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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 r,`' ,y IQ oF so�Tyo! 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 V yt Notafy Public) LYNDA M 9" NO11MV PUBLIC.Stab of Naw Yak NO.01800020932,Suffolk Term E*ms March 8,91� i fT , s , nip- t � SnO� Low :� ��� (3 - �' rota,.1 �• 1 i.� r � ,.. �r,,,� ,�y,�'' f, •, .,.. �^e".'�� ' � 1�lig of.. Y �. ' P5170005.JPG Fw � ;' i. � '•. '' ice.�, L ,�.4 .�v �•' j' r 1p • "1F 66 ,may.-y.' 7y1 AWrAJI 1 � �� + �X ail i�.�(i* �� ��•w14 �^, . 10 MINNOW 111 1 It RAS. (� + •+' r ' rJ \ , 4 � 1,1 1 t {i 1 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