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HomeMy WebLinkAboutTR-388 TOWN OF SOUTHOLD BOARD OF TOWN TRUSTEES PERle, IT NO....~...(~.4~/ ...... Pursuant to the provisions of Chapter 615 of the Laws of 1893 of the State of New ¥o~k; Chapter 404 of the Laws of 1952 of the State of New York; the pro- v~s~ns of an .ordinance en~tled "Soutbold Town O~din~ce Regu~tmg the Placing of Obs~ctions in and on Town Waters and ~blic Lands, and the Remov~ 0f Sand, Gravel or ~o~er ~Iateriais from L~ds unde~ Town Watts", ~d in acc~rd~ce ~ith the resolution of the ~d ,of Trustees of ~e Town of Sou~old adopted at a m~t- ~ng of Said Board on .~...~. ~. ~.., and ~ consideration o~ the sum iav u mo ey States,, .. residing at .... ~. ~. ~ ~!~,-~. ...... , New Z~ the Board of T~astees of the Town of Soath old, Suffolk Coanty, New York, he.by au~korized .and pe~2s said ....... ~. ~.: :. ~ :~e. ........... The said ..... ~.~. ~. ~. ~$~. ........... as pa~ of the consideration for the issuance of this permit does hereby release the said Eoard of T~stees and the ~own of Sou~old from any and all d~es clams for d~ages or suits thai may ar]se ,or occur directly or indirectly as a result of ~y operation calwied on un- der ~d pursuant ~o this pe~it, and will at his own expense, defend ~y and all suits which may be brought by third p~es, as a result of any operation ca~ied on pursuant to ,or in accord~ce with the lerms of this pe~it, and ~sume f~ liability with respe~ ~ereto to the complete exclusion of said Board of T~stees and the ~o~ of South,old. T~S PE~T is subje~ to the following terms and conditions: 1. That there shall be no unreasonable int~Yerence with navigation ~ a result of the work herein authorized. 2. That there sh~l be no ~lerference with the right of the public to pass and p~s ~ong that p~ion of the beach between low and high water mark. 3. Thai the work ~all be subject to the supe~ision ~d approval of the said Board of T~stees or tis agents. 4. ~at ff future operations of the Tow,n of Southold require the removal ~d/or alteration in the location of the work herein authorized, or if, in the opinion of the Board of T~stees of ~he Town of Southold, such work .shall ~use reasonable cbs/faction to f~ee na~gation, the said . ~..~,,..~ .~ will be requ~ed upon due notice from ~e said Bo~d of T~stees, to r~ove or alter the location of the ~ork hereby author~ed withou~ expense to the Town of Southold, so ~ ~o render navigation reasonably free and unobs~ct- ed. The authority conferred by this permit may be terminated by theBoardaf Trustees J:or c failure on the part of the said .......... ~.~..~.~....~.,.....~.~tt~ ...................................... to comply with the terms and conditions herein imposed, In the event of such termination, this permit shall be deemed revoked five (5) days after the date wl~en ~J~e Board of Trustees she. FI mail to the said ................ .J~..~.,....,~..,....~.~...~.~...e. ............................... at the address given in his application, a certified copy of a resolution of the Beard of Trustees directing such termination. IN WITNESS WHEREOF, the said Board of Trustees of the Town ef LSeuthold has caused its corporate sea,l to be hereunto affixed and these presents to ;be ;sdbSCribed by a majority of the said Board of Trustees, the day anc seal (L S.) STATE OF NEW YORK ) SS: COUNTY OF SUFFOLK ) all ~rsonally known to me, who, being by me duly sworn, ~veraHy said that they each resided in the Town of Southold, County of Suffolk, State of New York, and were members of¢~e Beard of Trustees of said~ Town of Southold and constituted a majori~ of the some; that they knew the co.orate seal of said ~o~ of Southo~d; that the seal affixedto 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 si~ned his.name thereto as a Trustee and by like order. FOEH NO. 1 TOWN OF SOUTHOLD BO^RD OF TOWN TRUSTEES TOWN CLERK'S OFFICE,,,~ .4~ ¢--.~' ~' SOUTHOLD, N. Y. Examined ............................. 19 ...... Application No .................. Approved ..~..~..../.~..~.~. ................. 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 ro 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 w/II. issue a permit to applicant. Such permit shall be kept on the premises and available for inspection ar all 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 Sonthold. The applicant agrees to comply with all applicable laws, oi'dinances, regulations and conditions specified by said trustees, and to hold the Town of Southold, and all Town officials free from liability and damages of any kind. Name of owner of premises.., d.~. ~.. ~.~..~ ........................................................... Street Address of Property ......... ~ .ff.../)~..' .~. .......... .~..~'.~.~.r....?.~ ~ ............... ZT: ,_ ................................. Depth Below Low Wgter... 7~* 'l~"J/'~' '~'Average.--t__ ~-~Rise In Tide...a.~./~....~....Yards to Be Excavated.j~'~..~ V¢idth of Ca~al, Creek or Bay Fronting Property,~.~./~.-./.../~' .......... Depth at Low Tide .~.~...~. ............. Is This For Private or Business Use? .... .~.~ .................. Area Zoning .~.ff.~ ......... Complete plot plan to be drawn on reverse side of this application. 8TATF, OF NEW YORK ) )s.s. COUNTY OF ) ..... ~.' ......................... being duly sworn deposes and says that he is the applicant for the above dc~ scribed permit, and that all statements contained herein 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 and ail damages and claims arising under or by virtue of said permit. f r h ~ ~,~ (applicant) Sworn to be o e me t is...~'~',..-- ..... day of .... ~9...~./... Term Exp. Jres Mam,~ 30.