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BOARD OF TWX TRUSTEES
HERMIT NO. +-
N
Pursuant to the proVIsiens of Chapter 615 of the
Lajas of 1893 of the State cif Ness York and Chapter 404 of the
;yaws of 1952 of the State of Nev 'York and in accordance with
the resolution of the Board of Trustees of the Town of Sol.bt.hol.d
adopted at a meeting of said Board held on May 26 19
and in consideration of the sum of -lan Dollars M 10.00 ,
lawful. Bondy of the united States, paid by Jame: Griffin
reside g at Lagoon Road, Mattituck, New York, the said Board
of Trustees of the Town of Southold, Suffolk County, New York,
hereby authorizes and permits said James Griffin p y--
to erect a duck on his property off the mama channel. of Matti.tuc
Creek to the east, all in accordance with the plans submitted
vi th the application.
The said James Griffin, as a part of the consider-
ation 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
under 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 assure full
liability with respect thereto to the complete exclusion of
the said Town of Southold and the said Beard of Trustees,
I
T
THIS PERMIT is subject to the fallowing terms and
conditions*.
That there vhall be no unreasonable interference with navigation
as a 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 to
and hiah ester mark.
That the work shall be subject to the supervisor and approval
of the said Board of Trustees or its agents.
DU WIT IIS3 $MMBOFI 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 major-
ity of the said Board of Trustees, the day and year above
Vritten.
_'d A L A �A� /�
GW/
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STATE OF NE-W YCRY)
a
SS:
COUNTY OF OF ate.)
rV
ON this 3o day , 1958, before me
personally appeared onsDean, of N.Y. ; Philip
Teller, of Orient, N. Y. $ Altah B. Goldsmith , of Southold, N.I,,
Joh;sa Rlc silty, of Laurel, N.Y, and Frank -mson, of New Suffolk,
N.Y. , all 'personally known to me , who, being by me duly, sworn
severally;said that they each resided in the Town of Southold, I
County of Suffolk, Mate of New York, and were members of the
Board of Trustees of said Town of Sett hold and constituted a
majority of the same; that they knew the corporate: seal of
said. Town ofSouthold; that the seal affixed to the 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 e Trustee
and by like order.
Notary Public, Suffolk County, N.Y.
FUME WWDEM
Nd&V PUM, State of.WW.York
ReWftg in Suffolk Comfy
No. 52-0367800
!y.tommission Expires Wfch 30, 19$9
f3
FORT NO. 1 f
TOWN OF SOUTHOLD
BOARD OF TOWN TRUSTEES: ,
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Examined ..: .- 19-s- _ Application No. .-- ........ ............:
Approved _.. I�l �.
_' Permit No. �. -....-..........
Disapproveda/c --------.......:------------- ......._.. -----..................-..........................._.........................._._._..._._...._,._..............._._......
t- .._._..--- 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`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 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 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 York,
for 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
tfk'co-ply 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
Name of owner of,premises ...... ---iq r i=_ s, .T i gN......_.__.l.�oZ....._
Street Address of Property - -— '
Home address If Other Than, Location ........ .....- - --: ................. ....................._...__. . _..:..:__._...._._......._.._...._.._ _..._:r. _.._._..
Creek,°Bay or HarborFrontin Property l _P � .. � � � ..........��..�..� iC_................_......... .
Permit Requested To. �g- � Cc�r,'/ .---............._._....._........_.._.........__...._......... . ..._._._..
a
" Size of Proposed Work: Length ._-- ..................... Width --- -.--------- ...... Heighth Above High Water .._. .......
q
Depth Below Low Water -- C.--'---.-....... Average RiseIn Tide -.--.-.. --,-=... Yards to Be Excavated_.....
Width of Canal, Creek or Bay Fronting Property v�-- ---- Depth at Low Tide ....... ..................................
Is This For Private or Business Use? _.:_ ........ Area Zoning ........
Complete plat plan to be drawn,on reverse side of this application.
o/
STATE OF NEW YORK)
)S. S.
COUNTY OF )
being duly sworn, deposes and says that.he is the applicant for the above de-
cribed permit, and that all staltem.ents contained herein are true to the best of his knowledge and belief; than 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 applicaon.t'agrees to hold'the Town of Southold aril said trustees harmless and free from any
and all damages and claims arising under or by virtue of;said permit.
(applicant)
Sworn to before me this . day of -- -- -_ 19_v�•
No-taV1Wb"Df*. ........ .. county of >
Public, State of NW Tom
Residing in Suffolk county
No. 52-=7800
MY, ommission expires March 30, ! �
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