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HomeMy WebLinkAboutWinter, Elliott R.TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT No ..... hq2..extended Date .................. ~T~IF'..... 8 ,...1'9~' ............. Name .... Elli(~t..B....~/it~t~:~ ................................................................................................. St reet ...... ]~a~r..... A%Te .................................................................................................................... Town ......C. ttteh~glle~.....NoZ. ................................................................................................. Your application for a (single trailer) ~permit was reviewed by the Town Board 3n ...................................... Z~I~. ....... ~ ............. , 19...6~., and (was) ~ approved. ~* X 10' ~0* A permit is herebV issued to locate o (single trailer) (~ license number ............................ or serial number ................ ~ .......................... at ............. ~...~.,~ ..................................... ....................... P.~.~h~,......~,. L. .......................................................................................... pursuant to application doted .......................... ~e...16.....$96~ .............. and the following conditions: . .~e~l.~..ex~e~e~.....~...d~..(~O.)...~.~..~tl~..~...19~ ...... TOWN BOARD, TOWN OF SOUTHOLD TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined .......... ~ .u..1. y...~. ............... 19..6..4.... Application No ................................... Approved .................................... , 19 ........ Permit No....~2....ezJ~.ended ~ .... ~z~x Renewed for sixty days onty from above da~,e/ APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. D te .... ........ 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 Jot 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 ~oard will issue a trailer permit to the applicant. Such permit shall be kept on the premises avoilabie for inspection: d. No trailer shall be occupied or used in whole cr 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. (Signature of applicant) (Address)__ (~,2 _ _/ State whether applicant is owner, lessee or agent ............. ~.~~(~,~ ............. Nome of Owner of premises ........ ~rl~....~...:..~..~.....~.: ......................................... If applicant is corporate, signature aT duly authorized officer (Name and title of corporate officer) 1. Location of land on which proposed trailer will be Iocate~'~'~.~. ~...~.~..- .....~....~..~.~.~..Z-- Street and number ............................................................................ ; ...................................................... 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: b. 3. Fee ............................................(To be paid on filing application) 4. Dimensions of trailer, length ........... .~. · Registration Number ............................................ Serial Number ............................................................ Period~9/f time trailer is to be located on premises ........ ~..~....~..~~¢ 7~' 6. 7. 8. 9. ; ................................... .......... .v.. .... Date of put hase or .................................................................................................... Zone or use district in which premises are situated ...... ~.. ........ .~,....~..:... '~ Does proposed use violate anyzon ng aw, ordnance or regu at on;) ...........................~' ~/'~...~..'~ ................. a. Method of Sewerage disposal .................... ~JJ~j~. b. Source of Water Supply .................... F-~t~~..,........~__ ........................................... 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. nd,icate c ear y ocation of proposed trailer on prem- ises, showing distances from all buildings and propm ty lines. STATE OF NEW YORK / COUNTY OF SUFFOLK~ss' ......................................... being du|y sworn, deposes end says that he is the applicator named ebov~. ~ is the ................ ~ ................................................ (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 best of his knowledge and belief; and that the trailer will be lacated in the manner set forth in the application filed herewith. Sworn to before me this .......................... day of ............ ........................... ......... ...... ,/) ~/ - ~- ~--~) f - (S gnature) .Z/..I...~...~,,.~.~.~:~.~ ....... .(.Il, ....... ./..c...r....~..c:.~....Li.i ........ (Notary Public) Term Expires ~a~ch 30, TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ..........du~¥-.~ .............. , 19.(~... Application No ................................... Approved ..................................... 19 ........ Permit No....b,~...~nded ~~ .Ranewsd...Co~...s~ x~;¥., days..on.l.y...f_ro~. ~ ~v~ da ~;~ APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE OUTSIDE OF TOURIST CAMP. TRAILER OR HOUSE CAR, 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 ar 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. ............. ~. ./..~..:... w~.~,=.' .......... (Signature of applicant) (Address) // State whether applicant is owner, lessee or agent ............ ~..?,':;iL,.,,~'~ ............. Name of Owner of premises ............ ~,.~ ........ ~ ...... /.~..~ ......... ~ ........... '/...* .......................................... If applicant is corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which proposed trailer wilt be oca d ........ .~:.m ...... ~.'2 ....... : ....... ~;..~,.(~.~.~../ ¢ Street and number ................................................................................................................................... 