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Home My WebLink AboutFirst Baptist Church of Cutchogue ELIZABETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (631) 765-6145 Telephone (631) 765-1800 southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD November 20, 2002 First Baptist Church of Cutchogue P.O. Box 543 Cutchogue, NY 11935 Re: Trailer Permit Renewal No. 101 Dear Sir This is to advise you that your trailer permit expired on October 14, 2002. If your application and $100.00 fee are not received on or before November 27, 2002, your special permit will be revoked and your trailer will have to be removed from the premises. Very truly yours, Elizabeth A. Neville Southold Town Clerk RECEIVED Southold Town Clerk PERMIT NO. 101 EXPIRATION DATE: TOWN OF SOUTHOLD TOWN CLERK'S OFFICE Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 (516) 765-1801 October 14, 2002 RENEWAL APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. a. Please review this renewal application. If there have been no changes to the premises, trailer, ownership of the premises, or ownership of the trailer, please sign at the bottom of the reverse side of this application, have your signature notarized, and return to the Southold Town Clerk's Office with your $100.00 fee for a six (6) month renewal. b. Upon signing and submitting this renewal application you agree to comply with all applicable laws, ordinances and regulations of the Town of Southold, Suffolk County, New York. State whether c~pplicant is owner, lessee or agent ......................................................................................... Name of Owner of premises First Bar~tJst Church of Cutchoque If applicant is corporate, signature of duly authorized officer (Name and title of corporate offic;;r) I. Location of land on which proposed trailer will be located Cutchogue, New York Street and number Midd e Road ~ 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy one family dwelling' b. Intended use and occupancy church ~..arsona_qe c. Period of time trailer is to be located on premises 6 months 3. Fee .......... .$..1..0..0.,:,0..0. .................... (To be paid on filing opplic(~tion) 51' 4" 4. Dimensions of trailer, length ............................ width ................................ height'. ...... .1..0.~ ................ Registration Number ......................................... Serial Number ............ .1..5..5....K....1...6..4..3..8 .......................... 5. Size of lot: Front .......... !.~..5.', ........................... Rear ....... ]_2,.5.'. .................. Depth 158' 6. Date of purchase or lease of land .......... .D...e.,c..e...m..b.~e..r...1...5.~...1...9..2..5. . ~ ....... 7. Zone or use district in which premises are situated ........................................................................ 8. Does proposed use violate any zoning law, ordinance or regulation? ............ ,n. 0. .................................. 9. a. Method of Sewerage disposal ....................c.,e.,s.,s~...o..o.! ....................................................................... b. Source of Water Supply .......................... .w..e.!L ............................................................................... c. Source of Electricity ................................. .L...i.!.c.o, ............................................................................... 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 indicote whether interior or corner lot. Indicate clearly location of proposed trailer on prem- ises, showing distances from eli buildings and property lines. ON FILE IN TOWN CLERK'S OFFICE. If any chanties have occurred since your last renewal, please indicate, on a separate sheet of paper, the exact changes. STATE OF NEV~ YORK 'I COUNTY OF SUFFOLKjss' .......... . . . 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 ell 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 ............................................................ , 19 ................................................................................................. (Signature) (Notary Public) TOWN OF $OUTHOLD TOWN CLERK'S OFFICE Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 (516) 765-1801 PERMIT NO. 101 EXPIRATION DATE: RENEWAL APPLICATION FOR LOCATION OF SINGLE AUTOAAOBILE TRAILER OR HOUSE OUTSIDE OF TOURIST CAMP. CAR, a. Please review this renewal application. If there have been no changes to the premises, trailer, ownership of the premises, or ownership of the trailer, please sign at the bottom of the reverse side of this application, have your signature notarized, and return to the Southold Town Clerk's Office with your $100.00 fee for a six (6) month renewal. b. Upon signing and submitting this renewal application you agree to comply with all applicable laws, ordinances and regulations of the Town of Southold, Suffolk County, New York. State whether applicant is owner, lessee or agent ......................................................................................... Name of Owner of premises F rst Bapt st Church of Cutchoque If applicant is corporate, signature of duly authorized officer (Name and title of corporate officer) 1. Location of land on which proposed trailer will be located Cutchogue, New York Street and number Midd e Road ~ 2. State existing use and occupancy of premises and intended use end occupancy of proposed trailer: o. Existing use end occupancy one family dwellinq b. Intended use and occupancy church .p, arsona.g.e c. Period of time trailer is to be located on premises 6 months 3. Fee .......... .