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HomeMy WebLinkAboutTR-556TO\NN OF SOUTHOLD BOARD OF TOWN TRUSTEES PE~,,~IT NO ...... '~-~.~. · .~..., Pursuant to the provisions of Chap ter 615 of the Laws of 1893 of the Slate of New York; Chapter 404 of the Laws of 1952 of the State of New York; the pro- visions of an ordin~ce entitled "Souihq~d To~ Ordinance Re.luting the Placing of Obst~acti,ons ~ and on ~own Wate~ and ~blic Lands, ~d the Rem~ of Sand, Gravel or ,other Materials from Lands under Tovm Waters", ~d in accordance with the resolul ion .of the Bo~d of ~ustees of the Town of South~ld adopted at a meet- ing of said ~v~d on .. ~F. R~,..19~ ........ , and ~n consid~ation of the sum of $. ~.~ , lawfful money of the United States, paid by . .~ .~. residing at ...... ~i~. ~YR~B~. ~,.. ~ .... , New ~k, the Board df Trustees of the Town of So~thold, Suffo~ County, New ;York, hereby authorized ~d permits sa~d ..... ~. ~,. ~u~a,. ~ .................. ~il~ a ~ock a~ fl~t in ~ront o~ ~s p~rty on J~ The said ....W~...r.r.e..~..~.:..~.~..f.~¢..Jr.: ........ as part .of the consideration for the issuance of this permit does hereby release the said Board of Trustees and The Town of Southold from any and a{l damages claims for damages or suits that may arise .or occur directly or indirectly as a result of any operation carried on un- der and pm-suant to this permit, and will at his own expense, defend any and all suits which may be brought by third parties, as a resuIt of any operation carried on pursuant to or in accordance with the terms of t/als permit, and assume full Iiability with respect thereto to the complete exclusion of said Board of Trustees and the Town of Southold. THIS PERMIT is subject to the following terms and conditions: 1. That there shall he no unreasonable inte¢fference with navigation as a result of the work herein authorized, 2. That there shall be uo interference with the right of the public to pass and re- pass along that portion of the beach between low and high water mark. 3. That the work shall be subject to the supervision .and approval of the said Board of Trustees or its agents. 4. That if future operations of the Tow.n of Southold require the removal and/or alteration in the location of the work herein authorized, or if, in the opinion of the Board of Trustees of the Town of Southold, such work shah cause un- reasonable obstruction to free navigation, the sa~d ...~;~'~$~ will be reqtfired 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 $outhold, so as ~,0 render navigation reasonably free and unobstruct- ed. The authority conferred by this permit may be terminated by the Board o~ Trustees for a failure on the part of the said ......... ~,r....e~.....,~,~....~..~..~.e,.t..,~.-. .............................. to compi¥ 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 .............. ~.~.[~.-,.~.~....~..~...,,..~,~. ......................... 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.) (L. S.) (L. S.) L. S.) STATE OF NEW YORK ) SS: COUNTY OF SUFFOLK ) ON THIS ........ ~.~...~... day of ............... ...~....~..~. .......................... , 19..?.?.., before me oersonally appeared Alvah B. GoIdsmith, Frank Dawson, John FA ~Nu~ty, G~rge Simpson and ~uglas ~rtson, all pemonally known to me, who, being by me duly sworn, severally said that they each resided in the Town of Southold, County of Su(~olk, State of New York, and were membe~ of the Board of Trustees of said Town o~ Southold and constituted a mojoriW of ~e same; that they knew the corporate seal of said Town of Southold; that the seal affixed rathe foregoing instrument was such corporate seal; 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 as a Trustee and by like order. Filed: Notary Public Tet~ Expires TOWN OF SOUTHOLD BOARD OF TOWN TRUSTEES TOWN CLERK'S OFHCE SOUTHOLD/N. Y. Examined ................................ 19 ..... Application No ................... D6appr°v /c '¢Aippr°Vede: '2 ' '~: ' :2~' '/'¢' '~' '2'' '/~' ' ' '7] ~' -Permit N° ...... ' "~' '~'~ ............. .... ~. ~::. ...... chairman. Board of Trustees APPLICATION FOR PERMIT INSTRUCTIONS A. This application to be completely filled in by :ypewrker 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 giving 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 not be commenced before the isstiance of a permit. D. Upon approval o~ this application, Town Trustees will issue a permit to applicant. Such permit shall be kept on the premises and available for inspection ar 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 Town of Southold, Suffolk County, New ~ork, for the issuance of a permit pursuant ro the la,vs. Ordinances and regulations governing construction of: d~cks. piers, bulkheads, ~ettys and dredging in, under, and over the w~rers of Town of Southold. The applicant agrees m comply with all applicable laws, ordinances, regulations and conditions specified by said trustees, and to hold the Town of Southold, and all Town officials free from liability and damages of any kind. ~ome Address If Other Than Location ....................................................................... S~ze of Proposed Work: Length ¢.,c,~.'¢~S~¢i Width ,. ,~.¢.L ..... Heighth Above High Water .............. Depth ~elow %o: Water .............. Ave:~e Rise t~ T:de ............. ~rds to ~e :xcivated .. ~ ........ Width of Canal, Creek or Biy Fronting Property ...... ~ Q. = d 5 - De th at Low Tide Area Is This For Private or Business Use?.. ~.Ct.g.~ .,. .................. Zoning Complete plot plan to be drawn on reverse side of this applicat-i%n. STATE or NEW YORK ) )s.s. COUNTY OF ) ........................... being duly sworn deposes and says that he is the applicant for the above described permit, and that ail 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 application and as approved by the Board of Trustees of the Town o~ Southold, and the applicant agrees to hold 'the Town of Southold and said trustees harmless and free from any and all damages and claims arising under or by virtue ot: said uerm~t. · ............ Sworn to before me this ................ day of ........................ 19...i.. Notary public .................... county of .................. Avenue, ~ 34 O0