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Legal Notice
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Hearings: December 2, 1976
south by Soundview Avenue: west by Mulvaney.
9:40 P.M. (E.S.T.) upon application of Goldsmith Building
Construction, Inc., Main Road, Southold, New York for a
variance in accordance with the Zoning Ordinance, Article III,
Section 100-30 and Bulk Schedule for permission to construct
dwelling with insufficient side-yard setback. Location of
property: north side Chestnut Road, Southold, New York, bounde
on the north by D. Moore: east by H. Metzendorf: south by Ches -
nut Road: west by J. Fontana.
Any person desiring to be heard on the above appeals
should appear at the time and place above specified.
Dated: November 19, 1976
BY ORDER OF THE SOUTH OLD TOWN
BOARD OF APPEALS
PLEASE PUBLISH ONCE, NOVEMBER 24, 1976, AND FORWARD NINE (9)
AFFIDAVITS OF PUBLICATION TO THE SOUTHOLD TOWN BOARD OF APPEALS,
MAIN ROAD, SOUTHOLD, NEW YORK.
Copies mailed to the following on November 19, 1976:
Irving L. Price, Jr., Esq. ale Lois J. Thorp
Letitia Yaruss~
Jonathan C. Browning & wife
Lillian Qualls
Board of Education, Greenport
Leonard Madelewski
Rosemarie C. Burnside
Cornell Construction ale Rizzo
Goldsmith Building and Construction, Inc.
LEGAL NOTICE
Notice of Hearings
Pursuant to Section 267 of the
Town Law and the provisions of
the Amended Building Zone Ord-
inance of the Town of Southold.
New Yark, public hearings will be
held by the Zoning Board of
Appeals at the Town Office. Main
Road. Southold. New York on
Thursday, December 2. 1976, on
the following appeals:
8:10 P.M. (E.S.T.l upon ap'
plication of Lois J. Thorp. 200
Gardiners Bay Estates, East Mar-
ion. New York (Irving L. Price.
Jr.. Attorney? _~o~ a _vaT.ian,c: i~
plication of Rosemarie C. Burn
side. Nassau Point Road, Cutch-
ague. New York for a variance in
accordance with the Zoning Ord-
inance. Article Ill. Section 100-35
B for permission to construct
fence exceeding maximum
height. Location of property: Nas-
sau Point Road, Cutchogue. New
York; Lot #70. Nassau Point; Map
#IS6.
9:20 P.M. (E.S.T.) upon ap.
plication of Cornell Construction
aic Frank and Frances Rizzo,
1823 Parkview Avenue, Bronx,
Nev.,' York for a variance in
1 accordance with the Zoning Ord-
inance. Article III. Section 100-30
and Bulk Schedule for permission
to construct dwelling with insuf-
fit'ient side-yard setback. Loca-
tion of property: north side
Soundview. Avenue, Southold,
New York, bounded on the north
by Long Island Sound; cast by
Du ; south by Soundview Ave-
'st by Mulvaney. -",
9:40 .M. (E.S.T.) upon ap.
plicatio of Goldsmith Building
and onstruction. Inc.. Main
. Southold. New York for a
variance in accordance with the
Zoning Ordinance, Article III.
Scction 100-30 and Bulk Schedule
for permission to construct dwel-
ling with insufficient side-yard
setback. Location of property:
north side Chestnut Road. South-
old. New York, bounded on the
north bv D. Moore; east by H.
Metzcndorf; south by Chestnut
Road' west bv J. Fontana.
An~' pers~n desiring to be
heard on the above appeals
should appear at the time and
place above specified.
Dated: November 19. 197&
BY ORDER OF
THE SOUTH OLD TOWN
BOARD OF APPEALS
IT-11/25
COUNTY OF SUFFOLK
S fATE OF NEW YORK
t 55'
I
Sherley Katz, being duly sworn, says that she is an
Editor, of THE LONG ISLAND TRAVELER-WATCHMAN,
a public newspaper printed at Southold, in Suffolk County;
ond that the notice of which the annexed is a printed copy,
has been published in said Long. Island Traveler-Watch-
,
man once each week for ..........:............................. weeks
/") ,"
successively, commencing on the .!.....~;;................................
day f !../~'f/I.-i).'~ Ai I
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..................................................................................
Sworn to before me this ..:~::.'::~.............. day or
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... ::.-::.~f~~:.;:::;Jl:.:..-..~. ....., 19 .:..'=:~..
