HomeMy WebLinkAboutWicks, John A. TOWN OF SOUTHOLD
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
SINGLE TRAILER OR HOUSECAR
LOCATION PERMIT
No .................... Date .......... !~'~i.....Z~... 19t(~ ................
Name . ~.OJ~L A ,,...11J:Lek~ ............................................................................................................
Street ..... ~.~ J~, 1~0~ ..]~.8 ..............................................................................................................
Town ..... ~l~l& t'""L"I""t'"~I"Y' ........................................................................................
Your application for a (single trailer) ~l~j~) permit was reviewed by the Town Board
on ......................... J~l~'~,J~....~J~ ....................... , 19..~., and J~ (was not) approved.
denie,~
A permit is hereb,~J~J~to locate a (single trailer) (~J~ license number ............................
or serial number.....~,J~.~.~L'J~ ................... at ........ J~..~J,.~O~'i~..O£J'-..J~...JJ,t.4Jd.],e...Rd ....
...(..C.~7.~ ....... .~...~..o.~.e..,....,.....~. ................................................................................................
pursuant to application dated ......... ~J:J~.~.l~.~l'.....~t...]..~ ...................... and the following
conditions: .......
TOWN BOARD, TOWN OF SOUTHOLD
...... ....
TOWN OF SOUTHOLD
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
EXamined ..................................... 19 ........
Approved ..................................... 19 ........ Permit No .................
a/c .............................
Application No ................... ~ ..............
Supervisor
APPLICATION FOR LOC:ATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE
OUTSIDE OF TOURIST CAMP.
Date ........ ,-~:,C,;;~. ...... J..i,,~, .............
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 al~olication, 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 Co_unty, New York, and other applicable Laws.
Ordinances or .Regulations. The applicant agrees to comply with all applicable laws, ordinances and
regulations.
'ix'~l~i'""
State whether applicant is owner, ~lessee or agent.......~...~...~:..*.:..~.:...~.; .............................................................
· ~._ (/, ~
Name of Owner of premises ....~.t,. .................. ....~m~...-;:..': ...........................................................................
If applicant is corporate, signatu~d of duly authorized officer.
(Name and title of corporate officer)
%
.... ~'~- , ~.L
1. Locatson of land on which proposed trailer w,II be located ..........;,.z.....~ .......................... .~11... ..............
.... "'~'~ '-T':"7 ' ....................................... T'"'~' ...............................................................................
2. State existiDgHs~:and occupancy of premises and intended use and occupancy of proposed trailer:
a. Exlst,i~g uSe and occupancy ....... ;;,~ .,~t~ ......... ~ ......................................................................
.~.~.~w,~....................................,
b. Intended use and occupancy ..............
c. Period of time trailer is to be ted on premises .... ~ ....... (~.~:.~. ~ .................
3. Fee ............. : .............................. (To be paid on filing application)
.~ /
4. Dimensions of trailer, length ....... ~...~5. ................ width ..... i.-~-...( .................
height ........ .~. ......................
Registration Number .~-~..I~,.~.~..~{~.~;~ ............. Serial Number ...... ~.,.~.-.,..?....~....~.~..'-~......~.-~. .................
Depth ............. :-~ ................
6. Date of purchase or lease of land ~,,../,.~.~.~ ..................................................................................
7. Zone or use district in which premises ~3re situated . . ., ........................................
8. Does proposed use violate any zoning law, ordinance or regulation? ......................................................
9. <~. Method of Sewerage disposal ..... : ' " · ...................................................... r': ...........
'~" ;.~.~..~... ' . . :
b. Source of Water Supply ...... ~.~.-...~..~ ...... ~,.~,.~.. .... · ............................................................
~ ~ ,~ .... ~. -) , ~ .
c. Source of Electricity ..........~, ........................... ,~ ........................................................................ .... .T ..............
FLaT DIAGRAM
Locate clearly and disfihctly all buildings whether existing or proposed, and indicate all set-back dimen-
sions from.pro?rty lin. es..Give street and block numbers or descripti~,n according to deed, and show street
name[ gl3a indite wJ~eth~' Jn~Hor or corner lot. lncljcate clearly ~c~tJ(3n of prolx~sed tra,i~r, e~ ,prem-
ises, sftoWing ch'stances from all buildings and property lines. - ~"
STATE OF NEW YORK ~
COUNTY OF SUFFOLK~'ss'
............................................................................................ :~e~nej ~3~d~/. swam; depeses and: says that
he is t~-.app~ant.~amed, abeve~ He is the ................................................................................................
(owner or lessee or agent)
of said~ Owner or owners, and is duly ~uthorized to make and file thi;= (~PnlTcation': and that a I statements
.confined in this application are true to the best of his knowledge cm.~ beliefs'and that the t~ailer will
De tocated. Jrt' the 'manner set t~orth"ln the application filed herewith.
" ............ "
.........................
' x /
-- YO~public, State of New Y L/
~o. 30-02~.0230
(~ualified in Nassau County
F. xp~e~ March 30, ].965