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HomeMy WebLinkAbout3789RLN: fVUD OF SOUTHOLD, NEW YORK APPLICATION FOR SPECIAL EXCEPTION Town Clerl[ Beut~ TO THE ZONING BOARD OF APPEALS, SOUTHOLD, NEW YORK: Application No.,~ Date Fi led: I (We), Sun Refir~ir~ and Markating of P.O. B,~x 13812 (Residence, House No. and Street) ~ladep~a, Pe~a~sylxran~a 19101. {Hamlet, State, Zip Code, Telephone Numbe~) hereby apply to THE ZONING BOARD OF APPEALS for a SPECIAL EXCEPTION in accordance with the ZONING ORDINANCE, ARTICLE , SECTION , SUBSECTION for the below-described property for the following uses and purposes (and as shown on the attached plan drawn to scale): Conwrsion of standard automobile service/repair facility into gas and go/convemience store facility located on New York State Route 25 at the intersection of Factory Avenue amd Main Road, Southold A. Statement of Ownership and Interest. Stm Refirdmgand~zketirg, Inc. ism the ~ of property known and referred to as S~o~ Statim. 'iO~ted aC N~Y~ sram ~te 25 {House No., Street, Hamlet) ~ ~e ~temectimof Fact~Am~m ~d~R~d. Sou~old identified on the Suffolk Cou~Tax Maps as District lO00, Section !~_, Block i , Lot(s) 27 , which isa(is} on a subdivision Map (Filed , "Map of "Filed Map No. , and has been approved by the Southold Town Planning Board on as a [Minor] [Major] Subdivision). The above-described property was acquired by the owner on Jme 5. 19Q9 B. The applicant alleges that the approval of this exception would be in harmony with the intent and purpose of said zoning ordinance and that the proposed use conforms to the standards prescribed therefor in said ordinance and would not be detrimental to property or persons in the neighborhood for the following reasons: ~s ~li~ti~ ~ s~tted ~fo~ to all special ~pti~ s~r~. ~ ~f~ed ~ So~ld ~ Secti~ l~-70(B). ~re, ~ p~ses ~e ~ ~ ~t of ~ M~n ~ad~tti~ ~et ~ ar~ b~ess ~st~ct ~d ~ ~a~ of ~is ~st~ fa~li~ is ~sis~t wir_l~ the internee ~,u~rcial t~e of the s~cti~q~ pr~rties. C. The property which is the subject of this application is zoned [ ] is cmnsi~ent with the use(s) described in the Certificate of Occupancy being furnished herewith. [ ] is not consistent with the Certificate of Occupancy being furnished herewith for the following reason(s): [ ] is vacant land. STATE OF NEW YORK} ss.: Sworn tq before me this ~ day of . (Notary' P~bl lc) BI~E ~ WORH~ ZB2 (rev. 2~6/86) ~~A~ and MEMORANDUM OF LEASE THIS INDE21TURE, dared the 18th ' day of May __ 19 71, by and between ARDPROP. TNC.. A DELAWARE C01~PORATTONt of 1345 Avenue of Ti Americas r New York, N. Y. 10019 (hereinafter referred to as "Lessor") and SUN OIL COMPANY, a corporation of the state of New Jersey, having its principal place of business at 1608 Walnt~ Street in the City and County of Philadelphia, Commonwealth of Pennsylvania (hereinafter referred to as "Company"), WITNESSETH: That for the term and upon the conditions set forth in that certain written lease bearing date of December 30 · 1970 , from Lessor to Company, Lessor has leased and does hereby lease unto Company all that certain piece ot parcel of land situate in the City or Town of Mattituck , County of Suffolk , State Of New York , more particularly described as follows: BEGINNING at the corner formed by the intersection of the easterly side of Factory Avenue and the northwesterly side of Main Road· New York State Route 25; Running thence north 20 degrees 22 minutes 40 seconds west along the easterly side of Factory Avenue 150 feet; Running thence north 48 degrees 57 minutes 30 seconds east 146 feet; Running thence south 40 d~grees 39 minutes 45 seconds east 140.34 feet to the northwesterly side of Main Road· New York State Route 25; Running thence south 48 degrees 57 minutes 30 seconds west along the northwesterly side of Main Road· New York State Route 25, a distance of 198 feet to the point or place of beginnl, ng. together with all tights of way and easements thereunto belonging, and all buildings, improvements and equipment thereon installed. Said lease is for an initial term of 24 years from December 30, 1970 with option(s) to renew for 5 additional 5 year periods on the pan of. Company and contains an option to purchase and/or lease said premises for a period of 49 years. .J ........ IN WITNESS WHEREOF, Lessor and Company have hereunto subscribed their ..n~ame.$ the day and year first above written. . - .. ',.'. ..: ARDPROP, INC. '~?, ,.', ,/,.~.W. COTTON, ASST. S~C. RI~HAR6 DRAYTON, V.P. E. E. ' I{os.,smafi[:',' .~ ' W. . ems, anager Marketing Estate and Development As s · s t~. n!'~..S.e ~ r~e~.. ,~ Real .,. ,~... ...... . . PREPARED BY E.W-. BAI~ ' '.~ ,..~' SUN OIL COMPANY · . ,f Standard N.Y.B.T.U. Form 8002-8-G3-Bartgair, and Sale D*:¢d wllh C. ovenant against Grant? S'Ac~-lndiwduM or Corporation (~ia~lr sheet) ~)~ * CONSULT YOUR ~ER B~ORE SI~ING THIS INSTRUMENT--THIS ~STRUM~T SHOU~ BE USED BY ~WYERS ONLY TH~ INDE~, made the ~th day of J~e , nineteen hundr~ and sixty-nine ~.., B~N ~I~UGK SHOPPIHG GEHTER, ~C., a.domes~2c ~ ~ doing business at 50~ ~alt ~hiC~n Road, Hun~xug~on Station, He~ Yo~k, ~id by ~e ~y of the ~ ~ ~ h~by ~t ~d rd~ m~ ~ ~ et me ~na ~ ~ ~n or su~o~ ~d ~ of ~ ~ of ~e ~na ~ torcver, lyingmd~ing~ a~ ~Cuck~ 'fo~ o~ ~ouCho~ ~o~cy oz ~uz~o~ and SCats o~ New York, more particularly bounded and described as follows: szde o~ Factory Avenue aha cna ~~ s~de o~ ~n Road, ~e~ York SCats Route 25; Runn~n~ Chance notch 20 de,tees 22 m~nuCes 40 seco~s ~esC a~ong, the easterly s~de o~ Factory Argue ~50 feet; R~n~ng chics notch 48 de,tees 57 m~nuCes 30 secede ease ~46 Chance so~h 40.de~rees 39 m~nuCes 45 secede eas~ ~40.34 ~eeC Co ~he'~'~~s~de o~ ~n Road, ~ew York Scats Route 25; Running three_south 48 de,tees 57 m~nuCes 30 seconds ~esC a~Ong ~he .'