HomeMy WebLinkAboutL 12769 P 561 SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 04/04/2014
Number of Pages: 8 At: 01:24:19 PM
Receipt Number : 14-0043415
TRANSFER TAX NUMBER: 13-22806 LIBER: D00012769
PAGE: 561
District: Section: Block: Lot:
1000 079.00 07.00 044.002
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $125, 000.00
Received the Following Fees For Above Instrument
Exempt Exempt
Page/Filing $40.00 NO Handling $20.00 NO
COE $5.00 NO NYS SRCHG $15.00 NO
EA-CTY $5.00 NO EA-STATE $250.00 NO
TP-584 $5.00 NO Natation $0.00 NO
Cert.Copies $5.20 NO RPT $60.00 NO
Transfer tax $500.00 NO Comm.Pres $1, 000.00 NO
Fees Paid $1, 905.20
TRANSFER TAX NUMBER: 13-22806
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
1 2
Number of pages RECORDED
2014 Apt- 04 01:24:19 PM
I JUDITH A. PASCALE
CLERK OF
This document will be public SUFFOLK COUNTY
record. Please remove all L D00012769
P 561
DT# 1: 12506
1
Stamp Recording/Filing Stamps
Page/Filing Fee L10 Mortgage Amt.
1. Basic Tax
Handling 20. 00 2. Additional Tax
TP-584 Sub Total
Notation Spec./Assit.
or
EA-52 17(County). Sub Total Spec./Add.
EA-5217(State) TOT.NIT'G.TAX
R.P.T.S.A. Dual Town Dual County
Held for Appointment
Comm.of Ed. 5. 00 Transfer Tax S
Affidavit Mansion Tax —
The property covered by this mortgage is
Certified Copy or will be improved by a one or two
NYS Surcharge 15. 00 Sub Total family dwelling only.
YES or NO
Other — Grand Total If NO,see appropriate tax clause on
page# of this instrume
4 1 Dist.Jpv o
14008490 1000 07900 o7oo 044002 5 Community Preservation Fund
Real Property C211�ralion Amount $
Tax Service PTs AlII1l
Agency R POL A CPF Tax Due
Verification o4-APR-1 I�IfU l�ll��111 11111 fl�l!I�I�I��I�Ullll� C
Improved
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
,RECORD&RETURN TO: Vacant Land
Je-=X11 4, &/,f//,10 f TD
lbi cz TD
TD
Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Company Information
310 Center Drive, Riverhead, NY 11901 '061,1T Tr
www.suffolkcountyny.gov/clerk Co.Name
Title#
8 , Suffolk Count y Recording &rt Endorsement Page
A'E�
This page forms paof the attached 1_b1) made,by:
(SPECIFY TYPE OF INSTRUMENT)
AJ The premises herein is situated in
SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of
�FgZtr—
In the VILLAGE
or HAMLET of
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
12-0104-1WOM (over)
NY 005-Bargain and Sale Deed with Covenant against Grantor's Acts Individual or Corporation(Single Sheet)(NYB'I'U 8002)
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED Bl'LAIl'VFRS ONLY
` THIS INDENTURE,made the U day of JaWuaiy;in the year 2014
BETWEEN
STANLEY G.BROWN,residing at;15075 New Suffolk Avenue,New Suffolk,New York 11956.
/4215sz t)y-,, Nvs&W b a-wry
party of the first part,and JOSEPH RZESZUT and MARY R�_IE914 ,residing at; 1720 Leeward Drive,Southold,New
York 11971.
party of the second part,
WITNESSETH,that the party of the first part,in consideration of Ten Dollars and other valuable consideration paid by
the party of the second part,does hereby grant and release unto the parry of the second part,the heirs or successors and
assigns of the party of the second part forever,
ALL that certain plot,piece or parcel of land,with the buildings and improvements thereon erected,situate,lying and
being.imAt at Bayview,in the Town of Southold,County of Suffolk and State of New York,known and designated as
the Northwesterly 1/2 of Lot No.49 on a certain map entitled,"Leeward Acres at Bayview",filed in the Office of the
Clerk of the County of Suffolk on June 4, 1971 as Map No.5599,bounded and descrived as follows:
BEGINNING at a point on the Southwesterly side of Leeward Drive,where same is intersected by the division line
between Lots 49 and 50 on the aforesaid map;
RUNNING THENCE along the Southwesterly side of Leeward Drive,South 52 degrees 29 minutes 30 seconds East
50.00 feet;
RUNNING THENCE South 37 degrees 30 minutes 30 seconds West 474,94 feet;
RUNNING THENCE North 56 degrees 50 minutes 30 seconds West 50.145 feet;
RUNNING THENCE North 37 degrees 30 minutes 30 seconds East 478.74 feet to the Southwesterly side of Leeward
Drive at the point or place of BEGINNING.
