HomeMy WebLinkAboutPHOEL, PHILIP JR~rch !~ 1967
Philip ~nhoel
Pin~wo~ Lane
D~ar ~ir. Phoel~
~t~ Southoi~ ~o%~n Board
of YT~mt~em revi~ed your application
to ~iden and dredge ~n Deep ~ole Creek
application
~e $out~hoid ~o~n ~ru~teem
FOR~ NO. 1
TOWN'OF SOUTHOLD
· BOARD OF ~TOWN TRUSTEES
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y,
Approved ..................... · ....................... Permit zNo.. ~ .... ~ ............... , ....
' . ~. ~~..ff. ........ ~ ! chairman, Board of Trustees
APPLICATION FOR PERMIT
INSTRUCTIONS
A. This application to be completely filled in by typewriter or in ink and submitted to the Town Trustees in dup-
licate.
B. Plot plan showing location of lot and buildings on premises, relation to adjoining premises, public streets,
parks, etc., and giving detailed description of proposed layout of project must be drawn on diagram which is part
of this application.
C. The work covered by this application may not be commenced before the issuance of a permit.
D. Upon approval of this application, Town Trustees will issue a permit to applicant. Such permit shall be kept
on the premises and available for inspection at ail times.
E. Applicant shall notify the Board of Trustees upon completion of the work covered by permit.
APPLICATION IS HEREBY MADE to the Board of Trustees of the Town of Southold, Suffolk County, New
York, for the issuance of a permit pursuant to the laws, Ordinances and regulations governing construction of: docks,
piers, bulkheads, jettys and dredging in, under, and over the waters of Town of Southold. The applicant agrees
to comply with alt applicable laws, ordinances, regulations and conditions specified by said trustees, and to hold
the Town of Southold, and all Town offi~als free from liability and damages of any kind.
Name of owner of premises ...........
;..;-' · ',~?' ' ~V
....
/.~..
/
Permit Requested To: ...~J~.~N &~ ~' C~/~- D C~)~ .............
Size of Proposed Work: Length .... [~.2 ~'~.Width..~2.~U.~eighth Above High Water...~...~
F ~ Tide..~ ~ Yardsto Be Excavated..
Depth Below Low Water...~ .... ~ ...Average ~se In .......................
Width
Is This For Private or Business Use? ...~.(~ J.~.~.[...~. ............ Area Zoning ...~.~.(~'~.(~.'~.(~
Complete plot plan to be drawn on reverse side of this application.
STATE OF NEW YORK )
)s.s.
co TY or
scribed permit, and that~tll statem s con 'ned er 'n are true to the best of his knowledge and belief; that the
work will be done in the manner set forth in the application and as approved by the Board of Trustees of the Town
of Southold, and the applicant agrees to hold the Town of Southold and said trustees harmless and free from any
Sworn to before~ this. 2..day of
~ ~ea M~ 30,
r ~