HomeMy WebLinkAbout1000-74.-4-14.1Name
Address
Location of
Owner/Leasee ?
Tax Map # 1000-
List any accessory uses
Existing Use ( if applicable )
Proposed # of Parking Spaces
Is there a current site plan on file ?
;alth Dept approval?~~'/
Please provide current survey if available.
OFFICE USE ONLY
Planning Comments:
INSTRUCTIONS TO APPLICANT
APR u ~ zuuu
/~,o-7~ ~/-/~./TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER STREET ~,~ ~-~J OO VILLAGE DISTRICT SUB. LOT
FOYER OWN~ LoH'I~ ~ --N ~-~ -- ACREAGE
R~. S~S. VL.-~// FARM ' COMM. lIND. I CB. j MISC. I Est. Mkt. Valu;
, ~' - /1' . , / ~ '.,
AGE BUILDING CONDITION
N~ NO~AL BELOW ABOVE FRONTAGE ON WATER
Fa~ Acre Value Per Acre Value FRONTAGE ON ROAD
Tillable 1
Tillable 2 D~K
Tillable 3 ~1 t )~)/~ .,:,'~.- /:"~
W~land
Swomplond
Brushl*nd
H~ PI~ ·
Total
M. Bldg.
Extension
Extension
Extension
, i
Fire Place Heat ,
Rooms ~st Fbor
Foundation ~ ~<~ I r f' Bath
Basement ~,~: -~'~ Ioors
Ext. Walls Interior Finish
Breezeway
Garage
Patio j j Rooms 2nd Floor
Driveway
/
Dormer
/
Name
Address
Location
Owner/Leasee
Tax Map
Ph~
List any accessory uses
Existing Use ( if applicable )
Proposed # of Parking
Is there a current site plan on file
Pl~se provide current survey tf avmlable.
Buildino Dept Comments: L'
Dept pmval?~
ealth ~,': ~- i: ~ ' ~|
Planning Comments:
S TO APPLICAN
Southold T~"---'
Planning Board
/~-7~/_/~/TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER
RES.
LAND
SEAS. VL.
IMP. TOTAL
FARM ~ ' COMM.
JIND.
DATE
DISTRICT SUB.
7
ACREAGE
TYPE OF BUILDING
LOT .'
AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE FRONTAGE ON WATER
Farm Acre Value Per Acre Value FRONTAGE ON ROAD
Tillable I -BL,tJ..,E,,14E4~
Tillable 2 DOCK
Woodland
Swampland
Brushland
House Plot - - ,
Total
Extension
Extension
Extension
Foundation
Basement
Ext. Wolls
Fire Place
Breezeway
Garage /~, ~
Both /
~::¢loors
Interior Finish
Heat
"~rp~'rc~h I ~r - r , ' Roof Type
Porch ~ Rooms 1st Floor
Patio Rooms 2nd Floor
Driveway Dormer
'\