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Home My WebLink AboutTR-259TOWN OF SOUTHOLD BOARD OF TOWN TRUSTEES ....... Pursuant to the provisions of Chapter 615 of the Laws o~ 1893 of the State of New York and Chapter 404 of the Laws of 1952 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 .~1]...~]~...~4~ ........................ , and in consideration of the sum of $.3~2.~D.G ................... lawful money of the United States, paid b'F.~,3L~...~,..~:~ ..... residing ot ..~~.t~...~..~]~t..D~.~...~~ New York, the said Board of Trustees of the Town of Southo[d, Saffo[k County, New York, hereby ~uthorizes and permits said ............... ~...~.~...~.~ ............................................. to ~i~ ~ f~a~i~ ~o~]~ 2&~ ~ 4~ ~ ~~ CO~ ~! i~ The said .... F~.....~ ...... ~%~,h ................... , 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 ciaims for damages or suits that may arise or occur directiy or indirectly as a result of any operation c~rried on unaer 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 excIusion of said Board of Trustees and the Tarn of Southold. THiS PERMIT is subject re the following terms and conditions: That there shall be no unreasonable interference with navigation as o result of the work herein authorized. That there shall be no interference with the right of the public to pass and repass along that portion of the beach between Iow and high water mark, That the work shall be subject to the supervision and approval of the said Board of Trustees or its agents. IN WITNESS WHEREOF, ~-he 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 majority of the said Board of Trustees, the day and year above written. seal .... /~~ .~-~ ( L. S.) (L S.) ............................................................ (L. S.) STATE OF NEW YORK ) SS: COUNTY OF SUFFOLK ) ON THIS ....... ?...5..~.?~lay of .................... ~¥.. .......................... , lc/ ....... .?.~, before me personally appeared AlVa% ~ ~Oi~S~!.~ JOh~ ~C~Da~.y~ '~k~ ali personally know~ to me, who, being by me duly sworn, severally said that they each resided in the ~own of Southold, Coun~ of Suffolk, State of New York, and were members of th~ Board of Trustees of said Town of Southol~ and constituted ~ majori~ of the same; that they knew the corporate seal of said Town of Southold; that the seal affixed to the foregomg instrument was such corporate s~; *hat it was so affixed thereunto by order of the Boa rd of Trustees of said Town of S&uthold and that each one signed his name thereto as a Trustee and by like order. TOWN OF SOUTHOLD BOARD OF TOWN TRUSTEES TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ................ - ........... 9...~ .... Approved .............................. Application No ............................... Permit No ....................................... Disapproved o/c ....................................................................................................................................................................... .................................................................... ~ ............ chairman Board of Trustees APPLICATION FOR PERMIT INSTRUCTIONS A. This appliCation to be completely filled in by typewriter or in ink and submitted to the Town Trustees in, duplicate. B. Plot plan shoWing location of lot and buildings on premises, relation to adjoining premises, public streets, parks, etc., and giving detailed description of proposed layout of proje, ct must be drawn on~ diagram which is part of this appli- cation. C. The work covered by this application may not be commenced before the issuance 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 for inspection at a~[l times. E. Appiicant 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 Town of Southold, Suffolk County, New York, for the issuance of a permit pursuant to the laws, ordinances and regulations governing construction of: docks, pier, s, bulkheads, jettys and dredging in; un,der, and over the waters of Town of Southold. The apPlicant agrees to comply with all appli- cable laws, ordinances, regu'laiions and conditions specified by said trustees, and to hold the Town, of Southold, and Town offi~:ials free from liability and damages of any kind ./~ Name of owner of prem ses~;~.z~>;_~,~;m,,~.~,./~'-~ ............................ ~> .............. ~.~. ....... .~. ....... ~ .................... Street Address of Property~.~..~..~'...'C~.~...~D....~...~....~..c..~..~..~.~...~.-../....~.m./...~.~:...~.~:£.?"~.~.-..~mc~.~C~\: .... Home Address If Other Than Location ....~...~.~.. ...... ....~...~.~..,.~....~....~......~.~.~../f~...../...~..-~..~...~....~...'~.,..~'t.(~..,~:...../.../~.-.~ ............ ~.. Creek, Boy or Harbor Fronting Property ........ .../...~....'~../.~...~..~...<~...~.'~..~.~.....~.~../~..~.. .............................................................. Permit Requested To: . ...~.....~...~.~ cig ~:z~'~,~ 7'////~ ...~....~. Size of Proposed Work: Length ....~....~.,~. ............. Width .....~ ................. Heighth Above High Water ....... ~ ................. Depth Below Low Water ~' ~ Average Rise In Tide <-/" Yards To Be Excavated Width of Ca,al, Creek or Boy Fronting Property .....'~...~ ~...~ ........................ Depth at Low Tide ~4 J/J.q T Js This For Private or Business Use? ........................................................ Area Zoning ........................................................ Complete plot plan to be drawn on reverse side of this application. STATE OF NEW YORK) )S.S. COUNTY OF .............. .............................................................. being duly sworn, de,poses and says that he is the applicant for the ~bove described permit, ,and that aJJ statements contained herein are true to the best of his knowledge and belief; that the work will be done in the manner set forth in the applioation and as approved by the Board of Trustees of the;Town of Sou,thold, end the applicant agrees to hold the Town of Southo[d and sa.id trustees harmJess and free from any and ail damages and cJaims a, rising under or by virtue of said permit. ~ ~ (~/~)~, ~/,~ (~pplic~nt). Sworn to before me, this ..... ~ ........... day of .............. 19 ....... --~,... Nato Pub c Coun~ of ~[~ P~blic~ S~8[e of N~w York Commi~i~n Expires March 30, ]~ ~ F~ller H. Heath NaSsau ~,oin~c, CutChOgue, ~e~mi~: '~.o bu!l(~ a float:lng ~ock