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HomeMy WebLinkAboutTR-474 TOWN OF SOUTHOLD BOARD OF TOV~,/N TRUSTEES PERmafIT NO .... .4.7..4 ......... 2 s~kes ~180 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 "Souih.o~d Town Ordinance Regulating the Placing of Obstructions in nnd On Town WaterS and Public Lands, and the Removal of Sand, Gravel or other Materials from Lands under Town Waters", nnd in accordancewith the resolution of the Board of Trustees Of the Town of Sout~old adopted at a meet- ing of said Board on .......... . .~.Y..~.¢. ~..~..~..., and in consideration of the sum of $.~!-i~.(~...,, lawful money ~f the Urfi~ed .S~ates, paid by .. ~l~.~. ~?~ ..... residin~ ~;..~...~.~--,~: ,. ~..~'¢i..' ........... , ~ Z~ th~ Board of Trustees ot the To~n of SO~etd, Suffolk Ce~ty, NeW York, h~eby a~o~i~e~ ana p~,~i~, ~i~ ...i .... ~ :~ ........................ ;... to for the issuance of this 9e~it does hereby release the said Board of Trustees and %he ~ow~ of Sou~h.oId from a~y and ~]1 dem~es claims fo~ d~a~es or suits may aTise ~ov occur directly, or in~irec~y as a re~lt of any operation ca~ied on der and 9u~su~n~ ~o this permit, and will al his own expense, d~end any and nH suits which ~nay be bruu~hl by ih/rd parties. ~s a result of any operation c~ied on pursuant lo .or in accordan~ wilh the terms of this 9e~it, and assume ~I liabi~iiy wi~h ~espect ~hereto to ~he complete excIusion of s~d Bo~d of an5 the Town of South.old. T~S PE~iT is subject %o the followin~ le~s and condilions: 1. Tha~ there shall be no unreasonable interference with naviEa~ion as a result of lhe ~o~k herein ~uth~hed. 2. Thai ~e~e shah be no inte~erence wi~ the riehl of lhe ~ublic to 9ass and pass alon~ that 9o~ion of %h~ beach between }ow and high water ma~k. 3. That the work shah be subject ~o the supervision ~ a~p~oval of lhe said Bo~d of T~stees or i~s a~ents. 4. Thai if future operations of the Tow,n of Southold requ~e the remov~ ~d/or ~teration in the location of the ~ork herein aulhor~ed~ or ~, in lhe of the Board of T~stees of the Town of Southold, such ~ork ~all cause reasonable obs~ciion to ~ree nav/~alion, The said .... ~.~. ~.. ~ ........ will be required upo~ due no!ice f~'~m the said Board of T~stees~ to remove or alter the ]ocadon .of ~he ~o~k he, by authorized wlthout expense ~o lhe Town of Souihold, ao as ~o ~eude~ navigation reasonably free and The authority conferred by this permit may be terminated by the Board of Trustees for o failure on the part of the said ................. ~QS~t..~[3,~t ............................................. to compmy with the terms and conditions herein imoosed. In the event of such termination, this permit shall be deemed revoked five (5) days after the date when the Board of Trustees shall mail to the said ............ ,~[~...,~, ................................................. at the address gwen in his applicaHon, 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 has 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, STATE OF NEW YORK ) SS: COLNTY OF SUFFOLK ) ON THIS ....... .3_,~..~. ...... day of ............. ~..~..~.~ ............................. , 19....6...S., before me oersonalty appeared A~vah ~. C~ds~i~/%, Frank ~wson, Jo~ ~ ~ulty, ~orge Si~s~n an~ ~ugtas ~r~o~. all personully 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 majori~ of the same; that they knew the cat,rate seal of said Town of Southold; that the seal affixed to ~c foregoing instrument was such corporate seal; that it was so affixed thereunto by o~er of the Board of Trustees of said Town of 5outhold and that each one signed his name thereto as a Trustee and by like order......~...:...( ~ ~~.~,.....~1 ...... [.~~ ,~. I F~e~' ~ Notary Public // BOARD OF TOWN TRUSTEES TOWN CLERK'S OFFICE E×amiued ................... ~ ........... lg' .... ~pgHc~tio~ ~o ................... Approve~ .. ~..~ Permit No ........... '~ ... f~..~i)z~Z ~z ...... chairman, Board of Trustees APPLICATION FOR PERMIT INS~UCTIONS A. This application ¢o be Completely filled in by Wpewri~er or ]n ink and submitted to the Town Trustees in dup- licate. B. Pto~ ~lan~o~g lqd~ion ~:~ot.~d ~uiidings on pFem~ses, relation to adjoining premises, public streets, parkm etc., and ~ving detailed ~scription of proposed~layout o~p~oject mus~ be drawn on diagram which is part o~ ~his application. C. Thc work covered by this application may not be commenced before the issuance of a permit. D. Upon approval of this application, Town Trustees will ~ssue a permi~ to applicant. Such permit shah be kept the premises and available for inspection at all times. ~. AppUcant shalI 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 Sou~hold, Suffolk County, York, ~or ~he ~ssuance of a permit pursuant to the la*vs, Ordinances and regulations govermng construction of: docks. piers, bulkheads, ~ettys and dredging in. under, and over the waters o~ Town of Southold. The applicant agrees ~o compl~with all applicabIe laws, ordinances, re~lations and conditions specified by said trustees, and to hold the Town of Southold. and aH Town officials free from l~ability and damages of any kind. Name o~ Owner of,Premises . .. ~..S~ ................................................................ Creek, B~V or Harbor Fronting Property . ~..~ .................................................... Size of P~oposed Work: Length . ~.~. .......... Width , .~.~ ....... Heighth Above High -Water .............. Depth Below Low ~ate~ ~.~. ~..~... Average Rise In Tide .............. Yards to Be ~xcava~ed . .~ ..... Width of Canal, Creek or Bay Fronting Property ........................ Depth at Low Tide .................. Is This For Private or B~iness Use ? ...]~ ........................... Area Zoning ~$~.~ .... Complete pIoZ pIan to bc drawn on reverse side of this application. STATE ( )S.S. · '~.~eing drily sworn deposes and says that he is the applicant for the above described permit, a~ t that all statements contained herein are true ro the best of his knowledge and belief; that the work will be done in Southold, ~nd the gpplic~r agrees to hold ~the Town of Southold and sa~d trustees harmless and free ~rom any and ali damages and claims a~ising un,er or by virtue o[ said permi't. Sworn ro ~efore r ) ..... day of 19.~ Notary public / 85 CUTTER MILL ROAD (next to Firehouse) GKEAT ~',~INC~[, lq'. ¥.