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HomeMy WebLinkAboutTR-93PERMIT NO ........ .~..)..,~..... Pursuant to I'he provisions of Chapter 615 of the Lows of 1893 of the State of New York and Chapter 404 of the Laws of 1952 of the State of New York and in accordance with the resolution of the Board of Trustees of the Town of Southold adopted at o meeting of said Board on Au.~,~ts~ 33`~ 3.959 ......................................................... , and in consideration of the sum of $ ....... .~..~...~,.0..0.. .............. lawful money of the United StQtes, paid by ........................................ residing at .......... .E..a...~..t....L..e..~.i..9..n.....A..v...e..?....~.2~..t..t..i...t_~..c...k..~....~.:..I..~' ............... , New York, the said Board of Trustees of the Town of Southold, Suffolk County, New York, hereby authorizes and permits said ...... ~vin R&yr~or to dredg~ an a~ee 90 f~e% wid~ by 25 feet into Che g~tt~r adjoining his property, all in accordance with the The said ..... ~..~..~..~..i~A...~...~..~Z~...°..~. ................................... os part of the consideration for the issuance of this permit does hereby re[ease the said Board of Trustees and the Town of SouthoJd from any and ali damages claims for damages or suits that may arise or occur directly or indirectly es o result of any operation carried on under and pursuant to this perm, it, and will at his own expense, defend any and o1[ 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 fuji liability with respect thereto to the complete exclusion of said Board of Trustees and the Town aT Southold. THIS PEDJv%IT.is subiect to the following terms and conditions: l. Tl~;ot there shall be no unreasonable interference with no~igcr~ion os o result o~ the work herein authorized. 2. That there shall be no interference with the right of ~e public to pass and repass along that portion of the beach between low and high water mark. 3. That the work shall be subiect 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 a mo}ority of the said Board of Trustees, the day and year above written. seal ~.~¢L¢,. ~':~...(U S.) ......... ~ .. E ~..~<~7XL. S.) STATE OF NEW YORK SS: COUNTY OF SUFFOLK ) ON THIS..~...~.':do¥ of .......... ~,,~b.~r ...................... , personol~y appeared ~3~o~ D~.~ ~ of ~ee~po~ ~ ~e~ S~ffolk~ ~ Philip ~eiler, of ~ient, ~ to me, who, being by me duly sworn, severc~ly s~id %hat they etch resided in the Town o~ Southold, County o{ Suf¢oik, State o~ New York, and were members o~ the Bo~rd of T~ustees o{ s~id Town o~ Southo~d end constituted ~ mo]ority o~ the some; that they knew the corpofcte seal o~ scid lawn o¢ 5outho}d; thor the semi ~¢}ixed to the ¢oregoing instrument was such corporate se~l; that it wes so c{{ixed thereunto by order of the Bo~rd o¢ ~rustees o~ s~id Town o~ 5outho~d ond that ecch one signed his nome thereto os c /rustee ~n8 by Hke order. TOWN OF SOUTHOLD BOARD OF TOWN TRUSTEES TOWN CLERK'S OFFICE SOUTHOLD, N. Y. F~amine d ~~~~-- Applieat~o,u No,~,7~ .......................................... Approved ........................................................ ~~ Perzn/t No .......................... ..~_~. .................................... Disapproved ~ ......................... ~ ................... ~~~ chapman, Bo~d of Tr~tee.s / ~ APPLICATION FOR PERMIT INS~.UCTZONS A. This app~cation to ~e completely fi~ed ~ by type~it~ or ~ ~k amd submitted to the Tow~ ~stees ~ dup- licate. B. Plot plan showing location ~f ~ot aad bu~dings on premises, relat[o~ to a~oining pre~se~ pubic s~reets. parks, etc., and ~ng detailed de~c~ption of p~oposed l~out of pro~ect m~t be ~a~ on ~agr~m which M p~ of ~his C. The work covered by tMs app~cation may n~t be commenced before the issu~ce ~f a petit. D. U~n approval of ~Ms app~cation, To.wn Trustees w~ issue a permit to app~ca3t. Such pe~ sh~ be kept on tha ~emises and available for ~spectinn at a~ E. Ap~ca~t sha~ notify the Bc~d of Y~stees upon completion of the work covere~ by permit. APPLICATI01~ IS HEREBY I¥IADE to the Board of Trustees of the Town of So~hold, Suffolk Oounty, New Yo~k, for the issusmce of a permit pztrsua~t to the laws. Or~ances and reg~ations governing ~nstru~t~on o~: docks, piers, bt~eads. ~ettys and dredg~g in; under, and o~er the waters of Town of ~old. The ~p~can.t agrees to comply ~lh a~ app~oable laws, er~ances, reguMtinns a~d conditinns spe~ed by said trustees, ~d to hold the ~own ~f Seutho~d, ~d a~ ~o~ o~cf~s free fro~ ~bfl~y ~d damages of any ~d. Name of o~e~ of premises ......... ~.~.~_~.~......_~.~..~.~ ......................................................................................................................................................... ~e ~a~ z~ o~ ~an ~c~o~ _..~.Z.~.~..~......~8~,~.~.~ .............. ~..~.~.~&_~_.._,~ ~ ...................... Creek, Bay or Harbor Fronting Property_.~.D~.~.......~..~ ........... ~.~.~ ........... ~.~.~.~ .......................................................................... Per~ Requeste~ To: .............. D.~_~.~ ............................................................................................................................................................................................... Size of Proposed Work: Len~h ~.~..~.... Width ......~.~.'_ ................... ~eighth Above ~gh Water ..~ ............................. Depth Below Low Wate~ ~.C~g.~_ ......... Average Rise In Tide .~[. ~e..._~ ~ Yar~ to Be ~csvated ................................. Width of C~al, Creek ~r Ba~ Fron%ing Prope~y .~.~.....~E.D. .......... Depth at Low ~de .~ ...~~.~ .... ....... ~-~-- - Is Th~ For Private or Bus,ess Use? ._...~l~ .....................................~ea Zoning ........................................................................... Complete plot plan to be ~awn on reverse side of t~s ~pp~cstion. STATE OF NEW YORK) )S.S, co Y ~..~ .......... being duly sworn, deposes and says that he is the applicant for the above de- scribed permit, and t~at all staSements contained herein are true to the best of his knowledge and belief; that the work will be done in the manner set for~5 in the application amd as approved by the Board of Trustees of the Town of $outhold, s~nd the applicaat agrees to, hold the Town of Southold and said trustees ha~mless amd free from say and sJl damages and claims arising under or by virtue of said permit./ Sworn to before me this .....~...~ ........ day of~..~__...~...Z~_. 19.~....