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HomeMy WebLinkAboutTR-47TOWN OF SOUTHOLD BOARD OF T0~ TRUST'S P [~MIT NO. Pursuant to the provisions of C~haptar 615 off,he L~ws of 189~ of ~he 8ta~e of New York s~d Chapter 40$ of the Laws of 1952 of the State of New York end in accordance with the resolution of the Board of Trustees of the Town of Southold adopted at a meeting of said Board on ~y 26~ 19~8 ~ , and in consideration of the sum of ~.. ~ ..... ~ ~tC,~) lawful money of the United States, psid by~ ~O~ton ~nd . . os~lind Phi!lmo~ .. r~si~zn~' a~ ~:estv~ew Drive. :~atti~uck. N.Y., ~he said Board oF Trustees of the Town of Southold, Suffolk County~ N~w York~ hereby authorizes ~nd permits s~id Rosalind Phillips to steer zpiles (dock) on ~heir property on Mmttituck Crs~k~ all in ~ocord~nce wi~h ~he plans ~u~i~ted with th~ ~pplic~tion. The s~id Morton a~ Mos~lind Phillips~ as p~rt of the consideration ~or th~ issuance of t~is permit does here~y release the s~id Bo~rd of Trustees and the Town of Southold from shy and all d~Ees~ claims for da~ges or suits that may arise or o~cur directly or indirectly ss ~ resul~ of any operation c~rried on ~der and purs~nt to t~is permi%~ ~ will ~t his own expense~ defend ~ny ~nd ~ll suits which m~y be brough~ by third pzrties ~s a r~sult of ~ny operation c~rried on put,usnr to or in eccord~ncs with ~he t~s of this permit~ ~nd ~ssu~e full lisbility with respect thereto to the complete e~clusion the s~Id Bo~rd of Trustees ~nd the Town of $outheld. T~IS PE~IT i~ subject to the following te~s conditions: That there shall ~ no ~re~o~ble interference with n~viEation ~s ~ result of the ~.ork h~rein ~uthorized. Thst there sh~ll be no interfer_~ with th~ right of the public to pmss and repass ~long that portion of ~he ~ch between lo~ s,ud high water mark. That the work ehal! be subject to the supervisor and approval of the said Board of Trustees or its agents, iN WITNESS Wr~EEOF~ the said ~ard of Trustees the Town of Southold has caused its corporate seal to ~ here- unto affixed end these presents to be subscribed by a m~jority of the said Board of Trustees~ the day ~nd year shove __(n.s.) STATE OF NFY~f YO~<) SSt COUNCY OF SUFFOLK) On this _~o day of_~_~/-~r-~ ....... , i9~8~ before me p~rsonfmlly appeared ~moas Dean~ of G~een~or~ ~, ~,~ Philip Weiler~ of Orian~ N,Y~$ alvah B. ~oldsmith~ of Southold~ N.x,~ John MeNul~y~ o~ Leural~ N.Y. and ~rank Dawson~ o~ New 2uffolk~ N.Y,~ all personally k~aown to me~ who, being by me duly sa_d that they each reside~ in the Town of s~rn, severally °outhold~ Commty of Suffolk~ State of New York~ end were mem~rs of ~he Board of Trustees of said Town of Southold and constituted $ majority of the ssme$ that they ~ew the corporate seal of said Town of Southold$ that the seal affixed to the foregoing instrument wes such corporate seal~ that it was so affixed there~to by order of the Board of Trustees of the said To~ of SouhOld a~ tbmt each one signed his ~me thereto as a Trustee amd by like order. Notary Pubtic~ Suffolk Couhty, F~OI~I ~0. 1 TO~N OF SOUTHOLD BOARD OF TOWN TRUSTEES TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ..._.7_~.....~_~ ...... ~.~ ........................ Permit No Disapproved a/c ..... ~...-~-~.~..~~_,....L...._~ ....... cha~rnmn, Board of Ti~u~tees APPLICATIOI~ FOR PERMIT INSTt~UCTIONS A. This applicatien to be completely filled in. by typewriter or in ink and subntitted to the, Town Trusiees in dup- licate. B. Pl~t plan showing location of lot and buildings on premises, relation to adjoining premises, public; streets, parks, etc., and giving detailed de,sc~iption of' propos.ed layout of project must be, drawn on diagram which is pa~ of this application. C. The work covered by this application may not be commenced before the issuance o~ a permit. D. Upon approval of ~his application, To.wu Trustees will issue a permit to applicant. Such permi~ shall be kept on the premises and available, for inspection at all times. E. Applicant shall notify the Boa~d of Trustees upo~t completion of the work cove~ed by permit. APPLICATION IS. ttERF~BY MADE to the Board of Trustoes of the Town of So~thold, S~ffolk Ciounty, New York, fo~ the issuance of a permit pursuant to the laws, Ordinances and regulations governing c~nstruotion oI: docks, piers, bt,~ea~ls, jettys and dredging in; under, and over the wa~ers of Town of Sou~hold. The applicani agrees t~ cornply wi~h all applicablel laws, erdinances, regulations and conditions specified by said trustees, and to hold the, Town o~ Southe~d, and all Town officials fre~ fro,m liability and damages of an~kind ameo, ................................................................ St'eet Address o£ Prope,f,y ........ ~-----~---~.~__..i...~.~iiiiiiii....i ........................ __ ............................................... Home address If Other Tha~ Location ........................................................................................................................................................................................................ o,ee.k, or ................................................................................ S~e o~ ~rO~ese,d work: ~e.ab .................................... ~idth ._~..~ .............. ~ei~hth Abo~ ~h Water ..._~ ......................... ........................ s ' ' ' ........ f....~ ...... Z .................................. .' E ........................................................................... Complete plot plan to be drawn on reverse side of this application. STATE OF NEW~ YORK) , : ; i I/ ' )S. S. : CCUNTY OF~ ) ..... ~[..~/~.-~Z.~...~...~~......' being dV3y sworn, deposes ~d says that ~e,~ the app~n,; for the a~o,e de- sCribed ~r~t,~d~ ~that a~ s~ents contained herein ~e t~e to the best of his knowle~e ~.d be~ef; that w~k ~ be done in the manner set fo~h in the app~cation ~d as ~pproved by the Bo~d of T~stee.s of the Town of So~thold, add the app~n~ ~ees ~o, hold the Town of Southold and said trustees h~ess ~ free from ~y and a~ damages and claims ~sing under or by vi~ue of s~d per~t. ...... ........