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HomeMy WebLinkAboutTR-593 TOWN OF SOUTHOLD BOARD OF TOVVN TRUSTEES PERi'VI,T NO ...... ~.~..:. Purs~aant to,he provi~ns of Chapter 615 ~-~e La~s of I893 of the S~te of New ,Y~k; C~apt~ i0~.~ ~h~ .Laws of 1952 ef the Sta~e ~f Ne~t Y~k; the p~o- v~s}ons 0f an[ ordinance enti{led "SouiBoid Town ordin~ce R;gutai~g the Placing of Obst~ions in and on ~own -Waters and Public Lands, ~dthe R~mov~ of Sand, Gravel or .other ~iaterials from Lmnds under ~own Waters", ~d in accordance with ~e ~solu~on of the ~a-' .01 Trustees of the Town of South~Id ad'ted at a meet- lng of said Board on .... ~. ~,..~ ...... and in c~ideration of ~e sum of $..3~.'~., lawful money of ~e U~ted States, pa~d by ,.~.~.. Board of T~s~ees of the Town of Southold, Suffolk Count, New. York, hereby au~or~zed ~d pemits said ....... The said ... ~..~ ................. as p~ ,of th~;~ consideration for the issuance of this pe~it does hereby release the said Board of T~stees and the T~wn of Sou~o!d from any and all damages claims f~ .d~ag~ or suits that may arise or occur di~ctly or indirec~y as a Tesult of ~y operation ca~ied on un- der and pursuant to this pemit, and will at his own expense, defend any ~d all suits -which may be brought by third parties, as a result of any operation c~ried on pursuit to or in accord~ with the ze~s of this pemit, and assume full liablliW with respect thereto to the complete exclusion of Said ~d of T~stees and the ~own of Sou~old. TH~S PER}~IT is subject to the foHo~ng terns and conditions: 1. Thai ~ere mhall be no unreasonable inte~fference with navigation ~e ~ork herein authorized. 2. ~at there shall be no inte~erence with the right of the public to pass and re- pass along that p~ion of the beach between low and high water mark. 3. That the work ~a]l be subject to the supervision ~d approv~ of the said Board of T~stees or its agents. 4. ~at if future operations of the Tow,n of $outhold require the remov~ ~d/or alteration in the location ~ the work herein authorized, or fi, in the opinion of the B~rd of Trustees of the Town of Southold, such work ~all cause un- reasonable obst~ction to free navigalion, the said ... ~. ~ ....... will be required upon due notice from the sEd Bo~d of T~s~es, ~o remove or alter the location of the work hereby authorized without e~ense to the To~ of Sou~old, so as $o render navigation reasonably free ~d uno~ct- ed. The authority conferred by this permit may be termi~ted by the Board of Trustees for a failure on the para%of the said ........................ ]~.l;ll3...~.~;L .............................. to comply with the terms and conditions herein irnoosed. In the event of such termination, this permit shall be deemed revoked five (5) days after the date when the Bo~rd of Trustees shall mail to the said ........................ .~...~,.~.O.~....~...~....~ .............. at the ~ddress 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 a majority of the said Board of Trustees, the day and year above written. seal (L. S.) (L. S.) - (L. S.) S.) (L. S.) STATE OF NEW YORK ) SS: COUNTY OF SUFFOLK ) ON THIS ........ ~.~h.... day of ................ ;~,43~. ........................... , 19..]7.0., before me oersonally appeared A1vah ~. Go1~s~ith, George S~mp~on0 John F. ~Nulty, ~ra~ D~son a~ ~ug[as Robert~n, all pe~onally known to me, who, being by me duly sworn, severally said that they each resided in the Town of 5outhold, Coun~ of Suffolk, State o~ New York, and were members of the Board of Trustees of said Town of Southold and constituted a majori~ of the same; that they knew the corporate seal of said Town of Southold; that the seal affixed to thc foregoing instrument was 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 s~gne~ his name thereto as a Trustee and by like order. File~ ~ Noto~/Public ~' - ~ ~% ,, FORM NO. ] TOWN OF SOUTHOLD BOARD OF TOWN TRUSTEES ~.~ j~,~ ~ TOWN CLERK'S OFFICE SOUTHOLD, N.Y. ~'~ Examined ...... 19 ..... Application No ................. Approved ........................ Permit No.... .................. """"" ~(~(~'~~" ...... chairman, Board of Trustees APPLICATION FOR ~PERMIT INSTRUCTIONS A. This application to be completely filled in by ~ype~vriter 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 description of proposed layout of prolect must be drawn on diagram which is part 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 permi't to applicant. Such permit shall be kept on the premises and available for inspection at ali times. E. Applicant ghalI 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, pmrs, bulkheads, jettys and dredging in, under, and over the waters of Town of Southold. The applicant agrees to comply with all applicable laws, ordinances, regulations and conditions specified by said trustees, and to held the Town of Southold. and all Town officials free from liability and damages of any kind. Name of Owner of Premises .~? ,~ T~ ./<, /~--J- q .,~.'/¥ ......................... ~. Street Address of Property . .&. ?.' ~.Z-~.~.J..~......~. &~.~'.T. 2' '~'~"fAz' ~77' '/'~"~ AC~' '~'~- ...... Creek, Bay or Harbor Fronting Property .... .~./~.&f.e. ,./-/.q&~....~'. (~?-7t~/( ..................................... Permits Requested To: .......... 4~...,~.~g..~.~ ................................. Size of Proposed Work: Length .... .~..D. ( ...... Width .... .~.~.~. .....tteighth Above High Water ... ~ ........ ]Depth Below Low Water .............. Average ~ise Iu Tide .............. Yards to Be ExcaYated ............ Width of Canal, Creek or Bay F~ontlng Property ...... ~..~..~.~.~...~ ...... Depth at Low Tide .................. Is This For ?rivate or Business Use? ..... .]~;~'~4.~. Z.--.~ ...................... Area Zouiug .................... Complete plot plan to be drawn on reverse side of this application. STATE OF NEW YORK ) )S.S, COUNTY O~ ~,,/..~ ) ..... %an al;stt P ', _e_.~_ n_!s ~' h;Te~nrna' ' o ge and belief; fhat the work will be done in the manner set forth in the application and as approved by the Board of Trustees of the Town of Southold, and the applicant agrees to hold 'the Towu of Southold and said trustees harmless and free from any and all damages and claims arising under or by virtue of said permit. ....... ................ (apPlicant) ....... .... .... Notary public