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Home My WebLink AboutTR-566 TOVCN OF SOUTHOLD BOARD OF TOWN TRUSTEES PERi,IT NO ................ Pursuant to the provisions ,of Chap ter 615 of the Laws of 18~3 of the og New ~ork; Chapter ~0~ o~ the Laws o~ 1~52 of the State of Now York; the 7~s~ons o~ an ordin~ee en~itled "Southold Town Or~n~ee ~egulating the Placing ~g Obatruet~an~ ~n and on Town Waters and Publle L~ds, ~d the ~emo~ of Sand, Gr~vel or ,other Materials from Lands under Town Waters", and ~ accordance with E~e resolution of the Bo~d .of T~stees of the Town of Sou~old adopted at a meet- [n~ of sajd Board on .~..~$,..[9~.8. , and in co~ideration of the sum ,ID0 of S...~.~.., lawf~ money of ~he UniIea States, p~d by ~a~Te~' ~'" reCdin~ at ..... ai~ .~k. ~,-S~Za,. L.I-..,., Ne; ~gr~, ;~; said Board of T~szees of the Town of .Southold, Suffolk Connty, New York, hereby authorized ~d Dermi%s said ...... ~a~fs..~g~ ........................ to at.ge in ~e ~a~ qrass ~ u~e~the fi11 wi~ ~Op soil along f~ntage of his pro~rty on ~e ~e~, all i~ a=cor~nce with ~e ap~licati~ sub.tied a~ ~e The said ...~rl~8. ~ ................ as pa~ .of the consideration for the issuance of ~his pemit does hereby release the sa~d Board of Trustees and the Town of South.old from any o_nd al! damages claims for damages or suits may arise or occu~ directly or indirectly as a result of any operation ca~ed on der and pursuant ~o this pe~it, and wiI1 ~T his own expense, defend ~y ~d .all su~ts which may be brought by ~hird parthes, ~s a ~esutt of any operation c~ed on pursuant ~o ,or in accordance with the terms of ~is pemit, and assume f~l liability with respe~ ~hereto to the complete exclusion of said Board of Tm~ees and ~he ~own of Southold. TH~S ~RMIT is subject ~o the following ~ems and conditions: I. ~at fi~ere sh~l be no ~reasonable interference with navigation as a result of the work herein authored. 2. What there shah be no interference whth ~e r~ght of the public to pass and pass along Shat potion of the beach between low and high water 3. Th~ the work shah be subject '~o the supervision and approval of the said Bo~d of Trustees or i~s agents. 4. That ~ future operations of ~he Tow,n of Southold require the removal alterat~on ~n the location of the work herein autho~zed, or E, in the opinion of the B~rd of Trustees of the Town of Southold, such work mhall cause un- reasonable obs~uetion ro free navigation, the said . .C~r~S. ~ag~m ....... wH1 be requ~d upon due notice from the said Bo~d of T~stees, ~o remove or alter the location .of the work hereby au~orized without expense go the Tov~ of ~uthold, so as ~o render ~vigation reasonably free and unobstruct- ed. The authority conferred by this permit may be terminated by the Board of Trustees for a failure on the part of the said ................. ~..~..[..e,,.~.....G.a,~,.?..~. .................................... to comply with the terms and conditions herein imoosed. In the event of such termination, this permit shall be deemed revoked five (5) days after the date when the Board of Trustees shall mail to the said ............. ~.~...~..e..~.....G...~.~_e..~. ........................................ at the address given in his application, a certified copy of a resolution of the BOard of Trustees directing such termination. IN WITNESS WHEREOF, the said Board of Trustees of the Town of Southold has caused its corporate 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. seal . (L. S.) .. ~/?....~T~..~(L. Sm) .... ...... .~../~. · .... (L. S.) STATE OF NEW YORK ) SS: COUNTY OF SUFFOLK ) of ...... ~e.?..e.~ .......................... , 19..~...8...,--- before me ON THIS ....