$..1..0..0.....0..0. .................... (To be paid on filing application) 4. Dimensions of trailer, length ...... .5..1.....4. ............. width ................................ he ght'. ...... .1..0.~ ................ Registration Number ......................................... Serial Number ............ .1..5..5....K....1..6..~1.~.8 .......................... 5. Size of lot: Front .......... !..2..5.'. ........................... Rear 125' Depth 158' 6. Date of purchase or lease of land Decemb~er 15~ 1925 7. Zone or use district in which premises are situated ........................................................................ 8. Does proposed use violate any zoning law, ordinance or regulation? ............ .n..o. .................................. 9. a. Method of Sewerage disposal .................... .c..e..s..s.~..o..o.! ....................................................................... b. Source of Water Supply .......................... .w...e.!L ............................................................................... c. Source of Electricity ................................. .k.!.!.c.o~ ............................................................................... 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 al! buildings and property lines. ON FILE IN TOWN CLERK'S OFFICE. If any chanties have occurred since your last renewal, please indicate, on a separate sheet of paper, the exact changes. STATE OF NEW- YORK '1 COUNTY OF SUFFOLKjss' ........................................................................................................ being duly sworn, deposes and says that he is the applicant named above. He is the .................................. ...................... 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) (Notary Public) ELIZABETH A. NEVILLE TOWN CLERK REGISTI~AR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER Town Hail, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (631) 765-6145 Telephone (631) 765-1800 southoldtown.nor thfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD October 8, 2002 First Baptist Church of Cutchogue P.O. Box 534 Cutchogue, NY 11935 Re: Trailer Permit Renewal No. 101 Dear Sir: This is to advise you that your Trailer Permit will expire on October 14, 2002. Enclosed is a partially completed application renewal form. Please complete the form, have your signature notarized and return it to this office together with the required $100.00 renewal fee as soon as possible. Please make your check or money order payable to "Southold Town Clerk." If your application and fee are not received on or before October 14, 2002, your Permit will be revoked and you will be required to remove the trailer from the premises. Thank you for your cooperation. Very truly yours, Elizabeth A. Neville Southold Town Clerk Enclosure ELIZABETH A, NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (631) 765-6145 Telephone (631) 765-1800 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SINGLE TRAILER OR HOUSECAR LOCATION RENEWAL PERMIT Permit No. 101 Date March 20, 2002 Issued to Address First Baptist Church of Cutchoque P.O. Box 534 Cutchogue, NY 11935 A renewal permit is hereby issued for the location trailer/l~m~ec~ at Middle Road, Cutchoque pursuant to application dated April 14, 2002 This renewal permit is granted for a six (6) month period. Expiration date October 14, 2002 of a single Elizabeth A. Neville Southold Town Clerk PERMIT NO. 101 EXPIRATION DATE: TOWN OF SOUTHOLD TOWN CLERK'S OFFICE Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 (516) 765-1801 April 14, 2002 RENEWAL APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR OUTSIDE OF TOURIST CAMP. RECEIVED ut~old Town Clerk HOUSE CAR, a. Please review this renewal application. If there have been no changes to the premises, trailer, ownership of the premises, or ownership of the trailer, please sign at the bottom of the reverse side of this application, have your signature notarized, and return to the Southold Town Clerk's Office with your $100.00 fee for a six (6) month renewal. b. Upon signing and submitting this renewal application you agree to comply with all applicable laws, ordinances and regulations of the Town of Southold, Suffolk County, New York. State whether applicant is owner, lessee or agent ......................................................................................... Name of Owner of premises ......... ..F.j.r..s..t....B...a~..t.!.s..t~...C.~.u..r..c...h....