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HomeMy WebLinkAboutTR-2069 Pursuant to the provisions of Chapter 615 of the Laws of the State of New York, 1893: and C.hapter 404 of the Laws of the State of New York 1952; and the Soufhold Town Ordinance en- titled "REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS end the 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.~.,.....2.5, 19.§.~...., and in consideration of the sum of $_.....~.:..9.~ ....... paid by ................................... ~.~....~.:....~ ~.~ .......................................................................... of ...~.~.~..t..~9~:.f] ........................................................... N. Y. and subiect ~ the Terms and Conditions listed on the reverse side hereof, of Southold Town Trustees authorizes and permlfs the following: Application approved under the Grandfather Clause to secure a permit for a dock in Goose Creek, Southold all in accordance with the application submitted. all in accordance with the detailed specJflcations as presented in the originating application. IN WITNESS WHEREOF, The said Board of Trustees here- by causes its Corporate Seal to be affixed end these presents to be subscribed by a mal'ori'ry of the sal as of this · - Please tear off and return to the Trustee Office, ~Name .o£ Creek: BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 GRANDFATHER APPLICATION TELEPHONE (516) 7654892 5. Sketch of the work Address of Applicant: Telephone Number: Year of Construction: including sizes: ~ ~F'C-~.~-- ~F?--~ 6. Mark off on the map attached, where your property is using an X. Please nor~hal: there is a $5.00 £iltng fo~, which is fee, for this application. located a one time Mooring Applications- $5.00 Application Fee and a $5.00 annual renewal fee each year. EAST ~HOGUE FOR ADJOrNING AREA SEE MAP NO. 24 NICKLES L:FD. REAL ESTATE All ~'~ the savings Bank S~rviccs SOUTHOLD, 54375 Main Rd., (516) 765-2800 conveniently POBT JEFFERSON STA., 532 Old Town Rd., (516) 473-7000 located i n BOHEMIA, 4525 Sunrise Hwy. at Sycamore Ave., (516) 567-6700