HomeMy WebLinkAboutKIRWIN, JOSEPH PATRICK~r. Joseph P. Kiz~in
~u~=hogue, L, I.
Dear Mr. Kirwin;
Your application for a st~ke
mooring a rowboat in Richmond Creek was
Trustees held on F~nday, June 12, L967.
~o~which you will nee~ a~ess ~ust be obtain-
~ ~ore a ~it can ~ issue~ in ~ Loc-
a~ion~ ~e ~lieve ~is pro~r~y ~l~gs %o
The fe~ f~r a stak~ is Fifty
Very truly yours,
FORI~ NO. 1
TOWN OF SOUTHOLD
BOARD OF TOWN TRUSTEES
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Exarained .............................. 19 ...... Application No ..................
Approved ............................................ Permit No .............................
Disapproved a/c ............. ] ......................................................... - ......................
....................................................... chairman. Board of Trnstees
APPLICATION FOR PERMIT
'[ N $ T RT..T CTI O!',,TJ~
A. This application to- be completely [illed in by Typewriter 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, eta., and giwng detailed description of proposed layout of proiect must be drawn on diagram which is parr
of this application.
C. The work covered by this application may nor be commenced before the issuance of a permit.
D. Upon approval of this application, Town Trustees will. issue a permit ro applicant. Such permit shall be kept
on the premises and available for inspection at all times.
E. Applicant shall notify the Board of Trustee~ upon completion of the work covered by permit.
APPLICATION IS 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.
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,~,~ ~ .-'2~and all~_..~ ~T°wn officials freeJ, r~omf~ ~' ~---~ z.~liability~ and da~.~ of any kind.
~ame of o,vner of ~--~ ..._~.:os~.~^...~r~r.~C .... ~.t:.~ r~.~.~.¢Z .... . ........
Street Address of Property .~.:~..~...~¢~~-- -- ..... ~.~.~..
Home address If Other Than Location ................................ ~.. .......................................
Creek, Bay or Harbor Fronting Property .....................................................................
permit Requested To: . .~. ~~,
. ~ . ~ 'V~* ,
Stze of ~roposed Work: Length .................. W~dth .... . .......... ~T~....~-~, e ~g~ Water.
Depth Below Low Water ................ A~erage R~se I~ Tide .... ;. ........ Yards to Be Excavated ..............
Width of Canal, Creek or Bay Fronting Property ...................... Depth at Low Tide .....................
is This For Private or Business Use? .................................. A~ea Zoning ..........................
Complete plot plan to be drawn on reverse side of this application.
............................... being duly sworn depose~ and says that he is the applicant /or the above 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 Southold. and the applicant agrees to hold the Town of Southold and said trustees harmles~ and free iron any
and all damages and claims arising under or by virtue of said permit.
/ / ( / (applicant) ~
Sworn to befo me o, .............
Notary public ...................... county of ...................