HomeMy WebLinkAboutTR-8156ESOUTHOLD TRUSTEES
Address
THIS NOTICE MUST BE DISPLAYED DURING CONSTRUCTION
TOWN TRUSTEES OFFICE,TOWN OF SOUTHOLD
SOUTHOLD, N.Y. 11971
TEL.: 765-1892
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FOP._
FUTNIt,_L ~,S"TA"T' E
AT
M!
CLARA ,~
Don't have any 'before' pictures that show the fill being flush with the top
of the bulkhead. However, all of the debris came from the storm surge,
indicating water came over the bulkhead.
These are some 'before' pictures to show
foliage on the bank.
This shows the level
of greenery on the
bank that was
affected by the storm
surge,
James F. K/ng, President
Bob Ghceio, Jr., Vice-President
Dave Bergen
John Bredemeyer
Michael J. Domino
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
HURRICANE SANDY EMERGENCY APPLICA
Valid thru June 1, 20'13
Town Hall Annex
54875 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-6641
E C E
~uthold Town
Board of Tru~t~;
Property Owner Name: 'r'df-~z~v~ .e-~,
Pe~anent Mailing Address: ~ ~aAp
Phone Number(s): ~¢0-~¢-I~¢~N_)
Suffolk Coun~ Tax Map Number: 1000
Agent (if applicable)
Address:
Phone Number(s):
Board of Trustee Permit Number(s):
Will any part of this project require a Building Permit?
Howmuchfillwillberequired? /~?ROXI'~'I~.~I~ ~ ~O~,~, Y~r~ ~
Project Description: ~c{~ -~, -~ JC~f¢ IOv~.V..14e~-J~
Board of Trustees Applicatlon ·
County of Suffolk
State of New York
'oS oJ /q, BEINODULYSWO
DEPOSES AND AFFIRMS THAT HE/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 1N CONJUNCTION WITH REVIEW OF THIS APPLICATION.
Signature of Property Owner
SWORN TO BEFORE ME THIS/~/~
/ I',lo'~ Pu~bli¢
Notary
Publio
Conneot/o