HomeMy WebLinkAboutTR-78 TOWN OF SOUTHOLD
BOARD OF TOWN
PIzP.,M I .:T NO ........ . .~....~.,._
Pursuant to the provisions of Chapter 6]5 of the Laws of 1893 of the State of
New York and Chapter 404 of the Laws of ! 952 of the State of New Y~rk and in accordance
with the resolution of the Board of Trustees of the Town of Southold adopted at a meeting
of said Board on ,....&.?~.S..~....~..~.~.....,~..9.~.$.,o, ................ and in consideration of the sum of
$ .......... .~.,~,. .... lawful money of the United States, paid by ~T~h~,..~..EC~,:,l~ra ......
residing at ......... ;[¢,~!~oc~%.,~a~.,..~a~z.~i~;~r..~¥.~. .................... , New York,
the said Board of Trustees of the Town of Southold, Suffolk County, New York, hereby
authorizes and permits said .....~},~..,&..~e~,..~,~..~.a..~.~,~hez~ ...................................... to
erect a 40 foo~_...~gck 4 feet wi~e extending fro~ high
~ater line in front of their property on the easterly
side of ~attituck Creek. all in accordance with application
The said .d'~h~..&..~Ba~;~r~.,~,~.~.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 ali damages claims for damages or suits that may arise or
occur directly or indirectly as o result of any operation carried on under amd pursuant to this
permit, and will at his own expense, defend any and all suits which may be brought by third
p6rties as a resuf~ of any operation carried on pursuant to or in accordance ~/ith the terms of
this permit, and assume full liability with respect thereto fo the complete exclusion of
said Board of Trustees and the Town of Southold.
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THIS PERMIT is subject to the following terms end conditions:
1. That there shah be no unreasonable interference with navigation es a result of the
work herein euthorized.
2 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.
3. That the work shall be subject to the supervision and approval of the said Board of
Trustees or its agents.
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.)
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STATE OF NEW YORK )
SS:
COUNTY OF SUFFOLK )
ON THIS....r~l..-~.....day of ........ .$...e.,?.%..~..~...~r.. ........................ , 19.5..9. ....... , before me
personolJyoppeared ~o~%~ ~n, of .gz~e~nport~
of ~-~ $~ffotk, ~ ~ilip Weiler. of Orient, ~Y~ John ~c~ult
of La~ei, NY & A!vah Gold~mith. of Southol~ b~ personally known
¢o me, who, being by me duly sworn, severally said ~haf Chey each resided in the Town
of Sou~hoJd, Counh~ of Suffolk, Sta{e of New ~ork, and were members of the Board of
Trustees of said Town of Southold and constituted a malaria' of the same; that they
knew the corporate seal of said Town of ~uthold; that the seal affixed to the foregoing
instrument was such corporate sea[; that it was so affixed thereunto by order of the
Board of Trustees of said Town of Sduthold and that each one sigaed ha name thereto as
a Trustee and by like order.
~o~a~ Public
~ORH ~0. 1
TOWN OF SOUTHOLD
BOARD OF TOWN TRUSTEES
TOWN CLERK'S OFFICE
SOOTHOLD, N.
Permit No ..............................................................................
........................ chairman, Board of TrUstees
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× APPLICATION FOR PERMtT~
A. This applioatiea to be completely filled in by typeva*iter or in ink and submitted to the To~ Trustees in dup-
licate. - .....
B. Plot plea showing location of lot and b~dldings on ~remzses, relation to adjoining premises, public streets,
parks, etc., and g~ving detailed description of propesed layout of project must be drawn on d/~gram which is pa~t of
this appllca~ion.
C. The work covered by this application may not be commenced before the issuance of a permit.
D: Upon-approval of this appl/cation, Town Trustees w~ issue a permit to applicant. Such permi$ shall be kel)t
on the premises and available ~or inspection at all times.
~. Appl/cant shall notify the ~ea~-d of Trustees upon completion of the work co~ered by permit.
APPLICATION IS HBRE2Y !~.8~DE to the Boa~.d of Trustees of the Town of Son, hold, Suffolk County, New York,
for the issuance of ~ permit pursuant to the laws, Ordinances and reg~atio~ governing co~truc~ion of: docks,
piers, bulkheads, ~ettys and ~edg~g in; under, and over the waters of To~ of So,{hold. ~e app~cant a~ees
to compIy w~ih a~ a.pplica~le l~ws, erdinances, re~latlo.ns a~ conditions specked by s~d trustees, and to hold
the Town of Southeld, and a~ To~ o~ci~s free from l~b~B~y ~d damages of ~y Mnd.
Name of o~e.r of premises ...................... -~.a~m__..sud_..~a~.s..r.a~...~.~?~ ..........................................................................................................................
Street Ad,ess of Property ...................... ~a.l~zao~....~.~..~... i~a ~ i~..Ck .....................................................................................
~ome a~dre,ss If Other ~n Loc~tion ....._~.~e. ..............................................: ...............................................................................................................................
Creek, ~ay or Harbor Fronting ~roperty ................ ~{~.~.~.~.~.~.¢l~......~.~.&~[~. .................................................................................................................................
Permit ~equested To: ~- a 5. o0~ ......................................................................................................................................................
Size o,f Proposed Work: Leith ............ f~.~.~. ............... Width ...........~.l. ................... Heighth Above ~gh Water ......~_{ .......................
Depth Below Low Wa~er ............................ Average Rise ~n Tide .......62. .................... Yards to Be Excavated .....~ .........................
Width of Oanal, Creek or Bay F~nting Prope~y ....... 5O~.r.~.Q~.t ................... Depth at Low Tide ....... ~.i. ...................................
Is This Fer P~vate or Bus,ess Use? ~riv~ 2 e Area Zo~g ~n~....Za~.~ ~r....~.~.~.~.~.~E .......
................................................................... r~
Complete plot plan to be dra~ on reverse side of this appEcation.
STATE OF 1~ YORK)
)s. s.
~,~.,".' i-~O,~'~,~i'"~C~~' ) ~ th h
COUNTY
sc~i~ ~permlt, an~hat a~ statements contorted her~ are t~e to the best of his kn~wle~e and belief; that ~he
work will be' done ~ the manner set forth in the applicatio.n and as approved by the Bo~d of ~stees of the Town
of Southold, ~d the applicant a~ees ~ hole the To~ cf Southold and said trustees hapless free from any
a~d a~ damages ~ claims a~sing under or by ~ue of said petit.
Sworn to before me this ........ ~.~...L.._.. 'day
Natary public ..................... ~; ............. county of
....... ~q(j: 52~8520600
~ublic in the Stats of New ¥0r~
sidin i~ Suffoll< County
(app~cant)
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