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Home My WebLink AboutTR-543 TOVVN OF SOUTHOLD BOARD OF TOWN TRUSTEES Purs~aant to the-provisions of Chapter 615 of the Laws of 1893 of the State of New Y, ork; Chapter 40i of the Laws of 1952 of the State of Ne~ York; the p~ vis~ons of an ordinance entitl~ "Sou~o~d Town Ordin~ce Regulating I he Placing o20bst~cti~ons in and on Town Waters and Public L~ds. m~d the Remov~ of Sand, G~aveI or other Materials from Lands ~mder Town Wat~s", and in accord~ce ~he resolution .of the Bo~d ~of T~s/ees of the To~ ~f Southold adopted at a meet- ing of said ~oard on .... Sril. ~4,..~$.~ ..... and ~ consideration of 2. ~1,~0.., lawful ~oney of the United States, pa~d by . residing~a~ . .~.~.~ ~.2e~.,..~h~..~,.~,.., New ~, the said Board o~ Trustees o~ t~e Town of Sou~old, Suffolk County, New Yo~k, h~eby aut~or~ed and oe~its said ......... ~1~. E.~ .$~ .................. to ~ a ~k 40' long in f~t oE her ~o~ty ~n ~e~, $~, a~ ~s~ll a s~ke ~ as ~h~ on ~e ~so=~ion ~. all ~ a~r~=e wi~ ~he a~li~n- The ss~d ..... ~len, ~.. ~uk~ ............ as D~ ~of ~he consideration for ~he ~ssuance of th~s perm~ does hereby release the sa~d Board of ~s~ees and the To~n of Sou~ol~ from any and a~ d~s~es cla~m~ for damages o~ su~ts may ~ise ~or occur d~ectl~ or ]ud~rect!y ~s a resuh of ~y oDerat~ der and pu~suan~ to th~s 9e~mi~, and ~I1 a~ k~s own expense, defend any ~d all su~ts which may be brought by third par%ies, as a ~esu!t of any opera,on c~ied on pnrsusnt to ,or ~n accordance with fl%e ~e~s of ~h~s pe~, and assume full liability whh respect ~hereto ~o %he complete exclusion of said Board of T~s~ees an~ ~he To~n of Sou%ho]d~ THIS PER~IT ~s sub~e~ to the fo~o~inE ~e~s ~nd conditions: 1. Tha~ ~he~e ~all be no un~easonsble ~n~e~erence with nav~Ea~on as a result of ~he ~ork here~n au~hor~ed. 2. Tha~ tl%e~e shall be no ~n~e~erence w~h the ~iEht of ~e public ~o 9ass and ~e- pass ~on~ that Do~on of the beach be%ween ]o~ and h~Eh ~ater 3. Tha% ~he work ~h~l be sub~ec~ %o the supervision ~d appmov~l of the sa~d Board of T~stees or ~ts a~en~s. 4. That ~ ~ture oDera~ions of the Tow,n of Sou%hold re~u~ ~he alteration ~n the toc~t~on of the ~ork herein autho~zed, or ~f, ~n ~he opinion of ~he B~rd of T~ls%ees of %he To~n of Sou~ho~d, such work shall cause un- reasonable obstruction %o free navigation, the sa~d . ~eR. E,. ~ .... ~ll] be ~e~uired u~n due not,ce from the sa~d ~oard of T~s~ees, ~o remove or ~er %he loca~ion ,of the ~ork hereby au~orized without expense ~o the To~ of Sou~hold, so as to render navigation reasonably free and unobst~c~- ed. The authority conferred by this,permit may be terminated by the Board of Trustees for a failure on the part of the said .............. .~.~..e...~...,,~.~,...~.e...~...~..;~.......: ......................... to comply 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 Helen .~, Sch~n Trustees shall mail to the said .................................................................................... at the address given in 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 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. seal .) _/.~, ~4~..4....4~.~ ..~.. ...................................................... (L. S.) STATE OF NEW YORK ) SS: COUNTY OF SUFFOLK ) ON THIS ...~.~..h. .... day of ............. ~,~' ................................ , 19..~..9...., before me aersonaHy appeored Alvah B. G~ldsmith, ~rank Dawson, ~ 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 majori~ of the same; that they knew the corporme seal of said Town of Southold; that the seal aff~ed to thc foregoing instrument was such corporate seal; that it was so affixed thereunto by order of the ~oard of Trustees of said Town of Southold and that each one signed his name thereto as a Trustee and Dy like order. ~i~ed ~ Notary Public NOT~Y PUBLIC State of Term ~]res ~arc~ ~Q, TOWN OF SOOT:HOLD BOARD OF TOWN TRUSTEES TOWN CLERK'S OFFICE SOUTHOLD, N.Y. · isappr0ved ......... 17.111 ........... ...... chairman. Board of Trustees APPLICATION FOR PERMIT INSTRUCTIONS A. This applics/tion to bn completely filled in by type~vrker 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 premmes, public streets, parks. etc., and giving detailed description of prgposed layout of project must be drawn on diagram which is part of this applica'tion. C. The work covered by this application may not be commenced before the ~ssuance of a permit.. D. Upon approval of this application, Town Trustees will issue a permi't to applicant. Such permit shall be kept on the premises and available for inspection at all times, E. Applicant shall notify the Board of Trustees upo'~ completion of the work covered by permit. APPLICATION IS HEREBY I~IADE to the Board of Trustees of the Town of Southold, Suffolk County, Ne~v York, for the issuance of a permit pursuan't to the laws. Ordinances and regulations governing construction of: docks. .p!ers, bulkheads, jettys and dredging in, under, and over the waters of Town of Southold. The applicant agrees ~tp,'comply with all applicable laws, ordinances, regulations and conditions specified by said trustees, and to hold the ~own of Southold, and all Town officials free from liability and damages of any kind. Name ofOwner oLPremises l~,.~.~_ .~ r ' ..... ..... ..... Street Address of Property .... O.~..~. ..... .,: ........................ .~. ...................................... Home Address If Other Than Location ~q~..~c..~..G. §?..~.~..k,.~'...~../~..,...~. ~.~77.~.O..~.~.. · '~/'X' - ~'/' · 'ff~' ' ......... ~Creek, Bay or Harbor Fronting ~r_qperty _..~.O..~.~...?~f.,~...~: .......................................... 2.. Permits Requested To: . ~.~.7Z.... ~....~ ..... t ............................................................. Size*of l~roposed-Work: Length .... .~..6/( ...... YVidth .3 ......... Heighth Above High Water./. ........... Depth Betlo~v Low Water .............. Average Rise In Tide ............. Yards to Be Excavated ............ Width of I.Canal, Creek or Bay Fronting Property ....................... Depth at Low Tide .................. Is This Fbr Private or Business Use?....~..~ [~.../~..~. ....................... Area Zoning .................... Complete~ plo't plan to be drawn on reverse side of this application. STATE OF NEW YORK ) )s.s, -!~.!.~.'..?.~)-~-.°..~.~ ...... being duly sworn deposes and says that he is the applicant for the ~bove described permk, apd that all statements contained herein are true to the best of his knowledge and belief; that the work ~vill 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 apphcant 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) Sworn toJbef~his ..... ~. ......... ~y of ....................... 19~.~... .Term ~p~re$ Morcn