HomeMy WebLinkAboutWingerter, Rudolph TOWN OF SOUTHOLD
TOWN CLERK'S OFFICE
SOUTHOLD, N. ¥.
SINGLE TRAILER OR HOUSECAR
LOCATION PERMIT
Name .....R~O1]}h..W.~,rt~e~'.t e~. ..............................................................................................
Street ........... 1216.. ooclhlr e.. P.t, ............................................................................................
Tow n ......... ]3~l,c~e~oo~.. ~.2t .. ~ ,* ~-~ .........................................................................................
Your application for a (single troiler)~ permit was reviewed by the Town Board
on ...................................... ~e~t, emb~=.....8..., 19.6~.., and X~ (was not) approved.
, , denle~
A permit is nere~yX~ to locate a (single trailer) (h]~[~[), license number ............. ~ ............
or serial number ............. ~, ........................... at ......... W~.~]...]3~,,~..A~'~t..~,,~tt..,~..i.O~...~,.~o
pursuant to application dated ........................ J~.~.....214,~...1~)(.~14 ................ and the following
conditions: ...... ]~.m ~ t...d~J~.e~...~ .. ~.. ~ ,.0~..~ ~...~h~to]~.. ['.~t~3~,~...~W~.~...
TOWN BOARD, TOWN OF SOUTHOLD
.......
Town Clerk
TOWN OF SOUTHOLD
TOWN CLERK'S OFFICE
SOUTHOLD, N.Y.
Examined ....... ~.e.~.~.e...~..~..e..~.....8..., 19.~..~.... Application No ..................................
Approved ...................................., 19 ........ Permit No ........... ,~,...
Disapproved a/c ........ .~...e. ~l..~..e. ~.~..~. ?.....~. ~.. ], ~..~.~ ...........................
.
APPLIG~.TIOt~ FOR LOGATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR,
OUTSIDE OF TOURIST CAMP. ~
....
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 r~ust be drawn on the diagram which is part of this al)plication.
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.
~.pplication is hereby made to the Town Board for the issuance of o 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.
..: ..............
(Signature of ~pplicant)
........................
(Address)~,
........ .....................................................
Name of Owner of premises ........................ ~(..~'..i ............ :..:~ ........... : ....................................................
If applicant is corporate, sigr~ature of duly authorized OT'Tic~
(Name and title of corporate officer)
1. Location of land on which proposed trailer will be located .............. ~,~ .....................
Street and number ...................................................................................................................................
2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer:
a. Existing use and occupancy .................................. ~? i .......................................................................... .,__ ~_~ ~, .~:~.~j,
b. Intended use and occupancy ................... ~ ~ .~.4.,,:.~,~,~.....~.=;... .......... ~ ........................
//
c. Peri, pd of time trailer is to be located on premises ..~ ...................................................................
Fee ...... ~ ................................(To be paid on filing application)_
Dimensions of trailer, length .~.'~. ~,,..~.."..~.width /~.~..~..~'?..~ he ght
Registration Number ............................................ Serial Number ............................................................
5. Size of lot: Front ...... .~....~.....(?..~../ Rear ~.'~' /7//~'-7 Depth,.~..e_~.. ~"~
...~--~ ~ / ~
6. Date of purchase or lease of la~ .................. ....~...A .......... ~ ...........................................................
7. Zone or use district n wh ch ~r~ses~ am si~ted ~
8. Does pr~osed use violate any zoning law, ordinance or regul~tion?.....~ ...............................
~. ~. Z~~.=.~' . ...................
.................. ,.............Method of Sewerage d ~al .
b. Source of Water Supp y ~ ~.~_~ ...... ~.~.~ ................... ~ .......................
c. ~urce 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 Jocc~tion of proposed trailer on prem-
ises, showing distances from all buildings and property lines.
