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Home My WebLink AboutTR-7168A Glenn Goldsmith,President QF SQ(/�yO Town Hall Annex A.Nicholas Krupski,Vice President ,`O �� 54375 Route 25 P.O. Box 1179 John M. Bredemeyer III Ji[ Southold,New York 11971 Michael J. Domino CA ar G • Q Telephone(631) 765-1892 Greg Williams Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1801C Date: March 17, 2021 THIS CERTIFIES that the construction an 8'x12' addition on the landward side of the existing dwelling; At 1356 Grand Avenue, Mattituck Suffolk County Tax Map #1000-107-3=T1.5 Conforms to the application for a Trustees,Permit heretofore filed in this office Dated September 2, 2009 pursuant to which Trustees Administrative Permit#7168A Dated September 23, 2009,was issued and conforms to all the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the construction an 8'x12' addition on the landward side of the existing dwelling_ The certificate is issued to Charles &Michelle Zaloom owners of the aforesaid property. Authorized Signature Glenn Goldsmith,President *QF SU!/T�O Town Hall Annex A.Nicholas Krupski,Vice President ,`O �� 54375 Route 25 P.O. Box 1179 John M. Bredemeyer III l Southold, New York 11971 Michael J. Domino CIO G Telephone(631) 765-1892 Greg Williams Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: 3// 7/2/ INSPECTED I3Y: C. C 1JSM' A Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, haybale-line/silt boom/silt curtain 1St day of construction '/ constructed Project complete, compliance inspection COMMENTS: Pio �P�� »��'� .n caccoc�a ncP w o�h �-c�•,T an� �/a�� CERTIFICATE OF COMPLIANCE: James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 1 st day of construction ~ constructed Project complete, compliance inspection. James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 7168A Date of Receipt of Application: September 2, 2009 Applicant: Charles & Michelle Zaloom SCTM#: 107-3-11.5 Project Location: 1356 Grand Avenue, Mattituck Date of Resolution/Issuance: September 23, 2009 Date of Expiration: September 23, 2011 Reviewed by: James F. King, President Project Description: To construct an 8'x12' addition on the landward side of the existing dwelling. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the site plan prepared by Charles & Michelle Zaloom, and received on September 2, 2009. Special Conditions: None. Inspections: Final inspection. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. F King,' President Board of Trustees JFK:eac James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD To: N;& /le Please be advised that your application dated .~,~,_.r~T. ~., been reviewed by this Board at the regular meeting of and your application has been approved pending the con~pletion of the following items checked off below. __ Revised Plans for proposed project __ Pre-Construction Hay Bale Line Inspection Fee ($50.00) __ 1st Day of Construction ($50.00) __ ~ Constructed ($50.00) Final Inspection Fee ($50.00) __ Dock Fees ($3.00 per sq. ft.) Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the $outhold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $, '~ ~ BY: James F. King, President Board of Trustees James F King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (63 I) 765-6641 Southold Town Board of Trustees Field Inspection/VVorksession Report Date/Time: CHARLES & MICHELLE ZALOOM request an Administrative Permit to construct an 8'X 12' addition on the landward side of the existing dwelling. Located: 1356 Grand Ave., Mattituck. SCTM#107-3-11.5 Type of area to be impacted: Saltwater Wetland Freshwater Wetland __Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: __Chapt.275 Chapt. 111 other Type of Application: Wetland __Coastal Erosion __Amendment ._Administrative__Emergency Pre-Submission __Violation Info needed: Modifications: Conditions: Present Were: __&King __J.Doherty __P.Dickerson D. Dzenkowski other Form filled out in the field by D. Bergen__ B.Ghosio, Mailed/Faxed to: Date: OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cot. Main Rd, & Youngs Ave.) Southold, NY 11971 MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 Telephone: 631 765-1938 Fax: 631 765-3136 To: From: Mark Terry, Jim King, President Town of Southold Board of Trustees LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD Principal Planner LWRP Coordinator Date: September 16, 2009 Re: Proposed Wetland Permit for CHARLES & MICHELLE ZALOOM SCTM#107-3-11.5 CHARLES & MICHELLE ZALOOM request an Administrative Permit to construct an 8'X 12' addition on the landward side of the existing dwelling. Located: 1356 Grand Ave., Mattituck. SCTM#107-3-11.5 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is CONSISTENT with the below Policy Standards and therefore is CONSISTENT with the LWRP. Cc: Lori Hulse, Assistant Town Attorney James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob ~nosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application Wetland Permit Application ~/Administrative Permit Amendmenffrram fer/Extension ~ece~vved Application: q} --~-~eceived Fee:$ ~'5'D~' ' _.~gompleted Application 71oTIo~ __Incomplete __SEQRA Classification: Type I Type II Unlisted __Coordination:(date sent) .,'L~WRP Consistency Assessment Formql /l t ~,.GAC Referral Sent: ~ [(-1109 t ~...t~te of Inspection: ?Iq, TOe __Receipt of CAC Report: __Lead Agency Determination: Technical Review: ~P~olic Hearing Held: ~1 /~,~/0~ Resolution: Name of Applicant C~. 0~ A e./3 '¥ f~, ¢.