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HomeMy WebLinkAboutTR-695Board Of $outhold Town Trustees SOUTHOLD, NEW YORK 695 1972 Hartman Pursuant +o the provisions of Chapter 615 of the Laws the State of New York, 1893; and Chapter 404 of +he Laws of the State ot New York 1952; and the Sou+hold Town Ordinance en- titled "RESULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and +he REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS:" and in accordance with the Resolution of The Board adopted at a meeting held on ~p~-l- 3, 9 '~., and in consideration of +he sum of $ 30.00 paid by Stept!~n .H~ of CutchogD. e N.Y. and subject to the Terms and Conditions listed on the reverse side hereof of Southold Town Trustees authorizes and permits the following: Construction of a bulkhead along his property at Wunneweta Pond, Little Peconic Bay Road, Nassau Point, Cutchogue, New York, 120 ft. in ~e. ngth iD line with the existinq ~ulkhead,, all n accordance with +}re detailed specifications as presented in the orlgina+ing appJcation. IN WITNESS WHEREOF, The said Board of Trustees h~ere- causes its Corporate Seal to be affixed, end these presen~'s to subscribed by a majority of the said Board as of thi~ dat.e. FO~ NO. ~ TOWN OF SOUTHOLD BOARD OF TOWN TRUSTEES TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ................................ 19 ..... Application tXTo ................... Approved .................... Permit ............. .... ...... chairman, Board ot Trustees APPLICATION FOR PERMIT INSTI~UCTION~ A. This application to be completely filled in by type~vri~er or in ink and submitted to the Town Trugtees in dup~ lieate. B. Plot plan showing location of lot and buildings on premises, rela'tion 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%pplicatlon may not be commence~ before the issuance of a permit. D. Upon approval of this application, Town Trusmes will issue a permi~ 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 ro 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 ro comply with ail applicable laws. ordinances, regulations and conditions specified by said trustees, and to hold the Town of Southold, and ail Town officials free from liability and damages of any kind. ~ame of Owner oi Premises....~. r..~/?.~..~. .... ~.~.4r.~ ~ ................................................. Street ~ddrtss of Vropmy .... ~:.~>.~....~e:~.<e.. ~..~.×... ~..-.i~,~.4'~.-...P.?...~...&~.,.~z~.~.. Home Address If Other Than Location .................................................................... Creek, Bay or Ha bor rout ng' Property .... ~.. ' .~/..~,. ~-:..~. ....... ~ ......................................... Permits Requested To:., .~.'.~..'E.~..Z'~.t4C.¢.r.-~. .... (~..~. f/fg~,~R. ....................................... Size of Proposed Work: Length .../.~.. ~. ...... Width ............ l~eighth Above High Water ...t/~..t ....... Depth Below Low Water .............. Average Rise In Tide ........ Yards to Be Excavated ........... Width of Canal, Creek or Bay Fronting P/5op~erty .... ./~. ................. Depth at Low Tide Is This For Private or Business Use? .~.~t'.~.~.~-.~,~ Area Zoning .~51:~.(~..~?..?'./.'~'-'~ Complete plot plan to be drawn on rever~e side of this application. STATE OF NEW YORK ) , )s.s. e:(-/.~'~.~.. ~'~.~ being duly sworn deposes and says that he is the applican, for the above described permit, and that all State~nts contained herein are true to the best of ~is knowledge and belief; that the work will be done in the manne~ set forth in the appli~tion and as approved b5 the Board 0i Trusfees of the Town Southold, and the applicant agrees to h01d the Town of Southold and said trnstees harmless and free ~rom any and all damages and claims arising under or by virtue o[ said permi't.~ (applicant) to before me this ..... /~ .... da~of ..... ~~.