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0
TOWN OF SOUTHOLD, NEW YORK
ACTION OF THE ZONI~qG BOAI~D OF APPEALS
Appe~No. 2757 Application Dated October 16, 1980
ACTION OF THE ZONING BOARD OF APPE~3~S OF ~I~IE TOl&q~I OF SOUTHOLD
To Mr. and Mrs. Char]es Mebus
2145 Wells Avenue
Southo] d, NY ]]97]
Appenant
at a meeting of the Zoning Board of Appeals on November 20, 1980
was considered and the action indicated below was taken on your
( ) Request for variance due to lack of access to property
( ) Request for a special exception under the Zoning Ordinance
(X) Request for a variance to the Zoning Ordinance Art. III, Sec. ]00-32
( )
the appeal
1. SPx~jG)~(~j~)~XB~4~K~:l~y~va~yd)~Fm~(~a~M~a~[xe~.~n ( ) be
~t~ ( ) be de~ed pursuant ~ Article .................... Section .................... Subsection .................... para.apb
.................... of the Zoning Ordinance and the d~ision of the Budding Imp~inr ( ) be reversed ( ) be
eo~medbeca~e Public Hearing: 7:50 p.m. Application of Charles and
Margaret Mebus, 2145 Wells Avenue (Road), Southold, NY ~ a
Variance to the Zoning Ordinance, Article III, Section 100-32 for
permission to construct accessory building in side and/or front
yard area at 2145 Wells Avenue (Road, Southold, NY; bounded north
by Benson and West Hill Road; east by Benson; south by Edson and
Wells Road; west by Wells Road. County Tax Map Item No. 1000-70-
4-21.
SEE REVERSE SIDE)
2. VARIANCE. By resolution of the Board it was determined that
(a) Strict application of the Ordinance (would) (would not) produce practical difficulties
hardship because
(SEE REVERSE SIDE)
or unnecessary
(b) The hardship created (is) (is not) unique and (would) (would not) be shared by all properties
alike in the immediate vicinity of this property and in the same use district because
(SEE REVERSE SIDE)
(c) The variance (does) (does not) observe the spirit of the Ordinance and (would)
change the character of the district because
(SEE REVERSE SIDE)
(would not)
and therefore, it was further determined that the requested variance ( ) be granted ( ) be denied and
that the previous decisions of the Building Inspector ( ) be con~/rmed ( ) be reversed.
FORM ZB4
ZONING BOARD OF APPEALS
After investigation and personal inspection, the Board finds
as follows:
Appellants have appealed to this Board seeking a variance for
permission to construct a 21' by 22' garage in the front and/or
side yard area as shown on the plan submitted with the application
(survey of R. Van Tuyl for appellants}.
The premises in question is an unusally-shaped parcel, with
frontage along Wells Avenue of approximately 749.47'. Existing
on the premises is a 2-½ story frame house. The peculiar shape
of the parcel and the contour of the land, as well as the yard
interpretation of the Building Inspector, lend itself to approval
of this variance.
The Board finds and determines that the relief requested in
relation to the Code requirements is not substantial; that if the
variance is granted no substantial detriment to adjoining proper-
ties will be created; that the interests of justice will be
served by the granting of the relief requested; that no adverse
effect is produced on available governmental facilities of any
increased population; and that no substantial change will be
produced in the character of the neighborhood.
On motion by Mr. Douglass, seconded by Mr. Sawicki, it was
RESOLVED, that Charles and Margaret Mebus be granted a
variance to the zoning ordinance, Article III, Section~O-32
for permission to construct garage as applied for in Appeal No.
2757.
Location of property: 2145 Wells Avenue (Road), Southold,
NY; bounded north by Benson and West Hill Road, east by Benson;
south by Edson and Wells Road; west by Wells Road. County Tax
Map Item No. 1000-70-4-21.
Vote of the Board: Ayes: Messrs. Douglass, Doyen, Goehringer
and Sawicki. Absent was: Mr. Grigonis.
