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HomeMy WebLinkAboutTR-442TOWN OF $OUTHOLD BOARD OF TOWN TRUSTEES Pursuant to the provisions ,of C~napter 615 of the Laws of '1893 of the State of New York; Chapter 40zl of the Laws of 1952 of the State of N~w York; tl~e p~o~ visi.ons of an ordinance entitled "South.old Town Ordinance'Regulatingthe Placing of Obstructions m and on Town Waters and Public Lands, ma_d the Removal Of Sauc~, Gr,/ce! or ,other Materials from Lands under Town Waters", and in accordance with the resolution -of the Board .of Trustees of the Town of Southold adopted at a meet- ing of said' Board on . .~,..~..U.~..~,...~.5.,...~.9.8..8 ..... and in consideration Of the sum of $.... ~*~., lawful money af the :Unite:d States, .paid by .'P~ resid~n~, at 5~06 ~.3~ ~.,..~.~.i,~..,..a.~. ........ , New ~mik, ~he Sa/d ~o&rd 02 ~ ~ Y, , Y autko~:ized a~d permi~ts said ........ JP~e .~ro~ ....................... to ~are~ alemg inhere lime 30' ~ J,~' (~ ~r~s) The said .... .~¢..B..e...L~..~.r.e..n ................... 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 d~mages claims for damages or suits that may arise ,or occur directly or indirectly as a result of any operation carried on un- der and pursuant to this permit, and will at his own expense, defend any and all suits which may be brought by third parties, as a result of any operation carried on pursuant to or in accordance with the terms of this permit, and assume full liability with respect thereto to the complete exclusion of said Board of Trustees and the/t~own of Southold. THIS PERMIT is subject to the following terms and conditions: 1. That there shall be no unreasonable interference with navigation as a result of the we~k herein authorized. 2. That thm-e.s, hall be no interference with ~e right of the public to pass and re- pass along that portion of the beach bet~veen low and high water mark. 3. That the work shall be subject ~o the supervimon .and approval of the said Board of Trustees ,or its agents. 4. That if future operations of the Tow.n of Southold require the removal and/or alteration in the 1,ocation of the work herein authorized, or fi, in the ,opinion of the Board of TFdstees of the Town of Southold, such work .shall cause un- reasonable obstruction to free navigation, the said ...R. ql¢..e..1¢¢.~.r..e~ ......... will be required upon due notice from the said Board of Trustees, to remove or alter the location of the work hereby authorized without expense to the Town of Southold, so as ~,o render navigation reasonably free and unobstruct- ed. The authority conferred by this permit may be terminated by the Board of Trustees for o failure on the part of the said ............ ~..~.....~?,.~,?..?..~.j ............................................. to comply with the terms and conditions herein imposed. In the event of such termination, this permit shall be deemed revoked five (5) days after the date when the Board of Trustees shall mail to the said ....................... ..~,...~..~.:..~.~..~.,.~,.~,. ................ ; ................. at the address given in his application, a certified copy of a resolution of the Board of Trustees directing such termination. 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 majority of the said Board of Trustees, the day and year-above written. seal S.) (L S.) STATE OF NEW YORK ) SS: COUNTY OF SUFFOLK ) ON THIS ....~.~,~. ......... d~y of ........... .~.~..~...~.~_..r~ ..................... , 19~.~.8.., before me personaJly appeared AI~ ~. ~Id~i~. ~k ~on~ John F. all per~ally known to me, who, being by me duly sworn, severally said fha¢ they' each resided in the Town of Sauthold, County of Suffolk, State of New York, and were membe~ of the Board of · rustees of said Town of Southold and constituted a majority of ~he same; that they knew the corporate seal of said ~own of Southo]d; ~hat the seal affixed ~o the foregoing instrument was such corporate s~l; that it was so affixed thereunto by order of ~he Board of Trustees of said ~own of Southold and that each one signed his name thereto as a Trustee and by like order. TOWN OF SOUTHOLD BOARD OF TOWN TRUSTEES TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ..... (~' i,' ..................... 19 ..... Application No ................... Approved ..... ~.?,r-flP:~....'..~.~..~.J.l..~.~.~.~. ............. - ~ermit No .... ,~..¢...~.. ........ Disapproves a/c 'iiiiiii i ii i i i i i ....... APPUCATION FOR PERMIT INSTRUCTIONS A. This application to be comple.tely filled in by typewrker or in ink and submitted to the Town Trustees in dup- licate. B. Plot plan showing location of lot and buildings on premises, relation to adjoining premises, public streets, parks. etc., and giving detailed descr/ption of proposed layout of project must be drawn on diagram which is parr of this application. C. The work covered by this application znay not be commenced before the issuance of a permit. D. Upon approval of this application, To~vn Trustees will issue a permit 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 I8 HEREBY MADE to 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, iettys and dredgSng m, under, and over the wa*ers of Town of Southold. The applicant agrees to comply with all applicable laws, ordinances, regulations and conditions specified by said trustees, and to hold the Town of Southold and ail Town officials free from 1/ability and damages of any kind. ~ame of Owner of Premises .... ~.< ./~.. ~.~.. ~'.'.~.~ ...................................................... Street Address of Property .... [ .~.oZ"..~..~....5~...~Z~...~.?..~., ....................... , ............................... Home Address If Other Than Location ...~'.~.~.. .... ~_~/.~....~./ . ~,.ff.~.~.~../.o(..~....~,~....,..~..~... ........... Creek, Bay or Harbor Fronting Property ..... .~../~..'/~....~/./'.~.~I~. ................................................ Permits ~e~nested To:..~..r~./~..~/~.?....~.~.~...~-~.. ................................................ Size of Proposed Work: Length .... ~.~f...' .... Width ..../..~, .~ .... Heighth Above High Water ./..~, .~.~,./. .... ~' .Rz~' ........ Depth Below Low -VVater .............. Average Rise [n Tide ....~ .... Yards to Be Excavated ...~.:~. Width of Canal, Creek or Bay Fronting Property ...... ~.~.~. f ............. Depth at Low Tide .~..ff~ ........... ls This For Private or Business Use?.. ,/_~,~L'~r,~...~ .......................... Area Zoning _ .~,~/.~.~.,f~x~'~'... Complete plo~c plan to be drawn on reverse side of this application. STATE OF NEW YORK ) )s.s. COUNTY OF ) ... ~.~.*.~. ~. ~. ..... ............. ¢.o.rl~..[,o..C. rg.n.., being duly sworn deposes and says that he is the applicant for the above described perm/t, and that all statements contained herein are true ro the best of his knowledge and belief; that the work will be done in the manner set forth in the application and as approved by the Board of Trustees of the Town Southold. and the applidant agrees to hold the Town of Southold and said zrustees harmless and free from auy and all damages and claims arising under or by virtue of said permit. ........ ........ (applicant) Sworn to before me tbis,..5.t.h. .......... day of . .~.0.N..U..~ ............ 19..6.8... ~o. 41.040~00 - Q~ ~tm~ .