Said premises known as 1820 Leeward Drive,Southold,New York.
This conveyance involves a Lot Line Modification,approved by the Southold Town Planning Board by resolution
dated ILI
Attached hereto as Schedule B is a map showing a Lot Line Modification.
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 premises to the center lines thereof;TOGETHER with the appurtenances and all the estate
and rights of the party of the first part in and to said premises;TO HAVE AND TO HOLD the premises herein granted
unto the party of the second part,the heirs or successors and assigns of the party of the second part forever.
AND the party of the first part covenants that the party of the first part has not done or suffered anything whereby the
said premises have been incumbered in any way whatever,except as aforesaid.
AND the party of the first part,in compliance with Section 13 of the Lien Law,covenants that the party of the first part
will receive the consideration for this conveyance and will hold the right to receive such consideration as a trust fund to
be applied first for the purpose of paying the cost of the improvement and will apply the same first to the payment of the
cost of the improvement before using any part of the total of the same for any other purpose.
The word"party"shall be construed as if it read"parties"whenever the sense of this indenture so requires.
IN WITNESS WHEREOF,the party of the first part has duly executed this deed
CntthDe day and year first above written.
IN PRESENCE OF: 44f_117_
STANLEY G.BROWN
MA1L3.NG ADDRESS:
PLANNING BOARD MEMBERS SOF so F-0.Box 1179
DONALD J.wi=,Nsm Q► �O Southold,NY iiwi
Chair f`+
f�Q J OFFICE LOCATION:
VVU-JAAM J.CREMERS Town Hall Annex
PIERCE RAFF RTY c� 54375 State Route 25
JAMES H.RICA III Ql Y� (cor.Main Rd.&Youngs Ave-)
MARTIN H S'1DOR � , Southold,NY
Telephone:631765-1938
Fa=631765-3136
PL.A_NM NG BOARD OFFICE
TOWN OF SOUTHOLD
State Environmental Quality Review
NEGATIVE DECLARATION
Notice of Determination Non-Significant
March 10, 2014
This notice is issued.pursuant to Part 617 of the implementing regulations pertaining to
Article 8 (State Environmental Quality Review Act) of the Environmental Law.
The Southold Town Planning Board, as lead agency, has determined that the proposed '
action described below will not have a significant effect on the environment and a Draft
Environmental Impact Statement will not be prepared.
Name of Action: Proposed Lot Line Change for Rzeszut, Solowsky & Brown
SCTM#: SCTMs#1000-79-7-44.3, 44 &45
Location: on the swWo Leeward Drive, approximately 945' No Bayview Road, in
Southold
SEQR Status: Type I ( )
Unlisted (X)
Conditioned Negative Declaration: Yes ( )
No (X)
Description of Action: This proposed Lot Line Modification transfers 1.1 acres from
SCTM#1000-79-7-44 to SCTM#1000-79-7-43.3 and SCTM#1000-79-7-45.
SCTM#1000-79-7-44 will decrease in size from 1.1 acres to 0.00 acres; SCTM#1000-
79-7-44.3 will increase from 1.2 acres to 1.8 acres, and SCTM#1000-79-7-45 will
increase from 1.1 acres to 1.6 acres.
