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HomeMy WebLinkAboutLOWELL, RONALD ~ a~e retu~ning your application to th~ $outhold ~o~ Trustee~ for permit to erec~ a bulk- head at high ~t~~ ~< on y~ar property st L~eton Drive~ $ou~no%d, l{e~r ¥ork~ Inammu~ ~s ~is bu!khe~d appears to be above high water mark an~ on the shore of Long Island So~=nd~ the Southold Tcea~ Trustees have no j~risdic~on ~Jery truly yours, Aivah B~ Goldsmith FORI~I NO. I TOWN OF SOUTHOLD BOARD OF TOWN TRUSTEES TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined .... ............................. 19 .... Application No ................... Approved ............................................. Permit z~o ............................ Disapproved a/c ............................................................................................. .................................................... chairman. Board bf Trustees APPLICATION FOR PERMIT A. This application to be completely tilled in by typewriter or* in ink and submitted ro 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 description of proposed Iayout of project must be drawn on diagram which is par[ of this application. C. The work covered by this application may nor be commeuced before the ~ssuance of a permit. D, Upon approval of this application. Town Trustees wi!l issue a permi~ ro applicant. Such permit shall be kepi on the premises and available for inspection ar all r~mes. E. Applicant shall notify the Board of Trustees upon completion o~ the work covered by permit. APPLICATION IS HEREBY MADE to the Board of Trustees of the Town of Southold, Suffolk County. New York. for the issuance oi a permit pursuan~ ~o the }axvs. Ordinances and regulatious governing construct[on of: docks. piers, bulkheads, jertys and dredging in. 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 all Town of[iciala free ~ro~u liab~itv and damages o~ any k~nd. o, :. :2 ............................................ Street Address of Property '~'~'~~'~"~f,,_ --~ qJ~x, ~ ~, ~ ' ............................. ...... .......... Creek, Bay or Harbor Frontm~ Property . .~ P. [.:.. (J .~ ......... : .......... ,. ........................ ', · '2ermlts Requested To: .~ ................................................ : ................ Size of Proposed Work: Length . .~ ........... ~qdth . .~ ........ ~e[ghth Above High ~5 ater .. ~ ........ Depth Below Low Water ./2 ~, ....... Average Rise In TJae . ~.~ ........ Yards to Be Excavated ........... Width of Canal, Creek or Bay Fronting Proper/y ... ..................... Depth ar Low Tide .~: ..... Complete plot plan to be dra~vn on reverse side of this application_ STATE OF NEW YORK ) COUNTY OF?~t-cg. g4-c, )S.S.) ~(.~. '.q..~..~,%'~'. A'~.~... being' duly sworn dcposes and says that he is the applicaat for the a~ove describes permit and that all statements contained herein are true ro the best of bis knowledge and belief; that the work will be done in the manner ~et forth in the application and as approved by the Board o~ Trustees of the Town a[ Southold, and the applicant agrees ro hold the Town of Sonthold and said trustees harmless and free from any and all damages and claims arising under or by virtue o~ said Certain. . ..................