~~~ s~de o~ ~n ~oa~ 'Ne~ York State Rou~e25, a d~sCance of ~98 ~eeC Co the point or place o~ beg~nn~ This conveyance is made in the regular course of business actually conducted by the party of the first part.. Subject to the restriction that no buildings, billboards, structures or any obstruction whatsoever shall be erected or maintained 6n the adjoining property of seller within 25 feet from the north side of Main Road for a distance of 300 feet and further Subject to the restriction that the adjoining property owned by seller will not be · used for or in connection with the operation of 'a gasoline or filling station for the sale of gasoline motor fuel for a period of ten years. TOGETHER with all right, title and interest, if any, of the party of the first part of, in and to any streets and roads abutting the above-described pren~es tc the center lin? thereof; T. OG~THER with th~ and all the estate and rights of the party of the first part tn and to sa, d premises; TO HAVE. AN.D TO. HOLD the premises herein granted unto the patly of the second ~ the heirs or suc~ssor~ and assam of the party of the second part forever. AND the party of the first part covenants that the party of the first part ham not doue or suffered anything whereby the said premises have been encumbered in any way whatever, except n~ afores~d. AND the party of the first pan, '?. con~.plia?ce .w!th Section 13 of. ~ I~.? .L~. wo...co~ma.~ ts .t~ the. party..M the first part will reedve the co.m.~dera~on tot tins conveyange .ano wm r~m me .right to r~c~w .~en. enmm- er~tion as a trust fund tO be applied first for th? purpose of paying the. cost of the unpcov~nent ~ will the same first to the payment of the cost of the unprovement before nstng any ~ o! the total o! the same tot any other purpose. The word "patty" shall he construed as if it read "parties" whenever the sense of this indenture so requires. IN WFA~ESS ,~OF, the party of the first part has duly executed this deed the day and year first above written...:. ~"' STATE OF NEW YORK, COUNTY OF SS: On the day of 19 , before me personally ~.e. to me known to be the individual described in and who executed the foregoing instrument, and acknowledged that executed the same. On the c5/-- day of ~/~ ~j~ 19 ~/~/, before me personally came THO~.AS JAt~S C~L~ to ~ k~, w~, ~by me ~ly. swo~,.&~ de~ ~y ~ ~ r~ ~t No. lO ~o~1c~ S~ee~ ~ ~ClngCon S~acton~ He~ York , · , ~ ~ration d~ri~ k~ ~ ~ o~ ~id {o~fion;.~t. th~ ~1 ~x~ a~ by ord~ of ~e ~4 o~ ~r~rs pf ~d ~ra- fion, ~d ~t ~e si~ h~S~ ~ereto by like Order. , . ~ ~ su~c~ · " ~IT~ ~OV~A~ AGAINST G~NTOR:S* ,.wlG~l, '~,, ~l I~ TITLE ~O.' 07-~%% ~'*~ TO STANDARD FOIb~ OF NEW YORK BOARD OF TITLE UNDERWRITERS GUARANTEED TITLE DIVISION §5§3 P cE 543 STATE OF NEW YOAUC, COUNTY OF SS: On the day of 19 , before me per?onall~y came ...... to me known to be the individual described in and who executed the foregoing instrument, and acknowledged that executed the s~me. STATE OF NEW YOIU~, COUNTY OF On the day of 19 , before me Personally came the subscribing witness to the foregoing instrument, with whom I am Personally acquainted, who, being by me duly sworn, did depose and.sty that he resides at No. tl~t he knows · ' , ' .to be the individual described in and who executed the foregoing instrument; that -he,. sai.d subscribing witness, wu present and saw -. execute the same; and that he, said witness, ~at the ~ra~ time s. ubscribed h' name as witness thereto. SECTION Home Title Divlsion BLOCK' Chica~o 'liLle In?.urance ComDanV LOT ' COUNWWXXmm Suffolk ~ RECORDED FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL . .'~.o. ~ .t..~..~1..~. ..................... ~. ?~c~...~...;.~5~...~.~:?..~ PLEASE TAKE NOTICE that your app~catinn dated ..... for pe~it to h ~...~..~ ~...¢..~ ........................ at Location of Property. ~.~. ~. ~.~..~ ~. ~~. ~ ~...~ ~... House ~o. Steer ~ Ham/er County T~ Map No. 1000 Section ... ].q~. ..... Block .... ~ ) ....... Lot . ~ ......... Subdivision ................. Filed Map No ................. Lot No .................. is returned herewith and disapproved on the following grounds ...~..~..o~..~..~z~ .... .~z~.~....~...~..~..q...x~. e~ ~; .~~ · . ..... .... .... Bui-l~ing Inspector RV 1/80 APPEALS BOARD MEMBERS Gerard p. Goehringer, Chairman Charles Grigonis, Jr. Serge Doyen, Jr. Joseph H. Sawicki James Dinizio, Jr. Telephone (516) 765-1809 BOARD OF APPEALS TOWN OF SOUTHOLD SCOTF L. HARRIS Supervisor Town Hall, 53095 Main Road P.O. Box I 179 Southold. New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 TO: FROM: DATE: RE: INTER-DEPaRTMENTAL MEMO BUILDING DEPARTMENT ZONING BOARD OF APPEAL~ AUGUST 1, 1990 SUN REFINING & MARKETING - Appl. No. 3788 & 3789 Regarding the above captioned appeal, the applicant has requested that we re-activate the application. The disapproval will need to be amended under the new Master Plan before we can proceed. Thank you for your cooperation. APPEALS BOARD MEMBERS Gerard P. Goehringer, Chairman Charles Grigonis, Jr. Serge Doyen, Jr. Joseph H. Sawicki James Dinizio, Jr. Telephone (516) 765-1809 BOARD OF APPEALS TOWN OF SOUTHOLD SCO'I'F L. HARRIS Supervisor Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 76S-1823 Telephone (516) 765-1800 INTER-DEPARTMENTAL MEMO TO: FROM: DATE: RE: BUILDING DEPARTMENT ZONING BOARD OF APPEAL~ AUGUST 1, 1990 SUN REFINING & MARKETING - Appl. No. 3788 & 3789 Regarding the above captioned appeal, the applicant has requested that we re-activate the application. The disapproval will need to be amended under the new Master Plan before we can proceed. Thank you for your cooperation. APPEALS BOARD MEMBERS Gerard P. Goehringer, Chain-nan Charles Grigonis, Jr. Serge Doyen, Jr. Joseph H. Sawicki James Dinizio, Jr. Telephone (516) 765-1809 BOARD OF APPEALS TOWN OF SOUTHOLD SCOTT L. HARRIS Supervisor Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 TO: PLANNING BOARD .