HomeMy WebLinkAboutYoung, Fred W. TOWN OF SOUTHOLD
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
SINGLE TRAILER OR HOUSECAR
LOCATION PERMIT
Name ...... ~.e ~*..I~.,- ·..~o~11~ ......................................................................................................
Street ....... .~g'~...B.Og~,e.V.~'.¢~ ....................................................................................................
Box 831
Town ........ I~U.t,l'lO 1 d.,...bI~l~...'l~.o~k ..........................................................................................
Your application for o (single trailer) ~j~:~lLr) permit was reviewed by the Town Board
on ................................ leptei~l~...2~ ........ , 19..63., and (was)~ approved.
A permit is hereby issued to locate o (single trailer) (~1~, license number .....................
or serial number......,lcO'/5~ .......................... at"'8~cJ'e"2~u'l'e~&~'~'-G~e~--~,~.-.~me.
pursuant to application dated ....................... ~eptellg;~...g~...l.9~3 .......... and the following
conditions: ......... ~..~..~l.$.t,.. ~.~. ~9.et ~.. ;~.O.~...¢~11 .e...~x~.~ ~....-....~,.0... I~.~]~.t~e.~.e.~. ,...2.~.., .]....~...4.,
TOWN BOARD, TOWN OF SOUTHOLD
....
Town/Clerk
TOWN OF SOUTHOLD
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Examined .... .S..d.p.~.e.,m..b.,e.r....2.~ ........ , 19.,6.~... Application No.
Approved .... 5.~l~.~.¢lgb.¢.C.~. ....... , 19..63...Permit No...03 ...........
D i s~jf~t~l( ~;/~,/s,i~.gF..9~.e~...f..9£...9.n...e...y.e~.,3..r., .9.g.] .y...~.C9,~, .~.~9.y.~ dat~
....................................................................................
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 an 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 er in part for any purpose whatever other than specified
in permit.
Aoplication 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 ,Cf?unty, New York, and other applicable Laws.
Ordinances or,Regulations. The applicant agrees to corr/{)l~/ with all applicable laws, ordinances and
regulations. /" ~-~X~ ....~...~.
....... ~.a~f:...~ !~.d.~...~x...6.S;k ~..2.~uf:hc q~4~ .........
(Address)
State whether applicant is owner, lessee or agent ......... g.%(~,g.~, ...................................................................
Fre~ ~ . Vmm~-
Name of Owner of premises ........... : .............. .~.~,,,<, ....................................................................................
If applicant is corporate, signature of duly authorized officer.
(Name and title of corporate officer)
Green~ort
]. Location of land on which proposed troffer will be boated ....................... : ............................................
Street and number ..... ~,~.,..~,~,V.~ ...........................................................................................................
2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer:
a. Existing use and occupancy ....... r.~J.f,.o, neg ..................................................................................
b. Intended use and occupancy ............................................................................................................
c. Period of time trailer is to be located on premises ............ .a.:~...).-..O.~'.¥~..~J...Z~.Q;i~,.~D. ..............
3. Fee ............. ~...~:...0.~ ................. (To be paid on filing application)
4. Dimensions of trailer, length .......... ~,~ ................. width .......... ~.l.m~-~t.', ........ height ........ ~ ......................
Registration Number ............................................ Serial Number ..........1...0.?..~. ......................................
Size of lot: Front. ........... .~.~ ........................ Rear ...... ~....~..0.. .................. Depth ......... ~.~.~ ...... ~ ..........
6. Date of purchase or lease of land ............~LCJ~.O ......................................................................................
7. Zone or use district in which premises are situated ............. .~.~..~..~!...~..i..s..%.. ...........................................
8. Does proposed use violate any zoning law, ordinance or regulation? ............... ~Q ..................................
9. o. Method of Sewerage disposal ............ .%~.~..t.~Q...t2~.~ ......................................................................
b. Source of Water Supply ............................ ~..~Q~.~g.~....12~,D.~ ............................................................
c. Source of Electricity ................ ~.~..L..C.Q...~...~..o..~....~..~.~.~..~.~,~..d, .........................................................
PLOT DIAGRAM
ioc~te 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 lecation of prepos~ trailer on prem-
ises, ~hoWing distdnces from all buildings and property lineS.
STATE OF NEW YORK 1
COUNTY OF ~UFFOLK ss.
Fl~ed W. Youn~ i~,%m, ~..