~..f....C..u..t..c..h..9~' .......................................... If applicant is corporate, signature of duly authorized officer (Name and title of corporate ~ffi~) 1. Location of land on which proposed trailer will be located ......... ..C..u..t..c..h..o..~.u..e..:....N..e...w.....Y..o.r..k.. ......... Street and number Midd e Road~ State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ............ .o..n..e....f..a...m.!l~..;.d...w..e.!.l.J..n.~. ....................... . ................................... b. Intended use and occupancy .......... .c..h...u..r..c..h...~.a..r..s..o..n..a..g..e. .............................................................. c. Period of time trailer is to be located on premises ......... .6.....m..o..n..t..h...s. ........................................... Fee .......... .$..I..0..0.:..0..0. .................... (To be paid on filing application) Dimensions of trailer, length ...... .5..1.:...q.i'. ........... width ................................ height'. ...... .1..0.~ ................ Registration Number ......................................... Serial Number ............!..5..5....K....1..6...u,..3..8. ......................... 125~ 1257 158' Size of lot: Front ............................................ Rear ................................ Depth ................................ 6. Date of purchase or lease of land Decemb.,er 15~ 1925 7. Zone or use district in which premises ore situated ........................................................................ 8. Does proposed use violate any zoning law, ordinance or regulation? ............ .n..o. .................................. 9. a. Method of Sewerage disposal .................... .c..e..s...s~.o..o.! ....................................................................... b. Source of Water Supply .......................... .w...e.[! ................................................................................ c. Source of Electricity ................................. .k..i.!.c..o, ............................................................................... PLOT DIAGRAM Locate clearly and distinctly oil 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 al! buildings and property lines. ON FILE IN TOWN CLERK'S OFFICE. If any chanties have occurred since your last renewal, please indicate, on a separate sheet of paper, the exact changes. STATE OF NEW YORK 'I COUNTY OF SUFFOLKjss' ................ · ....... 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. Sworn to before me this ................................ day of .~ ~...~ ............... (Signature) (Notary Pubhc) . ELIZABETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (631) 765-6145 Telephone (631) 765-1800 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD March 14, 2002 First Baptist Church of Cutchogue P.O. Box 534 Cutchogue, NY 11935 Re: Trailer Permit Renewal No. 101 Dear Sir: This is to advise you that your Trailer Permit will expire on April 14, 2002. Enclosed is a partially completed application renewal form. Please complete the form, have your signature notarized and return it to this office together with the required $100.00 renewal fee as soon as possible. Please make your check or money order payable to "Southold Town Clerk." If your application and fee are not received on or before April 14, 2002, your Permit will be revoked and you will be required to remove the trailer from the premises. Thank you for your cooperation. Very truly yours, Elizabeth A. Neville Southold Town Clerk Enclosure ELIZABETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (631) 765-6145 Telephone (631) 765-1800 southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD November 20, 2002 First Baptist Church of Cutchogue P.O. Box 543 Cutchogue, NY 11935 Re: Trailer Permit Renewal No. 101 Dear Sir This is to advise you that your trailer permit expired on October 14, 2002. If your application and $100.00 fee are not received on or before November 27, 2002, your special permit will be revoked and your trailer will have to be removed from the premises. Very truly yours, Elizabeth A. Neville Southold Town Clerk ELIZABETH A. NEVILLE TOWN CLERK REGISTi~AR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFOi~VIATION OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax ,(631) 765-6145 Telephone (631) 765-1800 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SINGLE TRAILER OR HOUSECAR LOCATION..RENEWAL PERMIT Permit No. 101 Date October 12, 2001 Issued to First Baptist Church of Cutchogue Address P.O. Box 534 Cutchogue, NY 11935 A renewal permit is hereby issued for the location tra. iler/i~ou~e~ar at Middle Road, Cutchoque pursuant to application dated October 14, 2001 This renewal permit is granted for a six (6) month period. EXpiration date April 14, 2002 of a single Elizabeth A. Neville Southold Town Clerk TOWN OF SOUTHOLD TOWN CLERK'S OFFICE Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 (516) 765-1801 2001 77 '7 PERMIT NO. 101 EXPIRATION DATE: October 14, 2001 RENEWAL APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE. TRAILER OR OUTSIDE OF TOURIST CAMP. HOUSE CAR, a. Please review this renewal application. If there have been no changes to the premises, trailer, ownership of the premises, or ownership of the trailer, please sign at the bottom of the reverse side of this application, have your signature notarized, and return to the Southold Town Clerk's Office with your $100.00 fee for a six (6} month renewal. b. Upon signing and submitting this renewal application you agree to comply with all applicable laws, ordinances and regulations of the Town of Southold, Suffolk County, New York. State whether applicant is owner, lessee or agent ......................................................................................... Name of Owner of premises ......... ~.F.