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HomeMy WebLinkAboutWoodhollow Properties Inc. TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT Street ...... ,~..,...G..~.~. ~t~...~,FJ ~ .~. ........................................................................................................ Town ......... .~..~'~qQ~.. ~,~.Ct, ~g.~... ~,. ~, ................................................................................ Your application for a (single trailer) (~ permit was reviewed by the Town Board on .......................... ~ ....... ~ ........................... , 19.~.~.., and (was) ~ approved. A permit is hereby issued fo locate a (single trailer) ~ license number ............................ or serial number ............................................ af ....... ~.~.~...~/~...~..~.~ ................... ...~le~..~l~.,...~, ........................................................................................................... pursuant to application doted ........ ~..~...~.~ ........................................ ond the following conditions: ....P~r.~I..gr.a2~.~...f.~r.. TOWN BOARD, TOWN OF SOUTHOLD ..... Town ClErk Please fill in serial number and advise blli!d~D~ iqspector es soon as it is availsble TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ..................................... 19 ........ Application No ...... .?~...~.~.. .................... Approved .....L~./~,~v,~....~. ........... , 1,9.~.:..2~.,.Permit No ................. ........ ............................. ::::::::::::::::::::: Supervisor APPLICATION FOR LOCATION OF SINGLI~ AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. r / 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 opplicotion. 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 Jn 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 Cognty, New York, and other applicable Laws. Ordinances or_Regulations. The applicant agrees to comply with all~app.l~ble lawsi~ordinances and regulations., ~ ~'~;';;~;~';~i~;~;~'"'~'"";'; ........... ;'~: .......... ....... (Address) State whether applicant is owner lessee or agent ............ ~;.~'.....~ .................... ~ ................................... ,/ ~e ~ ~.e~ o~ ~,e, ................ ........................ ~..~.~..=., ....... : ....... ~ ................................ If appfiCant is co~ate, sign~u~ of dulv authorized ~ficef. .... ~ ...... ~ ................... ~ ............ (Name ~nd title of corporate officer) 1. Location of land on which proposed trailer will be located ....... ~;~ .... ~7 ............................. Street and number ................................................................................................................................... 2. State existing use and occupancy of premises and intended use and occup<3ncy of proposed trailer: a. Existing use and occupancy ......... ~.....~...~..¥~..~/..C.~.~...~h........~..~..../.~'./.....'~.....'~. ...................................... b. Intended use and occupancy ............................................................................................................ c. Period of time trailer is to be located on premises -~ .,.-~..z~.,~' ~...~..~...~. ~ ~/t~-5 -~ 3. Fee ~ v~ (To be paid on filing application) 4. Dimensions of trailer, length ................................ width ................................ height ................................ Registration Number ............................................ Serial Number ............................................................ 5. Size of lot: Front ..... ..Z'..~...~..~..7..~7¥. ................. Rear ....~..~...~'..:..,~'../_. .. Depth..~..~ .... 6. Date of purchase or lease of land ............................................................................................................ 7. Zone or use district in which premises are situated ............ ~Z~....Y...~:.....; ........................................... 8. Does proposed use violate any zoning law, ordinance or regulation? ........ ../..~.....c..~. ................................... 9. a. Method of Sewerage disposal ............................................................................................................ b. Source of Water Supply ..................................................................................................................... c. Source of Electricity ........................................................................................................................ PLOT DIAGEAM 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 COUNTY OF SUFFOLK~ss' ............................ ,ff. ...... ; ................ d ............... ~..' .......................... ~mD duly sworn, dop~ and says that he is ~h~ apDHcant 'na~d ab~. H~ is the ........... ~ .~: ............................................................ /{owner or lessee or agent) of said owner or owners, and is duly authorized to make and file Ibis application; and that all statements confined 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 a~licat~an filed herewith. Sworn to before ~e this ....... .................. day of (/-' ,.~ ~ tx./ / .~ ~ ~~ ........ .................... ~ ~ ~. et t~me of TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ..................................... 19 ........ Application No......~...~.,~.. ...................... Approved ~,~!Z...~.,?..*F.~..~.%~..~ 19 ........ P~rmit No ................. DisoL~ roved a/c ...... ~ .................................................................... Supervisor APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUtSiDE OF TOU, ST Date ..... ~:]../.'. ............................ , 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 mast 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 oomph/' wifh all,applicable laws, ~rdinances and regulations. ~<~f ,d' ~ ~ ~ ~ (Signature of a~licanf) (Address) State whether applicant is owner, levee or agent...~: ...................................................................... Name of ~ner of premises ...~'.~.~..~.~.~'.....~.~.~..~.~...~'~; ...................................... If applic~t is ~o~at~ signature of duly authorized officer. · ............... ........ ........... x ...... (N~m~ ~d titl~ of corporat~ officer) ~ 1. Loc~tion of I~nd on ~ich proposed trailer will be located ............................................. ~:..~:.;: Str~t ~nd number .................................................................................................................................... 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ..... ..~..O.~.~...~.....~'R~...~.. ........ ...~..~..~../..~;'...~.:.~. .......................................... 1i x/ b. Intended use and occupancy ............................................................................................................ c. Perjod of time trailer is to be located on premises ..... ;?......./~...?.....~..~..'~.~..~.......~:~.......~..~].~L ............ 3. Fee "5~' ~ (To be paid on filing application) 4. Dimensions of trailer, length ................................ width ................................ height ................................ Registration Number ............................................ Serial Number ............................................................ 5. Size of lot: Front .................; ......... ~-=.=.~ ........ t~ear ............................ , .......... 6. Date of purchase or lease of land ............................................................................................................ 7. Zone or use district in which premises are situated , [-~cts/.~...~, ~,~ 8. Does proposed use violate any zoning law, ordinance or regulation? ........... ..~.....¥. ................................... 9. a. Method of Sewerage disposal ............................................................................................................ b. Source of Water Supply ..................................................................................................................... c. Source, of Electricity ........................................................................................................................ PLOT DIAGRAM 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 trq er on prem- ises, ~l~o~ving'dist'anc~s from all buddings and property lines. STATE OF NEW YORK / COUNTY OF SUFFOLK~ss' '/¢ /~ says that ..... ...~.,?:. ?. , ~,~ ,, . ..... ~ .......... :~".~.......~..'...~ ....................... be,rig duly sworn, deposes and he is the ~pplicant rxomed .above. 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 ~ before me this ..... ./.. ........................... da,/of ~:':~ .~- /;'~::..~'~ I ...... ~,'...'~. ...................... 19 ~ m-- <~'"~(Sig,ature) ~' ~ ~ / / (~. Public) / IRVI~ L PR1CE~'~R. ' ~T~ ~tC, STATE OF N~ YORK ~ in Surfak Co. at time of a~nt ~ C~on ~r~ March ~, 19~ ~