HomeMy WebLinkAboutTR-249 TOWN OF SOUTHOLD
BOARD OF TOWN TRUSTEES
PERAAIT NO ..... ?...~,?.. ........
Pursuant to the provisions of Chapter 615 of the Laws of !893 of ,the State of
New York ,and Chapter 404 of the Laws of t 952 of the State of'New Yerk and' in accordance
with the resolution of the Board of Trustees of the Town of Southold adopted at a meeting
of said Board on ....... ~.~,ltl~.....~,....)..g..~.4 ........... , and in consideration of the sum of
$...3.?.,~, lawful moneyr of the United States, paid by ......... ~,~..,...~,,,...~9/~: .......... : .........
residing et ........ ~!,~,T./,T.l~/~?.',g?..,~.~ ...................................................... ~ ....... , New York,
the said Board of Trustees of the Town of Southold, Suffolk ~un~, N~ York, hereby
authorizes and permits said ................~.,...g.e...~ ..................................................... to
arc,ge ~r~t~ly ~0 ~. ~s ~ ~ee~ Hole ~eek
~ront of ~ ~0~ bul~ to be ~e~ al~
on his ~r~y, all in accor~ce with ~e
The said ............ ..~..,.....C.~...~,~.~ ................................. , as part of the consideration
for the issuance of this permit does hereby release the said Board of Trustees and the
Town o{ Southold from any and all damages, claims for damages or suitsthat may arise or
occur directly or indirectly os o result of any operation carried on under and pursuant 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 pursuant to or in accordance with the terms of
this permit, and assume full liability with respect thereto to the complete exclusion of
said Board of Trustees and the Town of Southold,
THIS'PERMIT is subject to the following terms and conditions:
That there shall be no unreasonable interference with navigation os 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 and high ~oter mark,
3. That the worksho be subject :to the supervision: and approval of the saint BOa,rd Of
Trustees or its agents.
N WITNESS rWHEREOF, the said Board 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.
....
......... · T ................................................. (L.
STATE OF NEW YORK )
SS:
COUNTY OF SUFFOLK )
ON THIS...',~.i~'~ ....... day of .............. J~'.C~ .............................. , 19...6~., before me
personally appeared ~mmons Dean, ~k Da~s~. ~hil~ Weil~.
all personally known
to me, who, being by me duly sworn, severally said that they each resided in the Town
of Southold, Coun~ of Suffolk, State of N~ York, and were members
Trustees of said Town of Southold and constituted a majori~ of the some; ~hJo~ they
knew the corporate seal of said Town of Southold; that the seat affixed to the foregoing
instrument was such corporate seal; that it was so affixed thereunto by order of the
Board of Trustees of ~id Town of Southold and that each one signed his name thereto as
a Trustee and by like order,
Notary Public
' ~A~JON ~. REGENT
~~ NOTARY PU3Li~ Sta.e c~
~~~ N0. 52-3233120 S.ffolk Co~n~
~ Term Ex~ir~s ~.arcb 30, 19~
TOWN OF SOUTHOLD
BOARD OF TOWN TRUSTEES
TOWN CLERK'S 'OFFICE
so .o o, N.
...... ~~~~ ............................. ~s~s~, ~o~ o~
APPLiCATiON FOR PE~IT
l~c~te.
APPLICATIO~ ~S ~IE~EMY ~ADE to the Bo,ard of Tr~ees of the Town of $o~hold, Suffolk County, ~ew York,
for ghe i~suanoe of ~ per~g p~rsu~mt to ~he !a'~, Orifices amd regulation~ governi~ construction of: docks,
pie~s, b~dkhee~ds, ~e~tys ~nd ~'edg~g ira; under~ ~nd over ~he ~ters of To'~ of Mop,hold. ~e applic~t agrees
~o comply wi~h a~ s. pplicable laws. erd~s~ncea, reg~aiions an~ ~nditions speoLfied by s~d %r~s~ees, ~nd to hold
~he Town of Son%ho]d, s. nd a~ Tov~ o~cials f~ee f~m ~abflity amd d~ma~es of ~ny ~d.
~ ~:~ ...... ~ ~ ~ ,~ ~c ~. C ff.~..: .....................................................................................................
~,~ ~ ~ o~ ~= ~o~ .......................................... ~q~..~ ............... .~ ...................................................................................
~, ~eek, ~a7 er ~rbor ~ro~g ProperS7 ................................................................................................................................................................................................................
8i~e og ~ro~esed Work: ~e~g~h 0.~.~..._~.~.~... W~a~h~h~....~.~. ~e~gh~h ~bo*e. ~gh Wa~er .................................
I8 ~hS~ ~er ~va~e or ~usiness ~se? ........... ~.~..~.~.~. ......................... Area goring ..........................................................................
Complete plot plan to be drachm on reverse side of ~his application.
STATE OF NEW YORK)
COUNTYOF ....~]_~:...~.B--~ '~ ~
L ....................... ~: ~ - ~0.~.~ ................ being dt~y sworn, deposes and ssys that he is the app~can~ for ~he above de-
~crzbed per.t, amd thee ~n statements comt~nea ~e ~he~ h~p be~ef, that
the
~ork will be done ~ the mm~er se~ forth in the spplica~fo~ aad as-~p~oved by third of ~stees of the To~n
~f Southold, ~d ~he app!ic~t m~ees ~o hold the To~m of Southold mhd sgJd trustees harness ~d free from any