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HomeMy WebLinkAboutTR-200 TOWN OF SOUTHOLD BOARD oF' TOWN tRUSTEES. PgB,MIT NO, ,::~o o Pursuant to the provisions of Chapter 615 of the Laws of 1893 of the State of New York and Chapter 404 of the Laws of 1952 of the State of New York and in accordance with the resolution of the Board of Trustees of the Town of Southold adopted at a meeting of said Board on .......... ~r~t~...;J.0.~...~,~;J ..................... , and in consideration of the sum of $25~.0D..., lawful money of the United States, paid by..~l'aJtt%..~,...Jt~3,&~t3~. ................. residing at ............. OJIl~r.~'..~ll~l~.~d:lil~,...~l~..~o,~...r..lt. ......... , New York, the said Bc~ard of Trustees of the Town of Southold, Suffolk County, New York, hereby authorizes and permits said ................ ~oJ~lt..lJ,,JJO,l,t-~ ......................................... to to dredge and erect a t~ulkhead across the ~ron~ o£ his p~operty on Osprey Ne~2 RO~d. F~st N~ol~, L.I. 100 feet with an additional 10 feet at right anqles to be turned o,/e~ to ~:he ~ o£ B~3~.~,,~Old, all in accordance with the application submitted. (Also to erect dock in front of~ his property.) The said ....~O~..~..~l~ ............................. , as pad of the consideration for the issuonce of this permit does hereby release the said 8~rd of Trustees and the Town of 5outhold from any and all damages, claims for damages or suitst~t may grise or occur directly or indirectly as a result of any o~ratJon carried on under and pu~uant to this permit, and will at his o~ expend, defend any ~nd all suits which may be brought by third p~dJes as a ~esul~ of any ope~tJon carried on pursuant to or in accordance with the terms of this permit, and ~sums '~1 liability with respect thereto to the c~lete exclOsJon of ~id Board of Trustees and the Town of 5outhold. THIS PERMIT is subject to the following terms and conditions: 1. That there shall be no unreasonable interference with navigation as a result of the work herein authorized. 2. That there shall be no interference with the right of the public to pass and repass along that portion of the beach between Iow ~nd 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 Bcard 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. ~ ...................................... :S.) STATE OF NEW YOR[( ) SS: COUNTY OF SUFFOLi( ) ON THIS ...... .~..7.~....day of...,.~.%i]~.~. ...................................., 19.~..., before me personally appeared E~a:t~S ~, ~k ~S~, Jd~n all personally known fo me, who, being by me duly sworn, severolly s~id thor they e~ch resided in the Town of Southold, Cou,n~ o~ Suffolk, Store of New York, end were members of the Board Trustees of s~id Town of Southold end constituted ~ mejori~ of the s~me; thor they knew the corporate seol of sold Town o~ Southold; that the se~l ~ffixed to the foregoing instrument w~s such corporate seol; thor it wes so ~ffixed thereunto by order of the ~rd of Trustees of said Town of Southold end thor each one signed his name thereto o Trustee end by like order. ... ~..~ ............... ~o~ Public C~mm~ssio~ ~pires ~arch 30, BOARD OF TOWN TRUSTEES TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined Disapproved a//e ................. ~!_~ ............................. , ....................................... chairman, of Trustees / ADPLICAT ON FOR PERMIT INSTRuCTION~ A. This application to be completely filled in by typewriter or in ink and submltted 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 project must be drawn on dlagTam 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 permit to applicant. Such permit shall be kept on the premises and availabie for inspection at all times. E, Applicant shall 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 Ybrk, for the issuance of a permit pursuant to the laws, Ordinances and regulations governing construction of: docks, piers, 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 hold the Town of Southold and all Town officials free from liability and damages of any kind. Size of Proposed Work: Length .... Z<..~..~....~ .... Width .............. tleighth Above High Water .... .~..?'...'z~... Depth Below Low Water.....Z'~. ~.f~.~.. .... Average Rise InTide. ....~......~...Yards to Be Excavated .............. Width of Canal, Creek or Bay Fronting Property..; ............... Depth at Low Tide ..................... IS This For Private or BusinessET se? .............................. Area Zoning ................... Complete plot plan to be drawn on reverse side of this application. 8TATE OF NEV~ ) Te.~ ....... being duly sworn deposes and says that he is the applicant for the above de- rmit; and that all statements contained herein are trne to the best of his knowledge and belief; that 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 Town of Southold and said trustees harmless and free from any and all damages and claims arising under or by virtue of said permit. ~f~ ~ (applicant) ' SWorn to before me~othls ..... ~ ~. ...... day of..~ ~. :...f 19. ~ .....