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Home My WebLink AboutHillebrand, AlexJill M Doherty, President James F. King, Vice-Pres/dent Dave Bergen Bob Ghosio, Jr. John Bredemeyer P.O. Box 1179 Soutllold. NY 11971 Telephone (631 ) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: Creative Environmental Design on behalf of ALEX HILLEBRAND requests a pre-submission inspection to discuss improvements to the landscaped areas affected by the adjacent wetlands. Located: 50 Lupton Point Rd., Mattituck. SCTM#115-11-23 T~aOf area to be impacted: ItwaterWetland Freshwater Wetland _ Sound _ Bay Distance of proposed work to edge of wetland P~cOf Town Code proposed work falls under: hapt.275 Chapt. 111 other Type of Application:/Wetland Coastal Erosion__Amendment Administrative Emergency --Pre-Submission__ .Violaton Info needed: Modifications: Conditions: Present Were: ~J.King ~&.Doherty ~J. Bredemeyer UD. Berge~ B.Ghosio,__ _----D. Dzenk-~v~ski__ -~tl~er - Form filled out in the field by Mailed/Faxed to: Date: }- oard of Trustees. Applicat~ AUTHORIZATION (where the applicant is not the owner) I, ~ ~IQ~-c~ residing at P(D ~ /~b~--" (print owner of property) (mailing address) Q'~"~(~' ~ t ~ ~ do hereby authorize © ( Agent ~~~~'~%~ to apply for permit(s) from the Southold Board of Town Trustees on my behalf. (Owner' s signature)