......... '.'.~... ............................................................................................. ~ --.~ ..-..., d~e~ and ~ thaf
~ is t~.~ent ~, ~e, He ~ the ............ ~w~ ................. ~.~....,.~..~ ......................................
(owner or lessee or agent)
of said owner or owners, and is duly authorized to make and file this appl:ic~ion; and that all statements
con~Jn~ in this application are true to the best of his kn~ledge an~ belief; and that t~ trailer will
~ I~ed in' ~ m'~n~F set fo~h in the a~lic~ion filed h~r~wi~.
JUDITH T. BOKEN
Notary Public, State of New York
No. 52-0344963 Suffo k County
Qommisson Expires March 30,
TOWN OF SOUTHOLD
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Examined .....S..d.R,l:.,?.b..e,r....2..~. ........ , 19.,6.~.... Application No.
Approved .... ~R~..¢lgl~.r...;~.lt ........ , 19..~,~...Permit No...~J ...........
Dis~J~&9~ ~RRK~.oM..e..d....f..o.E...o..n.~..Y.e.~..r....o..n..l.¥...f..r...°~.....~. date.
...................................................................................................
............... .......
Supervisor To~I~ of SouthoJd
APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE GAR,
OUTSIDE OF TOURIST CAMP.
Date .... Sep.t, ea~be~.....9 ........... , 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 cr 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 comp,~;g~ with al~ app~ic,able laws, ordinances and
regulations. ~-/ //~ ....~..~
(Signature of al:~licant)/ ~/
....... $ a~ a ..l~vd.r .. ~ ..&.~.l.,...Seu.t. he!.d ..........
(Address-)
State whether applicant is owner, lessee or agent ........ I~.e~' ....................................................................
Name of Owner of premises .... .~-~-~['~,d...~,...~,~"~ ....................................................................................
If applicant is corporate, signature of duty authorized officer.
(Name and title of corporate officer)
1. Location of land on which proposed trailer will be located .......... .(}.?...~..~.~]g.9.~..t. .....................................
Street and number ..(]&~I~...]~Y~ ...........................................................................................................
2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer:
a. Existing use and occupancy ...... r. es~.d~n¢~ ..................................................................................
same
b. Intended use and occupancy ............................................................................................................
c. Period of time trailer is to be located on premises ........... &s..1on~..&s...1so.~s&bl~ ...............
Fee ............ ~...~.(~g. ................. (To be paid on filing application)
Dimensions of trailer, length ......... ~.] .................. width ......... ~.!.,,10!! ......... height ....... ~ ......................
Registration Number ............................................ Serial Number ........lg2.~. .......................................
5. Size of lot: Front ............J~.~ ........................ Rear ...... ~'.~.(~ .................. Depth ......... ~/.~t ...... ~ ..........
6. Date of purchase or lease of land ............ "1~)~O .....................................................................................
7. Zone or use district in which premises are situated .............. ~.]J~q...d.:~.l~, ...........................................
8. Does proposed use violate any zoning law, ordinance or regulation? ............... ~10 ..................................
9. o.. Method of Sewerage disposal ............ ~e~t~e...t~at~ ......................................................................
b. Source of Water Supply ............................ ~6o~ag~..~l~ ............................................................
c. Source of Electricity ................ ~u~../~O..i~'.:~om...1Do~t,...;),e,-:L~ ..........................................................
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 alt buildings and property lines.
STATE OF NEW YORK ~
COUNTY OF SUFFOLK~'ss'
.............. · ~'~(~..]1/,...~O.~1~ .......................................................... being duty sworn, deposes and says that
he is the applicant named ~d~e~e. He is the ............ o'er~.~j[' ....... ; ............... ',' ....................... : .......................
towner or lessee or agent}
of said owner or owners, and is duly authorized to make and file this appl'ication; 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.
o be ore me this ............ /...~.. ................ day of ,,///
............... ........ .... ..........
~rotar~ Public, State ol flew York
No. 52-0344963, Suffolk County/~
Commission Expires March 30, 19~0
September 9, 1963
Mr. Fred W. Young
Box 831
8outhold, L.I.
Dear Sift
[our tra~ler permit ~ 63 has expiredt Enclosed please find appli
cation forms to renew same.
Kindly have signattLre notarized and return to me with a $ %.00
fee, I will take it to the next Town Board meeting.
Yours truly
Building Inspector
TOWN OF SOUTHOLD
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
SINGLE TRAILER OR HOUSECAR
LOCATION PERMIT
No. 63 ................
Dote ............ Aug~si..~9,...19.6~ .............
