HomeMy WebLinkAboutTR-2073 GFBoard Of $outhold Town Trustees
SOUTHOLD, NEW YORK
Mooring No. N/A
PERMIT NO ............. ~.0!~ ....... DATE: ~(~pt...2.5.:,.....19$!
Ant'l nrtgatinn
Pursuant to the provisions of Chap,'er 6'15 of the Laws of
the State Of New York, 1893; and Chapter 404 of the Laws of the
State of New York 1952: and the Soufhold Town Ordinance en-
rifled "REGULATING AND THE PLACINC- OF OBSTRUCTIONS
IN AND ON TOWN WATERS AND PUBLIC LANDS and the
REMOVAL OF SAND, ~=RAVEL OR OTHER MATERIALS FROM
LANDS UNDER TOWN WATERS;" and in accordance with the
Resolution of The Board adopted at a meeting held on~J~.r......~.~.~
19....~..5..., and in consideration of the sum of $ ....~.:..~.~ ...... paid by
............................................ ~..°..~R~.....G..~ ~.~.~...e.~. ...............................................................
of .......s..~?~.~.~.c~ ........................................................ N. Y. and subject ~6 the
Terms and Conditions listed on the .reverse side hereof,
of Southold Town Trustees authorizes and permits g:
Application approved under the
to secure a permit number for a bulkhead in
Corey Creek, Southold all in accordance with the
application submitted.
ail in accordance with the detailed specifications as presented in
the originating application.
IN WITNESS WHEREOF, The sa~d Board of Trustees here-
by causes its Corporate Seal to be affixed, and these presents to
be subscribed by a majority of the said Board as of this dat,e. -
Please tear off and return to the Trustee Office.
~a~.e'6f Cree'k:
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Town Hall, 53095 Main Road
P.O. Box 728
Southold, New York 11971
1. Name of Applicant:
/
4. Year of Construction:
5. Sketch of the work including sizes:
e
using an
as o~e ~ there is a ~5.00 fi~ing
fee, for this application.
the map attached, where your properzy is located
fee, which is a one time
Mooring Applications- $5.00 Application Fee and a $5.00 annual renewal
fee each year.
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