APPROVED
IiECEIVED AND FILED BY
T_~ZE SOU~iiOLD TO~714 CL~qI¢
__ To__wn Clerk, Town of Southoid
LEGAL NOTICE OF HEARINGS
Pursuant to Section 267 of the Town Law and the Provisions of
the Amended Code of the Town of Southold, the following
matters will be held for public hearings by the Board of
Appeals, Town of Southold, at Town Hall, Main Road, Southold,
New York on Thursday, November 20, 1980:
7:35 p.m. Application of Joseph and Amelia Smulcheski, Carole
Road, Southold, NY for a Variance to the Zoning Ordinance,
Article III, Sections 100-31 and 100-32 for permission to
construct garage in the front and/or side yard area. Location
of property: 140 Carole Road, Southold, NY; bounded north by
Hass, east by Arshamomaque Pond, south by Hrebok, west by
Carole Road. County Tax Map Item No. 1000-52-2-5.
7:45 p.m. Application of Kramer and DePetris Agency, Inc.,
54985 Main Street, Southold, NY for a Variance to the Zoning
Ordinance, Article VI, Section 100-60C(2)(b) for permission to
place letters (identification signs) on side of building
known as 54985 Main Street, Southold, NY; bounded north and
east by Rich; south by S.R. 25; west by Ryan. County Tax Map
Item No. 1000-62-1-5.
7:50 p.m. Application of Charles and Margaret Mebus, 2145
~ells Avenue (Road), Southold. NY for a Variance to_~he Zo~ning
Ordinance, Article III, Section 100-32 for ~_~_~.~.ion t_~o~
construct accessory buil~ing._i~n
at 2145 Wells Avenue (Road), JO_U]h~old,_NY; bounded north by__
B~nson a_n~_~_H!ll Road; eas~_~nso~; South~by~E~ ds~on..~nd
Wells Road; west ~ Wells Road. Count~__T~x~Map I~t~Q~
No. 1000-70-4-21.
8:05 p.m. Application of Jack J. Stukas, by Rudolph H.
Bruer, Esq., Main Road, Southold, NY for a Variance to the
Zoning Ordinance, Article III, Section 100-31 for approval
LEGAL NOTICE
OF HEARINGS
Pursuant to Section 267 of
the Town Law and the Provi-
sions of the Amended Cede of
the Town of Southold, the fol-
lowing matters will be held for
public hearings by the Board
of Appeals, Town of Southold,
at Town Hall, Main Road,
Southold, New York on Thurs-
day, November 20, 1980:
7:35 p.m. Application of Jo-
seph and Amelia Smulcheski,
Carule Road, Southold, NY for
a Variance to the Zoning Ordi-
nance, Article III, Sections
100-31 and 100-32 for permis-
sion to construct garage in the
front and/or side yard area.
Location of property: 140
Carole Road, Southold, NY;
bounded north by Hass, east
by Arshamomaque Pond,
south by Hrebok, west by
Carole Road. County Tax Map
Item No. 1000-52-2-5.
7:45 p.m. Application of
Kramer and DePetris Agency,
Inc., M~5 Main Street, South-
old, NY for a Variance to the
Zoning Ordinance, Article VI,
Section 100~0C(2)(b) for per-
mission to place letters ( ident-
ification signs/ on side of
building known as 54985 Main
Street, Southold, NY; bounded
north and east by Rich; south
by S.R. 25; west b~v Ryan.
County Tax ,j~l~Tem No.
1000-62-1-5.
. 7.:50 p.m. Application .of..
_Charle~ and Margaret Mebus,
_2145 W.~lls Avdnu~ qgo~d)5-
Southold, NY for a Varjance to
-th~ Zoning Ordinance, 4rticle_
_-III, Section 10~-32 for permis- --
sion to construct accessory
]building in side and/or front
~,arda~ea at 2145 Wel~ Ave-.
hue IRoad), Southold, NY;
bounded north by Benson and_
'West Rill Road; east by Ben- __
-son; south by Edson and WeLls~--
Road; west by Wells Road. _
-County Tax Map Item No. ~
1000-70-4-21.