Name . ~.e~..W.,...~O.U~g .............................................................................................................
Street ..... ~.f~i~..e... ~.1.~.d. ...................................................................................................................
Town .......... .(}r .e,e,D.~Q O r.~ .1... ~.o.Y.* ................................................................................................
Your application for a (single trailer) ~l/j~]~l~) permit was reviewed by the Town Board
on ......................... A.l.Zg~S.t,....2,8 ...................... 1962_.., and (was) ~ approved.
A permit is hereby issued to locate a (single troiler)X~;]~, license number ............................
or serial number...1Q~..~.E ............................. at.....~.S.....~age..Bl.~.d...(.".B."....dls~ri~.~..
Oreenport~ N,Y.
pursuant to application dated ................ A~tl.~;,....2~?...ql~2 .................... and the fo~lowing
conditions: p eZ'.mit. ,.£ s~ue~l. · .l:om. · ~e.. ,year. ·. ~r~,%y. ,.I~.~,em...~ve.. g~ .....................
TOWN BOARD, TOWN OF SOUTHOLD
TOWN OF SOUTHOLD
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Examined ..................................... 1 9 ........
Approved ..A~g~.~....~.~. ............... , 19.6..~.....Permit No.6.3 ..............
Application No ......... .6..] .......................
APPLIGATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR,
OUTSIDE OF TOURIST CAMP.
Dote
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 ad]Dining 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 Sauthold, Suffolk County, New York, and other applicable Laws.
Ordinances or_Regulations. The applicant agrees to co/1~ly with all applicable laws, ardinances and
................
State whether applicant is owner, lessee or agent ...... .~/~.....~.~.~..~ ......................................................
Name of Owner of premises ...~.. "~.~...~.......~.,.....~...~....~..~..~'~. ...........................................................
If applicant is corporate, signature of duly authorized o~¢fJcer.
(Name and title of corporate officer)
1. Locat on of and on wh ch aroposed tra er w be ocated ..~.~..~-~_-..~..A~._.~..~..~'.~'
2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer:
b. Intended use ond occuponcy ..... ~..~...~..~. .........................................................................................
c. Peric~l of time trailer is to be located on premises .......... ..'.~......~....~....~' ........................................
3. Fee .............. ~. .................. (To be paid on filing application)
4. Dimensions of trailer, length ......... .~.....3. .............. width ...... .?....'~./.~. ........... height.....~.....-~....~..
Re stoat on Number Sero N,mber
6. Date of purchase oJ~4~of land ............ ./...~.....~.Z..('~... ....... ir ....................................................................
7. Zone or use district in which premises are situated ..... ~..~ ............................................................
8. Does proposed use violate any zoning law, ordinance or regulation?.......~..O. ..........................................
9. a. Method of Sewerage disposal ....... ..~..i..~...~..?..4.~ .......... ,.)..--~.t~L~. ~ .....................................................
b. Source of Water Supply . ~.~....~...~....~..~.. ........ .~..ff~4'.....~... .....................................
, -..
c. Source of Electricity ..... ~..ff~'....fl?..~'..,.~........~.~.,..~,~...... .~.~ .... ../...~... .................
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 I
COUNTY OF SUFFOLK~ss'
he is the applicant named above. He is the ...... ~'.4~.. ......................................................................
(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 Jn the manner set forth in the application filed herewith.
Swo n to before me this ................... ;.~' .~..~.....da¥ of
........................... .c~....,,~..~.~ ~ .... ..5.~:....~ ................ .~.~ .........................
........................ ~, ~d.~ ~i...~.~..:~.~? --
~UDITH T. BO,KEN
ff~ry Public, State of New Yor~(
fla. 52,0344963, Suffolk County
Comm,ssion Expires Marc/] 30,
TOWN OF SOUTHOLD
TOWN CLERK'S OFFICE
SOUTHOLD, N.Y.
Examined ..................................... 19 ........ Application No ..........6..]. ......................
Approved ..J~ugul£..2JJ ............... , ]9~....Permit No.~,~ ..............
I~J~tltR~/o<....App r. oved.. ~.or...ona..¥~r...on.l ¥.. f r. ma..~,.l~:~v e date
Supervisor
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 ar in part for any purpose whatever other than specified
in permit.
Application is hereby m~de 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.
~yuuLon-rO-r-d'!ln-a'in-C-esS or _Regulations. The applicant agrees to corr)~ with all applicable laws, ordinances and
..?
