HomeMy WebLinkAboutMott, James � pF SOUjyol
ELIZABETH A.NEVILLE O Town Hall, 53095 Main Road
TOWN CLERK l l P.O. Box 1179
REGISTRAR,OF VITAL STATISTICS G Southold, New York 11971
MARRIAGE OFFICER Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER l Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER routm,� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
Organization Name: Permit Number: 173
Name: Mott,James C&Wife
Address: 42205 Rte. 48
Southold,NY 11971
City ST Zip:
* * EXPIRATION NOTICE
This is to advise you that your Trailer permit has expired on 12/01/2005
Enclosed is a trailer permit application. Complete the application, have your signature notarized and return
it to this office with the required fee of$100.00 as soon as possible. Please make your check or money
order payable to the "Southold Town Clerk".
If your application and fee are not received by 12/1/2005 the Trailer Permit will be revoked and you will be
required to remove the trailer from the premises. Thank you for your cooperation.
Very truly yours,
Elizabeth A. Neville
Southold Town Clerk �.
i
Enclosure v
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ELIZABETH A. NEVILLE 'l O Town Hall, 53095 Main Road
TOWN CLERK l P.O. Box 1179
REGISTRAR,OF VITAL STATISTICS G Q Southold,New York 11971
MARRIAGE OFFICER Fax(631) 765-6145
RECORDS MANAGEMENT OFFICERl Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER �COU southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
Organization Name: Permit Number: 173
Name: Mott,James C&Wife
Address: 42205 Rte.48
Southold,NY 11971
City ST Zip:
* *RENEWAL NOTICE
This is to advise you that your Trailer permit will expire on 12/01/2005
Enclosed is a trailer permit application. Complete the application, have your signature notarized and return
it to this office with the required fee of$100.00 as soon as possible. Please make your check or money
order payable to the "Southold Town Clerk".
If your application and fee are not received on or before 12/1/2005 your Permit will be revoked and you
will be required to remove the trailer from the premises. Thank you for your cooperation.
Very truly yours,
A
Elizabeth A. Neville
Southold Town Clerk
Enclosure
*0 SOUIyo
ELIZABETH A. NEVILLE �0 lQ Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR OF VITAL STATISTICS N Southold, New York 11971
MARRIAGE OFFICER �O Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER o�y Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER '00m, southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TRAILER PERMIT
Permit Number: 173 Date: 05/31/2005
Issued to: Mott, James C & Wife
Address: 42205 Rte. 48
Southold,NY 11971
A permit is hereby issued to locate a single trailer, as follows:
License No.:
Serial No.: GM 4796AB
Located at: 42205 Rt 48, Southold NY 11971
SCTM#: 59-3-25.1
Pursuant to application dated 05/31/2005. Expiration Date: 12/01/2005
This renewal permit is granted for a six (6)month period.
T-
-Elizabeth A. Neville
Southold Town Clerk
o��OF SO(/ryol
ELIZABETH A. NEVILLE Q Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR OF VITAL STATISTICS H Southold, New York 11971
MARRIAGE OFFICER Fax (631) 765-6145
RECORDS MANAGEMENT OFFICERTele hone(631) 765-1800
FREEDOM OF INFORMATION OFFICER OI�C�Usoutholdtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 324 OF 2005
WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD
ON MAY 24, 2005:
RESOLVED that the Town Board of the Town of Southold hereby grants permission to James
Mott and wife to temporarily locate a single family house trailer, for a six (6)month period,
on their property located at 42205 Route 48, Southold, to be used as temporary living quarters
while they reconstruct their home which was damaged by fire.
Elizabeth A. Neville
Southold Town Clerk
R
o��pF SOUjyol
ELIZABETH A. NEVILLE Q Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR OF VITAL STATISTICS G Q Southold, New York 11971
MARRIAGE OFFICER �► �O Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER ��ry Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER 'roumi southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
APPLICATION
SINGLE AUTOMOBILE TRAILER OR HOUSE CAR
Fee: $100 (for maximum of six (6) months) Must be submitted with application.
Please check one:
New Application ("� Renewal ( ) Permit No.
Received Date: �3�/��
Issue Date: Expiration Date: /W®//IV
Name of Applicano��, /e. ,�;,- ,
Mailing Address:
Telephone No.
Applicant is: ( )Owner ( )Lessee (Agent for Owner ( )Agent for Lessee
Name of Owner of Premises �,�orge.5 M of�
If owner is corporate, signature and title of duly authorized officer:
Number of Occupants 4& Names: A� V d1j Z 2L,,S
MailingAddress
Telephone No.:
Employer of Occupant
(Name) (Address) (Telephone Number)
Property Information
Street address of land on which trailer will be located:
yea. ins
i
SCTM#: ��� /
Existing use and occupancy of premises and intended use and occupancy of proposed trailer:
1. Existing use and occupancy M I)✓(t(14 h 141 Vl .0
2. Intended use and occupancy
3. Period of time trailer is to be located on premise
�t
Lot Size: Front Rear Depth
Date of purchase or lease of land
Zoning District for premises:
Does proposed use violate any zoning ordinance or law? ( )No ( )Yes
If yes, explain on separate paper.
Trailer Information:
Length r Width a Height �a
Registration No. (o Serial No. /�/
Method of Sewerage disposal
Source of Water Supply
Source of Electricity
IMPORTANT
Copy of survey showing location of existing buildings and existing/proposed trailer must be
attached to this application.
State of New York
County of Suffolk
J pma os C HQTT being duly sworn, deposes
and says that that ($)he is the applicant named above and (Ohe is authorized to make and
file this application; and that all statements contained in this application are true to the
best of(heryhis knowledge and belief, and that the trailer will be located in the manner set
forth in the application filed herewith.
(Signature)
Sworn to before me this day of
T , 2
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Notafy Public)
LYNDA M 9"
NO11MV PUBLIC.Stab of Naw Yak
NO.01800020932,Suffolk
Term E*ms March 8,91�
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Town Of Southold
P.O Box 1179
Southold, NY 11971
* * * RECEIPT * * *
Date: 05/31/05 Receipt#: 7207
Transaction(s): Reference Subtotal
1 1 House Trailer Permit 173 $100.00
Cash#: 7207 Total Paid: $100.00
Name: Mott, James C &Wife
42205 Rte. 48
Southold, NY 11971
Clerk ID: LINDAC Intemal ID: 173