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Home My WebLink AboutTR-285ES OU:THOLD TRUST hsued Address~ THIS NOTICE MUST BE DISPLAYED DURING CONSTRUCTION TOWN TRUSTEES OFFICE,TOWN OF SOUTHOLD SOUTHOLD, N.Y. 11971 TEL,: 765-1892 t 1/14/2012 Walkway minus beach stone and ledger timber SURVEY OF PROPERTY 51TUATE: ORIENT TOINN: ?:X2UT~ 5UF:FOLK COUNT'Y, NY E, UP-.V~"{Eg JUNE 20, 2012 5,UI=FOLK C. OUNT'f TAX # ~OHN M. BR]~ ~r. & ~,ANNB P~ BREDEE~YER FAMILY TRUST N NOTIE.%: · i"'IONUMENT FOUND FEI'dA I:::LOOP ZONE LINE ANNOTAT~I) PROi'd Plt~.~i MAP No. ~10~OOO~ H PAlP ~EP~HBER 25, O.E.H.L. A~ ANNOTA~ FROM OOASTAL ERO¢ION H~A~ A~A MAP TO~N OF ~UTHOL~ PHOTO No. 5q-52q-¢~ ~TD AUCUST 2q, Iq6¢ ELEVATION5 REPE~NOE LO~ LO~R ~R AC O.O' AP¢~ = 6,~2 ~ PT Anco = 0.I~ ~APHIC ~CALE 1"=50' JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.$. LIC. NO. 50202 RIVERHEAD, N.Y. 11901 369-8288 Fax 369-8287 REF.C:\Usersgoha~h'opbox\12\12-138.pro N James F. K~ng, President Bob Ghosio, Jr., Vice-President Dave Bergen John Bredemeyer Michael J. Domino Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OFTOWNTRUSTEES TOWN OFSOUTHOLD NOV 1 $ 20~2 HURRICANE SANDY EMERGENCY APPLICATION Valid thru June 1, 2013 Property Owner Name: Permanent Mailing Address: /2``0` -~90X .z/'/o/ Phone Number(s): ~ ~ /- .;~.2_ ~ - D._ 7 0 ~ Property Address: ~._~ ~/0 ~////~_.~ ~..~¢_ / Suffolk CountyTax Map Number: 1000- ~ G - /-/ °~ Agent (if applicable) Address: Phone Number(s): /?,.,rf. Board of Trustee Permit Number(s): ~L. Will any part of this project require a Building Permit? /~ o Howmuchfillwillberequired? ;2. o c_u ¥~ <~ ~_~ .fi-fo,vd .~./"~//,;,-,~. Project Description: i) ~?~o~m /~p~/~ ~~ ~c~c of Trustees Applicatlonl County of Suffolk State of New York ~' ~",7 $~.do~ e-I cr BEING DULY SWORN DEPOSES AND AFFIRMS THAT~I~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), IF 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 THIS APPLICATION. // ~ign~t~r_.e~r~perty O~'~r SWORN TO BEFORE ME THIS / {-,~ % DAY OF b0t~O'~ ~X0.,/" .,20. / e),. Notary Public CONNIE D. BUNCH Notary Public, State of New York No. 01BU6185050 Qualified in Suffolk Co~u~ Commission Expires April t~, ~t_~_ ~J,~