~r..s..t'~.B.~.a.~..t~j..s..t~.C..h*.u..r..c.~.h~.~..f~.C..u.~P~' .......................................... If applicant is corporate, signature of duly authorized officer (Name and title of corporate officer) 1. Location of land on which proposed trailer will be located ......... ..C..u..t..c..h...o.~..u..e..:....N..e...w.....Y..o_r_k.. ......... Street and number Midd e Road~ 2, State existing use and occupancy of premises and intended use and occupancy of proposed trailer: o. Existing use and occupancy ............ .°..n.?....f..a...m. jl~..;.d...w..e.!.lj..n.~l. ....................... . ................................... b. Intended use and occupancy .......... .c..h..g..r..c..h,..~.,.a..r..s..o..n..a..g..e. .............................................................. c. Period of time trailer is to be located on premises ......... .6.....m..o..n..t..h...s. ........................................... 3. Fee ...........$..1..0..0.:..0..0. .................... (To be paid on filing application) 4. Dimensions of trailer, length ...... .5..1.'...~i'. ........... width ................................ height'. ...... .1..0.] ................ Registration Number ......................................... Serial Number ............!..5..5....K....1..6.~..3..8. ......................... c Size of lot: Front .......... .1..2..5.'. ........................... Rear 125~ Depth 158' 6. Date of purchase or lease of land .......... .D...~..c..e...~.b.~e..r...1...5.~...1,..9..2..5. .......................................................... \. 7. Zone or use district in which premises are situated ........................................................................ Does proposed use violate any zoning law, ordinance or regular/ion? ............ .n..o. .................................. a. Method of Sewerage disposal .................... .c..e..s.~s~...o..o.! ....................................................................... b. Source of Water Supply .......................... .w...e.[! ................................................................................ c. Source of Electricity ................................. .k..J.!.c..o, ............................................................................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whe','her 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 al! buildings and property lines. ON FILE IN TOWN CLERK"S OFFICE. If any chan.~les have occurred since your last renewal, please indicate, on a separate sheet of paper, the exact changes. STATE OF NEW: YORK '1 COUNTY OF SUFFOLK]ss' ........................................................................................................ being duly sworn, deposes end says that he is the applicant named above. He is the "i .............................. ...................... of said owner or owners, and is duly authorized to make and file this application; and that oll 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 //~ / ~ ....................... .... ~/ tlxlOtOry ~'uouc) . NOTARY PUBLIC, State of NewYon~ No. 01ST6008173, Suffolk County Term Expires June 8, 20.~;~ ELIZABETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (631) 765-6145 Telephone (631) 765-1800 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD October 9, 2001 First Baptist Church of Cutchogue P.O. Box 534 Cutchogue, NY 11935 Re: Trailer Permit Renewal No. 101 Dear Sir: This is to advise you that your Trailer Permit will expire on October 14, 2001. Enclosed is a partially completed application renewal form. Please complete the form, have your signature notarized and return it to this office together with the required $100.00 renewal fee as soon as possible. Please make your check or money order payable to "Southold Town Clerk." If your application and fee are not received on or before your Permit will be revoked and you will be required to remove the trailer from the premises. Thank you for your cooperation. Very truly yours, Elizabeth A. Neville Southold Town Clerk Enclosure ELIZABETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MA2qAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (631) 765-6145 Telephone (631) 765-1800 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SINGLE TRAILER OR HOUSECAR LOCATION RENEWAL PERMIT Permit No. 101 Date March 13, 2001 Issued to Address First Baptist Church of