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HomeMy WebLinkAboutTR-1993 GF ALL MOORINGS AND STAKES MUST DISPLAy/VISIBLE MOORING NU~LBERS ALL DOCKS AND BULKHEADS MUST DISPLA~~ VISIBLE PERMIT NUMBERS Board Of $outhold Town Trustees SOUTHOLD, NEW YORK Mooring ~ N/A PERMIT NO ..... ~d~.'9.~. ............... DATE: Au..~4 s:~.._.2.,.._~ 9 8 5 1~117,1'1 Th P.. Edward Die~fenb.ach Pursuant fo The provisions of Chapter 615 of fha Laws of --' The STate of New York, 1893; and Chapter 404 of The L.aws of The STate of New York 1952; and The Southold Town Ord;nance en- Titled "REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LA~NDS and The REMOVAL OF SAND GRAVEL OR OTH.E~ MATERIALS .F. ROM LANDS UNDER TOWN WATERS;" and mn ~ccordance :w~}h The ResoluTion of The Board adopted at a meeting held on Au. gu.s.t:...i.,. :lT..~J_! and in consideration of The sum of $._5...,._Q..Q ........... .paid by of ..... _C_.u_t..9..n.°...g....u.9. ............................................... N. Y. and subject To 'the Terms and Conditions listed on fha reverse side hereof, of SouThold Town Trustees authorizes and peKmffs ~'he following: Application approved under the Grandfather~ ~Iause to secure a permit for a Bulkhead and dock in Cutchogue all in accordance with the application submitted. all in accordance with The detailed-specifications as presented in · 'the originating application. IN WITNESS WHEREOF, The said Board of TrusTees h,ere- by causes its Corporate Seal To be affixed and These presents To be subscribed by a majority of Th, rd as of Name of Creek: (53.5) 765-1892 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 GRANDFATHER APPL~CAT ~ON 2. Address of Applicant: BOX 4f~- 3. Telephone Number: 7 B~ 64~.~-- 4. Year of Construction: ~0 ''" 5. - Sketch of the work including sizes: ~.~ off on the map attached, where your proper~y is located using an X. SignaTure: Please note~that there is a $5.00 filing fee, which is a one time fee, for this applicat'ion. Mooring Applications- $5.00 Application Fee and a $5.00 annual renewal fee each year. ALL DOCKS AND BULK- HEADS ~,1UST DISPLAY VISIBLE PERMIT NUMBERS. BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD ALL MOORINGS AND Telephone STAKES MUST DISPLAY Main Road _(516-765-1892) VISIBLE MOORING NUMBERS. Southold, New York 11971 NOTICE OF ACTION - NOT A PERMIT To....?.~ Edwin Dieffenbach . 1. Your application, dated ..... 3./.1..6./.8.5. .................... has been reviewed by this Board, at a meeting of the Trustees held on..~.u~q~.~.~L~.~5 ........... and resulting in the action, as indicated below: (..X.~] Application approved. ( ..... ) Application denied, { ..... ) Application tabled. 2. Comments and remarks: Application approved as per resolution adopted on August 1, 1985. Please post your permit number on the structure. 3. If your application is approved above, a Permit Fee is now due, and should be made payable to the order of the Board of Southold Town Trustees. This fee is computed below according to the Schedule of Rates as set forth in the Instruction Sheet (Form '1/1). This fee must be paid within 90 days or reapplication and additional fee will be necessary. If the Permit Fee is paid in person to the CIer]~ of the Board, the Permit will be obtainable at the same time. If the fee is paid by mail, the Permi~ will be mailed in reply. 4. Computation of Permit Fee: Total Fee for this application ............................. $ .................. Sign ed~.,,~¢; .,~~.,. ~,-~.. ~..... President, Board of Southold Town Tr~ TELEPHONE (516) 765-1892 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 CREEK STRUCTURES INVENTORY Current Owner's Name.. Dr~~Dc~c~ Index No.~G Address: ~'~< f' ~ 0 Creek: Purchase Date: Telephone No.: Date of Field Work: Previous Owners: Permit Applicant: Permit No.: Permit Specifications: Specifications Found: Condition: Commen~s: