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HomeMy WebLinkAboutTR-555TOWN OF SOUTHOLD BOARD OF TOWN TRUSTEES Pursuant to the provisions of Chapter. 615 of the Laws of 1893 of the State of New Y, ork; Chapter 40i~ of the Laws of 1952 of the State of New York; the vis$ons of an ordinmnce entitled "Southold Town Ordinance Regu~ting the Placing of Obst~cti~ns in and on Town VFaters and Public Lands, ~d ~e Rem~ of Sand, Cravel or .other A~a~ria~ from Lands under ~own Water", and ~ acc~d~ce with the resoIution of ~e Board .~f T~JsZees of the Town of Souk~old a~opted at a meet- mg of said Board on ...... ~ .2~. ~9 ...... and in consideration of the sum of $.. ~,O.~.., lawful money of the United States, p~d by . ~l~.~.~ residing at ...~i~.~,. ~e~..~,~, ......... ,, New ~ ~e said Board of T~stees of the Town of Southo!d, Suffolk County, New Ye~k, h~e~y authorized ~md pex'mits said ...... ~A~y..~,..~a~e ................... :. to c~ruc~ a ~lk~y and dock 40' x 6' in ~st ~e~ N~ Suffolk, al~ in a~cor~ ~ ~e a~lication ~~. The said .... ~.~..~.I~.e~..~,..Q'~.Q ........... , as part ~of the consideration roi' the issuance of this permit does hereby release the said Board of Trustees and the Town of Southold from any and ail d~mages claims for damages or suits that may arise .or occur directly or indirectly as a result of any operation carried on un- der and pursuan~ to this permit, ~knd will at his own expense, defend any and all suits which may be brought by third parties, as a result of any operation carried on pursuant to or in accordance with the terms of this permit, and assume full liability with respect thereto to the complete exclusion of said Board of Trustees and the Town of Southold. TIqIS PERMIT is subject to the following terms and conditions: 1. That there shall he no u~easonable interference with navigation as a result of the work herein authorized. 2. That there shall be no interference wi*~ the right of the public, to pass and re- pass along that portion of the beach between Iow and high water mark. 3. That the work shall be subject ~o the supervision and approval of ~the said Board of Trustees or its agents. zt. That if future .operations of the Tow,n of Southold require the removal and/or alteration in the location of the work herein authorized, or if~ in the opinion of the Board of Trustees of the Town of Southald, such work .shall cause un- reasonable .obstruction to free navigation, the said . $.t,~i%],Q~. ~..,....C.~.~~ ...... will be required upon due notice from the said Board of Trustees, to remove or alter the location of the w. ork hereby authorized without expense 1;o the Town of Southold, so as ~o render navigation reasonably free and unobstruct- ed. The authority conferred by this permit may be terminated bythe Board of Trustees for a failure on the part of the said ................. .~...~..a...n..~..e.y....G..:...~.a_.s..e. ............................... to comply with the terms and conditions herein imposed. In the event of such termination, this permit shall be deemed revoked five (5) days after the date when the Board of Trustees shall mail to the said ........S.~].e,y...tG,...Cas. e ........................................ at the address given in his application, a certified copy of a resolution of the Board of Trustees directing such termination. IN WITNESS WHEREOF, the said Board of Trustees of the Town of Southold has caused its corporate seal to be hereunto affixed and these presents to be subscribed by a maiority of the said Board of Trustees, the day and year above written. ....................... (L. S.) S.) S:) STATE OF NEW YORK ) SS: COUNTY OF SUFFOLK ) ON THIS ........ .~.~ ....... day of .................. ~ ........................ , 19....~..~.., before me oersonally appeared Alvah B~ Go,Lc]smith, ~'rank DaWson, John F~~ ~Nu[~y, George Simpson an~ Douglas Robertson, all personally known to me, who, being by me duly sworn, severally said that they each resided in the Zo~n of Southold, County of Suffolk, State of New York, and were member~ of the Board of Trustees of said Town of Southold and constituted a majority of the same; that they ~new the corporate seal of said Town of Southold; that the seal affixed to thc foregoing instrument was such corporate seal; that it was so affixed thereunto by order of the Board of Trustees of said Town of Southold and that each one signed his nbme thereto os a Trustee and by like order. File~ ~ Notary Public (~ ¥1ARIOr~ A. REGENI ~o'r~R¥ PUBLIC, State of New ~'or~ ~O~_~d~ NO. I TOWN OF SOUTHOLD BOARD OF TOWN TRUSTEES TOWN CLERK'S OFFJCE SOUTHOLD, N. Y. ..... Application No .......... Examined ................................ 19 ..- ......... Approved .... ~ ................... "~ P r it No ....... ............ APPLICATION FOR PERMIT INSTRUCTIONS A. This application to be completely filled in by type~vriter or in ink and submitted to th~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 applica'tion. C. The work covered by this application may not be commenced before the issuance of a permit. 13. 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 ail times. E. Applicant shall notify the Board of Trustees upon completion of the work covered by permit. APPLICATION IS HI~I~EBY MADE to the Board of Trustees of the Town of Southold, Suffolk County, New York, for the issuance of a permit pursuan1 to the laws, Ordinances and re,malarious governing construction of: docks, piers, bulkheads, jettys and dredging in, under, and over the w~ters of Town of Southold. The applicant agrees to comply with all applicable laws, ordinances, regulations and conditions specified by said trustees, and to hold the Town of Southold, and all Town officials free from liability and d~ages of any kind. ~i~ ~u~ zo: ....... ~~~... ~ ~+~..~.. ~.~ .~ · ~. ~... Size of Proposed Work: Length .... ~d. 5 .... Width . .~t .... Heighth Above High Water 13epth Below Low Water ..t7 ....... :.. Average ~se In Tide ~ .~.~ /' ...... Yards to Be Excavsted ...~ ...... Width of Canal, Creek or Bay Frontin~ Properr)~./~7. J ........... Depth at Low Tide ~.( ............ Is This For Private ~r BusinessUse?...~L~...} ............. 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 dcposes and says that he is the applicant for the above described permit, and 'that all statements contained herein are true to the best of his knowledge and belief: thai the work will be done in the manner set forth in the application and as approved by the Board of Trustees of the Town ol 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 virtue o~ said permit. ~ (a~plicam) Sworn to before me this .... ~ ...... day~..~ ........... 19..~.~' -- ~OTARY PUBUg $~ta a~ ~a~ 27, 69 CaSe ~, Cut=hogue, N.Y. ~ O0