' 8i05 p.m. Application of
Jack J. Stukas, by Rudolph H.
Bruer, Esq., Main Road,
Southold. NY for a Variance to
!.h.e ~Zon!y,g Ordinance, Article
west and south by Wunneweta
Pond; east by.O'Keefe. County
Tax Map Item No. 1000-111-14-
29.
9:25 p.m. Application of
James Wheeler, bY William H.
Price, Jr., Esq., Front Street,
Greenpert, NY for a Variance
to the Zoning Ordinance, Art-
icle III, Section 100-31 for
approval of insufficient area.
Location of property: South-
east corner of Kenney's Road
and Chestnut Road, Southold,
NY; bounded north by Chest-
nut Road; east by Dickerson,
Wheeler, and Conway; south
by Dioca, Pierre; and Price;
west by Kenney's Road. Coun-
ty Tax Map Item No. 1000-59-3-
10 and 11.
Dated: October 31, 19~0.
BY ORDER OF
THE SOUTHOLD TOWN
BOARD OF APPEALS
ITN6-3547
COUNTY OF SUFFOLI4, l
STATE OF NEW YORK, ? ss:
...... Joan..Gu~tt~.v..aoD. .............. being duly Sworn.
says that abe .... is Printer and Publisher of the SUFFOLK
WEEKLY TIMES, a newslxxper published at Greenport, in said
county; and that the notice, of which the annexed is u printed
copy, has been pu,blished in the said Suffolk Weekly Times
~nce in each week, ~or .... .o.n..e ................... weeks
successively commencing on the .~;~ .....................
a,,y of .... N. evembe~:r~ _~19'~0'
~orn to before me this ...6.~..h ..... I
y of .. Noy.¢rab.¢:~ ...... 19.~).. J
............ ......
HELEN K DE
NOTARY PUBLIC, State of New York
\No. 4707878 Suttolk Coup/fy
'[erm Explles Mzlch 30, ]9~
LEGAL NOTICE
OF HEARINGS
Pursuant to Section 267 of
the Town Law and the
Provisions of the Amended
Code of the Town of South-
old, the following matters will
be held for public hearings by
the Board of Appeals, Town of
Southold, at Town Hall, Main
Road, Southold, New York on
Thursday, November 20, 1980:
7:35 p.m. Application for
Joseph and Amelia Smul-
cheski, Carole Road, Southold,
NY for a Variance to the
Zoning Ordinance, Article III,
Sections 100-31 and 1'00-32 for
permission to e0nstruet garage
in the front and/or side yard
area. Location of property: 140
Carole Road, Southold, NY;
bounded north by Hass, east
by Arshamomaque Pond,
south by Hrebok, west by
Carole Road. County Tax Map
Item No. 1000-52-2-5.
7:4S p.m. Application of
Kramer and DePetris Agency,
Inc., 54985 Main Street,
Southold, NY for a Variance to
the Zoning Ordinance, Article
VI, Section 100-60C(2) (b) for
permission to place letters
(identification signs) on side of
building known as S4985 Main
Street, Southold, NY; bounded
north and east by Rich; south
by S.R. 25; west by Ryan.
County Tax Map Item No.
1000-62-1-5.
,-~. 7:S0 p.m. Application of
Charles and Marsaret Mebus,
214S Wells Avenue (Road),
Southold, NY for a Variance to
~ the Zonin~ce, Article
III, Se~ction
mission to constr~c~c~easory
buildin,R ,i~ ~d~nt
~.~ard area at ~eHs .
~.~nue (Road), South~Y;
bounded no~h ~s~. ~d
~. ~es~.~Hil!r ~ east by
Be~_;
Wells Road; w~st
~.'-~o~- Tsx ~ap Item
_ ~o~
New Suffolk Road; Coun~ Tax
Map Item No. 1~-117-5-28
and 29.