,
...........~i';;;~~.~<~~.~..~~.~
ETHEL PALLADINO
NOTARY PUE,L:C, Store of N~w YGd.
No. 52 -4~-:?3'753
C ~u~Lfied in 'sL;{fdk COU;'ity
ommls:>lvn Expires March 30, 1978
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LEGAL NOTICE
Notice of Hearings
Pursuant to Section 267 of the
Town Law and the provisions of
the Amended Building Zone
Ordinance of the Town of
Southold, New York, public
hearings will be held by the
Zoning Board of Appeals at the
Town Office, Main Road,
Southold. New York on Thursday.
December 2, 1976, on the
following appeals:
8:10 P.M. (E.S.T.) upon ap-
plication of Lois J. Thorp. 200
Gardiners Bay Estates. East
Marion. New York (Irving L.
Price. Jr.. Attorney) for a
variance in accordance wIth the
Zoning Ordinance. Article III,
Section 100-31 and Bulk Schedule
for permission to set off lot with
insufficient width and area.
Location of property: east side
West Lane. East Marion, New
York, bounded on the north by T.
Siculiane; east by Daly; south by
Dixon; west by West Lane.
8:20 P.M. (E.S.T.) upon ap-
plication of Letitia Varusso, 10060
Sound AvellUll.., ~tituck. New
York for a variance in ac-
cordance with the Zoning Or-
dinan~: Article X(&;ctio;"l00-
118 D '" E for permission to repair
or replace existing 000-
confonning building. Location of
property: 1470 Factory Avenue,
Mattituck. New York. bounded on
the north by C.R. Coutts. Jr.; east
by F. Helf; south by W. Corwin;
west by Factory Avenue.
8:30 P.M. (E.S.T.) upon ap-
plication of Jonathan C.
Browning and wife. Little Neck
Road, Cutchogue, New York for a
variance in accordance with the
Zoning Ordinance, Article III.
Section 100-30 and Bulk Schedule
for pennission to set off lot with
insufficient area. Location of
property: east side Little Neck
Road. Cutchogue. New York,
bounded on the north by J.
Kujawski; east by Strohson
Road; south by W. E. Taylor and
S. W. Stepnoski; west by Little
Neck Road.
8:40 P.M. (E.S.T.) upon ap-
plication of Lillian Qualls, Main
Road, Laurel. New York for a
variance in accordance with the
Zoning Ordinance. Article III,
Section 100-30 and Bulk Schedule
for pennission to relocate house
on undersized lot. Location of
property: Main Road, Laurel,
New York, bounded on the north
by Main Road; east by M.
Sawicki; south by G. McCarthy;
west by G. McCarthy.
8:50 P.M. (E.S.T.) upon ap-
plication of the Board of
Education, Greenport Union
Free School District, Front
Street, Greenport, New York for
a variance in accordance with the
Zoning Ordinance, Article III,
Section 106-31 and Bulk Schedule
for pennission to set off lot with
insufficient area. Location of
property: Front Street, Green-
port, New York, bounded on the
north by other land of applicant;
east by K. Peterson; south by
Main Road (Route 25); west by
Kalin, Jemick.
9:00 P.M. (E.S.T.) upon ap-
plication of Leonard Madelewski,
Sr. and wife, 416 Fifth Street.
East Northport, New York for a
variance in accordance with the
Zoning Ordinance, Article III,
Section 106-30 and Buik Schedule
for permission to divide PE'E"rty
with inSUfficient area. Location
of property: Hamilton Avenue,
Cutchogue. New York; Lots 25
through 28. Ravatone' Realty,
Filed Map No. 539.
9:10 P.M. (E.S.T.) upon ap-
plication of Rosemarie C. Burn-
side. Nassau Point Road, Cut-
chogue, New York for a variance
COUNTY OF SUFFOLK.
STATE OF NEW YORK.
J
f ss:
J
Stuart C. Dorman
........ ................ ...-.......... being duly Sworn.
he
says that -.. - . _. is Printer and Publisher of the SUFFOLK
WEEKLY TIMES. a newspaper published at Greenport. in said
county; and that thE' Dotia:. of which the annexed is a printed
copy. has been published in the said Suffolk Weekty Times
One (1)
once in E'ach week, for . . ............. _ .. . . .. .. ... weeks
. I . th Twenty-fourth
succesSIVEo y oommenclDg on e.. .. .. .. . . .. . .. _ .. .. _ . . . ..
NoveDlber 76
day of ............. "'c...~.. 19.~..
