HomeMy WebLinkAboutTR-142 TOWN OF SOUTHOLD
BOARD OF TOWN TRUSTEES
PEP V IT ....
Pursuant to the provisions of Chapter 615 of the Laws of 1893 of the State of
New York and Chapter 404 of the Laws of 1952 of the State of New York ahd [~ bccordance
with the resolution of the Board of Trustees of the Town of Southold adopted at a meeting
of said Board on. ........... ,[~L~'...~.~....~.~.~. .................... , and in consideration of the sum of
$. .. ~.: ..0~. ., lawful money of the United States, paid by_..~.~J~.%.~.,.,.[~[l~ ..................
residing at ........... ~.~.~..~...O.~.~.~....~..4~_.o_~..c]..,...~.~...T, .................................... , New York,
the said Board of Trustees of the Town of Southold, Suffolk County, New York, hereby
authorizes and permits said J~s ~. ~.~ . ................... ~ ..................... to
~e~ge /~n We~t Creek o£f S~ La~e. Southol~, /~ ~r~nt of
hi~ ~ro~erty (Lot~ 3 and 4), all ~n accordance with the
applacation submitted~
The said ....... ~.~.....~..t,...~...e..~...~ ............................. , 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 all damages; claims for damages orsuits 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 ali suits which may be brought by t~ird
parties as a'result of any operation carried on pursuant to or in accordance with the terms ~f
this permit, and assume full liability with respect thereto to the complete exclusion of,
said Board of Trustees and the Town of Southold.
THIS PERMIT is subject to the following terms and conditions:
I. That there shall be no unreasonable interference with navigation as a result of the
work herein authorized.
2. That there shall be no interference with the right of the public to pess 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 yepr above written.
seal ..... 7' ...................................................
.......... ...................................
STATE OF NEW YORK )
SS:
COUNTY OF SUFFOLK )
ON THIS......2.§~......day of .................. .~.~..47..~. .............................. 19..o..~.~, before me
personally appeared ~n~ De~, of Gr~,
~ii~, Of ~ie~, ~ ~ AI~ GOl~i~ of all personally know~
to me, who, being by me duly sworn, severally sa~d that they each resided in the Town
of Southold, County of Suffolk, State of New York, and were members of the Board of
Trustees of said Town of Southold and constituted o majority of the ~me; that they~
knew the corporate seal of said Town of Southold; that the seal affixed to the foregoing
instrument w~ 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
a Trustee and by like order.,[~
..........
~otaw Public, 8~te 0f
~e. 52-0344953, Suffo/k
FOE~ NO. '1
BOARD OF TOWi TRUSTEES
TOWN CLERK'S OFFICE
SOUTHOLD. ¥.
Disapprov~t~
PPL CATIO FOR PERMIT
on the premises and av~ble for inspection at ~! times.
E. Appncs~.t shall no¢~fy the Board of T~stees upo~ completion of the work covered by petit.
APPLIOATION IS HEREBY ~ADE fo the Board of Trustees of the Towvn of So~hold, Suffolk Oo.u~ty, New Yook,
for ~he issuance of ~ pe~t p~suaat to the laws, Ordnances aad regulations ~ove~inz oonstruction of: docks,
piers, b~d~e~ds, jettys ~nd ~ed~ ~n; undoL and ever the v~ters of To-~ of Sou~hold. ~e ¢ppHc~at ~grees
t~ comply ~th aH ~pplicable laws, ordinaaces, re~a~ations and conditions specked by s~d tr~tees, and ~o hold
the Town of $outhold, ~d ~H To~m o.~oi~s free from H~b~y aad da~moges of any ~d.
Name of o~er of premises ~s P. Kelly
Creek, Bay or Harbor Fronting Property W~st ~eek .. .
Permit Requested To: ~ge
S~e of Proposed Wor~: Length ...~..~.~ ............. Wi¢ih ....... .~$.._~ ............ Heighth Above Hiah Water
Depth Below Low Water ...3~ ~ ............. Average ~se In Tide ..]3.._~$.~ ................ Y~r~ to Be Excavated .......
Width of Oan~, Creek or Bay Fronting Prope~y ............ $5...~ ..................... Depth at Low Tide .............. ~...~_~
Is This For PMvmte or Business Use? _.~.~.~ .............................................. Area Zon~g ..........................................................................
Complete p~ot plan to be dra~ on reverse side of this ~pplioation.
STATE OF NEW YORK)
)S.S.
OO%-NTY OF sUFFOLK )
..... .J.~.M~%~....~%..~..~. ................................... being duly sworn, deposes and says that he. is the applican:t for the abc,ye de-
scribed permit, and tha~ ail sta¢;e,me,nts contained herein are true to the best of his knowledge and belief; that
wGrk ~H be done ~ the, maRner set for¢~ ~ the appHcatio.n and as approved by the Board of ~stees of the To,~
of Eouthold, ~nd the a.ppHcant agrees ~ hold the To~ ~f Southold ~d said trustees ha~less and free from. ~ny
and aB damages and claims a~s~g under or by virtue of s¢~d permit.
Swo~ to before me this ......... ~ ......... day of
Not~ry public ....................................county ~f ~ ............. ~ION S. ARNOLD