8:35 p.m. Appli~tion of
Richard Anderson, by Ga~
Harmer Olsen, Esq., Main
R~d, Ma~imek, NY bra
Variance br approval of a~ess
pursuant to New York Town
Law, See. 280-a. L~ation of
pmpe~: Wun~weta Pond,
Nassau Point, Cutchogue, NY;
bounded no~h, w~t and south
by Wunneweta Pond; east by
O'Keefe. County Tax Map
Item No. 1~-111-14-29.
9:25 p.m. Application of
James Wheeler, by William H.
~ce, Jr., Esq., F~nt S~eet,
Greenpo~, NY.bt a Variance
to the ~ning Ordinance,
A~iele HI, Scion 1~-31
approval of insufficient area.
~at~n of prope~: South-
e~t corner of Kenney's Road
and Chestnut Road, Southold,
NY; bounded no~h by Chest-
nut Road; east by Dicke~on,
~eeler, and Conway; south
by Dioea, Piece, and ~ice;
west by Kenney's Road.
Coun~ Tax Map Item No.
1~-59-3-10 and 11.
Dated: October 31, 1980
COUNTY OF SUFFOLK
STATE OF NEW YORK
SS:
Patricia Wood, being duly sworn, says that she is the
Editor, of THE LONG ISLAND TRAVELER-WATCHMAN,
a public newspaper printed at Southold, in, Suffolk County;
and that the notice of which the annexed is a printed copy,
has been published in said Long la/land Traveler-Watch-
/
man once each week for ............. I' ......................... weeks
successively, commencing on the ....~. ..............................
day_ of ~~ , 19~'~
........
?
Sworn to before me this ................................ day of
Notb~ 'P-ublic ~//
0
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. ¥.
NOTICE OF DISAPPROVAL
PLEASE TAKE NOTICE that your application dated ................................................... 19 ........ '
d~-Ifiac ~ed..- ~ ~el,3¢
far permit to construct ........................................ ',t the premises located at ....................................
Map .................................... Block .................~ ......................Lot ................................................ is
returned herewith and disapproved on the follow;ng grounds
~..rt........~./.~.~ ....... ¥. .,a. ..~ 3. .: .............. .~.Z...~. ...... (..O.,q:..~.~ ...............................................
... ~.~.....~, ,,,, ..~-~
Building Inspector
~ ~ E2) so~I
· O
TOWN OF $OUTHOLD, NLrW YO~K
APPEAL FROM DECISION OF BUILDING INSPECTOR APPEAl. NO. '~
....... ..................................................... ........
~unicipality
THE ZONING BOARD OF APPEALS FROM THE DECISION OF THE BUILDING INSPECTOR ON
APPLICATION FOR PERMIT NO ..................................... DATED ......................................................
WHEREBY THE BUILDING INSPECTOR DENIED TO
Name of Applicant for permit
of
Street and Number Municipality State
( ) PERMIT TO USE
( ) PERMIT FOR OCCUPANCY
':' ':::z,, ~ s'" ,,"~
1. LOCATION OF THE PROPERTY ........................................ '/..<..~ ~ ..........................................
Street Use I~istr. ict on Zeoing Mop
Mop No. Lot No.
2. PROVISION (S) OF THE ZONING ORDINANCE APPEALED (Indicate the Article Section, Sub-
section and Paragraph of the Zoning Ordinance by number. Do not quote the Ordinance.)
3. TYPE OF APPEAL Appeal is mode herewith for
(~ff'~'A VARIANCE to the Zoning Ordinance or Zoning Map
( ) A VARIANCE due to lack of access (State of New York Town Law Chap. 62 Cons. Laws
Art. 16 Sec. 280A Subsection 3
4. PREVIOUS APPEAL A previous appeal ,(,~ (has not) been mode with respect to this decision
of the Building Inspector or with respect to this property.
Such appeal was ( ) request for (3 special permit
( ) request for a variance
and was made in Appeal No ................................. Dated ......................................................................