State whether applicant is owner, lessee or agent ~(/~. ~f( ~,x(.,~/~-c~..,~, ........................................
Name of Owner of premises ...... ./~:.. _~.~..~;~......~.......Y4~..(~.~4'..~'~ .........................................................
If applicant is corporate, sign,ature of duly authorized officer.
(Name and title of corporate officer)
1. Location of land on which proposed trai er wi be ocated ~.~..(.~ ~/.~/i ~.~...f~..~'~ ~
Street and number .~.Z~ ~ ~...~ J-L l.~ (..~..~ .~..' '* ........................
2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer:
a. Existing use and occupancy ........ ~:~.~:'.,~.: ...................................................................................
b. Intended use and occupancy ...... /~...~.-...~.... .....................................................................................
c. Period of time trailer is to be located on premises ............ ~.......~.~,~ ......................................
3. Fee ....... ~ ....... ~ ................. (To be paid on filing application)
4. Dimensions of trailer, length.,._~ ...................... width ......... /.....-..~..(2. ........ he ght ........ ~....:.~? ...........
Registration Number .......... ,~.~..~..../~..J,~ ................ Serial Number ~'.....~....Z~:._~..-. ......................
/
5. Size of lot: Front .z/~-~ Rear ~.-/C,) !
............................................................................ Depth '~ ~ ~ ~
6. Date of purchase or..l~i~,J~of land ............ /..~.....~. T...(~.. ............................................................................
7. Zone or use district in which premises are situated ............................................................................
8. Does proposed use violate any zoning law, ordinance or regulation? ......................................................
9. a. Method of Sewerage disposal '~ ~/o Z~/~_. / ~ ,~/~'
b. Source of Water Supply ........... ...~...~ ~
........ ........., ............. ,. ..............
' ..... '"
c. Source of Electricity .....~..~'....4~...~....~.. ...... ...~.....c?...~.....f.. .......... ....~.....,~... ............. ./....~.. ..................
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate oil 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
................................................. .~.;~..~?.;...//..~J.....~"T .7~.... ........... being duly sworn, deposes and says that
he is the applicant named 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.
~ ~ . )~ x~ ~ ~gnature)/
~ (Nota~ P.blic)
No.
ToWN OF $@UTHOLD
TOWN CLF, RK'-e OFFICE
SOUTHOLD, N. Y.
SINGLE TRAILER OR HOUFI~C !iR
LOCATION 'PERMIT
Name FI'~ Yn~u.~
Street ~g~ ....
Town Cl'cc~po2- ~ ~o~'.
Your application for a (single trailer)
~permit was reviewed
by the Town Board on
Sept 13
19 , and (was) (~ approved.
permit is hereby issued to locate a (single trailer) ~, license
number or serial number
at ~ to ,, ....
pursuant to application dated ~
conditions:
and the following
ii i I ill i ri I ......
TOWN OF SOUTHOLD
TOWN CLERK'S OFFICE
SOUTHOLD, N.Y.
Examined ..,~,~.L?~.~.....!...~. .............. , 19....0.. Application No ...................................
Approved ~,..../..~.., 19.~.(?.Permit N°..-'~''''0'' .....
Disal~roved a/c ............................................................................
APPLICATION FOR LOCATION OF SINOLi~ AUTOMOBILE TP.~ILEK OR HOUSE CAR,
OUTSIDE OF TOURIST CAMP.
Date .................. ~.e...~.~..: .]:.. ,]. ......... , 19.....~..0.
I nstructJons
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 g ving a, detailed description of layout of property and proposed location
of trailer must be drawn on the diagram which is part of this opp ication.
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 inspections
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 County, New York, and other applicable Lows
Ordinances or_Regulations. The applicant agrees to cos~ly~ with all applicable laws, ordinances and
regulations. .~....~~;..~,..~......~j~r.~..
(Signature at ap~icFnrj /
Box 851 Southold, .Y.
.................................... .............................
(Address)
State whether applicant is owner, lessee or agent .................... 01~1~ ........................................................
Fred W, YounE
Nome of Owner of premises ...................................... .;...~',:.' .........................................................................
If applicant is corporate, signature of duly authorizea omcer.
(Name and title of corporate officer)
I. Location of land on which proposed trailer will be located ......A.~.~...~..~...°.,m.,°.~...e....~....~..°...w~.,...°. -~.....~..°...~th°ld
Street and number ............... ~.~t...~],~l. ............................................................................................
