HomeMy WebLinkAboutTR-70-6-23 GF Town Trustees
SOUTHOLD, NEW YORK
Pursuant fo f~ provisions o~. Chapter 615 of the Laws of
the ~a~ of New York, 1893, and ~apfer 404 of the Laws of the
State of New York 1952; and the Soufhold Town Ordinance en-
titled ~"REGULATING ~D THE PLACING OF OBSTRUCTIONS
IN AND ON TOWN WATERS AND PUBL~ LANDS
REMOVAL OF SAND, G~VEL O~ OTHER MATERIALS FROM
LANDS U.NDER TOWN WA~RS;' and in accordance w~h the
Resolution of The Board adopted afa meeting held on
19..~..~.~., and in conslderaflon of the sum of $ ~.~.~ . paid by
of ................................................................ N.Y. and subjecf fo fhe
Terms and Con~Jfions lJs+ea on +he reverse slae ke~o~,
o~ Soumola Town Trusfees aufhorJzes aha permifs fhe ~ollowing:
d~e by gecembe~ 9Z
all in accoraance wifh fhe ae~aiJea specificafJons as pre~nfed in
fke o~glnafing application.
IN WITNESS WHEREOF, The sai~ Boara o{ Trusfees here-
by causes ifs Corpora{e Seal'~o be affixe~, an~ fhese p~senfs fo
be subscrlbea by a majerify o{ fhe saia Boara as o{ ~his aa~.
TRI)STEES SCOTT L. HARRIS
John M. Bredemeyer, III, President Supervisor
Henry P. Smith. Vice President Town Hall, 53095 M~n Road
Albert J. KmpskL Jr. P.O. Box 1179
John L. Bednosld. Jr. . SoutholcL, New York 11971
John 13, Tnthitl BOARD OF TOWN TRUSTEES Fax (516) 765-1823
Telephone (516) 765-1892 TOWN OF SOUTHOLD Telephone (516) 765-1800
GRANDFATHER APPLICATION
1. Name of Applicant: Edo~&~
2. Mailing address: ~.~, ~ /~--
3. Address of Property:
4. Tax Map N~er: 1000-
5. ~rior owner if kno~:
6. Diagr~ of existing structures, including all dimensions, must be
included with this application:
7. Indicate on~o~o~o~o~o~o~o~o~a~t~ch~d map:~Locatzon, ie; reference point, telephone
pole number, adjacent property owners, etc.
Signature of applicant: Date: ,'-- ~'~ ~
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* Please note, there is a one time fee of $50.00 for filing this
application.