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HomeMy WebLinkAboutBird, George-Disapproval ~0~ NO. ! TOWN OF SOUTHOLD BOARD OF TOWN TRUSTEES TOWN CLERK'S OFFICE SOUTHOLD, N. Y. .............. .............. Approved ....................................... Permit AT .......................... / APPLICATION FOR PERMIT INSTRUCTIONS A. This application to be completely filled in by typewriter or in ink and submitted to the Town Trustees in dup- licate. B. Plot plan showing location of lot and buildings on premises, relation to adjoining premises, public streets, parks, etc., and giving detailed description-of proposed layout of project must be drawn on diagram which is part of this application. C. The work covered by this application may not be commenced before the issuance of a permit. D. Upon approval of this application, Town Trustees will issue a permit to applicant. Such permit shall be kept on the premises and available for inspection at all times. E. Applicant shall notify the Board of Trustees upon completion of the work covered by permit. APPLICATION IS HEREBY MADE to the Board of Trustees of the Town of Southold, Suffolk County, New York, for the issuance of a permit pursuant to the laws, Ordinances and regulations governing construction of: docks, piers, bulkheads, jettys and dredging in, under, and over the waters of Town of Southold. The applicant agrees to comply with all applicable laws, ordinances, regulations and couditions specified by said trustees, and to hold the Town of Southold, and all Town~ officials free {rom liability and damages of any kind. Name of owner of premises ....O~...~..J..'~.... ~../.'./.'.~, ...................................................... Street Address of Property . L --~i~a ~..~... ~.~. ~.~"t .................................................. Home address If Other Than Location .......... ~ ~ ............................................. ' Creek, Bay or Harbor Frontin[ Property . 0~.~.~*..~ . .~.~.~ .~ .................. ' ....... Permit Requested To: . ~[. ~g~:.. ~ 0 .~..~.~...~ ~.~.~ ~...~ ~ .~ ................. Size of Proposed Work: Len~h..t ~'..~x .... Width.. ~ ~.~ Depth Below Low Water...~ ~ ...... Average Rise In Tide .............. Yards to Be Excavated .............. Width of Canal, Creek or Bay Fronting Property . f~l . .Depth at Low Tide .................. Is This For Private or Business Use? .~,~(:~.~.~ .................. Area Zoning .~.~.~.~..~.~... Complete plot plan to be drawn on reverse side-of this application. STATE OF NEW YORK ) )S.S, - COUNTY OF ~ ) ,~...~.! .... being duly sworn deposes and says that he is the applicant for the above de- scribed"iif Llp~Trnit, and hat a 1 statements contained herein are true to the best of his knowledge and belief; that the work will be done in the manner set forth in the application and as approved by the Board of Trustees of the Town of Southold, and the applicant agrees to hold the Town of Southold and said trustees harmless and free from any and all damages and claims arising under or by virtne of s~t. ~.~_ ~ , ,.'~~' ~ ......... &..~.U__£.;: · ............... - (app icant) Sworn to before me this ........ n' .....day of .... ~.~ .~... 19~... Notary public ...................... county of.~ Mr. George Bird Lupton's Point ~att~tuck, New¥ork .... Dear Mr, Bird; The SouthoI~ Town Board .~ of Trustees reviewed ~our application 'to widen and ~re~e in'Deep Hole ~reek &t ~heirmeeting on March 6, 1967. The application was dis- approved ~n &cc~nnt of the destruction the marsh lands and the subsequent effect upon the fresh water su~mply. Very truly yours, AM/mr The $outhold Town Trustees Marion A. Regent, Sec.