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HomeMy WebLinkAboutTR-107:.--::TOWN ~ ©F~:5OUTHOLD'-'~' ' BOARD OF TOWN TRUSTEES Pursuant to the provisions of Chapter 615 of the Laws of 1893 of the State of New York and Chapter 404 of the Laws of i 952 of the State of New York and in accordance with the resolution of the Board of Trustees of the Town of SouthoM adopted at a meeting May 23~ of said Board on ............................................................ , and in consideration of the sum of $ ........... .!...O3.?,..0. .......... lawful money of the United States, paid by ....~..i,~..n..e...y.....O..!...m.~?..e,~ .... r~,s~di~' ~" ?.:.~?:~.~:Z:~%~:::'...~....~'~?~:::::~'.:'.Z..:i::....:..:::. ......... ',' iq~ ¥~k, tl4~aM' B0~"d"0'f Tr6~te6s 6f the To~ 07 ~thol'8;' St~f01F, '~St/~ty} New" YS~k~'"h:e~eby au~or~zes-onc~ ~e~its:"~6ifl ........... '.:.'... '.....:,..:.:.....:~.;....: ...... ' ...... : ....... : .............................. to tO erect a dock on his property in ~attltuck C~:eek, all in accordance with the application submitted. ~- Sidney W. Olmst a The. sa,,a ...................................................................... as part of the consideration for the ~ssuance of this permit does hereby release the said ~oard of Trustees and the Town df"S~)~}~dtd' f¢om ~n9 ~'d a!~ da~a~es c~ai~s for damages oF'suif~'~hat F~ d~se or occur directly or in~r~tly~s ~:'F~S01t of-6ny db'elation carried On undeF:ahd pursuant to this . permit,~and,~ill-at hb ~n ~xp~se, defen~,:gn~ and a~l sui~ which may. b~e~:b:rought by thi-rd :pa~e~6~:~ ~ of ~ny op~rafib~ carrred on ouF~'U~Kt ~5 Or in ~'~C'b:~d~%~:it~ ~thd~er~ 0f .¢h~s permit, a~d.assume,.f~'l ~_'abi ity with respect there, t~ to. the c~mpl~te,exclusion, of THIS PERMIT is subject to the following terms and conditions: 1, That there shall be na unreasonable interference with navigation as 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 water mark. 3. That the work shall be subject to the supervision and approval of the said Board of Trustees or its agents. WITNESS WHEREOF, 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 maiority of the said Board of Trustees. the day and year above written. (L S.) ............................. ~...-~(L. S.) .... STATE OF NEW YORK ) SS: COUNTY OF SUFFOLK ) ON THIS.23.th ...... day of ...... ~.tt~;te ...................................... , 19.6.0, ...... , before me personally appeared E~on~ Dean, of ~re~nport, N~ Frank Dawson of ~e~ S~ffolk, ~TY~ John Mc~ulty~ of Laurel~ ~TY~ Philip Weii~r, of Orient~ b~Z and Alva'h Gol~smith, of -Southo!dpll~rsonal[yknown to me, who, being by me duly sworn, severally sold that they each resided in the Town of SouthoM, County of Suffolk, State of New York, and were members of the Board of Trustees of said Town of Southold and constituted a maiority of the same; that they knew the corporate seal of said Town of Southold; that the seal affixed to the foresa[r~ BOARD OF TOWN TRUSTEES TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Ex,trained ....-~..?;_.X..~...~...~..7~ .............. 19..~..~__. Application No ............................................... Ap proved Disapproved/ a/c ................... APPLICATION FOR PERMIT INSTRUCTIONS A. This applicatien to be. completely filled in by' typev~'iter or in ink and submitted to, the Town Trus.tees in dup- licate. B. Plot plan showing locaticn of lot and buildings on premises, relatiou to. adjoining premises, public s~reets, parks, etc., amd giving detailed description of propcsed l~yo,ut of project must be drawn on diagra.m which is. pa. rt of this ap.plica~ion. C. The work covered by this a,pplic~tion may not be comn~enced before the issuance of a permit. D. .Upon a.pproval of this application, Town Trustees will issue a permit to applicant. Such permi~ shall be kept on,he premises and ~w,ila.ble for inspection at all times. E. AppliCa,nt shall notify the. Board of Trustees upo,n complstion of the work covered by permit. AP'PLICATi01~ IS HEREBY ~ADE. to the Board of Trustees cf the Town of Southo~d, Suffolk CO,unty, New Yo,rk, for the. issus~n.ce of a permi,t pursuant to the laws, Ordinances and regulations governing construction o,f: docks, piers, bulkhea,ds, jettys and dredging in; under, and over the waters of Town of Sou~ho~d. The applic:ant agrees to comply with all applicable laws, ordiusnces, regulations a~d conditions specified by said trustee,s, and t,o hold the Town of Sou.tho~d, and all Town officials free from liabil~¢y and damages of any kind. Name of Owner of premises .__..S±~___N,...OL~S.~]~D.~...~e.~z$.~ ~;[ 'E.sJ~.e....o.~...Btz~h....L.,.~.,._.S~te~ly._ ......................................... ~- -: ........ .7 .- v ~ _ . Street Address o.f Property .~_e_..s..~D_h..~_ ~ad, ~._att~t~tck, ~ ..... :: ..... :.. .... ~ ....................................................... Home address If Other Thaa L.oc:ation Cree,k, ~r Fronting Property .............. ~:~i;~ck..C~eek .................................................................................................................................................................. Permit Requested To: .... ~Size of Proposed Work: Length __..]_~._~.e.~ ............ Width _..2_.£~e ................. Heighth Above, High Water ......5..~e~.~ ........... Depth Below Low Water ./~...~e.e~ ............Average Rise In Tide ....... .6...£ee.~_ ........ Ya.rds to Be Excavated ................................. Width of C~i~l, Creek ozt~ Fron$ing Property ............ ~..0.0_..~.~e~ ................ Depth at Low Tide. ........... 5..~.e~:~ ...................... ls This For ?riva.te or Business Use? ..... D~.~..e......u..q~.. ................................ Area Zoning ........ ~$.~...~..d.~.n...~ .................................... Complete plot plan to be drawn on reverse side of this application. ~ . STATE OF NEW YORK) : ' ', )S.S.