(;~j FROM: ZONING BOARD OF APPEALS DATE: AUGUST 1, 1990 RE: SUN REFINING & MARKETING - Appl. No. 3788 & 3789 Property ID # 1000-142-1-27 Regarding the above captioned appeal, the applicant has requested that we reactivate the application. Please inform this department of any new submissions under the SEQRA and site-plan reviews so that we may proceed with the application before this Board. Please keep us advised as to any new information submitted to your department regarding this application. Thank you. Planning Board Page 3 June 19, 1989 Mohring Enterprises- Board to review the engineer report dated June 5, 1989. This minor subdivision is on 34.5765 acres located at Mattituck. SCTM #1000-75-6-7. Long Meadow Estates- Board to review the engineer report dated April 28, 1989. This major subdivision is on 36.9636 acres located at Mattituck. SCTM #1000-113-7-19.2. Long Pond Estatesr Section I- Board to review the engineer report dated June 12, 1989. This major subdivision is located at Southold. SCTM 91000-52-8-(1-4). Eli~ah's Laner Sect. II- Board to make a recommendation to the Town Board in regard to the Bond Estimate. Board to set Monday, July 10, 1989 at 7:30 p.m. for a public hearing on the final maps dated March 21, 1987. This major subdivision is on 20.3 acres located at Mattituc~/ SCTM 91000-108-4-p/o 7.1. Sean M. Delehanty- Board to review the Suffolk County Planning Commission report dated June 9, 1989. Board to start the coordination process to determine lead agency and environmental significance. This lot line change is on 2.74 acres located at Mattituck. SCTM .$1000-107-1-13 & 14. Garrick L. Maller¥- Board to review the Suffolk County Planning Commission report dated June 12, 1989. This lot line change is on 2.9 acres located at Nassau Point. SCTM 91000-118-1-16,17,18.1. Barbara Sowinski- Board to review the Suffolk County Planning Commission report dated June 9, 1989. This minor subdivision is on 4.3075 acres located at Cutchogue. SCTM 91000-103-1-20.2. CHANGE OF ZONE None SITE PLANS Sunoil Refininq- Board to start the coordination process to determine lead agency and environmental significance. This site.. plan is located on the Main Road and Factory Avenue at Mattituck. SCTM $1000-142-1-27. APPEALS BOARD MEMBERS GERARD P. GOEHRINGER, CHAIRMAN CHARLES GRIGONIS, JR. SERGE DOYEN, JR. JOSEPH H. SAWlCKI JAMES DtNIZIO, JR. Southold Town Board of Appeals MAIN ROAD- STATE ROAD 25 SOUTHOLD, L.I., N.Y. TELEPHONE (516) 765-1809 October 26, 1988 Michael G. Walsh, Esq. McNulty, DiPietro & Spiess 632 East Main Street, Box 757 Riverhead, NY 11901 Re: Appl. No. 3788V & 3789SE - Sun Refining & Marketing Property Location: Factory Ave. and N/s Main Road, Mattituck Dear Mr. Walsh: This letter will acknowledge receipt of your recent appli- cations before the Board of Appeals. The Board Members will be conducting field inspections and environmental reviews as may be required by State and local laws prior to scheduling these applications for public hearings. In the interim, we recommend that you complete your file with the Planning Board, whom we have recommended to be lead agency under the N.Y.S. Environmental Quality Review Act, and furnish our office with future submissions for departmental coordination. Yours very truly, lk cc: Planning Board Office GERARD P. .CHAIRMAN GOEHRINGER APPEALS BOARD MEMBERS GERARD P. GOEHRINGER, CHAIRMAN CHARLES GRIGONI$ JR. SERGE DOYEN, JR. JOSEPH R. SAWICKt JAMES DINIZtO, JR. Southold Town Board of Appeals HAIN ROAD- STATE ROAD 25 S0UTHOLD, L.I., N.Y. 119'71 TELEPHONE (516) 765-1809 INTER-DEPARTMENTAL MEMORANDUM TO: Southold Town Planning Board FROM: Southold Town Board of Appeals DATE: October 26, 1988 SUBJECT: Site-Plan Project of Sun Refining & Marketing Property ID #1000-142-1-27 Zone District: B-1 General Business Upon reviewing the above applications which were recently filed with our office, please be advised that the Board of Appeals has taken the following position under the N.Y.S. Environmental Quality Review Act (SEQRA): 1. Application must be filed with the Southold Town Planning Board; 2. Recommend that the Planning Board take Lead Agency status for the following reasons: a. the site plan elements and physical construction of or site alterations will be changes directly to the site; the "occupancy" under consideration in application is not directly related to of the site. this Department's physical changes Suggest that determinations be made by the Planning Board as to the sufficiency of parking spaces for the multiple uses existing at the site, after allowing for egress, ingress, loading, ramps, trailer lift parking, landscaping, etc., if possible, in. either a preliminary review or during the certification process. So'u~hold Town Planning