2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer:
a. Existing ,,~ ~H ~, ~-,, Boat Yard & ]~arina ..
b. Intended use and occupancy ........ ~[~.~.1,~$~ ................................................................................
c. Period of time trailer is to be located on premises ........................................................................
3. Fee ............................................. (To be paid on filing application)
4. Dimensions of trailer, ler~jth ............ 2~..~ .............. width ......... .7..:10.? ........... height .............. ~..:.Q]~. .........
None . 1075E
Registration Number ................................. Ser.al Number ............................................................
C O
4..53 ' 510 '
5. Size of lot: Front .................................... Rear ................................ Depth ..........?. ..?,, ,?. ~ ..............
6. Date of purchase or lease of land April 15,1950
7. Zone or use district in which premises are situated ...... ~, ...... ......
> NO
8. Does proposed use violate any zoning law, ordinance or regu arian .......................................................
9. <~. Method of Sewerage disposal Septic taz~k
b. Source of Water Supply ....... .S...~..o...~..a.~.e.....~.....8~... ......
c. Source of Electricity ...¥auz~.!~..Baa,t,..~a~,cl,.....(.L,Z. oT.o,] ...................
PLOT DIAGRAM
Locate clearly and distinctly all bud ngs, whether ex sting or proposed, and indicate all set-bock dimen-
sions fram property lines. Give street and block numbers or description according to deed, and show street
names and indic~3te whether interior or corner or. Ind cate clearly location of proposed trailer on prem-
ises, ~howing distances from all buildings and property lines.
STATE OF NEW YORK /
COUNTY OF SUFFOLK ss.
is the applicant named above. He is ~e .......... ~ ; ..........................
(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 fbrfh in the application filed herewith.
Sworn to before me ................. .~...%v.. ............ day of ~~
~' ' (Notary Public~ ......... ~
JUDITH T. BOGEN
Notary Public, State of New York
No 52-0344963, Suffolk County
Commission Expires March 30, 19 ~/
C
TOWN OF SOUTHOLD
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Exomined ..................................... 19 ........
Approved ~~.../?.. ..... 191~?~.'...Permit No.....~...~. ....
Disapproved a/c ......................... ...................................................
Application No ...................................
~,Tt~per~isor
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. Pot plan show ng ocation of lot and of buildings on premises, relationship to adjoining premises or
pub ic streets or areas and giving a detailed description of layout of property and proposed location
of trailer must be drawn on the diagram which s part of th s 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
_ ~'1 applicable laws, ordinances and
Ordinances or'Regulations. The applicant agrees to co ly wi
........ L!.,..s..o. .....................
(Address)
0w~er
State whether applicant is owner, lessee or agent ........................................................................................
Name of Owner of premises .......... ..~..r...e..~.....~.....Y..o.....~. ................................................................................
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 A~.~,~gTRg~,.~.~..~,D.~O,..D;~.
Sage $1vd.
Street and numoer ...........................................................................................................................
2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer:
a. Existing use and occupancy ..... ~.9..a..~...~..a.~.d...~;..~[1~1~,~. ............................................................
Dwelling
b. Intended use and occupancy ............................................................................................................
c. Period of time trailer is to be located on premises .~.....,~.......~--./~...~..~ ............
3. Fee ............................................ (To be paid on filing application)
23' · 7'10" · 8'0"
4. Dimensions of trailer, length ................................ w~dth ................................ hmght ................................
Registra*ion Number ......... ~.q~.....e. ................ Set a Number ......... ~,.~.~.~.~ ......................................
C 0
45~ ' 510 ' 777 '
5. Size of lot: Front ............................................ Rear ................................ Depth ...................... ~ ..........
6. Date of purchase or lease of land A]~rJ. 1 15 t 1950
7. Zone or use district in which premises are situated B
8. Does proposed use violate any zoning law, ordinance or regu at on? .~.0. ................................
9. a.. Method of Sewerage d sposa S e ptio tank .
b. Source of Water Supply ..................... ..~..¢.or.~.~e ta~: ~
c. Source of Electricity .....YD.~.~.~..B. Ct$.'J:L.~,~I......(.L,[.4L,,~ ................................
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 a~d 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 t
COUNTY OF SUFFOLK~ss'
................... ~..H~~~"/~ ~ ~-z ............................... being duly sworn, deposes and says that
he is the .applicant named 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 applica,tion filed herewith.
Sworn to before me this ............. ~...~....~......day;'-~ of
............... / /
JUDITH T. BOKEN
~'otery Public, State of New York
N0, 52.0344963, Suffolk County /~