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Home My WebLink AboutTR-384 TOWN OF SOUTHOL.D BOARD OF TOWN TRUSTEES PE ,,T ..... Pursuant to the provisions of Chap ter 6~5 of the Laws of 1893 of the State of New Y~rk; Chapter 404 of the Laws of 1952 of the State of New York; lhe pro- visions of an ,ordin~ce entitled "Sout~old Town Ordi~n~ Regulating lhe Placing of Obs~ctions in and on ~own Waters and'Fublic L~ds, ~d ~e Remov~ of Sand, Gravel or oth~ ~5aterials from Lands unde} ~own Watexm", ~d in accordance with the resolution of the Bo~d of Trastees of ~e Town, of Southold adopted at a meet- lng of said Bo~d on . ~... ~. ~95, ........ and in co~ideration of the ~m of $. ~., la.u! ~oney of the~United Sta~es pa~d,bF Bo~d of ~ruste~ '~f the To~ o~ ,Seuthdld; Suffolk Ceunty, New Y~k, hereby au~orized~ and per,its said ........ :..~$. ~...; ................. to The said ..... .~..a~...~.~...~.~.~.~.y ............... as part of the consideration for the issuance of this permit does hereby release the said Board o~ Trustees and the T~wm of Southold from any and aH damages claims f,o~ damages or suits that may arise o~~ occur directly or indirectly as a result of any operation carried on un- der and pursumut to this permit, and will at his own expense, defend any and all suits which may be brought by third parties, as a result ,of any operation carried on ptu~suant ~o or in accordance with the terms of this permit, and assume full liability with :respect thereto to the complete excIusion of said Board of Trustees and the Town of Southold. THIS PEB~iIT 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 shah be~no interference with the right of the public to pass and re- pass along that portion of the beach between low and high water mark. 3. That fhe work sha}] be subject to the supervision and approval of the said t~oard of Trustees or its agents. 4. That ~f future operations of the Tow,n of Southold require the removal and/or alteration in the location of the work herein authorized, or if, in the opinion of the Board of Trustees of the Town of Southold, such work ,shaH cause un- reasonable ,obstruction to free navigation, the said . .~Y~a~. ,~A~ ........ will be required upon due notice from the said Board of Trustees, to remove or alter the location ,of the work hereby authorized without expense to the Town of Sonthold, so as to render navigation reasonably free and unobstruct- ed. The authority conferred by th~s permit may be teKminated by the Bo~rd of Trustees for a failure on the part of the said ....................... ~,.~...~. ................................ to comply with the terms end conditibns herein imposed. In the event of s[~h termination, this permit shah be deemed revoked five [5) days offer the date when the Board of Trustees shad mad to the said ...................... ~..~.~ .................................... at the address given i~. his oppliCotlon, a cer~f~ecf copy of a resolution of fha Bo~rd of Trustees directing such termfnetion. IN WITNESS WHEREOF, the said' Board of Trustees of the' Tewn o{ 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. sear' ....... S.) ........ ! ........ :. ........ ..... (L. S.) ~ ...... ~..~-Z~. ¢~,..;..~<~-~,~:.~.,~(L S.) : ~~. (L S.) s.) STATE OF NEW YORK ) SS: COUNTY OF SUFFOLK )~ iq . ON THIS ...... ~.... day of ~¢em]~ez' lq'*&6 before me al! personally known to me, who, being by me duly sworn, severally said that they each resided in' the Town of Southold, County of Suffolk, State of New York, and were members of the Board of Trustees of said Town of Southold and constituted a majority of the some; that they knew the corporate seal of said Town of SouthoM; that the seal affixed to the 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 signed: his nome thereto as a Trustee and by like order. ~'£:[a¢~ -~ Notary Public ~ ~'erm ~¢res ~arch FOR~ ~0. ! SOUTHOLD, N. Y, ....... ............... .............................................. ~pp~oved .......... ~ _...~. ......................... b ......................................... Permi$ ~o .............................................................................. D~s~pproved g/~ ~ ~~ ...................................................................................................................................................................... APPLIOATION FOR PERMIT I}~ST~UOTIO~S A. ~is ~ppHcatien to be completely SHed in by type~'iter or ~ ink ~nd sub~tted t0 the To~ ~stees Hoate. B. Plot pl~ showing location of lot smd bnfidings on promises, ~elatio~ to ad~oining presses, public parks, etc., and ~ng detailed doscription of Rropc~sed layout of pro~ect must be ~a-~ on ~agr~m which is p~of this appHc~%ioa. C. The work covered by tiffs application may not be commenced boforo the issuanco of a pormit. D. Upon approv~ of i~$ application, Town Trustess writ issuo s, permit to applicant. Such permi~ skil be o~ the premises and available for inspection at a~ t~mes. E. AppEcant shaE holily the Board of Trustees upon comp!e~o~ of the work covered by permit. APPLICATION iS HEREBY 5IADE to the Board of Trustees of the Town of $o=~hold, Suffolk 0ounty, l~ew York, for th~ issumnce of m permit pursuant to the laws Ordinances mud re~olations fovern~f construction of: docks, piers, bu~heads, jettys mud dredging ~; under, ~md over the waAers of Tov~ of ~u~hold. ~ne mppHcant mzrees to comply ~th a~ appHc~ble ~aws, erdinaaces re~ations and conditions speolfied by s~id trustees, ~nd ~o hold ~me of o~er of premi~%~~. ......... ~]]._. ~.~~ .................................................................................................................. ~o~e add~ess If Other ~a~ Location ......... ~.~.....~~..~:: ............................................ ~ ............................................................... Permit Eeqnested To: ................................................................................ · ........................................................................................................................ Size o~ ~ropose~ Work: ~e=g'th ....... ~._( ................ Width ....~ ...................... Hei&ht~ Above High Water ...~ ............................ D~ptB ~elow ~ow WaSez ............................. Average P~se ~ Tide ...~.~ .............. Yards to Be E<oav~ted ....L~..~ ................ Width of 0smal, Oreek or ~my Fron$in~ P~rty .~ .................................. Depth at ~ow Tide ................................................. ...... ............. ........................................................................... Oom~lete plot plan to be dra~ on reverse side of this appiication. STATE OF NEW YORK) )S.S. OOUNTY OF ) ............................................................................... being' d~dy sworn, deposes and says that he is the applicant for the abo~e de- scribed permit, and that all statements contained herein are true 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 $onthold. and the applioant agrees Go 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. / / Sworn to before me this .............................. day of .............................. 19 Notary public ................................... county of