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HomeMy WebLinkAboutTR-430 TOWN OF $OUTHOLD BOARD OF TOWN TRUSTEES ,430 P~!~v~T NO ................. Pursuant to the provisions of Chap ter 615 of the Laws of 1893 of the State of New York; Chapter 404 of the Laws of 1952 of the State of New York; the pro- vlsi, ems of an ,ordinance entitled "Southo!d Town Ord~ce Reguj'affng ~e Placing of ObstCuc~ns in ~d on To~ V~at~s and Public Lands. ~d the Rem~v~ of Gravel or other ~vlater~als f~m L~ds under ~own Waters", and in acc~dance with the resolution of the Board o~ T~siees of the Town of South,old adopted at a meet- i~g of said Board on ..... '~..~9. t. ~?~., and in consideration of the~m ~oard~of Tmmtees of the Town of Southold, Suffolk C~nty, New York; hereby Su~it~. Annette Knoblock The said ..................................... as part ,of the consideration for the issuance of ibis permit does hereby release the saki Board of Trustees and the Town of South,old from any and ~1 demages claims for damages or suits that may arise or occur d~ect]y or indirectly as a result of any operation carried on un- der and pursuant to this permit, and %vil~ at his own expense, defend any and ,all suits which may be brought by third parties, as a re.alt of any operation carried on pursuant to or in accordance with the terms of this permit, and assume fuji liibility with respect thereto to the complete exclusion of said Board of Trustees and the T. own of Southo!d. TI-ZIS PERI%{IT is subject to the following terms and conditions: i. %nat there shall be no unreasonable inte~!erence with navigation as a result of the work herein authorized. 2. That there shall be no interference with the ~ight of the public to pass and re- pass along that po~ion of the beach between low and high water ma_vk. 3. Tha~ the work shall be subject %o the supervision and approval of the said Board of Trustees or its agents. 4. That if future .operations of the Tow.n of Southold require the removal and/or alteration in t~he location of the work herein authorized, or if, in the opinion of the Board of Trustees of the Town of Southold, such work .shall cause un- reasonable obstruction to free navigation, the said .~...~.;~t;.e...F~.~b..~.O?.k. .... will be required upon due notice from the said Board Of Trustees, to remove or alter the location of the ~ork hereby authorized witllout expense to the Town of Southold, so as ~,o render navigation reasonably 'free and unobstruct- ed. The authority conferred by this permit may be terminated by the Board of Trustees ~- rt ~*~ ~=,4 Annett:e Knoblo~ ..... to for a failure on th= ~ ~..,,= =~,~ ............................. r ............................................. comply with the terms and conditions herein imposed. In the event of such termination, this permit sh~J{ be deem~ revoEed five (5) days offer the date ~en the B~rd of .~ An~tte ~oblo~ . Trustees shall maii~ to ~he sma ....... ............................................................... .............. a~ the oddress given rn his applic~ion~ ~ ce~ffied copy of a resolution of fha Board of Trustees directing such terminOtion~ IN WITNESS WHEREOF, the said Board of Trustees of the Town of Southold has caused its corporcite 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. seal $.) (L. S.) (L S.) {L STATE OF NEW YORK ) SS: COLNTY OF SUFFOLK ) ON THIS .................... day of ..... .~...O..~.~.=. ............................. 19...6..?.,, before me personally appeared Al. yah ~B. Goldst~ith. John F. ~JcN~Ity~ Dawson. Doug]Las Robertson an~ George $~mpson, all 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 o~ the same; that they knew the corporate seal of said Town of Southold; 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 name thereto as a Trustee and by like order. £zec : ............ FO~ NO. ~ BOARD OF TOWN TRUSTEES TOWN CLERK'S OFFICE SOUTHOLD, N.Y. Examined . . t9 ..... _- Application No ................... Approved i i ~i i~: i i './~. ~/. '~. '. i i i i i ............. --'Permit.No ...... ~...(~.. ............ APPLICATION FOR PERMIT INSTRUCTIONS A. This application to be completely filled in by typewriter or in ink and submitted ro 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 diagram which is part of this application. C. The work covered by this application may not be commenced before the issuance of a p,ermir. D. Upon approval of this application, Town Trustees will issue a permit to applicant. Such permit shall be kept on the premises and available for inspection at all times, E. Applicant shall notffy the Board of Trustees upon completion of the work covered by permit, APPLICATION IS HEREBY MADE ro ~he Board of Trustees of thc 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 ro comply with all applicable laws. ordinances, regulations and conditions specified by said trustees, and to hold the To~vn of Southold. and all Town officials free from liability and damages of any kind. Name of Owner of Premises /~..,~..~.¢:..7f'~.. ....... . .~.'.,~..~.~'.~.~.¢--~.r ................ : ............................. Street Address of ?roperty .... .2-..,q..o./.~. ~ ...... ./'/..¢-~ .,9'. ...... ,4.~..~..~. ...................................... .3. ..................... Home Address If Other Than Location ...... ~.~.,, ..... .A:.~ ................... Creek. Bay or Harbor Fronting Property ....~./.~...~..~..~.~. O. f.¢. .... .~.~.'.~..~..~/. .................. Permits Requested To: ..... ~ !.~..M..~...-)~..~. ...... . .~.r~...~..~..~..0..~../.~. .......................................... Size of Proposed Work: Length .¢~..8 .... .~7. T. ....Width ~..~.~..~.. ~ I-Ieighth Above High Water ./....~-... ~..~. Depth Below Low Water ...~.... ?..T. .... Average Rise In Tide I.':.t.~, ,.~ .., Yards to Be Excava~ted .~-.B./! ~¢.~... ~" ~T /~iD£ .......... VVidth of Canal. Creek or Bay Fronting Property ./.o..~.~. .................. Depth at Low Tide .~.'.: .~... Is This For Private or Business Use?...~..~j.~..~.T. ?.~. ........................ Area Zoning ................... Complete plot plan to be drawn on reverse side of this application, STATE OF NEW YORK ) . )S,S. .c°uNT ~ ~(2~/~.~.~. ((.~~eing duly sworn deposes and says that he is the applicant for the above described 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 Sonthold, and the applicant agrees to hold the Town of Southold and sa~d trustees harmless and free from any and ail damages and claims arising under or by virtue of said per~~~ Sworn to before me this .... 1 ~. ....... day of ~ .......... 19.~. ~. ....