Reasons Supporting This Determination:
An Environmental Assessment Form has been submitted and reviewed and it was
determined that no significant adverse effects to the environment were likely to occur
should the project be implemented as planned.
le,
Negative Declaration Page Two March 10, 2014
The determination was based upon the following:
This Lot Line Modification Will not have any adverse impacts on the surrounding
neighborhood or adjacent properties. No new lots will be created, and no increase in
development is expected as a result due to the configuration of the land transfer. Thus the
following can be said of this action:
Therefore, the proposed application will have no bearing upon Article VI of the Suffolk
County Sanitary Code and will, therefore, conform to Article VI of the Suffolk County
Sanitary Code and will not be expected to adversely affect groundwater quality.
1. No substantial adverse change in existing air quality, ground or surface water quality
or quantity, traffic or noise levels, no substantial increase in solid waste production,
potential of erosion, flooding, leaching or drainage problems will occur as a result of
this action.
2. No significant removal or destruction of large quantities of vegetation or fauna, no
substantial interference with the movement of any resident or migratory fish or.
wildlife species, no significant impacts on a significant habitat area, no substantial
adverse impacts on a threatened or endangered species of animal or plant or the
habitat of such a species, and no other significant adverse impacts to natural
resources will occur as a result of this lot line change,
3. The proposed action is not in a material conflict with a community's current plans
or goals as officially approved or adopted.
4. The proposed action will not significantly impair the character or quality of
important historical, archaeological, architectural, or aesthetic resources or of
existing community or neighborhood character.
5. No major change in the use of either the quantity or type of energy will occur.
Each existing improved lot will continue to have only one pre-existing single
family dwelling on each.
6. No creation of a hazard to human health will occur as a result of this lot line
change.
7. The proposed action will not cause a substantial change in the use, or intensity of
use, of land including agricultural, open space or recreational resources, or in its
capacity to support existing uses.
8. Based upon such, no significant adverse impacts to the environment are
expected to occur should the project be implemented as planned.
For Further Information:
Contact Person: Alyxandra Sabatino, Planner
Address: Southold Town Planning Board
Telephone Number: (631) 765-1938
5c e
MAILING ADDRESS:
PLANNING BOARD MEMBERS 19 Sol% P.O.Box 1.179
DONALD d. Southold,NY 11971
Chair
OFFICE LOCATION:
VVU-JLAM J.CREMERS Town Hall Annex
PIERCE R1krFERTY 54375 State Route 25
JAMES ia.PicH III (cor.Main Rd.&Youngs Ave.)
MARTIN.H.SUDOR Southold,NY
Telephone:631765-1938
Fax:631765-3136
PLANNING BOARD OFFICE
TOWN OF SOUTHOLD
March 11, 2014
Mr. Joseph Rzeszut
251 Beebe Road
Mineola, New York 11501
Re: Final Approval: Proposed Lot Line Modification for Rzeszut, Solowsky & Brown
Located at 1820 Leeward Drive, Southold
SCTM#1 000-79-7-43.3, 44 &45 Zoning District: R-40
Dear Mr. Rzeszut-.
The Southold Town Planning Board adopted the following resolutions at a meeting held on
Monday, March 10, 2014:
WHEREAS, this proposed Lot Line Modification transfers 1.1 acres from SCTM#1000-79-7-
44 to SCTM#1 000-79-7-43.3 and SCTM#1 000-79-7-45. SCTM#1 000-79-7-44 will decrease
in size from 1.1 acres to 0.00 acres; SCTM#1000-79-7-44.3 will increase from 1.2 acres to
1.8 acres, and SCTM#j 000-79-7--45 will increase from '1.1 acres to 1.6 acres; and
WHEREAS, on December 9, 2013, a Lot Line Modification. Application was submitted; and
WHEREAS, on December 16, 20.13, the applicant submitted 6 maps ofthe proposed Lot Line
Modification; and
WHEREAS, on January 6, 2014, at their Work Session, the Planning Board reviewed the
application and found it complete with items to be submitted immediately; and
WHEREAS, on January 7, 2014, referrals were sent out to all applicable agencies; and
WHEREAS, on January 13, 2014, the Planning Board set the public hearing; and
WHEREAS, on January 16, 2014, the Southold Fire District responded to the referral stating