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Sworn to ~! me this. .,;.1......J
day of .. .l:1.Q7/~ 19.74. J
In accordance with the Zoning . ~~ .Q. . ;;
~~~c~~r ~:~S;i~~ :c:~~~ : : : : /I:~' .. - .. . : /i:,: iJ;~7" .. . :~
struct fence exceeding maximum /
height. Location of property. .
Nassau Point Road, Cutchogue. NANCY R. DOUGLASS
New York' Lot No. 70 Nassau NOTARY PUBLIC. S'o,. 01 New Yolk
Point" Map' No 156 ' D.esiding in Suffolk County
, '. Clks. No. 52-6006885 _ '7 J?-
?:~ P.M. (E.S.T.) upon ap-Commission E."u-.. _ 30. IlI..l..lI
plicatIon of Cornell Construction
a-c Frank and Frances Rizzo.
1823 Parkview Avenue. Bronx.
New York for a variance in ac.
cordance with. the Zoning Or-
dinance, Article Ill. Section 106-
30 and Bulk Schedule for per-
mission to construct dwelling
with insufficient side-yard set-
back. Location of property: north
side Soundview Avenue
Southold,New York, bounded o~
the north by Long Island Sound;
east by Dubin; south by Sound-
view Avenue; west by Mulvaney_
9:40 P.M. (E.S.T.) upon ap-;
plication of Goldsmith Building
Construction, Inc., Main Road,
Southold, New York for a
variance in accordance with the
Zoning Ordinance, Article III
Section 106-30 and Bulk Schedul~
for permission to construct
dwelling with insufficient side-
yard setback. Location. of
property: north side Chestnut
Road, Southold, New York
bounded on the north by D:
Moore; east hy H. Melzendorf; U
south by Chestnut Road; west by D
J. Fontana. Sl
Any person desiring to be heard U
on the above appeals should ,.,
appear at the time and place
above specified.
Dated: November 19, 1976
BY ORDER OF
THE SOUTHOLD TOWN
BOARD OF APPEALS
ITN24-2521
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FORM NO. 3
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TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
NOTICE OF DISAPPROVAL
File No. ..............~.~.~..r=......................... .Dote .................................~...!~., 197f.
To ~~...!k.!b.t.......~...~..~ C-
...............tft;:......A!!4f.......!9..~.~...- ~
................................................................................
PLEASE TAKE NOTICE thot your opplicotion doted ................................. !J..try.. {<?:., 197..0.
for permit to construc~~J;/..............8t the premises locoted at ....................................
......?!!....~~.....1}f..<!:........... Street ~#
- .
Mop .................................... Block .......:::::::-::::.......................... Lot ..........:::................................... is
returned herewith and disopprov~n the following grounds ......A~...~i'Y.d...............
...~~.i.......~<<..........~.......~.~l~..~A.....#:d.......................
.......tf~.'T..~:.~.....~..~.~.:.~..'!.......~~t.....~.::..~b:.1....:4c1-.4......:........
................................................................................................................................................................
....~~.....r;~....
Building Inspector
1""'.
1".1
OF
o
JUDITH T. TERRY
T OWN CLERK
REGISTRAR OF VITAL STATISTICS
TELEPHONE
765-3783
Southold, L. I., N. Y. 11971
November 15, 1976
To: Southold Town Zoning Board of Appeals
From: Judith T. Terry, Town Clerk
Transmitted herewith is Appeal No. 2228, application for a variance
by Goldsmith Building & Construction Inc. Also enclosed is notice
to adjoining property owners--Henry Metzendorf, Westland Road,
Southold; Joseph Fontana, Chestnut Road, Southold; Douglas M. Moore,
Westland Road, Southold.
fi<k/~~zr
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TOWN OF SOUTHOLD. NEW YORK
APPEAL FROM DECISION OF BUILDING INSPECTOR
APPEAL NO. O?~J!
DATE ..!..;Ie.-;.7..f........
TO THE ZONING BOARD OF APPEALS, TOWN OF SOUTHOLD, N. Y.
1, (We) Q&l-GJ.9lT,i.t,.h..;luHdtng..&..Gonst. ..;Ino.. .of ...~.aia.~_t...................................................
Nome of Appellant Street ond Number
.................. "':;outlioraM.!l\;I;;;~iity'''''''''''''''' ........ ............
