HomeMy WebLinkAboutTR-4394Board,,Of $outhold Town Trustees
SOUTHOLD, NEW YORK
PERMIT NO. 93 ~.~
DATE: ,....12/212/.9.4 .....
ISSUED TO ............... ~g~ARD...~A~EER.TY ................... ~ .........
Pursuanf fo fhe provisions of Chaplet 615 of fha L~ws of
fhe Sfafe of New York, 1893; and Chaplet 404 of fha Laws of fhe
Sfafe o{ New York 1952; and fke Soufhold Town Ordinance eh-
filled "REGULATING AND THE PLACING OF OBSTRUCTIONS
IN AND ON TOWN WATERS AND PUBLIC LANDS and f~
REMOVAL OF SAND, ~RAVEL OR OTHER MATERIALS FROM
LANDS UNDER TOWN WATERS;" and in accordance wifh fha
Resolufion of The Board adopfed afa meeflng held on . 12/22/.9.~.
19..9~.., and in conslderaflon of fhe sum of $ ~00~.0.0 paid by
of ....~[~e~s..[s]~ N.Y. end subiecf fo fhe
Terms and Condifions llsfed on the reverse side hereof,
of Soufhold Town Trusfees aufhorizes and permifs fhe following:
G~a=dE~t~e~ ~eTm[t to Te~ [~[~d/~=~]ace Z57~ ~ 6~ oE doc~
all in accordance wifh fhe derailed specificafions as presenfed in
+he originafing application.
IN WITNESS WHEREOF, The said Board of Trusfees here-
by causes ifs Corporafe Seal fo be affixed, and fhese presents fo
be subscribed by a maiorlfy of fhe said Board as of fhis daf,e.
~ '"" ~"' ;LJ ..................................
Trustees
TRUSTEES
~ohn M t3red~rncy~r, ]ii. Pr~sidcn;
Hcn~ P. Smith. Vice P~sidem
Albert J. Kmpski. Jr.
Jogn L. Bedno~ki. Jr.
John B. Tuthill
T,[e~hone (516~ 765-1892
i. Name of ApplicanT:
2. Mailing address:
HARMS
Tog'n H-.dl. 53095 Main Road
P.O. Box 1179
Southold,
BOARD OF TOWN TRUSTEES Fax (516) "/65,1823
SOU .......
TOWN OF ~'~tn, r~ Telepho,~ (516) 365-1g00
GRANDFATHER APPLICATION
3. Address of Property: .C&,e~ , p0t~'r~ - ~',$/4~'~<$ .2'$.~ .~'.~ J ~'~.
t~ 63~0
Tax Map N~m..ner: i000-- .~ Approx,yr.of construct:
5. Prior o~'ner if known:_ ~, u;. ~[ ~__.
Diagram of existing structures, includ%ng all dimensions, must be
included with this application:
Indicate-on
pole ~%~lber,
at{ached ~ap: Location, ie; reference point, telephone
adjacenE property owners, etc.
Signature of applicant:
Please no~e, there is a
application.
th's /9~.
one tile fee Of !;$0~00 for filing i