REASON FOR APPEAL
( ) A Variance to Section 280A Subsection 3
(~.-)"'-A Variance to the Zoning Ordinance
REASON FOR APPEALO Continued O ': '
1. STRICT .APPLICATION OF THE ORDINANCE would produce practical difficulties or unneces-
2. The hardship created is UNIQUE and is not shared by all properties alike in the immediate
3. The Variance would observe the~ spirit of the Ordinance and WOULD NOT CHANGE THE
CHARACTER Or THE D.STR,C~ beca,.. ~ ~ ~
Sworn to this ...................... ~..~....~.~1. .......day of ................ ~..,.,,~..""~,~.JI~R~.. ...........19 ~
Notary Public
BJZABET~ ANN NEYILLE
NOTARY PUBUC, Shim o~ New York
lie..52.8~J8,10, Suffolk C~unty
Te~m £xplre~ Mard~ 30, lgi~'~
Southold Town Board o~Appeals -3- Novem~ 20, lg80
RESOLVED, to close the hearing and reserve decision in the
matter of Kramer and DePetris Agency, Inc., Appeal No. 2759.
Vote of the Board: Ayes: Messrs. Douglass, Doyen, Goehringer,
and Sawicki. Absent was: Mr. Grigonis.
PUBLIC HEARING: Appeal No. 2757. Application of Charles and
Margaret Mebus, 2145 Wells Avenue (Road), Southold, NY ~ a
Variance to the Zoning Ordinance, Article III, Section 100-32 for
permission to construct accessory building in side and/or front
yard area at 2145 Wells Avenue (Road, Southold, NY; bounded north.
by Benson and West Hill Road; east by Benson; south by Edson and
Wells Road; west by Wells Road. County Tax Map Item No. 1000-70-
4-21.
The Chairman opened the hearing at 7:54 p.m. by reading the
appeal application, legal notice of hearing and affidavits attest-
ing to its publication in thelocal and.official newspapers, No-
tice of Disapproval from the Building Inspector, and letter from
the Town Clerk that notification to adjoining property owners was
made; fee paid $15.00.
MR. CHAIRMAN: We have a survey showing the main house on it
and the proposed detached garage and accessory building, and it's
quite an oddly shaped piece of property. We also have a section
of the County Tax Map showing this property and its area. Is
there anybody here that would like to say anymore in favor of this
application? Is there anybody desiring to say anything against
this application? (There was no response.) Hearing none, why I
will make a motion that we close this hearing and reserve decision
on it.
On motion by Mr. Douglass, seconded by Mr. Doyen, it was
RESOLVED, to close the hearing and reserve decision in the
matter of Charle's and Margaret Mebus, Appeal No. 2757.
Vote of the Board: Ayes: Messrs. Douglass, Doyen, Goehringer,
and Sawicki. Absent was: Mr. Grigonis,
Re: Matter of Roy C. Schoenhaar. Appeal No. 2674.
Recessed without date from March 20, 1980.
On motion by Mr. Goehringer, seconded by Mr. Douglass, it was
RESOLVED, to schedule Appeal No. 2674, application of ~
Schoenhaar, for the next regular meeting of this Board, to wit,
December 4, 1980, and that a notice of hearing be re-advertised
~in the local and official newspapers concerning the above.
Southold Town Board of Appeals
MAIN ROAD- STATE ROAD 25 SOUTHOLD, L.i., N.Y. 11cj71
TELEPHONE (516) 765-1809
APPEALS.BOARD
MEMBERS
CHARLES GRIGONIS, .IR., CHAIRMAN
SERGE DOYEN, JR.
ROBERT J. DOUGLASS
GERAI~O P. GOEHRINGER
TYPE II ACTION DESIGNATION
NEGATIVE DECLAP~TION
Joseph H. Sawicki
NOTICE OF NO SIGNIFICANT EFFECT ON THE ESTVIRONMENT
Pursuant to Section 617.13 of the New York State Depart_ment
of EnviroD~mental Conservation ~t, Article 8 of the Envirornaental
Conservation Law, and Town Law of the Town of Southold, Section
44-4B, the $outhold Town Board of Appeals has determined that the
following project is classified as a Type II Action not having a
significant effect on the environment and will not require any
other determination or procedure.
