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Home My WebLink AboutTR-577 TOWN OF SOUTHOLD BOARD OF TOWN TRUSTEES Pursuant to the provisions of Chapter 615 of the Laws of 1893 of the State of ~ew ~ork; Chapter 40~ of Ihe ~aws of !952 of the State of New York; the p~o- visions of an ordinance entitled "$out~o!d Town 0~dinance ~gulating the Placing of Obst~cli~ns in and on Town Waters and ~b]ic Lands, and the Remov~ of ~nd, Gravel or ,other ~,~azerials from Lands under Town Wa~rs", and in acc~dance with the resoluffon of the ~o~d ~of Truslees of the Town of South~ld adopted at a meet- ing of said Bo~d on . ~..~.. ~ ..... and m co~ideration of ~e sum of S..~,7~., lawful money of the United States, paid by ~esidmg at .... ~2. ~e~ .~.iV~,..~ki~U~, ........ , New York, the said Board of T~dstees of the Town of ,Southo!d, Suffolk County, New York, hereby authorized and permits said ........ ~. ~ ...................... to build a ~l~d 75 ~eet in leng~ in f~nt of his pro~rty on ~titu~ I~let, all in ac~r~n=e wi~ the s~tted. for the ~ssuance of th~s permit does hereby release the sa~d Board of Trustees and the ~own of Southold from any and all d~es claims ~o~ d~aEes o~ sui%s ~la~ ~ay ar~se or occu~ ~ectly or indirectly as a ~esu]t of any opera~ion ca~ed on un- der and pursuani ~o ~his pe~it~ and w~ll at h~s own expense, defend any ~d all suits ~vh~ch may be brouzh~ by %h~rd Dart~es~ as a ~esult .of Shy oDeration c~ed on p~suant ~o .or in accordance with ~h e terms of ~h~s 9erm~, and assume full Iiab~lity ~h ~espe~ thereto to ~he complete exclus~on of sa~d ~o~d of ~rus~ees and ~he ~own of Southold. THIS PER~IT is subject to ~he fo]lowin~ ~erms and conditions: 1. That there shah be no %mreason~ble in~e~erence %vhh nav~Ea%ion as a result of the ~ork here~n' authorized. 2.The~ ~ahere shall be no interference wi~ the ~iEh~ ~f ~he public Dass a]on~ ~hat port,on of the beach between }o~ and high ~a~er ma~k. ~. Tha~ the vzork ~h~l be sub3ect to the supe~s~on ~d approval of the sa~d Board of T~stees or ~ts aEen~s. ~. ~at if future opera~ions of ~e To~.n of Southold require ~he removal and/~r a!~erafion ~ the ~eca%~on of the work here~n authorized, or ~f, ~n ~he opinion of the Board of T~s%ees of ~he Town of Soutbo]d~ such ~ork .shall cause un- reasonable obs~c%ion [o free navigation, the said . .~r~. ~S ....... ~1~ be required upon due notice from the sa~d Board of T~ustees, ~o remove o~ alte~ ~he location of the ~o~k hereby authorized ~]%hou~ expense ~o ~he To~n of Son,hold, so as %o render nay]Ear,on reasonably free and unobstruct- ed. . The authority conferred by this permit' may be terminated by the Board of Trustees for a failure on the part of the said ......~,.'~..~.~..~.~...~..~...~. .............................................. 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 .............. ~.~....~);)D.:~. ...................................... 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 majority of the said Board of Trustees, the day and year above written. seal .~~~ ....... (L. S.) (L. S.) (L. S.) (L STATE OF NEW YORK SS: COUNTY OF SUFFOLK ) ON THIS ...... J...j....-..... day of ....... .......................... , 19...°..?.., before me personally appeared Alvah B, Golc~s~tith, Frank Dawson, John McNulty,. George Simpson and Douglas Robertson, all personally known ~o me, who, being by me duly sworn, severally said that they each resided in the Town of Southold, County of Suffolk, State of New York, and were members of the Board of Trustees of said Town of Southold and constituted a majority of the same; that they knew the corporate seal of said Town of Southoid; that the seal affixed to thc foregoing instrument was such corporate sea~; that it was so affixed thereunto by order of the Beard af Trustees of said Town of Southold and that each one signed his name thereto as a Trustee and by like or de_ r. ~'~%1i'~ ~ "~'~ Filed= ........ J"~.E..~,~-~j ~' ,NOTARY PUBLIC State o~ No. 52-3233120 Suffolk County T~r,m Expres ~[arc[1 30 FORM NO. 1 TOWN OF SOUTHOLD BOARD OF TOWN TRUSTEES TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ............. Permit No ....... __ __ ............... Disapproved a/c ... .......... ~....~.~ .... 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, rela~tion to adjoining premises, public streets, parks. etc.. and giwng detailed description of proposed layout of groject must be drawn on diagram which is par~ 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 permi~ 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 HEREBY MADE to the Board of Trustees of the Town of Southold, Suffolk County, Nero 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 wazers of Town of Southold. The applicant agrees to comply with ail 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 damages of any kind. Name of Owner of' Premises ...~.Q..~.~.... 1~ .~7/.~./~; ......................................................... Street Address of ProperTy .. ~.~..E .~.(.~..~..'.~. ~ >,...~..~Z-.~.~. ~../.../~.~ ..~.: ............................. Home Address If Other Than Location ....................................................................... Creek, Bay or Harbor Fronting PropertyD .... n~'~' .?-. Z. lz..~ .... ~.~.~ z ...... Permits Requested To: ....... ~).e~.~..~.~.. o ~5..-.~.4~ [~. ~. .................... Size of Proposed Work: Length ...~. ..... Width ...... Heighth Above High Water .. ~ ,~ ....... Depth Below Low Water .............. Average Rise In Tide ............. Yards to Be Excavated ........... Width of Canal, Creek or Bay Fronting Propert?- ...... .-?.~ .' ........... Depth at Low Tide .................. is This For Private or Business Use? .... /[.,.~,~.~..~.~/D, ...................... Area Zoning Complete plat plan to be drawn on reverse side of this application. STATE OF NEW YORK ) )s.s. permit, and that all statem~t,s contained herein are true to the best of hm knowledge and belief; that the work will be done 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 from any and all damages and claims arising under or by virtue oE said permit. Swornto before methis .../~. ...... .~t~ay of .... ~.~.~."~... ....... 19.¢? .... . :W. ...................... ~ ADDLE PAY~