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ............~...,:~...z.~.~r.~ ................ ~., ...... ~ .............................................. b. Intended use and occupancy ........ ~ ........ ~..~,,.~..,..~. .............................. /.~ c. Period of t~me trader ~s to be located on premises .......... ~.....? ........................... ~ ............ 3. Fee .............. ~.: ............................ (To be paid on filing application) 4. Dimensions of trailer, length ............ Registration Number ............................................ Serial Number ............................................................ C 5. Size of lot: Front ............. /~...~...~....~/.~... .......... Rear Depth .~..~ q 6. Date of purchase or lease of land ../.'i /. ~.~.f....'~... 7. Zone or use district in which premses are stuated , ~ ~..~.' .~.. 8. Does proposed use violate any zoning law, ordinance or regulation;> ..............................~...~.. ................. 9. a. Method of Sewerage d spo~a ........ C,~C-C~.~r.., v t ......... : ...... , , · .................... ~...! ........................................... ~ b. Source of Water Su~gJv /..:,/,~. ~.z~;) '~'..,~.~,//'~ (~/-/h~'// ~ 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. Ino~icate clearly location of proposed trailer on prem- ises, showing distances from all buildings and property lines. STATE OF NEW YORK '1 COUNTY OF SUFFOLK~ss' ......................... · ~c,-~.-.~...,.~..........~_,~.,.,,.,~.j>,, ..~ .............. being duly sworn, deposes and says that he is the..applicant, nemed above, He is the .................. .~,'...,.,~,,~ ................................................... -(owner o~'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 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 ...........~..~..z ................ day of ~ .......... ............... ............. . .......... ...... .................. i ..... ry P6/bli, ) NO. 52-~2c:,~1:0 .... '4k ,unl~,- M~. Elliot Winter Bay Ave Cutehogue, N.Y. Dear Sirs Your t~ailer permit ~ ~2 is about to expire, E~elosed please find application forms to renew same Yours truly Building Inspector No... a..renew l TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N.Y. SINGLE TRAILER OR HOUS£CAR LOCATION PERMIT N a m e . .91~1..~.O~,- .Wtnt, el' ........................................................................................................... Street ...... l~ll~...A~.e~... (C~tuhog.~le.) ....................................................................................... Town ......... C.~l'l~l~ho&l,l~ i......H..~'. ................................................................................................ Your application for a (single trailer) (~J~Jl;~[) permit was reviewed by the Town Board on ............................... ~l:t~ ......... ~'~ .................. 19.63.., and (was) ~ approved. A permit is hereby issued to locate o (single trailer) ~ license number ............................ or serial number...~.t./.]~0.~/.10.t ................ at ................ F,/~.-.-.]~../t.¥~ ................................ ........................... C.ui;~hc~glza t.-... ~ - ~' ......................................................................................... pursuant to application dated ............................. A~t.]~.....lO.....]~C)(~.~ ......... and the following co nd it ion s: ...P.~[lli t...z'~rle, we~...~o:.., o.-'le.. ~ea~.. ~'~'E~I~. ~... ~.8 $... 1[c)6 ~. ...................... TOWN BOARD, TOWN OF SOUTHOLD TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ..................................... 19 ........ Application No .................................. Approved ..H..n.y....2..8. ........................ 19.6..3.....Permit No....b..2....Z...r..e. newed ~ ~t,~,~t~g~exT~../~ p. p..r..o..v..e..d....f.p..r....o..n.e... ~.e. ~ .r....o..n....¥...f..r..o..m... ~.~.~y.? date .............. ~' ............ APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OU?SIDE OF TOURIST CAM,. C~te ~?!x,x~.,' r/x ./..6~ ........ , I9..~ 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 E~oard 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. (Signature of applicant) i X~'; g~'s~ 7" ................ 'z .................................. State whether opplicont is owner, ~essee or agent ................. .............................. :. ........ ........ ................ (Name and title of corporate officer) 1. Location of land on which proposed trailer will ke located .................................................................... Street and number ................... ~:....,~..: .......... ~..¢>..~Z.....~.?...~....~__ .......... 2. State existing use and occupancy of premises and intended use and occupancy j~H: proposbd trailer: a. Existing use and occupancy ............... ~.~.~_ : ~ :'/"' Od ?' ~-' '~''' use and occupancy ....... ~.~.¢...:('.'.w..-:....../.~.,'..~:...~... ...... ~...~,.~.r..~.~.~,,~.c..,.>.~..'::-- ............. b. Intended c. Period of time trailer is to be located on premises ........ ? 3. Fee .............. ~.¥.~.... ..................... (To be paid on filing application) 4. Dimensions of trailer, length ...........~.: ......... dth ............. ./...~. . he ght ........... Registration Number ................... Serial Number .......................... 6. Dote of purchase or lease of land .................... ,~.L..'....2. ........................................................... ~.~,~ ........ ~,~ 8. Does pr~osed use v o ate any zoning aw, ordinance or regulation? ........... ~,~...~ ............................... 