DESCRIPTION OF PROJECT
Appeal No. 2757. Application of Char]es and Margaret Mebus,
2145 Wells Road (Avenue), Southold, NY.
Location of Project: 2145 Wells Avenue (Road), S0uth01d, NY.
Permission Requested: To construct detached garage in
front/side yard area.
Date of pUblic Hearing: November 20, 1980 at 7:50 p.m.
Documents on File: Appeal Application, Notice to Adjoining
Neighbors, Affidavit Attesting to the Mailing of said Notice,
surveys and/or sketches of the proposed project, Notice of Dis-
approval from the Building Inspector, Legal Notice of Hearing,
Environmental Assessment in the Short Form, Section of the
County Tax ~ap showing the subject property, & other documents as
may be requ[red.
Person to Contact for More Information: Mrs. Linda Kowalski,
Secretary, Board of Appeals, .Southold Town Hall, Main Road,
Southold, New York 11971; tel. (516) 765-1809.
Dated: October 16, 1980.
.K
JUDITH T. TERRY ·
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
TELEPHONE
(516) 765-1801
Southold, L. I., N. Y. 11971
October 16, 1980
To:
Southold Town Zoning Board of Appeals
From: Judith T. Terry, Town Clerk
Transmitted herewith is Appeal No. 2757 application of Charles & Margaret
Mebus for a variance. Also included are notification to adjoining property
owners as follows: L. Edson, Wells Avenue, Southold, N.Y. 11971: A.H. Benson,
1175 Hill Road, Southold, N.Y. 11971
Town Clerk
JTT/bn
Enclosures
SHORT ENV~RONMENTAL'ASSESSI~ENT FORk
:IN~STRUCTIONS- ' ~
(a) ]n' Order to answer the questions in this sho~t EAF it is assumed
that the preparer ~.lill use. currently available information concerning the
project and the likely impacts of the action. It is not expected that
additional studies, research or other investigations vtil~ be undertaken°
(b) If any question has been answered Yes the project may be
significant and o completed Environmental Assessment Form is necessary.
(c) ]f all questions have been answered No it is likely that this
project is not significant. ..:',
Environmental Assessment ' e
(d) ~. ~'lil~ projec~ result'in a large physical chang
to
the
pro~ect
site or physically alter ~ore
than 10 acres of: land? ........................ Yes
2. Will there'be o major change to any unique or
-unusual land form found on the site? .......... Yes.
3. Will project alte~ or have a large: effect'on
existing body of ~ater? .......................
4.. Will project hove a potentially large impact ,
on groundwater quality? ....................... . Yes
· 5. Will project significantly effect drainage .
flow on adjacent sites? ..................... '-,- Yes '
~. Will proSect affect any threatened or
endangered plant or animal species? ........... , Yes
7. Will pro3eCt result in o molar adverse
on alt quality? .............. ................. Yes
8. Will project hove o major effect on visual
character of the community or scenic views or.
vistas known to:be important to the community? -Yes
~. Will project adversely impact any site or .'
· structure of historic~ prehistoric or
poleontologlcol importance or any site .
designated os o critico! environmental oreo
bore o major effec~ on existing
10.
projec~
or future recreational opportunities? .........
~No
Will projec~ resul~ in.major ~roffic problems
major effec~ to existing
O~
cause
o
transportation systems? ....................... Ye
)2. Will pro~ect .regularly cause o~jectiono~le
odorsz noise~ glore~ vi~rotion~ o~ electrical .
disturbance os o result of the project's
operotlon? ..................................... Yes
13. Will pro~ect have o~y i~poct on public health
or.safety? .................................... ,, Yes
~4. Will pro,oct affect ~he existing community ~y
directly causing o growth in permanent
population of more than ~ percent over a one
year period pr ~ove o major neg~ive
on the c~oroctet of t~e community or
neighborhood? ................................. .
