HomeMy WebLinkAboutPEASE, RUTH
TOWN OF SOUTHOLD
BOARD OF TOWN TRUSTEES
PERMIT NO .....................
Pursuant to the provisions of Chapter 6]5 of the Laws of 1893 of the State of
New York and Chapter 404 of the Laws of 1952 of the State of New York ahd fn accordance
with the resolution of the Board of Trustees of the Town of Southold adopted at a meeting
of said Board on ....... J~t.~..e....~.G..~....[~..~.~.?. ...................... and in consideration of the sum of
$..~.O..,.~.G..., lawful money of the United States, paid by..,..~.~...~..~....?..~...~..~..,e. ...........................
residing at ~.~.~.~..~.~.~.~...~..a`..~..*~.'~...~..~c~.....c~.~..~i~.~.~.~ ................................ , New York,
the said Bqord of Trustees of the Town of Southold, Suffolk County, New York, hereby
authorizes and permits said .................~..~...~..~....~.~.i.~.~ ...................................................... to
erec~ a ~ock off the cen~er of her proper~y ltn~ on Mu~
C~e~k. all in accc~ance ~ith th~ application submitted.
The said Ruth Z. ease
...................................................................... , as part of the consideration
for the issuance of this permit does hereby release the said Board of Trustees and the
Town of Southold from any and all damages, claims for damages or suits that may arise or
occur directly or indirectly as a 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 terrr~s and conditions:
That there shall be no 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.
IN 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
~ majority of the said Board of Trustees, the day and year above written.
seal ....... (L S.)
· L... (L S.)
STATE OF NEW YORK )
SS:
COUNTY OF SUFFOLK
ON TH I S......3...3'.?.?.......day July
of ........................................................ , 19 ..6...1.,, before me
personally appeared ~mons Dearie, of Greenport~ ~t F~nk D~wson,
of.~e~ Suffolk, ~Y~ Fh£iip Weil~,~f orient. ~ Joh~ ~!ty.
of ~el, NY ~ ~v~ G~ld~th. of $o~old6~ersonally__
known
to me, who, being by me duly sworn, severally said tha~ they each resided in the Town
of Southold, Couaty of Suffolk, State of New York, and were members of the Board of
Trustees of sai~ Town of S~thold and constituted a majori~ of the ~ame; that they
knew the corporate seal of said Town of SouthoJd; that th~ seal affixed to the foregoing
instrument was such corpor~e seal; tha~ it was so ~ffixed thereunto by order af the
B~rd of Trustees of said Town of SouthoJd and that each one signed his name thereto as
a Trustee and by like order.
~.....~ .......... :.
~oto~ ~ublic
~ BOW'DEN
~OWN OF ~O~THOLD
BOARD OF TOWN TRUSTEES
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Examined
' ~~ APPLICATION FOE PER~IT
IE'STP~UC~IO!~TS
A. This application to be completely filled in by typev~iter or in ink smd submitted to the Town Trustees in dup-
licate.
B. Plot plan showing location of lot a~d b~dings o~ pre. es, rela~io~ to a~.jo~ng presses, pubic s~ee~s,
pa~ks, e~c., a~ giving detailed de,sc~ption o~ proposed layc~t of project must be, dra~ o~, ~agr~m which ~s part of
this app~c~tiou.
C. The work covered by this ~p~lication may not be commenced before the issusmce, of a permit.
D. Upon appr~va~ o~ ~h~ a,pHcation, To~n Trustees ~fll issue s per~ to applicant. Such pe~i~ shall be ke~t
on ~he Drem~ses and av~able ~or ~spection at
~. Applicant sh~] not/fy the Board of Trustees upo~ ccmp~tion o~ the wor~ co~e~ed by pe~t.
~LiCATION IS H~ESY ~E to the ~o.ar~ o~ ~tees o~ the Town o~ So~ho~, S~folk GoUty, New York~
~o~ the ~ssu~ce o~ a per~ pursusmt to the laws, Ordinances Smd regulations governing construc~ism o~: docks,
piers, b~l~eads, jettys and dred~zg ~; under', and over the ~aters of To~ of So~ho~d. ~e ~pptic~t agrees
to comply w~th a~ ~pp~ic~ble~ l~ws, ordinances, red,ti,ns a~d~ conditions specked by sai~ trustee.s, and ~o ho~d
the Town o,~ South~M, and a~ Tov~ o~is~s free fro.m ~abfl~y smd damages of a~y kind.
Home address ~ Other ~a~ Location ...............................
Permit Requested To: ............. ~.~.;~.~ .......... ~.~ .........................................................................................................................................................................................
s~ze o~ ~opose~ Wor~: Lengm ........ ~_~ ............ wi~m ........ _~.~.~ ............ Heighm Above m~h Wa~er _..~...~.~.~ .................
Depth Below Low Wa~er ........ .~. ................. Average Eise In Tide ..~......~..~.&..._. Yards to Be ~csvmted ........ _~.:~ ..................
Width of Csmal, 0ree~ ~r Ba~ Fro~ing Prope~y ............. .~...~ ................... Depth at Low ~de...-..~...i~. ..................................
~s Th~s For Priw~e or Business Use? ............ ~ ................................ Area Zo.~ng ...... ~.[~.~.~ ......................................
Complete plot plan to be drawn on reverse side of this application.
STATE OF NEW YORK) :
)~q. S.
COUNTY 0
............... ---.~.~ ~.~ ............ being d~fly sworn, det~oses smd says that he is the app]/can~t for the ~bo,ve
sc~bed per.t, ~nd that a~ statements contained he~e~ are t~e to the best of his kno,wledge and belief; that the
w~k ~ be done ~ the ma~er set fo~h in the appHcation and as a~proved by the Beard of ~tees o~ the To~
of ~thold, aad ~he appHcant ~ees ~o hold the To~ cf So~thold and s~d trustees ha~ess and free from any
and aR damages ~nd claims a~sing under or by vi~ue of said permit.
Sworn ~o befor- e tMs ~ ~ ' ~ ~ .... (applicant)