Board October 26, 1988 Site-Plan Project of 'Sun Refining Page 2 & Marketing The applicant has been advised to proceed with the filing of a complete application through your office and to keep us informed of submissions under the SEQRA and site-plan reviews. Please keep us advised of developments under the SEQRA process for coordinated reviews. Thank you. JUDITH T. TERRY TOWN CLERK OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box I 179 Southold, New York 11971 TELEPHONE (516) 765-1801 To: Southold Town Zoning Board of Appeals From: Judith T. Terry, Southold Town Clerk Dated: October 5, 1988 Transmitted herewith is Zoning Appeal No. 3789~£ application of Sun Refining and Marketing for a Special Exception. Also included is Notification to Adjacent Property Owners; Short Environmental Assessment Form; Certificate of Occupancy for Non-conforming Premises; survey of property; and any other attachments relative to this application. Judith T. Terry v Southold Town Clerk ,JOHN R. t4CNULTY ARTHUR DiPIETRO ,JA~4 ES :S PIES$ HICHAEL G. WALSH ~cNULTY, D~PIETRO x, SPIESS September 30, 1988 Zoning Board of Appeals Southold Town Hall Southold, New York 11971 Att: Mrs. Kawolski Re: Application of Sun Refining and Marketing Factory Avenue and Main Road, Southold Dear Mrs. Kawolski: Please find enclosed Application for Special Exception originally submitted in May of 1988 and informally rejected by your office. Please accept this as a formal renewal of my client's Application for Special Exception and please place same on the Zoning Board of Appeals agenda for their review. Also please find enclosed the required fee of $150.00 for this application. For your reference we have also submitted a revised site plan with the Planning Board and have appeared before the Planning Board for an informal discussion of this application on August 15, 1988. If you have any questions concerning this application, please don't hesitate to call. Very truly yours,~ MICH~ G. WALSH MGW/lat Enclosure FORM NO, 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTIIOLD. N.Y. NOTICE OF DISAPPROVAL File No .................. Date June To SUN REFINING & MARKETING (LESSEE) ARDPROP, INC. BOX 13812 PHILADELPHIA, PA 19101 PI.EASE 'FAKE NOTICE th:it your application dated Hay 4th. 19 88 for permit to ~.~4,~oqx CHAN~ ~ P~ l.ocation of Property 9945 Route 25' & 80 Factory Ave. Mattituck N.~ tlo~/~O I'~0. ' ......... ~ Co,mt ':,x Map No. 1000 Section . .- .......................... I.ol ............ Subdivision ................. Filed Map No .............. Lot No ...... ' t ,ned hercwilh and disapproved on thc lbllowing grounds .................. ~srct - Under Article VII, 00-70 A. (J) (d) Section ]00-62 B insufficient lot area - will need action by Zoning Board of Appeals and Site plan approval, by the Planning Board. TOWN OF SOUTHOLD, NEW YORK APPLICATION FOR SPECIAL EXCEPTION Application No.' Date Filed: TO THE ZONING BOARD OF APPEALS, SOUTHOLD, NEW YORK: I (We), Sun Refinin~ and Marketing of Philadelphia, Pennsylvania 19101 P.O. Box 13812 (Residence, House No. and Street) {Hamlet, State, Zip Code, Telephone Number) hereby apply to THE ZONING BOARD OF APPEALS for a SPECIAL'EXCEPTION in accordance with the ZONING ORDINANCE, ARTICLE , SECTION ..,.SUBSECTION for the below-described prJperty~for the'folloWing uses and purposes (and as shown on the attached plan drawn to scale): Conversion of standard automobile service/repair facility into gas and go/convenience store facility located on Ne~ York State Route 25 at the intersection of Factory Avenue and Main Road, Southold A. ' Statement of Ownership' and' Interest. lessee ' _ .Sun Ref. ini.ng an'd Marketin~,'.Inc. is{~r~the~g(s) of pr0per~y known ano reterred to as SunoCo station. 10cared a' New~ york State . . . {House No., Street, Ham]et) Route 25 at the intersection of 'Factory' AvenUe-and Main ~oJtd, ~OUthOmG identified on the SUffolk CounJL~ Tax Maps as Di'st'ric.t lO00, Sectioni~'-~Bl'ock '1 , Lot(s)' 27 ;'~hich i n~_~,D(is) on a subdivis30n Map (Filed' ' ; .... "Map of' '" · ' ' ~"- "Filed Map No. - ' and has been approved by the Southold Town Planning Board on' ~" ..... as a [Minor] [Major] Subdivision). . " The above-described property was acquired by the owner on June 5, I969 B. The applicant alleges that the approval of this exception would be in harmony'with the intent and purpose of said zoning ordinance and that the proposed use conforms to the standards prescribed therefor in said ordinance and would not be detrimental to property or persons in the neighborhood for the following reasons: Tb_is application as submitted iconforms to all special exception standards as defined in the Southold Code Sectiom 100-70(B). F~rthermore, the premises are in the heart of the Mm~n Road/Mattituck Hamlet core area business district m~d the upgrading of this existing facility is~m~sistant with the intense conmerical use of the surrotmding properties. C. The property which is the subject of this application is zoned [ ] .i.s.cc)nsi~en~ with tim.use{s} described in the Certificate of Oc6upancy being furnished herewith. [ ] is not consistent with the Certificate of Occupancy being furnished herewith for the following reason(s): [ ] is vacant land. COUNTY OF SUFFOLK) .~ ~ STATE OF NEW YORKi ss.: ,~') __ ~1 gnature) .