that there is adequate fire protection for this property; and
WHEREAS, on January 17, 2014, the applicant submitted draft deeds; an'd
WHEREAS, on January 24, 2014,the Local Waterfront Revitalization Coordinator found the
application exempt from the Local Waterfront Revitalization Program; and
5
Rzeszut, o-owsky& Brown Page Two March 11, 2014
WHEREAS, on February 10, 2014, the Planning Board held and closed the public hearing;
and
WHEREAS, on February 11, 2014, the Suffolk County Planning Commission responded to
the referral stating that"the application is considered a matter of local determination"; and
WHEREAS, on February.26, 2014, at their Work Session, the Planning Board reviewed and
accepted all referrals received from agencies and the submitted draft deeds-, and
WHEREAS, the Southold Town Planning Board, pursuant to Town Code §240-56, Waivers of
Certain Provisions, may waive certain elements of the subdivision review if in As judgment
they are not requisite in the interest of the public health, safety and general welfare. After
reviewing the information submitted for this application, the Planning Board has determined
that it is eligible for a waiver of the Environmental Resources Site Analysis Plan (ERSAP), the
Primary and Secondary Conservation Area Plan, the public hearing,.and the Sketch Plan and
Preliminary Plat steps of the subdivision process for the following reasons:
1. No new lots are being created;
2. No changes will occur as a result of this lot line change that would adversely affect the
character of the neighborhood; and
WHEREAS, the Planning Board performed an uncoordinated review of this Unlisted Action
pursuant to 6 NYCRR Part 617, Section 617.7 of the State Environmental Quality Review Act
(SEQRA); and
WHEREAS, pursuant to the Lot Line Modification Policy set by the Planning Board in
February 2011, this application is eligible for decision from the Planning Board prior to
receiving approval by the Suffolk County Department of Health Services (SCDHS) as it meets
the following criterion set forth in that policy:
• where no new development potential will be created in the parcel to which the land is
transferred; and
WHEREAS, on February 26, 2014, at their Work Session, the Planning Board determined
that the p roposed action meets ail the necessary requirements of Town Cade§240-57 for a
Lot Line Modification; be it therefore
RESOLVED, that the Planning Board, pursuant to SEQRA, hereby makes a determination of
non-significance for the proposed Lot Line Modification and grants a Negative Declaration;
and be it further
RESOLVED, that the Planning Board hereby waives the requirements of Town Code §240 to
submit the ERSAP, Primary and Secondary Conservation Plans, Sketch Plan and Preliminary
Plat steps; and be it further
RESOLVED, that the Planning Board hereby waives the requirement for SCDHS approval
prior to Planning Board approval of this lot line modification; and be it further
Rzeszut, Solowsky & Brown Page Three March 11, 2014
RESOLVED, that the Southold Town Planning Board grants Final Approval on the maps
entitled "Re-Subdivision Map Peter Solowsky and Joseph J. Rzeszut, Jr.", prepared by
Howard Young, Land Surveyor, dated December 3, 2013, and authorizes the Chairman to
endorse the map.
Please submit a copy of the recorded deed to the Southold Town Planning Department
within 62 days of the date of Final Approval, or such approval shall expire and be null
and void.
Please Note: The Southold Town Planning Board, in waiving the requirement for
SCDHS approval prior to their own approval, is simply waiving a technical requirement
of Final Plat Approval under the Town Code and makes no representations as to
whether SCDHS approval is required. SCDHS approval of this Lot Line Change may be
necessary to be In compliance with the Suffolk County Sanitary Code and to be eligible
for future construction or renovations.
If you have any.questions regarding the above, please contact this office.
Very truly yours,
Donald J.Wilcenski
Chairman
Encl. Endorsed Final Map
Negative Declaration
cc: Assessors
I understand that Southold Town Planning Board approval of this Lot Line Modification
does not grant, guarantee or waive an approval, if required, from the Suffolk County
Department of Health Services (SCDHS). I understand that I will need to apply
separately to the SCDHS for any applicable approvals.