~6~ ~{_ Address Suffolk County Tax Map N~ber: 1000- ~ LO~ ~ OOO ~ . Oil ,OO~~ Prope~y Location: ~~ ~ ~ ~gF~ ~rovide LILCO Pole g, dist~ce to cross s~eets, md ldcation) AGENT: ~ [ & (If applicable) Address: Phone: ,ard of Trustees Applicati~ GENERAL DATA Land Area (in square feet): ~ ~ <~ Area Zoning: Previous use of prope~y: ~tended use ofpropeay: Covenants and Restrictions: Yes l/No If "Yes", please provide copy. Prior pemaits/approvals for site improvements: Agency Date / [.//No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspendeflkby a governmental agency? C/No Yes If yes, provide explanation: Project Description (use attachments if necessary): LOgO O.~ 51 ~ ..J Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose ofthe proposed operations: ~2~ ~.c~ o~ 0W?.l-~4xJI. O-- Area of wetlands on lot: Percent coverage of lot: square feet Closest distance between nearest existing structure and upland edge of wetlands: (a ~)_. [5 feet Closest distance between nearest proposed structure and upland edge of wetlands: o[ {~ feet Does the project involve excavation or filling? ~'"'~No Yes If yes, how much material will be excavated? t'-~ c~ cubic yards How much material will be filled? cubic yards Depth of which material will be removed or deposited: v-x I ~ feet Proposed slope tkroughout the area of operations: ~ ~ c~ Manner in which material will be removed or deposited: S~atement of.~e e_ ff_ect, !f any, 9_n [hg. wetJ~_ds and_ .tidal- w~te~ 9(~ _town [ha~t..m_~2~ _r_e_s_u!t_..b_Y_ reason of such proposed operations (use attachments if appropriate): PROJECT 617.20 ID NUMBER APPENDIX STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only PART 1 - PROJECT INFORMATION ( To be completed by Applicant or Project Sponsor) 1. APPLICANT / SPONSOR 2. PROJECT NAME 3.PROJECT LOCATION: Municipali~ ~ ~ ~0~-- SEQR 4. PRECISE LOCATION: Street Addess and Road Intersections. Prominent landmarks etc -or orovide mad 5.1S PROPOSED ACTION: [~ew r~Expansion r"~Modification/alteration 6. DESCRIBE PROJECT BRIEFLY: 7. AMOUNT OF LAND AFFECTED: Initially ~ acres Ultimately ~ acres 8. W[L ROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? ~Yes [] No If no, describe briefly: 9. WH IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) ~dential {~]lndustdal r-'-ICommercial {~]Agricult~re [~ Park / Forest / Open Space []Other(describe} 10/DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGE Y (Federal. State or Local) ~Yes ~ No If yes, list agency name and permit / approval: OR APPROVAL? ]Yes r~'~No If yes, list agency name and permit / approval: 12. AS A RESULT OF PRp¥O_SED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? IZ es I--'1 No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Signature ~) "~ t O~ If the action is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment PART II - IMPACT ASSESSMENT (To be completed by Lead Agency) IlDOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.47 If yes, coordinate the review process and use the FULL EAF. [~Yes {~No WILL ACTION RECEWE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.67 If No, a negafive ~ecl~l~ration may be superseded by another involved agency. ]~)Yes []No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be hand, written, if legible) Cf. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic pattern, solid waste production or disposal, potential for erosion, drainage or flooding problems? Explain bdefly: C2. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources; or community or neighborhood character? Explain briefly: C3. Vegetation'or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain bdefiy: C4. A community'~ existing plans or goals as officially adopted, or a change in use or intensity of use of land or other nalural resources? Explain briefly: C5 Growth, subsequent development, or related activities likely lo be induced by the proposed action? Explain briefly: C6. Longterm, sbortterm, cumulative, or other effects not identified in C1-C5? Explainbrietiy: C7. Other impacts (including chan es in use of either quanti~ or type of energy? Explain briefly: D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL IS THERE, (~R IS,THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If ~'es explain: PART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: F~reachadversee~ectidenti~edab~ve~determinewhetheritissubsta~tia~~~arge~imp~rtant~r~therwises~gni~cant~ Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) irreversibility; (e) geographic scope; and (0 magnitude. If necessaw, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question d of part ii was checked :,,es, the determination cf significance must ~'~ra~uate4,h c pctcst!c~ impc. ct cf thc prcpcscd 2.cftc n or, thc c nv~ren,m,~ntc4 ch~r&c~er~:c.~ of the C CA. Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FULt EAF and/or prepare a positive declaration. Check this box if you have determined, based on the information and analysis above and any supporting documentation, that the proposed actior WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting thl~ determination. Name of Lead Agency Title of Responsible Officer Signature of Preparer (If different from responsible officer) Print 0¢ Type Name of Responsible Officer In Lead Agency Signature of Responsible Officer in Lead Agency ~Board of Trustees AppliCon County of Suffolk State of New York ~r~ ~,~ ~p_4k --~[oe~,, BEINGDULY SWORN DEPOSES AND AFFIRMS THAT lIE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), I1~ GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF TI-IlS APPLICATION. ··~ ' (x .~'~'~' ~3ignature SWORN TO BEFORE ME THIS ~ad- DAY OF ,2oo? 'Notary Public LAUREN M. STANDISH N~.