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Home My WebLink AboutTR-147 TOWN OF SOUTHOLD BOARD OF TOWN Pursuant [o the provisions of Chapter 615 of the Laws of 1893 of the State of ~ew York and Chapter 404 of the Laws of 1952 of the State ~f.:~W,¥erk and in accordance with the resolution of the Board of Trustees of the Town of Southold adopted at a meeting of said Board on ......... ~]F~,',~..~....~...~.~..~. ............. , end in cons derat on of the sum of res~d ng at ..~ .~:..:.~.~~e,~~--~ ................. , New York, the said Board ~f Trustees of t~wn of ~outhb]~ Suffolk C~n~, New York, hereby for ~.~ issuance of this permit docs hereby release the said Board, ofrTrustees an~d, the Town of Southold from any and all dornages, claims for damages, or suits that may arise or occur directly or indirectly as a result of any operation carried on unde~ ahd pursuant'to this permit, and will at his own expense, defend any and all suits which may ~'~r~Ughf by th'Jrd part/es as a result of any operation carried ar pursuan~¢o 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~ Town of Southold, TH S PERMIT is SUb!~ct to the following terms and conditions: 1. That there shall be no unreasonable interference with navigation as q resul~ aT the work herein author zed 2. That there shall be no interference with the right of the public to pass and repass along that portion of the beach between tow 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 Boai'd 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 year above written. .~ .(L seal .~. .S.) ; _ -~ -~ .......Q/.~..~q.,~./.:~..~..~%..~.~.~t ...... (L. S.) ~' . .... S.) ... ~....~...Z.~.~. ......... (L. S.) STATE OF NEW YORK ) SS: COUNTY OF SUFFOLK ) ON THIS.....I..~ ......... day of .......... ~" ....................................... , 19.~,1... before me personally appea~ed ~S ~n~ nE ~ ~;~, Of ~e~'~ ~ Ai~ ~1~i~,~0~ S~O~, all personally ~own to me, who, being by me duly sworn, severally sald that th~ each resided in the Town of Southe[d, Coun~ of Suffolk, State of New York, and were membem of the Board of Trustees~ of said Town of S~thold and constituted ~ majority of the ~me~ 't~ct they kne~ the corporate seal of said Town of Southold; that the seal affixed to the foregoing instrument was such corporate seal; that it was so affixed thereunto by order of the Boa~ Of Trustees of said Town of ~uthold and that each one signed h~s name there~ as a Trustee and by like order. ~ ~ .......... ...... ~a~ Public ~ Public, ~te of N~ Yo~ ~[un [~irss ~arc~ 30, l~ TOWN OF SOUTHOLD ~ 1 4 ~ . BOARD OF TOWN TRUSTEES TOWN CLERK'S OFFICE SOUTHOLB, N, Y. Examined .....~.~t....~ .......... 19~_../_ ..... Application No .............................................. ........ .......................... ................. ........................................... Dis~pp~ove~/c .................................... ~/ ~ ................................................................................................................................................. ~ 4- ....................................................... :~.._.~.- ....... ,......_.~.~ .... c~n, Boa~ of ~t~s / APPLICATION FOR P'ER~IT A. ~Js ~cs~ou to ~e com~]e~e]~ ~e~ i~ b~ ~e~e~ o~ ~ J~ sna s~t~e~ ~o ~e ~o~ ~ees J~ ~- ~ics~e. B. Ploi plan showing location, of lot and hullings on pre.sos, relation to a~o~ng pre.sos, pubic streets, p~rks~ etc.. an~ ~ving detafle~ description of proposed layout ef pro,oct must be ~awn on ~g~m which is ~a~ of ~s application. O. The work covered by t~s applicatioa may not be commenced before the issu~ce of a pe~t. D. Upon approval of t~s apDHcation, Town Trustees ~viH issue a permit to applicant. Such permit shaR be kept on the premises and avafl~ble for ~spec~ion at a~ i~es. E.. Applicant sha~ n~ify the Bcard Gf ~ustees upon completion of the work covered by pemit. ~PLICATI0~ IS HEREBY MADE to the Board of Trustees of the Town of Sou%hold, Suffolk County, New York, for ~he issuance of ~ permit pursuant to the laws, Or~aaces and regulatioas goveEing constEc~ion of: docks, piers, b~J~eads, 3ettys and ~edging ~; under, and over the waters of Town of Sou%hold. The appHc~nt agrees to comply ~th a~ applicable laws, ordinances, re~l~tions aad conditions specified by said t~stees, and ~o hold the Town of Southold, aad aH To~ o~oials free from EabflSjty ~d damages of any M~d. Name of o~er of premises ........... ~...~.,....~.~.~ S~eet Ad.ess of ~op~ty ........... ~-$-~ff~-L~Y.~m,.....-.~!~....~.~.~..,......~2.9~.~_ ...................................................... Home address ~ 0~her ~a~ Location ....5.8....~._A~e. r--~he~.~s~, ...E.......~ .......................................... Creek,. Bay er Harbor Fronting Property ........ ~_~_~._~.e~ .................................................................................................................................................................... Permit Reqnested T'o: ~.~.d~...~29~h....~.~.._.~.C~..._~.q~-~. BQ~.~ a~ ~ ti5 e s~e of Proposed Work: Len~h .......... 2G~ ................. Width ......... ~ .................. Heightb Above ~gh Water ......~ ......................... Depth Below Low Wster _.....~.~. ................. Average Rise In Tide ~9~...~3 ....... Y~r~s to Be ~cavated ................................. WidSh of C~al, C~eek or Bay Fronting Prope~y ....... ~/2..~. ................ Depth a~ Low Tide l~...~.t..._~ap~ ....... Is TMs For Private or Bus,ess Use? ........ p.~.~ ................................... Area Zo~g ........................................................................... Complete plat plan to be dra~ on reverse side of this anplication. ~'~',. - 8TA~ OF NEW County OF SuZ¢o!k ) ........... ~.¢~....~.,.....~8.~B~. .................. ~e~g d~y ~worn, deposes ~& s~s ~h&~ he is ~he ~p~oant ior ~he ~bove de- sm&bed permi~ ~n~ ~h~$ &H si~iemen~s con$~ned he~e~ &~e ~e ~o ~he be~$ oi his knowledge and beHef; work will be done in She m~ner se~ io~h in ~he spp~c,s~ion. &n~ ~s &pprove~ by She ~oar8 of ~sSees of $~e ~o~ and ~ damages and claims a~sing under or by virtue o,f said pernfi[ ~ / (appHcant) Notary public .................................... county of Quatif~d in [~assa~ ~o~n~ : ~/ C0~issi~u ~pi~es ~=mb 30, 196~ ~