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I
TOWN OF SOUTHOLD
BOARD OF TOWN TRUSTFEES
PERMIT NO. ../...
Pursuant to the provisions of Chapter 615 of the Laws of 1$93_of the State
of New York; Chapter 404 of the Laws of 1952 of the State of New York;the pro-
visions of an ordinance 'entitled "Southold Town Ordinance Regulating the Placing
of Obstructions in.and on Town Waters and Public Lands,and the Removal of Sand,
Gravel or other Materials from Lands under Town Waters",and in accordance with
the resolution of the Board-of Trustees of the Town of:Southold adopted at a meet-
ing of said Board on ..A�Ii:oiary..1 a.IM& ,, and in consideration I of the sum
of .!+ ... lawful money of the United States, paid by . i*Iq�kkq. a 1 l
residing at s'1 .Pine,Tree-P''•'• ?�[1� � New York, the said
Board of Trustees of the Town of Southold, Suffolk County, New York, hereby
author%Zed and permits said .. � �� d� � ...................... to
dr e :ate ,aboxe lire 200" X 401 in front of her prOpOgy
y
on Little r**k All accordance wig the appl scat_R
The said 1:Le.1>cmpaVolf.......... 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 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 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 Southold.
THIS PERMIT is subject to the following terms and conditions:
j 1. That there shall be no unreasonable interference with navigation as a result of
ll the work herein authorized.
2. That there shall be no interference with the right of the public to pass and re-
pass 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 the said
` Board of Trustees or its agents.
4. That if future -operations of the Town of Southold require the removal and./or
{ alteration in the location of the work herein authorized, or if, in the opinion
of the Board of Trustees of the Town of Southold, such work,shall cause un-
reasonable obstruction to free navigation, the said ..
will be required upon due notice from the said Board of Trustees, to remove
or alter the Location of the work hereby;authorized without expense to the
Town of Southold, so as to render navigation reasonably free and unobstruct-
` ed.