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HomeMy WebLinkAboutTR-2046 GF ALL MOORINGS AND STAKES MUST DISPLAY VISIBLE MOORING NUbIBERS ALL DOCKS AND BULKHEADS MUST DISPLAY VISIBLE PERMIT NUMBERS Board Of $outhold Town Trustees SOUTHOLD, NEW YORK Mooring ~ N/A ..... ' . Pursuanf fo the prowsmns of Chapter 615 of fhe Laws o · -- ' ,;{l~e Sfafe of New York, 1893; and Chaplet 404 ~;~ ' Sfafe of New York 1952; a~d fhe Sol'hold ToWn Ordinance eh- rifled "REGULATING AND THE~PLACING OF OBSTRUCTIONS _.~IN AND ON TOWN WATERS AND PUBLIC. LANDS and the ; '~ REMOVAL OF SAND, ~RAVEL OR OTHER MATERIALS }:ROM : LANDS UNDER .TOWN ~/VATERS;" and in ,¢cordance .Mfh . ResoJu{'ion o~ The Board adopfed afa mee~'incj held on Ang~?.s.t:.~-~,: "." o~ Sout2oZd · N.Y. - ' z,~Terms and ~ndlfions Isled on f~e reverse sade hereo~, '"' o~ SoufhoJd Town Trusfees aufho~Jzes and permits ....... Appl~catio~ approved under ~he ........ ~o secure a pe~m~ ~o~ a, Bul~head application submitted. :.. all [n accordance wifh fhe defa~Jed specJf[cafJons as presenfed IN WITNESS WHEREOF, The said Board of Trustees h,ere- :~'< by cause~ ifs Corpora+~ S~a] ~o be fhese presenfs · ?-~.be subs~bed by a .malonfy of ~he of ~hJs Please tear off and return to the Trustees Board Of Southold Town Trustees SOUTHOLD, NEW YORK MOORI:~G NO. PERMIT NO. DATE: ISSUED TO ... I, cer=ify that the work as authori=ed in ~h~s permi~ has been ccmpleced and ~s now ready fcr your in=pec- rich. Also, the number re~uired,on tkis project is clearly visible I further understand tkis permit is no~ vakid until this tear sheet TERMS and CONDITIONS The Perm/~ee Angela M. B~rgen Koepisch r~id~ a~ Williamsberg Drive, Southold pa~ of ~e comideraflon for ~e ~ce of ~e Pe~t d~ ~d~nd ~d p~ to l~ing: 1. That the Southold Trustees Permit must be prominently displayed on the premises effected thereby during the period of - '.., ~ar &e s~d B~d of T~s ~d &e Town of ~u&old ~ ~I~ed from . ~a ~rfo~ p~t to ~s ~ ~d ~e ~d P~ ~ at ~ ~ her o~ ;~ ~ r~pecr ~eto, ~ ~e ~mplete ~d~ion of ~e ~d of T~e~ of ~e Town of ~old . " sufficiont ~e r~ulr~ m complete ~e ~rk ~volv~ but ~ould ~o,m~c~ w;~ ': ' for ~ ~ion may he ~de to ~ ~d at a late: dz~. ' .. 4 2 ~t ~ Pe~t ~o~d be ret~ ~def~tely, or as long ~ ~e s~d P~ . ~ m:~t:~ ~e ~e or p~je~ ~volv~ to provide e~d~ce to ~yone ~ncem~ 5% ~:t ~e work ~volved ~l be ~bj~ to ~e ~sp~ou ~d approv~ of ~e i~ agent~ ~d non~mp~nce ~ ~e pro~io~ of ~e ori~na~g appllmdo~ ~y ~ ~e for ~'~adcn of ~ Pe~t ~ r~oludoa of ~e said B~d. .:.. '" 6. ~at there w~ be no ~onahle inter~e~ce wi~ halation ~ a r~t o~ v." herein audlo~ed. ]. ~at ~ere'~all ~ no ~teffe~nce ~ the ~gh~ of ~e public to p~s ~d rep~ · e ~a~ ~een high ~d Iow water movks. 8. ~at ~ furore operado~ of ~e Town o~ ~old r~u~e ~e ~oval ~d/or in ~e l~doa o~ ~e work her~ ~u~o~ or ~,~ ~eo~of ~eB~d of T~e~ ; work sh~ ~ u~ble obs~on to Eree na~ga~oa, ~e s~d Pe~ ~ ~ ~:] u~n due not/~, to remove or ~ter ~is work or proj~ herein stated ~out ~s to ~e To~ ~ of ~u~ol& ~ 3. ~: ~ sdd Board w~l ~ nodfl~ by the Perigee ot ~e c~pledon of ~e work ~- o~h=& (See ~ea~ o~ shee~.) 10. ~a~ ~e Pe~mktee wi~ obtdn aH o~e~ p~ and co~en~ ~t ~y ~ r~ plem~n~ Jo ~is ~t w~ ~y ~ ~]~ to ~evoke upon f~ to obr~ F. '~: :,--.i.. .;:--. ",. ~ '.;; . ....... . , . Name'of Creek: ~t~5~ ~..% '.. TELEPHONE {515) 765-1802 BOARD OF TOWN TRUSTEES TOWN OF SOUTItOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 GRANDFATHER APPLICATION Telephone Number: 4. Year of Construction: 5. Sketch of the work including sizes: 6. Mark off on the map attached, where your property ms located using an X~~ Signature: Please note that there is a $5.00 ina fee, which is a one time fee, for this application. Mooring Applications- $5~00 Application Fee and a $5.00 annual renewal fee each year. Goos -: ~ . . · .. '._~-..