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HomeMy WebLinkAboutTR-422 TOWN OF SOUTNOLD BOARD OF TOWN TRUSTEES PERMIT NO. .~I~2 ..... ...... Pu-~sumn~ to the provisions nf Chapter 615 of the Laws of 1893 of the State of New York; Chapter 404 of the Laws of 1952 of the State of New York; the pro- vis~o~s of an ordinance entitled "South,old Town Ordinance Regulating the Placing of Ob~ructions in and on Town Waters and Public Lands, ~d the Re~ov~of Sand, Gravel ar ~other Materials from L~ under To-~ %Varec", ~d ~ aceord~ce with ~ke resolution of the Board of Trustees of the Town of Son.old adopted at a meet- ing of said Bnard on .~~ t~1~7..., and ~ ~nsideration of the sum of S ~O~O.., lawful ~oney of the U~ted States, pa}d by residing at ..... ~. ~a~ · ~0~¢. ~ .......... New ~k, the s~d Board of T~stees of the Town of Southold, Su~o~ County, New York, heresy aut~rlzed and per, its said ~ '~ ......................... The said ... Ul¢~O~- 4~i~e~ .............. as part ,of the considerati,on for the issuance of this permit does hereby release the said Board of Trustees and the Torch of Soutkold from any and ail damages claims for damages or suits that may arise or occur dlrect]y or indirectly as a result of any operation carried on un- der and pursuant to this permit, and will at his own expense, defend any and all suits which may be brought by third parties, as a resuk of any operation carried on pursuant to or in accordance with t~he ~erms of this permit, and assume full liability with respect thereto to the complete exclusion of said Board of Trustees and the Town of Souihold, 2, 3. 4. THIS PERMIT is subject to the following terms and conditions: That there shall be no unreasonable interference with navigation as a result of the work herein authorized. That there shall be no interference with the right of the public to pass and re- pass along that portion of the beach between ~ow a~nd high water mark. That the work shall be subject to the supervision .and approval of the said Board of T~/stees or its agents. ~hat ff future operations of the Town of Southold require the removal and/or alteration in the location of the work herein autho~zed, or if, in the opinion of the Board of Trustees of the Town of Southold, such work shall cause reasonable ,obstruction to free navigation, the said . .~i~.t;~r..~ti~a~h ...... will be required upon due notice from the said Board of Trustees, to remove or alter the location ,of the ~z, ork hereby authorized without expense to the Town of Southold, so as %o render navigation reasonably free and unobstruct- ed. The authority conferred by this permit may be terminated by the Board of Trustees for a failure on the pert of the sa d....~..~.~.~....~..~..~.~ ........................................... 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 shal mail to the said .................. .~.~,~;.~O~...f~,~g~ ............................... 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 sctid 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 majority of the said Board of Trustees, the day and year above written. ....... ........... ....... CL.S., t .-/'~~..~.~.;-.. (L S.) STATE OF NEW YORKo)~S: COUNTY OF SUFFOLK ) ON THIS ...~-~.~ .......... day of....l~. ¢obe~ ............................. 1-~..?....., before me personally appeared ~.~"~h ~, ~:~]LC~, ~r~ ~o~, Jo~ ~, ~c~uity~ C~so~g~ Simpsor~ and D~uglas ~obert~on, all personally known to me, who, being by me duly sworn, severally said that they each resided in the Town of Southo~d, County of Suffolk, State of New York, and were members of the Board of Trustees o~ said Town of Southold and constituted ~ majority of the same; that they knew the corporate sea~ of said Town of Southo][d, that the seal affixed to the 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 name. thereto as a Trustee and by like order. Filed: Notary Public NOTARY PUBLIC, S~ate of New Yor~ FOR~ ~O. 1 TOWN OF SOUTHOLD BOARD OF TOWN TRUSTEES TOWN CLERK'S OFF~'CE ~.~ SOUTHOLD, N.Y. ~¢~F'-~ ,z/',d. ~ ~,~, /,~.~ o3~c{~ Examined ............................. 19 ...... Application No .................. · Permit ..... ..... ......... Approved Disapproved a/o ......... ~ ,~ ,~ x~ '/'~".~"/'~"/''"~" '~f-_L ................................................... ......... .~'.qdA'rf:q-k.//..~. ~/~.~t&w..g4.~/-rtM ................ chairman, Board of Trustees APPLICATION FOR PERMIT INSTRUCTIONS A. This application to be completely filled in by typewriter or in ink and submitted to the Town Trustees in dup- licate. B. Plot plan showing location of lot and buildings on premises, relation to adjoining premises, public streets, parks, crc.. and giving detailed description of proposed layout of project must be drawn on diagram which is part of this application. C. The work covered by this application may not be commenced before the issuance of a permit. D. Upon approval of this application. Town Trustees will issue a permit to applicant. Such permit shall be kept on the premmes and available for inspection at all times· E. Applicant shall notify the Board of Trustees upon completion of the work covered by permit. APPLICATION IS HEREBY MADE To the Board o[ Trustees of the Town of Southold, Suffolk County, New York, for the issuance of a permit pursuant to the laws. Ordinances and regulations governing construction of: docks, piers, bulkheads, jettys and dredging in. under, and over the wa~ers of Town of Southold. The applicant a~ees to comply with ali applicable laws, ordinances, re~lations and conditions specified by said trustees, and to hold the Town of Southold, and all T, own officials~e from li~ility and damages of any kind. kTame of owner of premises..~..... ~.~.....~ [.. ~ ...~. ~]...............................~..~ ~~ - Creek, Bay or Harbor Fronting Prop~rty~ ~--~ ....... /..~ ...................................... Permk :Requested To: ..... ~~ ...................................... .............................. Is Thls For Private or Business Use~ . ~~/~ ..... 5// ............. Area Zo~ng Complete plot plsn ~o be drawn on ~everse side of this ~pplicstion. STATE OF NEW YORK ) )s.s. COUNTY OF ) ................................ being duly sworn deposes and says that he is the applicant ~or the above scribed permit, and that all statements contained herein are true ro the best of his knowledge and belief; that the work will be clone in the manner set forth in the application and as approved by the Board of Trustees of the Town of Southold, and the applicant agrees to hold the Town of Southold and said trustees harmless and free [rom any and all damages and claims arising under nr by virtue of said permit. (applicant) Sworn to before me this .............. day of .................. 19 ...... Notary public ...................... county of ...................