9. o. Meth~ of Sewerage di~osal .................. ~.~ ................... ~ ........................................... 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 location of proposed trailer on prem- ises, showing distances from all buildings and property lines. STATE OF NEW YORK '~ss. COUNTY OF SUFFOLK ............... ~.~.~'.~;~.~...../_..~..~.~....?....~....-~..'...~... ........................ being duly swam, deposes and says that he is the applicant, named abo¥~. He is the .................... .(...~Z~',,~,..~ ..................................................... (owner or lessee or agent) of said owner or owners, and is duly authorized to make end file this appl'icotion; 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 Jn the morme~' set forth in the application filed herewith. Sworn to before me this .................................... day of (Signature) (Notary Public) TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined .................................... , 19 ........ Application No ................................... Approved t~y 28 1963 Permit No. ~2- rent. id Supervisor Town of Southold APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Dote ...,,,~7~,._-~,:. ............ , 10 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 o Trailer Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County New York and other app cable Laws. Ordinances or,RegulatiOns. The applicant agrees to comply' with all applicable laws, ordinances and regulations. ..... ........ ...... (Signature of applicant) ......... ~ ....... · .~.~.....= .......... .~ ..~..: ...'~.. Z .~ .-¢~4~. .... (Addressy · ' lessee - ('~-~ ~(~ is owner, or agent ....................... ~-.~..~...,.~...:.~.,..'.~_~. ...................................... State whether applicant Name of Owner of premises ............. ~.~.~..:.~.~.....~i.../.: ...... ..~...~'.z..~.[.~"~.~..£...~ ................................. 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 locate,d. ............................ ~ .......................... S,reet and nUmber ~.. : .~'.~_._c'.-c'/ ~*~J~ ~.~.~~ .......... ..... ........... 2. State existing use and ~cupaney of premises/and~Z~.~.,~:.:.M.~in:ended use and~ccu~ncy~. ~ of ~osed trailer: c. Peri~ of time trailer's ..... 3. Fee ........~...~ ......................... (To be paid on 'ling oppl'ca~on) Regis~fion Number ............................................ Seria~ Number ............................................................ 6. 7. 8. 9. Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-bock 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. Size of lot: Front............../..::.?.i... i.....Rear ............ Depth Date of purchase or lease of land ....................... Zone or use district n wh ch prem ses are stuated , . ~.."~4~ . ~.. Does pr~osed use violate any zoning law, ordinance or regular ? ............. ~.~ a. Meth~ of Seweraae d ~al ~C -~ '~ Ju~z'~ ~ b. Source of Water Supply .............~..~,.~.~:~ ......... ~,~.<~ ......................................... c. Source ofElectrici~ [~..~; ~~ PLOT DIAGRAM STATE OF NEW YORK 1 COUNTY OF SUFFOLK~ss' ............... ~; .... .z.:.;~.; r'~i ....................... being duly sworn, deposes and says that he is the ,applicant named .above. He is the ,~..~'.C, (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 contained in this application are true to the best of his knowledge and belief; and that the trailer will be located in the mariner set forth in the application filed herewith. Sworn to before me this .................................... da,/of ........................................................ .................... ....... ....... .... (Signature) (Notary Public) NO. C TOWN OF $OUTHOLD$ · K'S TOWN CLER OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOU~EC LOCATION PERMIT Date Name Street Town Cutehogu% Your a~plication for a (single trailer) (housecar) oermit was reviewed by the Town Board on ~,.~. ,~o 19 61' and (was) (~approved. permit is hereby issued to locate x (single trailer) (~, license number or serial number and the following pursuant to ~pplication dated conditions: ~ailer to be setback aS lea~t ~O f~ c~e~ front proper~y line: and tn be effect!vt for two j',=~z~. (rcnawable) TO W[~ BO kRD, TO~ ~F $OUTH@LD ' / Town Clerk TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined .................................... , 19 ........ Application No ............. ~ .......... Approved ..~?~,Z....~..~L, ~9~....Perm~t No...~..:... . .................. , . ..... .... Supervisor APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. ~te ............ .~.//.~ ~,.~(~...~.~...,~9...~,.. 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 ~/ith all ~a,p/p~oa.ble,.~s, ordinances and ........ ~./....~:..L..~..~.~ ...... .~..!...~..~..~......~. ..... (Signature of applicant) ~..~...R....~.L..~..~..g..~.~.~.:.~,.....~...~.~.L T;...~ ,...c, (Address) State whether applicant is owner, lessee or agent ............... ...~.......~..;?..,~..~: ............................................. Name of Owner of premises ......................................................................... ~ ......................................... 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 .................................................................... Stre-~t and number ......... ~,.-..,. ~., ............ .1~........~..... ~. .......... /~.....~.......~... ...... .,.~... ,~.(...-~....~....~....~ .~....~.. j~ 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy .............~......~.... ~......~.......~.k......~.. ...... ..~7........~;.....'..~....P_ ............................ b. Intended use and occupancy ............ ..~....~...A....~...~:......q..~.....~.....q...~..,...J~......~.....~.....~....L~....!....~.....~...... c. Period of time trailer is to be located on premises ............ .~ ......... ~/....1~...~....~....~'......~...~:.~;:~..~..m~' 3. Fee ............ .~..~... ....................... (To be paid on filing application) 4. Dimensions of troi]er, [engt~ ............... ..~.. ............ width ' ~ /~' ~ ............ ~..~. ........ height ............................. Registration Number ............................................ Serial Number ............................................................ 6. 7. 8. 9. Size of lot: Front ...............~.~..~.! ................. Rear ................................ Depth,.....~...~.?. ........ : .......... Date of purchase or lease of land .............. ~/...~...~..~ ................................................................................ , ~ Zone or use district in which premises are situated ....... /~. ....... .~....~'...,~.....~......./~.....~....~...!..c.....~...Z:.....~...u..r~ ~,/~, Does proposed use violate any zoning law, ordinance or regulation?......~..~.: ...................................... a. Method of Sewerage disposal ..... .C...~.....,..~.:~'....~.....C....O....~ ...................................................... b. Source of Water Supply ............. .~...j~..7.../~.(..../~....~.....~ ...... ..~..J.....~.....!~.~;;...:: ................................. c. Source of Electricity ........... .~.......~.,.....~r...J~...~.....~.....~.../......~.....~.~.......?.~...~...: ........................... 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 'Lss. COUNTY OF SUFFOLK ................................................................... ..................................... be:ng dUly swam, deposes and says that he is the appli¢ene named above. He is the ......... ~~ .................................................................. (owner or lessee or agent) of said owner or owners, and is duly authorized to make and file this appliccrtion; 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 in the applica,tion filed herewith. Sworn to before me this ¢,-~... ~'-" day of ...................... ......... ..................... ~ ,~/ (Signature) ..... ...................... // (Notary Public) JUDITH T. 80KEN TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined .................................... , 19 ........ Application No ......... ~ ............... Approved .....~..~..¢.~......~......~.,., 19..~./....Permit No...~..~ .... , ..... ............ ................... SupeWisor APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. 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 comp. l~ with all appliagble rl~ws, ordinances and .... ....... ....... (Signature of applicant) (Address) State whether applicant is owner, lessee or agent ............. ..L.....~...~'...~...~..;C.~. ............................................. Name of Owner of premises ...................................................................... .......... .~ ............................... 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 .................................................................... 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.../.....~.......d'...../~.....t~.....-~. ...... ~,.~......~......l~..\..,..~.. ............................ b. Intended use and occupancy ......... . .~.....~.~....A...L....~......~.....~.. ...... [.~....~...~...~........~......~.....~...L.~.../:..~.!..!?. ('~ c. Period of time trailer is to be located on premises ......... 2 ...... .~/.....~..j.~....~.~........c~..~..J..~.....b.g ~ 3. Fee .............. ..~..~.. .................... (To be paid on filing application) 4. Dimensions of trailer, length .............ff...~...i .......... width ............... f~..l ........... height ...... /....O..! .................. Registration Number ............................................ Serial Number ............................................................ 5. Size of lot: Front .............. ./...0....b...~ ................. Rear 6. Date of purchase or lease of land ......... .~:,~....,.c~..~ .................................................................................... 7. Zone or use district in which premises are situated ....... /~ ........ ..~.....~>.~......~......~......GT....~..i....Cr...U....Z:T.?~ ~ A£ 8. Does proposed use violate any zoning law, ordinance or regulation? ...... ..~x.:.'L,.~.'..,' .................................. 9. a. Method of Sewerage disposal ............ ~ ....... ~...,~....L....~'. ....... z, zT. ......................................................... b. Source of Water Supply ..................... .C....~.~... {...~:~....~...;/~....~...,.~.~.~..;.~.....~....,/. .................................. c. Source of Electricity ................ L...~ ........ ..~...~T....J.i..~.~....~...,~...~.....~.....~..~........('.~.¥ ......................... 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 ~ss. COUNTY OF SUFFOLK he is the applicant .named obove. He .is-the ......... ' ..... ~...¢~..;.?.. ........................................................... (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 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) ........... ~ ~ ~ ~...~.. :...~ ~..~ ................. ~ (Nota~ Public) ~OIT~ T, B0~E~ ~ Pu~lio, State of New yor~ We, the undersigned property owners at the northern end of Bay Avenue in East Cutchogue, have no objections to the placement of a house trailer on the lot belonging to Adam Doroski, immediately north of his place of resldence.