORK '1, COUNTV/~F SU/FFOLK ),ss. ,~-~' t :-- be,n .... ........ ~"~ .......................................... ~ ............. g ouly sworn, aeposes ana says that he is the applicant named above. He is the-~" .,/U..~..J~... ............................... ~ - - (owne"r'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 th. be located in the manner set forth in the applica~ Sworn to before me this . ................................. d~'y of ............................ ....................... (Signature) p UNDA J. COOPER Notary Public, State ef New York~ No. 4822553, Suffolk County Term Expires December 31, 19 r ~ TOWN CLERK , ~ TOWN OF SOUTHOLD ~ Suffolk County, New York 516 - 765-1801 ~] Southold, N. Judi~T. ~r~, ~o~ ~er~ TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Application No....12.1 .................... ....... Approved .................... ....~../,~....~...., 19.~.~.. Permit No ................. RECEIVED APR APPLICATION FOP, I~OCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date APRIL 18, 19 .8.~ Instructions o. 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. Upon' approval of this application, the Town Board will issue o trailer permit to the applicant. Such permit shall be kept on the premises available for inspection. 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 ~or 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~~l~~ and regulations. ~S~. ,~e-6.f qp. plica~) ~m'?.oe~ R. ~rp North Fork ~riety S~ore (/ ' ..~.~.i.o...~flfl~,...~.g.~.g.b~gue, New Yor~ 11935 (Address) State whether applicant is owner, lessee or agent ...... ~.e~s.e.e. ................................................ Name of Owner of premises ............ A,.J., .T. flr. p~ ~lz'., .................................................... 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 .......... ~l.~.i.D...l~t~.a..~l.,....C...u..t..c..h..o.g.g..e. ........ Street and number .... ~J~.~...f.~...f~f~...Q.f...~r.j.f.f.i.Dg..~.t~'~tt.~...~.~.Cb~g.g.~...~.:.~.: ............................ 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ...... P.~£~.i. Ol~..EJ.e.[ct .............................................................................' b. Intended use and occupancy .... .~J.~.t`~.~..P..a..r..c..e.~...~...$..h..a...k.~.e..e.....B..u...s.i..n..e..s..s. ..................................... c. F'eriod at time tra,ler is to be located on premises ..... 6...t'0.O.O~b~ ................................................ 3. Fee ...... ~. .3. .5. :. .0. .0. .......................... (To be paid on filing application) 4. Dimensions of trailer, length .............. 5.0.'. ......... width .[. .............. ).0.'. .......... height ...... .1..~: ................. Registration Number ......................................... Serial Number ..................................... ,-. ..................... 5. Size of lot: Front ................. ~.~...7...~, ................. Rear ........ .8..6.;..~..~...'. ........... Depth ..~.8..3.:..9.~i ................. 6. Date of purchase or lease of land ........................................................................................................ 7. Zone or use district in which premises are situated ...................................................................... ~. 8. Does proposed use viotote any zoning law, ordinance or regulation.;) .................................................. 9. o. Method of Sewerage disposal ...~..9..n..e, ....................................................................................... i ....... b. 5ource of Water Supply ........ no~te ................................................................................................ 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 trailer on prem- ises, showing distances from al! bui!dMgs and prcperty lines. PLAN ON FILE WITH ORIGINAL APPLICATION STATE OF NEW YORK ~ COUNTY OF SUFFOLKjss' Ambrose R Ter~. ........................................................................................................ being duly sworn, deposes and soys that he is the applicant named above. He is the .......... ~wzler. .................................................................... (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 bbst of,his knowledge and belief; and that the trailer will be located in the manner set forth in the application filed herewith. Sworn ,o before me ,his ...... .~....Z ............... day of ~ /~ ,,~ ..... .................. /.,~. ........... ~ ............ ~:. .......... z....~...~: ........... ! ......... : ........ \ I Notary Public. State of New Yolk No. 52-6806770 Qualified in Suffolk County Commission Expires 12-31-90 No.....12.1 ........... TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT Date .......... .Oc~ober..2.0.,...1.9.8.~ ........................ Name ........ Ambrose..R,...T. er p ................................................................................................... North Fork Variety Store Street .......Mn n Road ...................... Town .......... C.u~,c, bogue,..l~lew....Y, ar.k ...... ,1.1~q35 ......................................................................... Your application for a (single trailer) (~ permit was reviewed by the Town Board on ............... ~c~e~..$8~. ............................. , ~9..~.., and (was) ~) approved. A permit is hereby issued to locate a (single trailer) ~), license number ........................ or serial number ........ ~=~ .................... at ....~act~..sid.e...o.f..M,i~..Eo.~.d,...~t ...... .g.f...~.~.n...~tr.e.e.t,....~u.tcho. gu.e., N.ew .~r.k .~.1~35 ....................................................... pursuant to application dated October ~.~.,...].~.~.~. ............. and the following conditions: ...................... D.~ ~MI ~ ..~ E.~W.~ D....D.D.B 51 ~...(.6J..~.O~ ~ H...~.~.BJ D D.. ......................................... .~.~I.~.~J.O.N...~A~ ;.....&~I.L..~ ~ ~..~ ~ ...................................... TOWN BOARD, TOWN OF SOUTHOLD ............ .. JUDITH T. TERRY OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box l 179 Southold, New York 11971 TELEPHONE (516) 765-1801 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE SOUTHOLO TOWN BOARD AT A REGULAR MEETING HELD ON OCTOBER 18, 1988: RESOLVED that the application of Ambrose R. Terp for the location of a temporary business trailer on the property of A. J. Terp, Jr., north side Main Road, east of Griffin Street, Cutchogue, which trailer is to be used while Mr. Terp's new business building is being completed, be and hereby is granted for a six (6) month period. Judith T. Terry(// Southold Town Clerk October 19, 1988 VARIETY b IO,,E, .-,O~UE, ~fORK :1.1935 TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ~7~p Application No. ' Approved ..................... .<.~/Z...~.., 19 ........ ermit No..../....~..../.... APPLICATION FOR LOCATION 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 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/,ert~ly with all applicable .~l~ws, g/,clinances and regulations. Y~-- /~'"'~' ~ '~"~'-M'x ................................. (Address) State whether applicant is owner, lessee or age~3t ....... ~__.-~:.. ............................................... Name of Owner of pram sas ~., ...~.. ~ .~. '~....~... ................. If applicant is corporate, sigr~=ture"~)'f"~u~~'~' .............................................................. (Name and title of corporate officer) 1. Location of land on which prol~osed trailer wi. Il J~e Iocat~d~. 2. State ex'st'rig se and occupancy of pre se ~and occupancy of proposed trailer: b. Intended use and occupancy ~...~....~ c. Ver,od ot t'me tra ,er is to be located on premises ~. ...... ~.~....~.~..~.,.. Fee ............. ..~...~.. ........ be paid on filing application) Dimensions of trailer, length .~ .............. width ....t....~.. .................. height ....... .~....~ ..... Registration Number ......................................... Serial Number ..................................... : ...................... 8. Da~e of ~u~¢hase or lea~e of bnd ................... ..................................................................................... 7. Zone or use district ~ which premises are situated ...................................................................... ~. 8. Does proposed use violate any zoning law, ordinance or regulation? .................................................. 9. a. Method of Sewerage disposal ..~.......~. ................................................................... i ....... b. Source of Water Supply ~Z~f'~*~*-~-~ 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 trailer on prem- ises, showing distances from all buildings and property lines. STATE OF NEW YORK COUN~F SUFFOLK )' ss. ~. ~...~-..~.. -~ ~ ~. ~.~~ bein dui ........ ~ ............................................. ~ ............ g y sworn, aeposes and says that .................................................. ~ - - (owner essee or agent) of said o~er or owners, and is duly authorized to m~ke end file this application; and ~at 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 applica~h. Sworn to before me this ....... ([~.~ ............... d~ of .............' / ,-~:..=..=.~=~..~:.~..~,~ ; ~ ....................... ~ ~'-'"' ................ ~ignature) ............................. ~'~;;;'6'~'O~i~;~'''? ....................... UNDA J. COOPER Notary Public, State of New Yorl~ No. 4822563, Suffolk County Term Expires December 31, 19 TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Application No....1~.1 .................... L ....... Approved .................................... , 19 ........ Permit No ................. APPLICATION FOR I'OCATION 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 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. NSignature o.f qp, plifant) Ambrose R. Terp orth Fort( variety Stiore ...M..~.i.~...~.~.~.d.~...~.g..t.~..h~.g..u..e.~....N...e..w.....Y..~...r..k..... j..~.~ ~.s... (Address) State whether applicant is owner, lessee or agent ...... J~,s~,~.e. .............. Name of Owner of premises ............ A,.J.,....Z.~r.l~..,/.r.., ............................................................................... 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 .......... ~.i.l)...l~gfl.~.,...~..u..t..c.b..o.g..u..e. ........ Street and number .... ~.~.~.f.~f~9t.~.9.~.~F.j.f.[i.Dg.~-t~[f~k~.~g.g.k(;~.h.~gg.~.'.~.~.~ ............................ 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ...... P.i~£kJ.l)g..EJ.~.[¢l ............................................................................. b. Intended use and occupancy .... [-).cij.t,~.fJ..P...Rr.g..e.J...~,...~.h..a...k.J.e..~....B..u..%i..n.~ ..................................... c. t'eriod at time trmler is to be located on premises ..... O...~9.tlZh~ ................................................ Fee ...... ~.3..5.....0..q .......................... (To be paid on filing application) Dimensions of trailer, length .............. 5.0.'. ......... width ................. ].0.I. .......... height ...... .~.~! ................. Registration Number ......................................... Serial Number ..................................... .: ..................... 5. Size of lot: Front .................~.~,.~. ................... Rear 86.22 ' Depth 283.92' 6. Dote 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 regulotion.P .................................................. 9. a. Method of Sewerage disposal ...D.Q.~.~. .................. b. Source of Water Supply ........ nome ............ 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 trailer on prem- ises, showing distances from all buildings and property lines. PLAN ON FILE WITH ORIGINAL APPLICATION STATE OF NEW YORK ~ COUNTY OF SUFFOLK/ss' ................................. · A.,.m...b.r..°..s..e.....R-:....T..e..r.P. ...................................... being duly sworn, deposes and says that he is the applicant named above. He is the .......... ~wzler. ........................................................................... (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 the manner set forth in the application filed herewith. Sworn to before me this ................................ day of (Signature) (Notary Public)