~ Swo~;b~iforeme t;~djayof ~ , l g~6 .cx {Notary Public) ......... ZB2 (rev. 2/6/86) and MEMORANDUM OF LEASE THIS INDENTURE, dated the 18th ' day of. May 19 71, by and between ARDPROP. INC.. A DELAWARE CORPORATION, of 1345 Avenue of Ti Americas, New York, N. Y. 10019 (hereinafter referred to as "Lessor") and SUN OIL COMPANY, a corporation of the state of New Jersey, having its principal place of business at 1608 Walnut Street in the City and County of Philadelphla~ Commonwealth of Pennsylvania (hereinafter referred to as "Company"), WITNESSETH: That for the term and upon the conditions set forth in that certain written lease bearing date of Decelllber 30r 1970 , from Lessor to Company, Lessor has leased and does hereby lease unto Company all that certain piece or parcel of land situate in the City or Town of Mattituck , County of Suffolk , State of New York , more particularly described as follows: BEGINNING at the corner formed by the intersection of the easterly side of Factory Avenue and the northwesterly side of Main Road, New York State Route 25; Running thence north 20 degrees 22 minutes 40 seconds west along the easterly side of Factory Avenue 150 feet; Running thence north 48 degrees 57 minutes 30 seconds east 146 feet; Running thence south 40 degrees 39 minutes 45 seconds east 140.34 feet to the northwesterly side of Main Road, New York State Route 25; Running thence south 48 degrees 57 minutes 30 seconds west along the northwesterly side of Main Road, New York State Route 25, a distance of 198 feet to the point or place of beginnl-ng. \ together with all rights of way and easements thereunto belonging, and all buildings, improvements and equipment thereon installed. Said lease is for an initial term of 24 years from December 30, 1970 with option(a) to renew for 5 additional 5 year periods on the pa~t of. Company and contains an option to purchase and/or lease said premises for a period of 49 years. ..a~ime,.s the day and year first above written. '"': ';,iL -~ 'J-; 'J"'Y°''° ' .~.,/~H{'q..W. COTTON, ASST....SiC. " IN WITNESS WHEREOF, Lessor and Company have hereunto subscribed their ARDPRoP, INC. RI~HARI~ DRAYT/%N, ~'/~. P. ' (SEAL) SUN OIL COMPANY E.E.. :~ W. Assls~ant.'~.~Se~e~,~y Marketing Real Estate and Development : ~. ' PREPARED BY E.W-. BAI: · .. ,:,. SUN OIL COMPANY TH~ IND~, made the 5th day of J~8 , nineteen hundred and sixty-nine BE~N ~ITUCK SHOPPING CENTER, ~C., a.domes~ic corporation, doing business a~ 504 Wal~ NhiCman Road, Hun~xng~ S~a~ion, New Yozk, ~pa~yoftbefirst~,~d ~PROP~ INC.~ a Delaw~e corporation, wi ~princip~ office at 1608 Walnut Street, Philadelp~a, Pe~sylv~a~ W~~ ~t ~e ~ of ~ t~ ~, in ~nsid~ ........ ~id by ~e ~y of ~ ~ ~ ~ h~y ~t ~d rd~ ~ ~ ~ ot me ~ ~ or suers ~d ~l~s of ~e ~ M ~e ~a ~n forever, ~ ~t ~n plot, pi~ or ~ o~d~th ~e~uiM~ ~ ~p~m ~ ~ and State o~ Ne~ York, ~=e parC~eularly bounded and described follows: ~I~G aC the comer foxed by ~he, ~ersee~on of the easterly sxde of Factory Avenue an~ cue ~y s~de of ~xn Road, Ne~ York S~aCe Rou~e 25; Running ~henee north 20 degrees 22 m~nu~es 40 ~es~ along. ~he easterly s~de o~ Factory Argue 150 fee~; R~n~g ~hence north 48 degrees 57 m~nu~es 30 set.ds eas~ 146 fee~;Runn~ng thence sou~h 60 degrees 39 m~nuCes 65 8ec~ds ease ~40.34 ~o ~he ~ a~de of ~in Road, New Yo~k S~aCe Rou~e 25; ~h~ee s,ouCh 48 degrees 57 m~nuCes 30 seconds ~esC al0ng ~he -'~'~~ s~de o~ ~n Roa4, 'Ne~ York S~aCe Route25, a o~ ~98 ~eeC ~o ~he point or place of beg~nn~ This conveyance is made in the regular course of business actually conducted by the party of the first part.. Subject to the restriction that no buildings, billboards, structures or any obstruction whatsoever shall be erected or maintained on the adjoining property of seller within 25 feet from the north side of Main Road for a distance of 300 feet and further Subject to the restriction that the adjoining property owned by seller will not be · -used for or in connection with the operation of a gasoline or filling station for the sale of gasoline motor fuel for a period of ten years. TOGETHF. R with all fight, title ~nd interest, if any, of the puny of the first part of, in ~ ~o any struts and roads abutti~ the above-de~ribed premlr, es tc the center lines thereof; T..OGET.ItF. R with th~ app~teunno~ and all the estate, and fig.hts of the party of the first part in and to smd p .r~nm~; TO HAVE.. A~.D TO. HOLD the prem~es hereto granted unto the party of the second part. the heirs or su~;~ors nnd asa~as of the party of the __~co__nd part forever. AND the party of the first part covenants that the pa~ty of the first pa~t has not done or suffered anything whereby the sam premises have been encumbered in any way whatever, e~__~ept u afore~id. AND the pm~y of the. first part, in compliance .w/th Sect/on 13 of ~ L/e~ L~.w, .c~.vemmts ~ ~ pa~ty..et the first pan will receive the co.n~.'der~tion for this conveyance and will hold the n. ght to r~elve soen. eration as a trust fund to be applied first for the. purpose of paying the. cost of the unprovem~, t ~ will ul~ly 'the Same first to the payment of the cost of the unprovement before ustn~ any part of the total o! the s~ne for any other purpose. The word "party" shall be construed as if it read "parties" whenever the sense of this indenture so requires. IN WITI~,F..~ ~OF, the party of the first part has duly executed this deed the dny and year first above written. :i ~.' .~ STATE OF NaW ¥OR~. COUNTY OF' On the day o~ personally came SS.' 19 , before me to me known to be the individual described in and who executed the foregoing instrument, and acknowledged that executed the same. ss, Onthe cZ/- day of ~.