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Home My WebLink AboutTR-537 TOWN OF SOUTHOLD BOARD OF TOWN TRUSTEES PER1V~T NO ...... ~'.~. ,~.. .... Pursuant to the provisions of-Chapter 615 of the Laws of 1893 of the State of New ~ork; Chapter 404 of the Laws of 1952 of the State of New York; the pro- visi~n.s of an ~r(~nance entitled "Southold To~ Ord~anceRe~aling~he Placing of Obs~ctions in and on ~own Waters and Public L~ds, and ihe ~ov~ of Sand, Gravel or ,other Maie~ais ~rom L~ds under Town Wate~ , ~ ~ accerdance with :: the resolution of the Boa~ ,of Trustees of the ToWn of Sout~old a~opt~ .at a meet- ~ lng of said Board on .. ~ii. ~4~..1~9. ...... and ~ eonsid~io~ 0f the sum r2 Of $. ~JA~..., lawful money of the United States, paid by residing ~t., '.~. ~',.':S~Xd,..~,~ ........ Bo~r~ of Trustees~: of the T~n of Southold, S~o~' County, New ~ork,. hereby ~ , authored and permits said . :.Ri~O~ :~..Hi~ ................. '. to The said .... .P.~I~.I~..1~,...t~,~.(11~..t~ ...... , as part .of the consideration for the issuance of this permit does hereby release the .said Board of Trustees and the Town of South.old from any and all d~mages claims far 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 .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 T~own of Southold. THIS PER1VIIT is subject to the following terms and conditions: 1. That there shall be no um-easenable interference with navigation 'as a result of the work herein authorized. 2. That there shall be no interference with the right of the public tp pass and re- pass a]ong that partion of the beach between low and high water mark. 3. ~P,~at 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 Tow.n of Southold require the removal and/or alteration in the 1.ocation of the work herein authorized, or fi, in the opinion of the Board of Trustees Of the Town of Southo~d, such work shall cause un- reasonable ,obstruction to free navigation, the said . will be ree/uired 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 ~o render navigation reasonably free and unobstruct- ect The authority confeired by this permit may be terminated by the Board of Trustees for a fa ute on the part of the said ........... ?..~...e..r...~..o..~......~.~....~..~...1..~ ........................... to comply with the terms and conditions herein imaosed. In the event of su6h teFmination, this permit shall be deemed revoked five (5) days after the dat~ when the Board Of Trustees shall mail to the said .............. ?..'~.e.~,.,~.,..,....~..~.~...~.~ ........................ at the address given Jn his applica~fion, a certified copy of a resolution of the Board of Trustees directing such ~ermination. IN WITNESS WHEREOF, the said Board Of Trustees of the Town'of Southold has caused its corparate 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, ~: .... (L. S.) ........................................................ (k. STATE OF NEW YORK ) SS: COUNTY OF SUFFOLK ) OH THIS ...~ ...... day of ............ ~, ............................. , 19..~...0...., before me oersonally appeared Alvah B. GOldSmith, Frank Dawson, ~ ~',r ~eO~e Simpson and Douglas Robertson, all personally known to me, who, being by me duly sworn, severally said that the~ each resided in the Town of Southold, County of Suffolk, State of New York, and were members of the Board o~ Trustees of said Town of Southold and constituted a majority of the same; that they knew the corporate seal of sa~d Town of $outbeld; that the seal affixed to thc foregoing ~nstrurnent was such corporate seal; that it was so affixed thereunto by order of the Board of Trustees of said Town of Southold and thor eoc~ one signed his name thereto os ~ Trustee and by like order. ~o~ Public ,erin Exp, res M. arc~ ~0. 19~ / FO]~ 'NO. ! TOWN Ol: SOUTHOLD BOARD OF TOWN TRUSTEES TOWN CLERK'S OFf:iCE SOUTHOLD, N. Yi Examined .. Application ~To .................. ....... ,..( ...... ¢ .., ........... 19 .... ~' ~..r~-'~ ~/' ........... Approved .... APPLICATION FOR PERMIT INSTRUCTIONS A. This application to be completely tilled 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, relation to adjoining premises, public streets. parks, etc.. and giwng detailed description of proposed layout of project must be drawn on diagram which is part of this application. C. The work covered by this application may nor be commenced before the ~ssuance of a permit. D. Upon approval of this application. Town Trustees will issue a permit to applicant. Such permit shall be kept on the premises and available {or inspection au all 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 Tows of Southold, Suffolk County, New York, {or 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 waters of Town of Southold. The applicant agrees to comply with all applicable laws, ordinances, regulations and conditions specified by said trustees, and to hold the Town of Southold, and all Town offfi-cials free from'liability and damages of any kind. Name of owner of premises . .J~u:lge. R:J.~l:s0n. P~;..H:l,l~tr.~h ......................................... Street Address of Property . ..H~.I:..1..S..~?:?.o..~.%..S..o~..~..h~..t.~.,...i~??...Y.o..~.k. ........................................ Home address If Other Than Location 17.6. P~'~e:r$i~l~. &~..~lt~e ~. g~:~a;.il[i ~. AI~*. XOI~ .................. Creek, Bay or Harbor Fronting Property . .~..°.~.k. 9~...~.l[.e..erk. ..................................................... Permit Requested To: ...D.~.~.d~...l~,d..~.o~.§}.z.~.C.~.~.o..n.~DO..e~ . ^,-.. · u~ea~:j~: ~,~ m:~':Bu ....................................... Size of Proposed Work: Length-Dook.: .... 4On..WidthDoek.~. 5*.-..Heighth Above High Water.Dg. :~q. ;..1..8."... Depth Below Lo~v -Water.D.~.:. .5..~ ..... Average Rise In Tide...~.8..n ........ Yards to Be Excavated..B..0~...~..d.~ .... %¥idth of Canal, Creek or Bay Fronting Property ...... 5.9.0.[ ........... Depth at Low Tide Is This For Private or Business Use? .. ?..~!y..~.~.e. ...................... Area Zoning ...R.?.~.~..d.e?.~.~..1 ......... Complete plot plan ro be drawn on reverse side of this application. STATE OF NEW YORK ) ) S,S. c ) ?~ .~'~.~... being duly sworn deposes and says that he is the applicant for the above de- scribed permit, and that allUstatements contained herein are true to the be~t of his 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 ~rom any and all damages and claims arising under or by virtue of said permit. Sworn to before me this .... ~(~ .... day o~.~. ...... 19.*~... _ CO.. UA '._ / ~ ~ ~ ~ ~ _~ NOTARYPUBLI~,~teofNewYo~ ~~¢ ' ' ~ - Qualified in Suffolk Cou~/ Term ~pir~ March ~, 19~