/u/sk4Z/S
STATE OF NEW YORK
COUNTY OF SUFFOLK
....................................................................................................... ;being ~luJy sworn, deposes and says that
he is the <~ppliee~t ~amed above. He is the ............................... i~.¥~[.~..~..~3.~.~i .......................
of said owner or owners, a~d is duly authorized to make and file this applic~ion; and that all statements
confined in this application are true to the best of his knowledge and belief; and that the trailer will
be 'l~ed 'ih ~he ~hh~ set ~o~fh in t~e a~lica~ion fried herewith.
Sworn
be~ore
to
this
................ · ,,~..~.. ........... dov of ~ '\~/ .j~
me
.............. · ...................... ........... .......'.
/ ~-' "~"~ "~g;;;~'~ .......... i;~ .........
,~"~'~'~to~' p~ ......................... ~;,
EDWARD BRICE
Notary P~btic, Stete ol New York
No,43.06]i34B~ QUal. ir~ Aichmond Co.
TOWN OF SOUTHOLD
TOWN CLERK'S OFFICE
SOUTHOLD, N, Y.
Examined ....... ..~.,~.~.~....~.....~...~.....~..., 19...~..... Application No ...................................
Approved ..................................... 19 ........ Permit No ........... .~...
Disapproved a/c ........ .~...~. ID.t,....~...~..e...~.....8. J ...~,~...~.. ...........................
APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR,
OUTSIDE OF TOURIST CAMP.,
D~te .~,~..:,..~.~......~...~.. ............ , 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 o 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~.bl~ laws, ordinances and
regulations. /~)
(Signature":' '~ ............. of
~..e ~.et~e~ ~,,c~n. ,, owne~, ',,~ o~ ~,,,.....~~'.~....... .......................................
,~e o, O.ne. o, ,.e~,.....~.'.~'.=.~..-~...~/.~ ...........................................
If applicant is corporate, sig~ture of duly a~t~orized o~icer~,~
//
,.,,_, .......................................................................... ........ ... ......................................
1.Location of land on w~ic~ proposed trailer will be located .......
2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer:
a. Existing use and occupancy ............ Z'/ ............................................. ',~z .............................................
b. Intended use and occupancy ....~.q ....... · ..~.....~ .............. ;. ....... ..........................................
c. Period ~>f time trailer is to be located on p~emises ................................................. ; ......................
~ee ~,.~:,,,,,'.,',.'~. ............ (To b,
Dimensions of trailer, ,,ngth....:.~.-.~'...~.~..~..~../....width ..../..~.,~.,.~::: ...... height....~.'.,i~....~ .........
Registration Number ............................................ Serial Number ............................................................
6. Date of purchase or lease of land ..... .~..4..~.~,~.....,~.-'~.......~../..../..'....(/....C? ,.~ . ~
7. Zone or use district in which praises ere situ~ed: ....i(.~ ............................................................
8. Does proposed use violate any zoning law, ordinance or regulation? ......................................................
9. a.. Method of Sewerage disposal ;...~..~.~..'~'-~
· :?:~: ................ : ............................... ; ................. ; .................
b. Source of Water Supp y .......... tsp...: ...................................................................................................
Source of E ectrc ty ' '~l~' ...,.~. 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 indicate whether interior or corner lot. Ind:icate clecMy Ioc~io~ of proposed trailer on prem-
ises, showing distances from all buildings and property lines.
~z ................................. / o 9,,~× .............. ~
STATE OF NEW YORK t
COUNTY OF SUFFOLK ss.
................................................................................. L ...................... be~g diJty sworn, deposes and says that
he is the .¢~ppiic~t ~ ~'e. He is t. he.. .............................. i;~r '~;"i;;';;;";~"';~';'~i .......................
of said owner or owners, and' is duly authorized to make and file this app[fcation; and that 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 rn the applica*ion filed herewith.
r
Swo n to befoj~ me this ..................... .~..~.. ....... day of . ' /
.................... ............. ..... ............ .......
............. ............ --
CNotc~ry Public)
EDWARD BRICE
Notary Pub!it, State ol raew York