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HomeMy WebLinkAboutTR-677 TOWN OF SOUTHOLD BOARD OF TOWN TRUSTEES Pursuant to the provisions of Chapter 615 of the Laws of 1893 of the State of New York; Chapter 404 of the Laws of 1952 of the State of New York; the pro- visions of an ordinance entitled"Southold Town Ordinance Regulating the Placing of'Obstructions in and onTown Waters and Public Lands, and the Removal of Sand, Gravel or other Materials from Lands under Town Waters", and in aceord- ance with the resolution of the Board of Trustees of the Town of Southold adopted at a meeting of said Board on . ~ .~.g.u~. ~ .3,..1.97.1~.., and in consid- York, the said Board of Trustees of the Suffolk County, New The said ..... Pr.e~!~.r!¢.k, ?~.'.~.~: ............ 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' ar~se 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. 2. 3. 4. THIS PERMIT is subject to the following terms and conditions: That there shall be no unreasonable interference with navigation as a result of the work herein authorized. That there shall be nO interference with the right of the public to pass and repass along that portion of the beach between low and high water mark. That the work shall be subject to the supervision and approval of the said Board of Trustees or its agents. That if future operations of the Town of Southold require the removal and or alteration in the location of the work herein authorized, or if, in the opinion of the Board of Trustees of the Town of Southold, such work shall cause un- reasonable obstruction to free navigation, the said . .P.~.~..d~i..~.k. will be required upon due notice from the said Board of Trustees, to remove or alter the location of the work hereby authorized without expense to the Town of Southold, so as to render nawgation reasonably free and unobstruct- ed. The authority conferred by this permit may be terminated by the Board of Trustees for a failure on the part of the said ............. ~...~f~,~.;[.~...~ .................................. to comply with the terms and conditions herein Jmoosed. In the event of such termination, this permit shall be deemed revoked five (5) days a~ter the date when the Board of Trustees shall mail to the said ..................... ~'~e~e~,3~..~e~.E. ......................... atthe address given Jn his application, a certified copy of a resolution of the Board of Trustees directing such termination. IN WITNESS WHEREOF, the said Board of Trustees of the Town of Southold h6s caused its corporate seal to be hereunto affixed and these presents to be subscribed by a majority of the said Board of Trustees, the day and year above written. ,seal . .~/(..~).) ~ ~ L S.) · STATE OF NEW YORK ) SS: COUNTY OF SUFFOLK ) ON THIS ...... 2-~,[~.... day of ................... S~p~.~ .......... , 19..7..~,., before me oersonallyappeared Alvah B. Go]~cismi~, John F. McNuZt:y, Frank S. Dawson, DOuglas M. ~ober~son, George A. Simpson all personally known to me, who, being by me duly sworn, severally said that they each resided in the Town of Southold, County of Suffolk, State of New York, and were members of the Board of Trustees of said Town of Southold and constituted a majority of the same; that they knew the coroorate seal of said Town of Southold, that the seal affixed to the foregoing instrument was such corporate seal; that it was so affixed thereunto by order of the Board of Trustees of said Town of Southold and that each one signed his name thereto as a Trustee and by like order. :.~ ~6tary Public JUDITH Y. BOK~N FILED~ September ""P~'~. 1971 No ary Public State of New Yo~ No. 52-0344963 Suffolk Coumy,,,~ FORM NO. I TOWN OF SOUTHOLD BOARD OF TOWN TRUSTEES TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ............................. 19 ..... Application No .................. o7 .... .......... Approved ......... ./. t'... ff. .... Permit No ......... 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~ em.. and giving detailed descr/ption 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 perm~ to applicant. Such permit shall be kept on the premises and available for inspection at all times. E. Applicant §hall notify the Board of Trustees upon completion of the ~vork 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 all applicable laws. ordinances, regulations and conditions specified by said trustees, and to hold the Town of Southold, and all Town officials free from liabilify and damages of any kind. Name of Owner of Premises., ~. ~ .~..~'...~..~ .~.~ .... ~ ~,~. ! ..~. ~. .............................................. Street Address of Property .. p.~.7..~....~0...~..~..r.0. !~..~....?..~ ~ .... .~..~..~...~.~.~ ......... ~. ! ~ >TA ............. Home Address If Other Than Location .... ~ ................................................................. Creek, Bay or Harbor Fronting Property . .~...~...'C. ?..i..T..'.q.~. ~... 1..~,..t,.~.-. ,'~. .................................. Permits Requested To: . ~, .~.. ~.~./~1.~ .[.....~..~.O../~ .~.. I .~. ~-~....M)...~..~..~....~, ~. ~..~, 1~ .......................... Size of Proposed Work: Length ...~, .~.~..~. ~ ..... Width .. ,~..'.~ .O..'.~.. Heighth Above High Water ...[~..O.*. ..... Depth Below Lowi Water ... ~ ........ Average Rise ~n Tide . .~:..~.~..~... ?..~.. Yards to Be Excavated . .~._ .-: .... Width of Canal, Creek or Bay Fronting Property .. ,I..~..~?..~..O.~... ~..T. .... Depth at Low Tide ..~..'~ !.o....~..T'.... Is This For Private or Business Use? .... ~...~.. fi..~. ~...~...~. ................... Area Zoning .t~.~..~.1.~...1~1~..~. f.~./- Complete plot plan to be drawn on reverse side of this applieation. STATE OF NEW YORK ) )s.s. COUNTY O~ ) ...~~~ng~']' ~-' ' ~ ~''"~// duly sworn deposes and says that he. is the'applicant for the above described perm'____, and hat all stateme'nf~ contained herein are true to the best of h~s knowledge and belief; that the work will be done iu the manner set forth in the applicagiou 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 and all damages and claims arising under or by virtue of said permit. (applicant) S,~orn to before me this ..... .~.~.'...~... day of..~,~- ............ 19...~/.