~ ....... day personally appeared Alvah B. ~oldsmith, Frank Dawson, John F. ~NuI~y, George Simpson and douglas Robertson, all personally known to me, who, being by me duly sworn, severalJy said that 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 Southold and constituted a majority of the same; that they knew the corporate seal of said Town of Soathoid; that the seal affixed to the foregoing instrument was such corporate seat; that it was so affixed thereunto by order of the Board of Trustees of said Town of Southold and that each one signed his name thereto os a Trustee and by like order. .... ......... Notary Public FO1LM NO. 1 BOARD OF TOWN TRUSTEES TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined !~19 /f Application No~,: ............... Appr°v~ '~' ' ' :-~ ........................... i ............ ~>ermit No ....... d..~...'~. Disapproved a~ c ......................... ~ ................................................................... ..................................................... chairman. Board of TrusTees APPLICATION FOR PERMIT INSTRUCTIONS A. This application to be completely filled in by %ype~x, riter or in ink and submitted to the Town Trus'tees in duD- licate B. Plot plan showing location of lot and buildings on premises, relation to adjoining premises, public streets, parks. em,. and §iicing detailed description of proposed ]ayo~Jr of project z~tust be aragon on diagram which ~s part of this applica'tion. .__ ~_ ~ . C. The work covered b~--'th~s apphcahon may nor be commenced bi'fore the issuance of a permit. D. Upon ~pproval of this :'application, Town Trusrees will issue a permi'r re applicant. Such permi{ ~all be kept ,~i-emises and available for inspection at all times. E~ ~Spplicant shall notify the Board of Trustees ;ripen completion of l/~e work covered by permit. APPLICAT~[ON -IS HEREBY MADE to the Board of Trustees of the Town of Southold, Suffolk County, New York. for ~heSissuance of a'permit pursuant to the laxvs. Ordiuances ~d regulations governing construction of: docks, piers, bu klie_ads, .lgttys and/dredging in. under, and over the warersr-~of Town o£ Southold. The applicant agrees re comply wi{h alt~ applicabl~,laws ordinances, regulations and conditions specified by said trusteeS, gnd to hold the Town of Souihold. and ail Town officials free f-~om liability and damages· of any kind. Otiarles A, ~agen Xame of Owner of Premises ~ ~ Street Address of ProperTy Ole ow are~O~ go~l¢bJ~l~l~ l~'.' ................................. Home Address If Other Than Location ...2.0.4..0..P.i.~.e...N.e.o..k..~.o..~. ~. ~o.g~.h. Ql.~..~...~',. J-~1,9.7~ ..................... Creek, Bay or Harbor Fronting Pre perry ..... ¢00~.~ .0Z~.ek ......... : .......... : ..... : ........... ~ .............. Permits Requested To: pp. p. !?..%op.: ............ Size of Proposed ~¢?ork: Length ................ YVidth ........... Heighth Above High Water .............. Depth Below Low Water .............. Average Rise I~l ~idA:~. ............. Yards ~o Be Excavated ............ xArldth sf Canal,~Creek or Bay Fronting Property ........................ Depth 'at Low Tide .................. Is This For Private Br Business Use? . .~..:~ ...... %.~.. ,.~ ~., ....,}:%:~v~,.:.< ~. ..... Area Zoning .................... Complete plot Ii[an to be drawn on r~erse side of this application. STATE OF NEW YORK ) )s.s. COUNTY OF ) ~ ............................ beir~g duly sworn deposes and says that he is the applicant for the above described permit, and Zhat ail statements co,rained herein are true to the best of his knowledge and belie~; that the work will be done in the manner set forth in the application and as approved by the Board o~ Trustees of the Town of Southold, and the applicant agrees to hdld' the Town of Southold arid said trustees hhrmless and free from any and all iamages and claims arising under or by virtue of said permit. //ff ' Sworn to b~,,me t~,h~ ... ~:;~ ....... day~~ .... 19~ ~/.~. ~JARIO~ A. R[GEN/ NOTARy PUBLIC. State of New York Re, 52-3233120 SuNolk Countv~ Ter~ ~plres Nlarci~ ~0. 19~ ~