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.iN THE ~L%TTER OF THE APPLICATION OF : I 0 '
e
TO THE TOWM TEUST~S~OF THE T0%,IN OF SOUTHOLD: ~12
THE UNDERSIG~D DOES ~P~BY REQUEST From the ~outhold Town Trustees
(a) permissio~ to dredge
('b) permission to erect a dock
(c) a grant of land un~r water
And~ T}~ b~{DERSIG~YED DOES ~REBY AGREE to hold the said Trustees and
the Town of Southold harmless and free from any and all damages and
claims arising under or by virtue of said
STATE OF ~W YORK~)ss:
COUNTY OF SUFFOLK~
)
On the /~ day of~ ,19 ~'7, be~ore me personally
to me kno~aand known to ~e to be the individual~ described in and who
executed the foregoing instru~aent~ and
duly acknowledged to me that ~ executed the
same.
Notary Public~ Suffolk County~