HomeMy WebLinkAboutTR-2176 GF'Town Trustees
~ = TERMS and CONDITIONS
'i~ae Pe~z~d~ee,, Nellie S. Egan
.~..~ ~esiding at 575 Mill Creek Drive N.
': lo~ng: 1. T~t ~e T~e P~t ~st ~ pro~y ~lay~ on ~e pr~s
* ~f~ ~y ~g. ~e ~i~ of ~rk ~d~ ~e ~t.
'* ~'* 1. ~az ~e s~d B~d o~ T~s ~d ~e To~ of ~u~o~d
w~& ~peg ~em, m ~e ~mpl~e ~on of &e ~d of T~ of ~e Town ~ ~old
-~ated ~e ~ ~ compIete &e ~k ~volv~ but ~o~d
~ion may be ~de to ~e ~d at a ~ da~ _
~t ~ Pe~t ~o~d ~ ret~ ~d~y, or as lo~
m~ ~ ~e or pmjea ~volv~ to pro, de e~dmce to ~yo~ ~n~m~ ~ ~.
w~ ori~ly ~t~ ............ :
.-l~ agars, ~d non-comp~n~ ~ ~e p~o~iom of ~e o~g appffo~o~ ~y ~ ~e for
~afion of ~ Pe~r ~ r~olu~on of ~e said B~d.
. 5. ~at ~ere ~ ~ no ~on~le interf~ce ~ ~n
h~ein aufl~o~ed.
6. ~t ~eze shall ~ rio ~mfferen~e ~ the d~t of ~e pubUc to
:73~' ~e ~a& be~een ~ ~d low ~ter ~ks.
~a~ E ~mre 0~afiom of ~e Town of ~Id ~e
~e l~on of &e work h~ ~o~ or fi, ~ ~e o~
work ~ nme u~eao~le obs~mon to free ~ga~on, ~e s~d P~ee
u~n due nod~ to ~ove or ~ter ~s work o~ proj~t h~ein stat~ ~out ~s to ~e To~
'* :':--~ 'of Sou~o~-
' ::~:':c' 8. ~at ~e s~d Bo~d wffi ~ no~iM ~ the P~=ee o~ ~e ~ple~on ~ &e Work aut-
o'ed.
9. ~at ~e P~mitt~ WiR ~tMn aU o~er p~m ~d com~ ~t
pl~ent~ to ~is pe~t w~& ~y ~ ~j~ to ~vo~ upon f~ to
(See a~ of~ ~.) -
* ".. ~, :?'-. ':~ -:'5':L. ~,: ~ .',F" :": . ,
~reek.
Name' o£ '~ '
(516) 755-1892
BOARD OF TO~N T~Tg[B
TO~ OF SO.HOLD
Towm HM4 53095 Main Ro~d
P.O. Box ?28
Sout~old. New Yo~k 1197]
GRANDFATHER APPLICATION
dook
2. Address of Applicant.
3. Telephone Number: 0~/~ - 7 & ~'--'- i G ~ 7
4. Year of Construction: ~ ~ /~ ~'
5. Sketch of the work including sizes:
6. Mark off on the map attached, where your property is located
using an X.
Signature: ~./~
Please no~e that there is a $5.00 filing fee, which is a one time
fee, for this application.
Mooring Applications- $5.00 Application Fee and a $5.00 annual renewal
fee each ~ear.
Or TOWN tRUSTEE '--~~.
TOWN OF SOUTHOLD S ~~~
53095 Maln Road Phone 765q892
BOARD OF TOWN
~_. Ch~k ~ ~ ~ .~ - ~ TRUSTEEs