HomeMy WebLinkAboutTR-97 IOWN .OF SOUTHOLD
BOARD OF TOWN :I:RUSTEES
Pursuant to the provisions of Chapter 615 of the Laws of 1893 of the State of
New York and Chapter 404 of the Lows of )952 of the State of New York and in accordance
with the resolution of the Board of Trustees of the Town of Southold adopted at a meeting
of said Board on A~r ~, i 25 ~ %9~50 o and in consideration of the sum of
$ ........ ~.5...~..0...0. ............. lawful money of the United States, paid by ..~.z'...~..o..~...%~..%...~..o...e.~.~..e.~
residing et ....~..~..~..Z..e.....~.,¥..e..~.~...e.¢....~..o..~.o..~.~¢....Tv.,4¢, ..... New York,
the said Board of Trustees of the Town of Southold, Suffolk County, New York, hereby
authorizes and permits said ..........~..r...~..o...Z.....~..~....~g.¢b.~.¢..r. ................................................. to
erect a dock in fron~ o:~ his i~rol~erty on TO~¢:., C~eek~
~ll in accordance wit~% the a~plication submitted.
The said .......~Z:o~,..g¢.,..~o~ ........................ , as part of the consideration
for the issuance of this permit does hereby release the said Board of Trustees and the
Town of Southold from any and all damages claims for damages or suits that may arise or
occur directly or indirectly as a result of any operation carried on under and pursuant to this
permit, and will et his own expense, defend any end ail 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 Southo!d.
THIS PERMIT is subject to the following terms and conditions]
1. That there shaIi be na unreasonable interference with navigation as a result of the
work herein authorized.
2. That there shall be t~o interference with the right of the public to pass and repass
along that portion of the beach between low and high water mark
3. That the work shall be subject to the supervision and approval of tee said Board of
Trustees or its agents.
IN WITNESS WHEREOF, the said Board of Trustees of the Town of Southoid has
caused its corporate seal to be hereunto affixed and these presents to be subscribed by
o majority of the said Board of Trustees, the day and year above written.
seol ~-~-e~ ~-- ..~.k..:~-...(b $.)
...... ~Ti~¢~.~ ~ .~.~....A<L~;.~:~.~: ~z.'.~.. ~...xZ ( L S.)
....... .......
~ff.~.~cJ..Lf..~,.L~[z~.~,f__ ....... (L. S.)
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/
STATfi OF $[W YORK )
SS:
COUNW OF SUFFOLK )
ON TH[S.~.~.~..day of ................ .~.~=e .................. , i9.....~.~.., before me
personally appeared ~
of ~a~e!, ~.Y. and Aiv~
Oil personally known
to me, who, being bv me duly sworn, severally said ~hot 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 SouthoJd and constituted o mojori~ of fha same; that they
knew the corporate seal of said Town of Southold; that the seal affixed to the foregoing
]nsfrumen¢ was such corporate seal; that it was so affixed thereunto by order of the
Board of Trustees of seid Town of SouthoJd and that each one signed his name thereto
Notary Public
I~OI~M NO. 1
TOWN OF SOUTHOLD
BOARD OF TOWN TRUSTEES
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Examined
Approved
Disapproved m c ............................................................ ~
.................................. ~m.~. c~mn, Boa~d of ~tees
APPLICATION FOR PERMIT
INST~UOTIO~S
A. ~is app~cation ~o be completely fi~ed in by type~'iter or in ~ an~ sub~tted to th~ To~ T~s~ees ~ dup-
licate,
B. Pier pl~ showing location of lot a~ b~ngs o~ pre~ses, re~tion ~o a,~oining presses, pubic sireets,
parks, etc., an~ gz~ng detailed description of proposed l~o~t of project must be dra~ on ~agram which ~ p~ of
this application.
C. The work covered by th~ application may not be commeaced before the iss~ce of a ~ermit.
D. Upon appr~vM of this app~cation, Towa T~stees w~ issue a permit ~o app]ic~t. Such per~ sh~ be kept
~n t~e premises an8 ava~able for i~pection at aH times.
E. Applic~zt sh~ hOlily the Bo~d of T~stees u~o~ completion of the work covered by petit.
APPLICATION IS HEREBY MADE to the Bo~ of ~tees ~f the Town of Soathold, S~folk Cowry, New Yo~k,
for ~h~ issuance of a pe~t p~sua~t to the laws, Or~aaces a~d reg~ations gove~ing ~nstr~ction ~f: docks,
p~e~s, bn~eads, jettys a~d dredg~g in; ~der, ~a over the waters of Town o~ So~i~old. ~e app~cant agrees
to comply with ~ applicabl~ la~, ordinances, reg~tions ~ conditions spic.e8 by said trustees, ~ to hold
the To~m o~ Semibold, ~d an To~ o~c~s free from ~ab~ty a~d damages of a~y
Name o~ owner of premises ................ ~..__~.~..~.~._..~;~.~.~ .................... .~ ..............................................................................................................................
Street Ad.ess of Property ................ .~C...~.:~.~_.~a ...................................................................................................................................................
Home a~ress ~ Other ~a~ L~cation ......... ~e .................................................................................................................................................................................
~e~k, Bay er Harbor Fronting' Probity .......... ~..~.~ ..............................................................................................................................................................
Pe~i~ Requeste~ To: ..~ ............... ~_.~a~..~.~ ................................................................................................................................................................
W~ay-98~ ~ng, 5~-0'' W~de. Doc~lZ~ Wide, 20~ Lon~ ~ ~,,
M~e of ~roposed Work: Len~h ........ .(~fi~ ............ Wi~lh ~.~i~...._ ~eig'ht~ Above ~g~ ~mter ........
~ ~e . 2~ 3"
' ' . ............. .............
Is T~s For P~vate or Business Use? .............. ~_~.~ ................................. Area Zoning Ke side~i~
Complete plot plan to be dra~ on reverse side of this app~cation.
See Attached Dr~wings.
STATE OF NEW YORK)
)s.s.
0OUNTY OF )
................................................................................ being d~ly sworn, deposes and says that he is the applicani for the above de-
scribed permit, amd that ali statements contained herein are true to the best of his knowledge and belief; that the
work will be done in the mamner set forth in the application and as approved by the Board of Trustees of the Town
of ~outhold, and the applicant agrees to hold the Terra (~f Southold and~d trustees harmless and free from any
and a]l damages amd claims arising under or by virtue of said per~t~ ~ ~
(applicant)
Sworn to before me this .............................. day of .............................. 19
N~tary public .................................... county of ....................................
Sout~old April 26, 60
Errol W. Doebler
Maple L~_ale, Soutllold, L.I.
A~r. 25, '60 Permit to e~t dock in ~ Creek $ 15 00
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