(!WnvXdre of Appl r`Agent Print Name
USEACKNOWLEDGMENTFORMRELOIVWITH1NNE;VYORKSTATEONLK USEACKNOIVLEDGAfENTFORMBELOWWITHINNEWYORKSTATEONLY:
State of New York,County of SUFFOLK)ss,: State of New York,County of )ss.:
On the 41. day of/W in the year e2or 7` On the day of in the year
before me, the undersigned, personally appeared STANLEY G. before me,the undersigned,personally appeared personally
BROWN,personally known to me or proved to me on the basis of known to me or proved to me on the basis of satisfactory evidence
satisfactory evidence to be the individual(s)whose name(s)is(are) to be the individual(s) whose name(s) is (are) subscribed to the
subscribed to the within instrument and acknowledged to me that within instrument and acknowledged to me that he/she/they
he/she/they executed the same in his/her/their capacity(ies),and that executed the same in his/her/their capacity(ies), and that by
by his/her/their signature(s)on the instrument,the individual(s),or his/her/their signature(s)on the instrument,the individual(s),or the
the person upon half of which the individual(s)acted,executed person upon behalf of which the individual(s)acted, executed the
the instrument. instrument.
KATHRYN GAETA
Notary Public,State of New York
No.Ot GA6066891
Qualified in Nassau County )'7
Commission Expires November 26,20'J
ACKNOWLEDGMENTFORAIFORUSEWITHINNEWYORKSTATEONLY: ACKNOWLEDGMENTFORMFORUSEOUTSIDENEWYORKSTATEONLY.-
(New York Subscribing Witness Acknowledgment Certificate) (Out oJState or Foreign General Acknowledgment Certificate)
State of New York,County of )ss.: )ss.:
-----------------------------------------------
On the day of in the year (Complete Ventre wish State,Country,Province or Municipality)
before me,the undersigned,personally appeared On the day of in the year
the subscribing witness to the foregoing instrument, with whom I before me,the undersigned,personally appeared
am personally acquainted, who, being by me duly sworn, did personally known to me or proved to me on the basis of satisfactory
depose and say that he/she/they reside(s)in evidence to be the individual(s)whose name(s)is(are)subscribed
to the within instrument and acknowledged to me that he/she/they
(ifthe place ofresidence is in a city,include the street and street number,if executed the same in his/her/their capacity(ies), that by his/her/
any,thereo)9;that he/she/they know(s)to be the individual described their signature(s)on the instrument,the individual(s),or the person
in and who executed the foregoing instrument;that said subscribing upon behalf of which the individual(s) acted, executed the
witness was present and saw said instrument.
execute the same;and that said witness at the same time subscribed
his/her/their name(s)as a witness thereto.
BARGAIN cit SALE DEED
WITH COVENANTS AGAINST GRANTOR'S ACTS
// aa DISTRICT 100
TITLE NO. A'Ar 6 Ih J",b SECTION 079.00
STANLEY G.BROWN BLOCK 07.00
LOT 044.000 .Ola
COUNTYORTOWN SUFFOLK
TO
PETER SOLOWSKY and DORIS SOLOWSKY
RECORDED AT REQUEST OF
Fidelity National Title Insurance Company
RETURN BY MAIL TO
MFLITY NATIONAL TITLE
INSURANCE COMPANY 3ERRI A. NESQ.
tvcoxraaAren 1'928 35 PINELAWAW RN ROAD,STE 218E
MEL.VILLE,NEW YORK 11747
Fidelity SV--l-
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Mam&r Nrw Ynrt Smts land 9Cdt Assaiodvn
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PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS(RP-5217-INS):www.orps.state.ny.us
FOR COUNTY USE ONLY i1 ' /) ' r Y.
a
.C1.SMS Coda `'�r / () { Now York State Department nt of
�J 1 , Taxation and Finance
C2.Date Deed Recorded I_ "t 1 Ll 114"I I Office of Real Property Tax Services
own fey a� RP-5217
�Y'7(� �` ��t
C3.Book 1 I C4.Page L ..�, t+r I I Real Property Transfer Report(8110)
PROPERTY INFORMATION
1.Property 11 -�T�flward Drive I
Loauon
I Southold1 111971 1
CITY a TOWN m e aPGgeE
2.Buyw (_BA¢gxut I Joseph t
Noma -NIwE r GUMNAer'r i r NAta
I mazes- xis, Mary _J
3.Tax Indicate where future Tax Bills are to be sem
Billing If other than buyer address(at bottom of forth)I1 FlRst'NAME I
Address MANS I cox-
(�sg _ _ ORTOWN I A" I I
4.Indiate the number of AseassmeM ❑ (Only y Part of a Parcel)Check as ela)r apply.
RMI parcels transferred on the tlsod (� 0 Parcels OR Part of a Parcel 4A.panning Bard with Subdivision Authority Exists ❑
S.Deed 40.Subdivision Approval was Required for Transfer ❑
PropoAy I I X1 �OR
� r 4C.Parcel Approved for Subdivision with Mop Provided
Size rtE
6.sailor I Brown1 Stanley G. 1
Name -i7alNW
7.Check the box below which most accuracy describes Me use of the property at the time at sob: Chock the boxes below as they appy:
Ill.Ownership Type is Condominium ❑
A One Family Residenael 1: Agricultural 1 Community Service a.New Construction on Vacant Land
B 2 or 3 Family Residential F Commercial JIndustrial 10A.Property Located within an Agricultural District
C X Residential Vacant Land G Apartrtrent K Public Service 105.Buyer received a disdosra Indicating
Intlng ❑
D Non-Residential Vacant Land )1 Entertainment I Amusement L I Forest that the property is In an Agricultural District
SALE INFORMATION 1S.Check one or more of these conditions as applicable to transfer:
11.Sale contract Dain l 11 / 07 / 2013, A Sete Between Relatives or Former Relatives
�-sD yveer B Sale Between Related Companies or Partners in Business
C One of the Buyers Is also a Sailer
12,Date of sole I Transfer 1 03 /26 /2014 i D Buyer or Seller is Govemmem Agency or Lending Institution
Yew E Deed Type not Warranty or Bargain and Sale(Specify Below)
F Stile of Fractional or Less than Foo Interest(Specify Below)
G Significant Change in Property Between Taxable Status and Sale Dots
13.Full Salo PriceI _ 1. 2. 5. 0. 0. 0, 0.0 I H Sale of Business is Included in Sale Prim
(Full Sale Price is the total amount paid for the property Including personal pmparty. 1 Other Unusual Factors Affecting Sate Price{Specify Below)
This payment may be in the form of cash.other property or goods,or the assumption of 1 None
mortgages mother obligations.) Please muna t the mrarear svlob doter amount.
14.Indicate the value of personal ,0 - I
property Included In the sob
ASSESSMENT INFORMATION -Data should reflect the latest Final Assessment Roll and Tax Will
16.Year of Asseasment Roll from 17.Tout Assessed Vskrs(of all parcels In hsnsfs ., 1
with Intomuuon taken I L J � 1 4 0 0
18.Property Class 13 1. 11'U 19.School District Nana 1 Southold #473805 i
20,Tax Map Idendfloris)I Roll Identiffor(s)(N more than tour,attach shell with additional hbntfflsr(s))
1 1000 - 079.00 - 07.00 - p/o 044.000 1 I _ I
1 I I I
CERTIFICATION
1 tartly that dl of the lams of IS 10 0 MR enforad an this form are ton.and correct its the best of ray kneadedge and began ane 1 rmderstand thatnr
the ahba of any wastes
Wer atafomant of mstadal fad hapab wgl Subject me to the pwvblau of Ura panel law ralatw to the makkra and filing of false Mwawer".
SELLER SIGNATURE BUYER CONTACT INFORMATION
�/ (Emw Intimation for the buyer.Non:ny
buyer ie U.C.LLC.To .association.corporation.joint nock
�T" I 7 )`' irsiminsfion
/ �� • W en indNkw�dhoo«s army
pe qr not
am wom it gquuesu recording me ba�inla on
mored
SELLew SxiNA � GTE Type or print clearly.)
BUYER SIGNATURE
J O a. I7/1
-r-
ITIS1 NAM
C/ Vatrr[A aw: +- GTE .I
BUYER'S ATTORNEY AREA CODE TCLCPNDNCNUML'N
Chino, Esq. 1 Jerrri AnnLAST MAW. FIRST NAME
1
STREET NUMBER STREET VAMC
631 1 271-8722
AREACOeE TELOWEmawER
NEW YORK STATE CRYORTOM STATE ai`om
COPY