~c, Sm~ ~ Nm r~o. 01ST6164008 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE. FORM The Town of Southold's Code of Ethics orohibits conflicts of interest on the om of town officers and emelovees. The ouroose of this form is to orovide information which can alert the town of oossible conflicts of interest and allow it to take whatever action is necessary to avoid same. (La~'fiame, first name,~niddle initial, unless you are applying in the name of someone else or other entity, such as a company. If so, indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (lf"Otber', name the activity.) Do you personally (or through your company, spouse, sibling, parent, or child) have a relationship with any officer or employee of the Town of Southold? "Relationship" includes by blood, marriage, or buginass interest_ "Business interest" means a business, including a partnership, in which the town officer or employee has even a partial ownership of (or employment by) a corporation in which the town officer or employee owns more than 5% of the shares. YES NO 1£ you answered "YES", complete the balance of this form and date and sign wbem indicated. Name of person employed by the Town of Southold Title br position o£that person Describe the relationship between yourself(the applicant/agent/representarive) and the town officer or employee. Either check the appropriate line A) through D) and/or describe in the space provided. The town officer or employee or his or her spouse, sibling, parent, or Child is (check all that apply): A) the o~vner of greater than 5% of the shares of the corporate stock of the applic0nt (when the applicant is a corporation); __.B) the legal or'beneficial own~:r of any interest in a non-corporate entity (when the applicant is not a corporation); __.C) an officer, director, partner, or employee of the applicant; or __.D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS 1 Submi~tted this ~-~ day of 5~a_~J&wiqe_ 200~_ Signature Town 9f Southold LWRP CONSISTENCY AS~qF,~qSMENT FORM A. INSTRUCTIONS All applicants for permits* including Town of Southold agencies, shall complete th/s CCAF for proposed actions that arc subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of South01d agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations 'of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its ~ignifican* beneficial and adverse effects upon the coastal area (which includes all of Southold Town). If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus~ each answer must be explained in detail~ listing both supporting and non- suooortiw, facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold ' s website (southoldtown.northfork.net), the Board o_~ :l~4eeAq~c~~ Denartment, local libraries and the Town Clerk's office. "i ~ (~ ~L~-~tt ~ ' all B. DESCRIPTION OFSITEANDPROPOSEDACTI( I h~- ~a~ '___ ~ !!ii~i/ The Application has been submitted to (check appropriate response): TownBoar [] Plann Bo r. Fl Bnil.in Oep Bo r. of T tees 1. Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital [] construction, planning activity, agency regulation, land transaction) [] (b) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: Nature and extent of action: Location of action: Site acreage:. Present zoning classification: /~ !~,~4~ e~ If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Nameofapplicant: C.~a_~t~ ~- /4~['c~[~- (b) Mallingaddress: ~0o 6o~ 6 g fY'I&~'-/~ofJ~- t'~/3 II 73TM. (c) Telephone number: Area Code ( ) ~t 31 (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes [~ No~, Ifyes, which state or federal agencyg. C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of i~ifrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III - Policies; Page 2 for evaluation criteria. Yes ~ No ~ Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III - Policies Pages 3 through 6 for evaluation eriterla Not Applicable Attach additional sheets if necessary Policy 3.- Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III - Policies Pages 6 through 7 for evaluation criteria Yes No Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III - Policies Pages 8 through 16 for evaluation criteria ~-] Yes [~ No ~1 Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III - Policies Pages 16 through 21 for evaluation criteria Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III - Policies; Pages 22 through 32 for evaluation criteria. Yes No Not Ap~able Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southoid. See LWRP Section III - Policies Pages 32 through 34 for evaluation criteria. Attach additional sheets ifnecessa~ Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria. Yes [] No ~L Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III - Policies; Pages 38 through 46 for evaluation criteria. ~-] Yes~ No ? Not Applicable Attach additional sheets if necessary WORKING COAST POLICI~ Policy I0. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III- Policies; Pages 47 through 56 for evaluation criteria. Yes Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section HI - Policies; Pages 57 through 62 for evaluation criteria. A~ach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III - Policies; Pages 62 through 65 for evaluation criteria. [] Yes ~ No ~ Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - Policies; Pages 65 through 68 for evaluation criteria. N Yes [] No ~ Not Applicable PREPARED BY ~ ~_~,~ ~'~ff,._- TITLE ~) ~-)wL~ DATE LOt ~8 wolter Repel ' BOARD OF TRUSTEES \ i-,FeROVED ~. TOWN OF ,SOUTHOLD )ATE J~? ESTATE 27'8 KITCHEN 11 '2 LIVING AREA 8'1 '~",-"'~ ,-"'4 ~'. 19'7 27'8 5'11 2'6 ~