HomeMy WebLinkAbout1000-54.-4-3 RECEIVED
NOV 2 0 2017
NOTICE TO ADJACENT PROPERTY OWNER
Southold Town Clerk
BOARD OF TRUSTEES, TOWN OF SOUTHOLD
In the matter of applicant:
65,,,_aCTM#
YOU ARE HEREBY GIVEN NOTICE:
1, That it is the intention of the undersigned to request a Permit from the Board of
Trustees to:
X/
0A1 AIZIV& -5 VJ ,5"
2. That the property which is the subject of Environmental Review is located
adjacent to your property and is described as follows:
le,5NA��Y-S"
4z
3. That the project which is subject to Environmental Review under Chapters
96,111 and/or 275 of the Town Code is open to public comment on:
DATE: -- ze .........
You may contact the Trustees Office at 765-1892 or in writing.
The, above-referenced proposal is under review of the Board of Trustees of the Town of
Southold and does not reference any other agency that might have to review same
proposal.
PROPERTY OWNERS NAME: _X�
MAILING ADDRESS:
PHONE #: .............. ............................... .........
AGENT:
MAILING ADDRESS:
PHONE #:_ _37
Enc: Copy of sketch or plan showing proposal for your convenience,