~ 1~/-~' 19~, before me ~r~l~ ~e TH0~S J~S C~SEL~ to ~ k~, w~, ~by me ~ly.swom,.di~ de~ ~d ; H~CingC~ Station, He~ York , t~t ~ ~.~ Pr~s~deu~ .i ~ ~ - ' .. .' ' , ~e co.ration in ~ w~h e~u~.t~ for~oi~ instrum~t; t~t. he knows t~ ~ of ~d co~mtion;.~t, the s~l ~ ~d ~tmm~nt is such ~r~mte ~; t~t 'it a~ by nsd~ of ~e ~ of dir~ors ~f ~id ~ra- tion, ~d ~t ~e sign~ h~S~ ~ereto by like order. Eu. ,,e-3~05~SO TO STANDARD FOIUA Of NEW YORK BOARD OF TITLE UNDERWRITERS Distributed by GUARANTEED TITLE DIVISION STATE OF NEW YORK, COUNTY OF ss: On the day of 19 , before me personally came to me known to be the individual described in and who executed the foregoing instrument, and acknowledged that executed the same. STATE OF NEW YORK, COUNTY OF ss; On the day of 19 , before me personally c4me the subscribing witness to the foregoing instrument, with whom I am personally acquainted, who, being by me duly sworn, did depose and say that he resides at No. ;. that he knows - - ' ,to be the individual described in and who executed the foregoing instrument; that he,. sal.d subscribing witness, was present and saw - execute the same;and that he, said witness, ~at the iam~ time subscribed h' name as witness thereto. sEcrlO~ Home Title Division BLOCK ChicaF. o 'I itlc In.~.,rance ComDanV ,o~r cou~x~x~m~ Suffolk. ~ RETURN BY MAIL TO: .::.~,~ .. Zip ~ JUN LESTER M. AL~,E{;JSO~ Clerk of ,Suffolk Counf¥ FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTNI ENT TOWN CLERK'S OFFICE SOUTilOLD, N.Y. NOTICE OF DISAPPROVAL File No ................................ Date . June To SUN REFINING & MARKETING (LESSEE) ARDPROP, INC. .... 19 88 BOX 13812 PHILADELPHIA, PA 1910l PI.EASE 'ira KE NOTICE that your application dated ...... ~.a .y. ~..th.., ............ 19.8.8... for i)cnnit to t~rr,$tlrmxlx. Clt~lqOg. lsX%~[r,tpg. II~ ........................................ at · . ~ . 9945 Route 25 & 80 Factory Ave. Mattituck, Locahon ()fl ropcrty ........................................................ · ....... Hot/se Ate. Street County T;~x M:q) No. 1000 Section . 142 Block I . Lot 27 StJI)dMqon ................. l:ilcd Mai) No ................. Lot No .................. is returned herewith aRd dis:q)provcd on thc lbllowing grounds .. Under Article VII, 100-70 A. (I) (d) Section 100-62 E insufficient lot area - will need action by Zoning Board of Appeals and Site plan approval, by the Planning Board. FOrlM NO. :3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTIIOLD, N.Y. NOTICE OF DISAPPROVAL Date June 2, File No ........................................... 'FO SUN REFINING & MARKETING (LESSEE) ARDPROP, INC. BOX 13812 PHILADELPHIA, PA 19101 PI.EASE 'FA K E NOTICE that your application dated ...... .M.a .y. 4. .t): .............19.8.8... for i)cnuit to ~r,,.~ltt~0~:. ~:tlANlgB. ~X,l$[r,I~{3. lief ........................................ at 9945 Route 25' & 80 Factory Ave. Mattituck, N Localinn of Prol~erly .... , ..................................... · . Ht)ust. ldO. Stteot tlomlot County Tax Map No. 1000 Section . .-..1.~.2 ........ Block ... J .......... l,ot ...2.7 .......... SLJI)diviqon ................. J:iled. Map No ................. Lot No .................. is rcttmlcd herewith a,,d diSalq~rovc, d on the following grounds ...U.n.d.e.r..A.'.'.r.t .i.c .1.e. ¥.I.I:. J99:-.79. (.T)..(?) ...... .s.~.o.t).o.% .]99.?.2. ?. ?.~.~.f.f3Y3.?. 3°.7..~yy?. 7. Y3.~3..~??.'J. ??.~377..~.Y..z.o?.~?~. ~.o.~.~?. ,~( ?.p.e.~.~.s..a.n.~. ?.% .p.L~?..?Tyy.%~: ?.y..?..p.~.tn?!?.g. ???~.~.: ................... . Build' Insp.ctor ' Thomas J. Ft'~eJ~ 1988 · PRO}[CT I,O, N£',V YORK STATE DEPARTMENT OF ENVIRONM£NTAL CONSERVATION . DW~S~ON OF R~CUL^TO~¥ ,wr^ms State Environmental Quality Review SHORT ENVIRONMENTAL ASSESS~IENT FORM For UNLISTED ACTIONS Only NU,%t0E R PART I Project Information (To be completed by Applicant or Project sponsor) 1. App~icanlJsponsm' t 2. Project Name Stm Refining and Marketing I Mattituck Sunoco Municipality To,~n of Southold Coun,v Suffolk [] New ~ rx;~a~,io. :[~ Modification/al~eratio. "gas Conversion of pre-existin~ "standard" service/repair facility into and go"/convenience store facility. New York State Route 25 at the intersection of Factory Avenue and M~n ~ad. [] Yes -[] No It No. describe briefly [] Residential [] Industrial ~Comme,cial [] Agriculture E] Parkland/open space ~ Yes [] NO If yes. list agency(s) and pefmiL/apptoval$ Tow~ of Sou~old - Pl~g Bo~d ~ Yes ~' NO I~ ye% list agency name and petmiUapproval type Appl,can~sponso, ~ Sue P~fining and Marketing If tho action is in tho Coastal Area, and you are a state agency, complete tho Coastal Assessment Form before proceeding v,,ith this assessment OVER ,t ilAY 5 1988 er other lnvonti~atlon~ w~l bo C¢~plOtO~ ~nviro~ental A~uoo3munt Fol~ 1:~ nccc~=~7 1. W~I project roa~t In a laF~a phy3~c I clum~o to the project oito or phy:)l~'a117 nltur mnoru than 10 ~cre~ og land7 . . . .... 2. ~111 thoro bo a ~Jor chnnKo to an7 ,mtqu~ unuuu~l land ~o~ found on tho ~ltu? .---- Yu~x~o 3. W~i project alter or have ~ lnrt;, u/f ,ct Orl . an oxlutlnB body o~ wutur? , . . . . -. ' g. W~I proJo~t lmvo a potentially lar~o imp. cb on on adjaceat altus? . .'. . . . . 6. Hill pro~ect affect nny thront,m,,,I ~>;. cmh. ngerod '-plant or ~nl~l ~pcc~eu'? . . 7. W~l project re~t~t in , ~r.J(4' .dv,,v:.,, W~i project hav~'a c~Jor el?oct cn vt:.m'l }~0~ %0 bO ~pOrt:HlC %0 tho CO;:~UrlLL77 ' * ' 9, 'r/ill project, advar:ol7 lmpa-c .ny ~tt,, /mportnnco or any ~ito douign.tad a:; n cl'ittcnl onvtronmon~l ~ro~ by a local uKu,~cy? ~uturo recreational opportunities7 ' ' ' all. Wll~ proJoct,r~oult' in ~.