HomeMy WebLinkAboutTR-135-1-3C)f $outhold Town Trustees
SOUTHOLD, NEW YORK
PERMIT NO.._| '~.T ~.Z.~ DATE:
ISSUED TO ........ ~,.~i~.~ ~L~...j........~;~ .........................................
Pursuant fo the provisions of Chapter 615 of the Laws of
the State of New York, t 893; and Chapter 404 of the Laws of {'he
State of New York 1952: and the Soufhold Town Ordinance-
titled "RE~ULATIN~ AND THE PLACIN~ OF OBSTRUCTIONS
IN AND ON TOWN WATERS AND PUBLIC LANDS and the
REMOVAL OF SAND, ~RAVEL OR OTHER MATERIALS FROM
LANDS UNDER TOWN WATERS;" and in accordance with the
Resolution of The Board adopted at a meeting held on _.!~
19 .... and in consideration of the sum of $. ~;~pald by
of ................................................................ N. Y. and subject to the
Terms and Conditions listed on the reverse side hereof,
of Southold Town Trustees authorizes and permits the following:
all in accordance with the detailed specifications as presented
the originating application.
IN WITNESS WHEREOF, The said Board of Trustees here-
by causes its Corporate Seal to be affixed, and these presents to
· d majorlfy of the said Board as of this date.
be subscribe by a
Trmtees
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V~ew
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........................................................................... TRANSMISSION RESULT REPORT .................... (JUL 01 ~99 10:08RM)
SOUTNOLD TONN HALL 516 765
.............................................................................................................................. ' ...................................... (AUTO) ....................
DATE START REMOTE TERMINAL TIME RE- MODE TOTAL PERSONAL LABEL FILE
TIME IDENTIFICATION SULTS PAGES MO.
JUL 01 iO:06AM 5iG28@Gi36 02~2i'' OK S 03 010
E)ECM >)REDUCTION S)STANDARD ~)MEMORY C)CONFIDENTIAL ~)BATCH
D) DETAIL $ ) TRANSFER
F) FINE P) POLLING
TRUSTEES
John M. Bredemeyer, III, President
Henry P. Smith. Vice President
Albert J. Krupski. Jr.
John L. Beflnoski. Jr.
John B, Tuthill
Telephone (516) 765-1892
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
SCOTT L. HARRIS
Supervisor
Town Hail, 53095 Main Road
P.O. Box 1179
Southold. New York 11971
Fax (515) 765-1823
Telephone (516) 765-1800
GRANDFATHER APPLICATION
1. Name of Applicant:
2. Mailing address:
3. Address of Property:
Tel. No:
Tax Map Number: 1000- ~--~ --2 Approx.yr.of construct: Iq,~-~ ·
Prior owner if known: ~_%%a, ~F1 f3C/J ~ ,
Diagr~ of existing structures, including all dimensions, ~st be
included wi~ ~is application:
Indicate on attached map: Location, ie; reference point, telephone
pole number, adjacent Pr~c./~~/
Signature of applicant~.~..jf~//~ Date: 1~-~%. ~
Please note, there is a one time fee of $50.00 for filing this
application.
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