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TR-55
TOWN OF SOU H©LD BO^RO TOWN TRUST ES Pursuant to the provisions of Chapter 615 of the Laws of 1893 of ~he State of New York and Cheater 404 of the Laws of 1952 of the State of New York and in ~ccordonce with the resolution of the Board of Trustees of the Town of Southo!d adopted at a meeting of said Board on ....~.e.p..t..e.~..b..e...~. ....... .9.~...~9.~...~. .......... , and in consideration of the sum of $ ....... .2..0..:..0.,.0. .............. lawful mOney of the United States, paid by ,..~.~....~.z....~.~...~?....O.~,. ..... residing at .....~.?,,Zg~g...~,!~.~..e.%.~.~...~,,o.g,t.b:.o...Z.~.~...~.:..~...~ ......................... , New York, the said Board of Trustees of the Town of SouthoId, Suffolk County, New York, hereby authorizes and permits said . ~.~:g .], .. T'~i~]}~.0.~J ............................ to dredg~ and make ~ beach across the £~ant of her property on ~eughzng ~ters~inn~haha Boulevard for the width of the property~ ell in accordance with the plsns submi~d, The said ......~:~..e...~.,.....~..e...~.D.o..~ ................................. as port of the consideration for the issuance of this permit does hereby release the said Beard of Trustees and the Town of Southold from any and al! damages ciaims for damages or suits that may ar~se or occur directly or indirectly as a result of amy operation carried on under and pursuant to this permit, and will at his own expense, defend any and oil suits which may be brought by third parties as a resuJt of any operation carried on pursuant to or in accordance with the terms of this permit, and assume full liabilib/ with respect thereto to the complete exclusion of said Board of Trustees and the Town of Southo[d. :: THIS PERMIT is subject to the fol~OWincj,terras andconditions~ 1, That ther~ shall be no unreasonable ~nterference with navigation as a result of the work herein a~thorized. 2. That there shall be ~o iaterfere~ce with the right of the,public to pass and repass along that portion of the beach between low and Mgh water mark. 3. That the work shah be subject to the supervision end approval of the said Board of Trustees or its agents. IN WITNESS WHEREOF, the said E~oard 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 end year above written, see ~~-~-~,~(.k.S.) . .......... STATE OF NEW YORK ) SS: COUNTY OF SUFFOLK ) ON THIS..,.~...-......day of ............ .O..q~p.b_e.,T'. ......................... , 19....~...8...., before me persona!lyappeared~_~on~ Dean~ of Greenpor~ NoYo~ Philip reiler~ of Orient~ N~Y~; Frank Dawson~ of New Sufzol~ ~Y.~ John ~ McNulty oe Lsu~e~ N~Y~ and allah B~ Goidsmith~ of ' ' ~ - - - ~ ' ' all persono[Jy known Southold~ N~Y,~ to me, who, being by me duly sworn, severoiJy said that they each r~ided in the Town of- Southoid, County of Suffolk, State of New York, and were members of the Board of Trustees of said Town of 5outhoM and constituted a majority of the same; that they knew the comatose seal of said Town of Southo~d; that the seal affixed to the foregoing instrument w~s 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 nome the~to as o Trustee and by like order. Notary Public fibli~, 8~te of'~ y~ TOWN O~ ~OUTHOLD ROARD OF TOW~ TOWN CLERK'S OFFICE SOUTHOLB, N. Y. ~a~ned Application No .......... -~.~..,~--~- ................... Permit No ............................................................................. Disal~prcved a c ............................. ~_~._...~ ......... chairman, Board of Trustees APPLICATION FOR PERMIT INSTRI~OTIONS A. This application to be completely filled in by typewriter or in ink and submitted to the Town Trustees in dup- licate. B. Plat plan sho~4ng location of lot and buildings on premises, relation to adjoining premises, public streets, pa~ks, etc.. add giving detailed description o~ proposed layout of project must be dravrn on. diagram which is pi~--t of this application. C~ The work covered by this application may not be commenced before the issuance, of a permit. D. Upon approval of this application, Town Trustees will issue a permit to applicant. Such permit shall be kept on the premises and available for inspectioa at all times. E. Applicaut shall notify the Beard of T~stees upo~ completio~ of the work covered by permit. APPLICATION IS HEREEY MADE to the Board of Trustees of the Town of Sot~thold, Suffolk C~oUnty, New York, for the issuance of a permit pursuant to the laws. Ordinances and regulations governing constr~cfion of: docks, piers, bulkheads, jettys and dredging in; under', and over the waters of Town of Sou}hold. The a.pplieant agrees to comply with all applicable laws, c.rdin~nces, regulations a~d conditions specified by said trustees, and to hold the Town of Seuthcld, and an Town o~cials free from liabil~ty a~d damages of any ki~d. Same of owner of premises ...__*~__.~_.,~;~-. ......... ./~...d~L.k~. .......... .,~, ....._..~...._~'7....~.,~.~....~......~ ................................................ Street Address o,f Property .._.~.J_.~_..~li'_..~-T...~._.....,~_...~2~.._.~,. ........... r~.~J~...~...../~.._~_..~f~..~.....~__.....L'~.__.._~_.~...o_...~.~..L~_~_._.. Home address ~f Other ~han Locaaon .Z.:~...~....LZ..a.~D..~ Creek, Ba~ or ~arbor Fro~tin~ P,o~__..G..~..a.~...Y. ............... ~.--a-.~:.~....lff. ............................................................................................. ~e~ ~,~,t~a ~o: .--~.-R--.~-.P.--~.---E ......... ~...~---~- ~--~- ~ ~ ~ ~ ~-~--~ S~e of ~opused Work: Le~h ....... l._~..~. ................ Width ...................... Heighth Above ~gh Water ....~ ...................... Oe th W, er .J ....................... ............... ara Width of Ca~M, Creek .or Bay Fr~niing Prope~y .....~.~...~ .................... Depth at Low Tide ~, T~, ~er ~a~ or ~e,~ U,e~ ....... ~...B.L...~...a...~..~ ........... A,e~ Zo~in~ _...~ ......................... Complete plot plan to be dra~ on reverse side of t~ application. STATE OF NEW YORK) 0 ~ )S. S. COUNTY OF~) ................................................................................ being duly sworn, deposes and says that he is the applicant for the above de- seribed permit, and that all staiements contained herein are true to the best of his k~owledge and belief; that tho work will be done in the. mariner set forth in the application and as approved by the Board of Trustees of the Town of So~thold, and the applicant agrees to hold the Town of Southold and said trustees harmless and free from any and all damages add claims arising ,under or by virtue of said permit. ............ .._ (applicant) Sworn, to before me this ...... ~..~1~ .............. day of ...~ .......... 19._._~...~'. .... ;ss ~ E~'s;r~., [~arch 3Q. 1§ '~'~