Is t~ere public controversy concerning
pro,oct? ......................................
Yes
Yes
PREPARER'S SIGNATURE~.~~ ~,
REPRESEHTING
(Today's Date)
To:
Southold Town Board of Appeals
Main Road
Southold, NY 11971
Re: Appeal Application of
Location of Property:
Dear Sirs:
In reference to the New York State Tidal Wetlands Land-Use
Regulations, 6 NYCRR, Part 661, and Article 25 of the New York
State Environmental Conservation Law, please be advised that the
subject property in the within appeal application:
(please check one box)
May be located within 300 feet of tidal wetlands;
however, constructed along the water-lying edge
of this property is a bulkhead in very good
condition and at'least 100 feet in length.*
May be located within 300 feet of tidal wetlands;
however, constructed along the water-lying edge
of this property is a bulkhead in need of (minor)
(major) repairs, and approximately feet in
length.
[ ]
May be located within 300 feet of tidal wetlands;
however, constructed along the water-lying edge
of this property is a bulkhead less than 100 feet
in length.
[ ]
May be located within 300 feet of tidal wetlands;
and there is no bulkhead or concrete wall existing
on the premises.
[ ]
Is not located within 300 feet of tidal wetlands
to the best of my knowledge.*
[Starred items (*) indicate your property does
not appear to fall within the jurisdiction of the N.Y.S.D.E.C.]
Sincerely yours,
BOARD OF APPEALS, TOWN OF SOUTHOLD
In the Matter of the Petition of
to the Board of Appeals of the Town of Southold
NOTICE
TO:
YOU ARE HEREBY GIVEN NOTICE:
1. That it is the intention of the undersigned to petition the Board of Appeals of~d
to request a (Variance) (Special Exception) (Special Permit) (the following ~elief:
2. That the property which is the subject of the Petition is located adjacent to your property and is des-
cribed as follows:
3. That the property which is the subiect of such Petition is located in the following zoning district:
4. That by such Petition, the undersigned will request the following relief:
$. That the/~ro~visions of the Southold Town Zoning Code applicable to the relief sought by the under-
signed are: ~ ~
6. That within five days from the date hereof, a written Petition requesting the relief specified above will
be filed in the Southold Town Clerk's Office at Main Road, Southold, New York and you ma)' then and there
examine the same during regular office hours.
7. That before the relief sought may be granted, a public hearing must be held on the matter by the
Board of Appeals; that a notice of such hearing must be published at least five days prior [o the date of such
hearing in the Suffolk Times and in the Long Island Traveler-Mattituck Watchman, newspapers published in the
Town'of Southold and designated for the publication of such notices; that ydu or your representative have the
right to appear and be heard at such hearing.
Dated: / ~ ~ ~
Petitioner
Post Office Address
NAME
PROOF OF MAILING OF NOTICF
ADDRESS
C",,I
C\l ~
C~J LU
t.~
STATE OF NEW YORK )
COUNTY OF SUFFOLK )
SS.:
residing at ..;TJ~ 'We/Lq [ ~)~fl~a~;M~L
· being duly sw~r~,~epo~ and says tb~ ~e, ~ day
of ~-~' ' -' ~ 19 ~, deponent mailed a true copy of the Notiee~Ee~h, on the re-
vereher~of,slde directed to each of,the above-named, penons at the addres~ set opposl~ ~[ rm~ective
namm; that the address ~t opposite the namm of ~d persons are the addr~sm '~ said.~"Shown on
the current as~ment roll of the Te~f ~old; that ~id Noticm were mailed at the United States Post ~-
rice at t ~ ~ .. ~e ~ ~e~; that said Noticm were mailed to each of said persons by
(certified) ~s~re~) mail. - ~
Sworn to before me this
day of
ELIZABImi ~ NEVII.I.E
NOTARY PUBLIC, State of New YoflJ
No. 52~8125850, Suffolk Countt
Term .xpfres f*,-ch. 30.
RD.
3L DISTRICT NO. 5
3.7 A[c)
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