Cutchogue P.O. Box 534 Cutcho.cjue, NY 11935 A renewal permit is hereby issued for the location trailer/13c~l~ae' at Middle Road, Cutchogue pursuant to application dated April 14, 2001 This renewal permit is granted for a six (6) month period. Expiration date October 14, 2001 of a single Elizabeth A. Neville Southold Town Clerk PERMIT NO. 101 EXPIRATION DATE: TOWN OF SOUTHOLD TOWN CLERK'S OFFICE Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 (516) 765-1801 April 14, 2001 ¢~CEIVED #AR 1 2 2001 ao,a~nmo lawn Clerk RENEWAL APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE OUTSIDE OF TOURIST CAMP. CAR, a. Please review this renewal application. If there have been no changes to the premises, trailer, ownership of the premises, or ownership of the trailer, please sign at the bottom of the reverse side of this application, have your signature notarized, and return to the Southold Town Clerk's Office with your $100.00 fee for a six (6) month renewal. b. Upon signing and submitting this renewal application you agree to comply with all applicable laws, ordinances and regulations of the Town of Southold, Suffolk County, New York. State whether applicant is owner, lessee or agent ......................................................................................... Name of Owner of premises First B,.agtist Ch, urch of Cutchogue tf applicant is corporate, signature of duly authorized officer (Name and title of corporate officer) 1. Location of land on which proposed trailer will be located ......... ..C..u..t..c..h,.o..~..u..e..:....N..e...w.....Y..o..r..k.. ......... Street and number .............. .M..J..d..d..I..e....P,...o_a..d. ........................................................................................... 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ............ .°..n..e....t'..a...m.!l,,~....d...w..e.!.l.J..n.~l. ....................... i ................................... b. Intended use and occupancy .......... .c..h..u...r..c..h...p.,.a..r..s..o..n..a..g..e. .............................................................. c. Period of time trailer is to be located on premises ......... .6.....m..o..n..t..h...s. ........................................... 3. Fee ...........$..1..0..0.:..0..0. .................... (To be paid on filing application) 4. Dimensions of trailer, length ...... .5..1.'....q.~I ........... width ................................ height '. ...... .1..0.] ................ Registration Number ......................................... Serial Number .............1..5..5....K....!..6..q..3..8 .......................... Size of lot: Front ............................................ 125' Rear ................................ 125' Depth ................................ 158' 6. Date of purchase or lease of land Decemb~er 15t 1925 7. Zone or use district in which premises are situated ........................................................................ 8. Does proposed use violate any zoning law, ordinance or regulation? ............ .n..o. .................................. 9. o. Method of Sewerage disposal .................... .c..e..s..?~.o..o.! ....................................................................... b. Source of Water Supply .......................... .w...e.!! ................................................................................ c. Source of Electricity ................................. .k..i.!.c.o, ............................................................................... 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 al! buildings and property lines. ON FILE IN TOWN CLERK'S OFFICE. If any chan.cjes have occurred since your last renewal, please indicate, on a separate sheet of paper, the exact changes. STATE OF NEV¢ YORK '1 COUNTY OF SUFFOLKjss' ........................................................................................................ 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 oil 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 /~-"~ flay of · .......... , ............. .............. ELIZABET~ A STATHIS NOTARY PUBLIC, State of New YOM No. 01ST6008173, Suffolk Term Expires June 8, 20~--' ELIZABETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (631) 765-6145 Telephone (631) 765-1800 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD March 7, 2001 First Baptist Church of Cutchogue P.O. Box 534 Cutchogue, NY 11935 Re: Trailer Permit Renewal No. 101 Dear Sir: This is to advise you that your Trailer Permit will expire on April 14, 2001. Enclosed is a partially completed application renewal form. Please complete the form, have your signature notarized and return it to this office together with the required $100.00 renewal fee as soon as possible. Please make your check or money order payable to "Southold Town Clerk." If your application and fee are not received on or before April 14, 2001, your Permit will be revoked and you will be required to remove the trailer from the premises. Thank you for your cooperation. Very truly yours, Elizabeth A. Neville Southold Town Clerk Enclosure