~Jnr %r:~fL'[c pr,Jhle.ul 13. Will proJoc~ have any t,~pact on ()IHJIJc hcl~JLh or aal'uty '? *' '. 1988 NEW YORR STATE DEPARTMENT OF ENVIRONMENTAl. CONSERVATION · DIVISION OF REGULATORY AFFAIRS PROJECT I.D. NUMi3ER State Environmental Quality Review SHORT EENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I Project Information (To be completed by Applicant or Project sponsor) 1. ApplicantJsponsor 2. Project Name Sm P~fin~, and Marke~K M~ ~ S~oco 3, Project location: [] New [] Exp,~sion ~ Modificationlahe~'ation "gas Convers'toa of. pre-existing "s~d" se~/tep~ ~ac~ ~Co ~d go"/~~ store facili~; N~ York S~ ~e 25 at ~e ~tersecti~ of Facto~ A~ ~d ~ ~d. ~ Yes -~ No Il No. desct,be briefly ~ Residential ~ IndustriaJ ~Commerclal ~ Agdcul:u,e ~ Parkland/open space ~ O:he, ~ Yes ~ NO I~ yes. Iisi agent,s) and perm,Uapprovals T~ of S~old - Pl~g ~d tho action is in tho Coastal Area, ,3nd you are a state agency, complete tho Coastal Assessment Form-bolero proceeding with this assessment OVER cc~,plotod Envlrom:cnt~[ /,~uo=sn;on~ Fox~ 1:) ~oc ~d) ,~qvtrnnmen~nt A~nnnn~ent 1,~1 project ro~ In a lar'~o physical clmn~o to thc project oito or phT:~ically niter mor~ than 10 acrc~ of land?. , , , .... ' · .. 2, ~11 thoro bo a ~Jor chanzu to unuuuu~ land fo~ found on tho ~ltu? . ~_ Y"~ ~ No an oxlutlng body of %voter? ...... . _ &. W~! prelect have a potentially la~.~ Imp.cb o,{ ~ro~owatcr quality? · , · · · , · y,:.j X Itc 6, Will project affOct nny thront,m,,,I or ~n,h,[~.~roJ "plant o~ ank~%l ~pccleu'? , . , air quail%7? · · . . . X ufa of hi~toricm pro-historic, or 10, W~i pro~oc~ havo a ~Jor offoct ~uture rocrcatlonal opportunici,)~7 · · . ~_. y,:~ x .11. Will proJoct,rouult, in ~a~Jnr tr:~Ffic 12. Will UroJoct rect~arly cau:;o .bl,:ctlonabl~ noluu, claro, vibration, ar cie~tr~cal ,Ii:,~uz'L:.. ' Will project have any impact on Imbl lc hca)th ~af~ty 'f : I ......... 7/71 '~fY~'""'""""'' . x, QUESTIONNAIRE TO BE COMPLETED AND SUBMITTED ~Ttt YOUR APPLICATION FORMS TO THE BOARD OF APPEALS Please complete, sign and return to the Office of the Board of Appeals with your completed application forms. If "Yes" is answere~ to any questions below, please be sure to depict these areas on your survey (or certified sketch), to scale, and submit other supporting documenta- tion. 1. Are there any proposals to change or alter land contours? ~ No 2.a)Are there any areas which con~in wetland grasses? (Attached is a list of the wetland grasses defined by Town Code, Ch. 97 for your reference.) b)Are there any areas open to a waterway without bulkhead? ~ No ~ No 3. Are there existing structures ~at or below ground level, such as patios, foundations, etc? Yes ~ 4. Are there any existing or proposed fences, c~ncrete barriers, decks, etc? Yes ~o If project is proposed for an accessory building or structure, is total height at more than 18 feet above average ground level? State total: ft. No If project is proposed for principal building or structure, is total height at more than 35 feet above average ground level? State total: ft. NO 7. Are there other premises under your ownership abutting this parcel? If yes, please submit copy of deed. ~ No Are there any building permits pending on this parcel (or abutting land under your ownership, if any)? State Permit # and Nature: No Do state whether or not applications are pending concerning these premises before any other department or agency (State, Town, County, Village, etc.): Planning Board Town Board Town Trustees County Health Department Village of Greenport N.Y.S.D.E.C. Other Site Plan Application Yes ~ Yes No Yes No Yes .~s Yes No Yes No Yes No 10. Is premises pending a sale or conveyance? If yes, please submit copy of names or purchasers and conditions of sale. (from.contract) ~ No 11. Is new construction proposed in the area of contours at 5 feet or less as exists? Yes No 12. If new construction is proposed in an area within 75 feet of wetland grasses, or land area at an eleva- tion of five feet or less above mean sea level, have you made application to the Town Trustees for an inspection for possible waiver or permit under the requirements of ch. 97 of the Town Code? ~ N/A 13. Please list present use or operations conducted upon the subject property at this tim~ ~ Stat~/~ ~c~ity and proposed ~s ~d ~/C~ce S~re F~iiit? Please submit photographs for the record· I certify that t~-~ove statements are true and are being submitted rel~nce by the~ar~of Appeals la considering my application. gnature ~ (Authorized Agent) for Linda Panzner - Project Engineer 1/88 Sun Refining and Marketing WETLANDS [Amended 8-26-76 hy L.L. No. 2-1976: 3-26- 85 by L.L. No. 6-1985]: A. TIDAL WETLANDS: (1) All lands generally covered or intermittently cov- ered with, or which border on, tidal waters, or }:rods lying beneath tidal waters, which at moan Iow tide · are eovmed by tidal waters to a maximum depth of iive {5) feet, including but not limited to banks, bogs, salt marsh, Swamps, meadows, flats or other low lying lands subject to tidal action: (2) All banks, bogs, meadows, fiats and tidal marsh subject to such tides and upon which grows or may g'row som~ or any of the following: sldt hay, black grass, saltworts, sea lavender, tall cordgrass, high bush, cattails, groundsel, marshmallow and Iow march cordgrass; and/or (3) All land immediately adjacent to a tidal wetland as defined in Subsection A(2) and lying within seven- ty-five (75) feet landward of the most landward edge of such a ti/Iai wetland. FRESItWATER WETLANDS: (1) "Freshwater wetlands" as defined in Article 24, Ti- tle 1, § 24-0107, Subdivisions l(a) to l(d) inclusive, of the Environmental Conservation Law ot the State of New York; and (2) All laed immediately adjacent to a "freshwater wet- !and," as defiued in Subsection El(l) and lying with- m seventy-five (75) feet landward of the most land. ward edge of afi eshwator wetland." 