HomeMy WebLinkAboutTR-2175 GFl
Board Of SoUthold Town Trustees
SOUTHOLD, NEW YORK
Mooring No.
,.:~4' Pursuant fo the provisions of Chapter 615 of fha Laws of
fhe State of New York, 18931 and Chapter 404 of {he L?s of the
State ~f New York 1952; and the Soufhold Town Or&nance eh-
"REGULATING AND THE PLACING OF OBSTRUCTIONS
IN AND .ON TOWN WATERS AND PUBLIC LANDS and t'he
OF SAND, GRAVEL OR 'OTHER MATERIALS FROM
UNDER TOWN WATERS;" and in eccordande wlth the
Resolution Of The Boa;d ;dopte~"~f ;~eetl;g held on ~.~.~.Z...~.~.i..
cons~derahon of sum 5.00
~e~ort , '. ' : : N.Y. and subject fo the
Terms":'" and CondiHons llsted"on the reverse side hereof,
Town 'Trustees autho6zes and permits the following:
'App~'val t6 secure :a'~'pe~i~ for a;dock in accordance. With
under-the Grandfather Clause..- --
ali in accordance with fha detailed specifications as pre~nfed in ,
~e originating application. : ,~w~, ,.. ,.? ~.~;_; ~..: ,-, :~' ,,":~..~,~.?~ ·
IN WITNESS WHEREOF, The said Board of Tru~ees here-
causes ifs Corporate Seal fo be affixed, and these presents ~ [,~
by e ~a[0r?Y of the said ~ard as of fhls daf,~
~ '7 - ....... ~;~X"':",'~, ;:~':;; ~'~:.~'"
Please tear off and return to the Trustee Office.
Board Of 'Sodtt{bld :Town Trustees'
M~oring Penmit. No.
Mooring No.
I,
' SOUTHOLD, NEW YORK
Date:
certify that'the-work as
authorized in this permit has been completed and is now ready
for your inspection. Also,
the number required on this project
is clearly visible. I further understand this permit is not valid
until'this tear off sheet is returned to ~he Trustee Office.
Ns.~e~of oreek.
Pipes Ne/ Creek
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Town Hall, 53095 Main Road
P.O. Box 728
Southold, New York 11971
GRANDFATHER APPLICATION
dock
TELEPHONE
(516) Y65-1852
4. Year of Construction: ~.0
5. Sketch of the work including sizes:
6. Mark off on the map attached, where your property is located
using an X.
Please note that there i~a $5.00 filing fee, which is a one time
fee, for this ~pplication.
Mooring Applications- $5.00 Application Fee and a $5.00 annual renewal
fee each year.