970~ FOI~M NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy No.~'39~1 ...... Date ............. August.. 28.., 19.70' THIS CERTIFIES that the building located at I~. Rd .&. Faet~x~y .AV ... Street Map No.. xx ........ Block No...LEg ...... Lot No. x~t ..... Mat.~tuek.. N,]~, ...... conforms substantially to the Application for Building Permit heretofore filed in this office dated .......... 14a~' .... ¶ ~..., 19.69 pursuant to which Building Permit No..b~2~).lZ. dated ....... t4ay ..... lff ....., 19(~9 ., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is .... Bus~z~ess. ]~ll~lcl~ttg...Gaso,1,~41e. 5e;~..e.e..s..~.a.~.~.o..n,...A. pp.l'.o.v..e.d...b~.. Bd The certificate is issued to . [~ttl~ .0~.3..CO .......... O~mr. ........................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval 28..'1.970- - R..V .lla ....... BUilding Inspectlr : A-C R-80 ~ R-80 R -80 MATTI"I1JCK R -80 LIO R-~,O R-80 GREAT ~'-8o / PECON/C, COUNTY OF ~UF~OLK TOWN CLERK TOWN OF SOUTItOLD ~.folk Count., New York 516- "/65-1801 N.0 2 81 3 5 / ! ~~ * m ~ )umth T. Tern, To~ Clerk TOWN OF .... SOUTHOLD PROPERTY. _ RECORD CARD fiX_z? ~ "' STREET VILLAGE DIS'T, SUB. LOT · OWNER (.~ ,..,-'. " (f~ /,~,.~ 'TYPE ¢ BUILDING LAND IMP. TOTAL '- DATE REMARKS /' NEW NORMAL BELOW ABOVE --:-.~,, .,:~ ~ ," - ' ' FARM Acre Value Per Value ~' Tillable FRONTAGE ON WATER / Woodland FRONTAGE ON R D .. /?::,.,, ... House Plot ,, BULKHEAD ... DOCK COLOR TRIM M. Bldg. Extension Extension Extension Porch Porch Breezeway Garage Patio O.B. Total Foundation Basement Ext. Walls Fire Place T~eR~f Recreation Room Donner / ')'Lo · J~ ~ ~'~' ~ ° ~' LR I Interior Finish ROoms 1st FlOr R~ms ~d Flor J FIN. B J I Drivew~ BOARD OF APPEALS, TOWN OF SOUTHOLD In the Matter or' the Petition of Sun Refining and Marketing )o the Board of Appeals of the Town of Southold TO: Alan A. Ca:dinale P.O. Box 77 Mattituck, New York 11952 NOTICE TO ADJACENT PROPERTY OWNER YOU ARE HEREBY GIVEN NOTICE: 1. Th~..h-is-the.,.int~dersigned to petition the Board of Appeals of the Town of Southold to request ~ial Exce~J~ (Special Permit) (Other) [¢£r¢le cho£¢e] I. 2. That the property which is the subject of the Petition is located adjacent to your. property and is des- cribed as follows: Sunoco St-hr'inn located on New York State Route 25 at the intersection of Factory Axamm~e and Main Road, Southold.! Suffolk County Tax Map # District 1000, Section 142, Block 1, Lot 27 3. That t..he propsrLy wh. ich is ~e. subLec~ of such Petition is located in the following zoning district: B-1 ~eraz ~uszness u',_stri_cc 4. That by such Petition, the undersigned will request the following relief: conversion of eacistLnE st~dard autcuobile service/repair facility into ~as and ~o/convenience store facility. 5. That the provisions of the Southoid Town Z.oning Code applicable to the relief sought by t.b~ under- signed are ArticleVISec. 100-62Bs~H~% Art:cle VII 100-?0(B)(5) and 100-70(C)~1) [ ] Section 280-A, New York Town Law for approval of access over right(s)-of-way. 6. That within five days from the date hereof, a written Petition requesting the relief specified above will be filed in the Southoid Town Clerk's Office at Main Road. Southold, New York and you may then and there examine the same during regular office hours. (516) 765-1809. \ 7. That before the relief sought .may be granted, a public hearing must be held on the matter by the Board of Appeals; that a notice of such hearing must be published at least five days prior to the date of such hearing in the Suffolk Times and in the Long Island Traveler-Mattituck Watchman, newspapers published in the Town of Southold and designated for the publication of such notices; that you or your representative have the rightDated:tOse)~t ~m~erappear and be/,heard1988at such hearing. ~/~ ~/:~'~ ~" ,,-.' ' Petitioner Lessee'sg~qL~' Names: Sun Refining add Marketing Post Office Address ?.O. Boac 13812 Philadelphia, PA 19101 Tel. No. (516 } 785-0081 MoNulty, DiPietro & Spiess, Esqs. Attorneys for Applicant 5 ) 72 -8 ' ~ or plan showing propo~Sall6 to 7~e~a~~'f~. _.nvenience [Copy of sketch purposes.] PROOF OF MAILING OF NOTICF ATTACH CERTIFIED MAIL RECEIPTS STATE OF NEW YORK ) COUNTY OF SUFFOLK ) SS.: ~j ~ ~ , being duly sworn, deposes and says that on the /C~ day of . <:.,~~ ,~'19 ,~'~ , deponent mailed a true copy of the Notice set forth on the re. verse side~i~ereof, directed to each of the above-named persons at the addresses set opposite their respective names; that the addresses set opposite the names of said persons are the addresses of said persons as shown on the current ass~.ssment roll of the Town of Southold; that said Notices were mailed at the United States Post Ot'~ (certified~-~il. Sworn to before me this //<~ day of , Notary Public ; that said Notices/~ere mailed to each of said persons by (This side does not have to be completed on form transmitted to adjoining property owners.)