....New..lor.k........HEREBY APPEAL TO
State
:::L~:A~I:: BF~:R:E~:I:P::L.~..~~~.~.~.~.E.. ~~.~I~I~: ~:D T~.~..i~.~7.E~~~.~...~.~
. (
WHEREBY THE BUILDING INSPECTOR DENIED TO
............. .Goldsmith.. wUding..&.. CoAat.... .lnc...
Nome of Applicant Tor permit
of
)
( )
(x )
..... ... ....*-1,.. ~t............... ..80ut.hold.... .... ... ... ..... ...~..;r(M"k..... ..... ....... ........
Street and Number Municipality State
PERMIT TO USE
PERMIT FOR OCCUPANCY
Building Permit
1.
LOCATION OF THE PROPERTY .J>l/8..Ch4l8tmt..rtd.....16:1..I~..troa.I.emar..lii4........a...Qi,at.
Street Use Districf on Zoning Mop
Map 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 quate the. Ordinance.)
Art. 111 Sec. 100-30
3. TYPE OF APPEAL Appeal is made herewith for
(X) A VARIANCE to the Zoning Ordinance or Zoning Map
( ) A VARIANCE due to lock of access (State of New York Town Law Chap. 62 Cons. Lows
Art. 16 See. 280A Subsection~ r () ( )
set a )' side ard -'---. ~ ,/d-~
.
4. PREVIOUS APPEAL A previous appeal (xq (has not) been mode with respect to this decision
of the Building Inspector or with respect to this property.
Such appeal was ( ) request for 0 special permit
) request for a variance
and was mode in Appeal No. ................................Doted
......................................................................
REASON FOR APPEAL
( ) A Variance to Section 280A Subsection 3
(x) A Variance to the Zoning Ordinance
( )
is requested for the reason that
the flXllillting lot is only SO.07 ft. wide
Form ZBl
(Continue on other side)
REASON FOR APPEAL
o
Continued
o
1. STRICT APPLICATION OF THE ORDINANCE would produce practical difficulties or unneces-
sary HARDSH I P because
it "QuId reduce the siBo of house the 0IIll8r has p~ed to build
2. The hardship created is UNIQUE and is not shored by all properties alike in the immediate
vicinity of this property and in this use district because
the lot -to the llUt 11 vacant and the house to the Wellt 18 looated.:III 27'
f'roa the propsrt.7 Une and. vwld 10..,8 . total diatanco of 39' betv..;;'Iou8...
3. The Variance would observe the spirit of the Ordinance and WOULD NOT CHANGE THE
CHARACTER OF THE DISTRICT because
There are other lot. of thill swae IIbo
in th" area.
STATE OF NEW YORK
COUNTY OF~
~"em.6;i'~~.
...........~~..~...................... day oL..Y(~............... 197h
}
} ss
}
Sworn to this
~~&R~.........
rf~l~~i /~~\~~~ S~;tc B~K~~(~~ y)
1,;-',::':4~)~3, Sulfc!k CDlIIlty
Cow;;l,~;;ji.iil Expires March 3[11 Iff17
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I'OBM !l'O. 1.
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TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Examined
........................................,
19........
Application No. ................................
Approved
........................................,
19........ Permit No. ....................................
Disapproved a/c.................................................. ................ ..........................
.........................................................................................................................
........................................4.......................................................
(Building Inspectar)
APPLICATION FOR BUILDING PERMIT
Date ....IIioT...12.............................., 19.76........
INSTRUCTIONS
a. This application must be completely filled in by typewriter o~ in ink and submitted in triplicote to the Building
Inspector, with 3 sets af pions, accurate plat plan tQ scale. Fee according to schedule.
b. Plat plan showing location of lot and of buildings on premises, relotianship to adjoining premises or public streets o.
areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this application.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit
shall be kept an the premises available for inspection thraughQUt the work.
e. No building shall be occupied or used in whole or in part far any purpose whatever until a Certificate of Occuponcy
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Sauthald, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, far the construction of buildings, additions or alterations, or for removal or demolition, as herein described.
The applicant agrees to comply with all applicable laws, ardi nances, building code, housing code, and regulations, and ta
admit authorized inspectors on premises and in buildings for necessory inspections.
... ...........GoldBldth..Boi Itli ng.&..COnst...J'Dc..... .......... .....
(Signature of applicant, or name, if a corporation)
..................Scmthold,...LL....................................................
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
....... ...... COntractor..... .................. ..... .............. .... ... ..... ............. ..... .... ............... .... ..................... ....... ...... ....... ......... .... .......... ...
Name of owner of premises ....!lr-...We.sJ.e,v:. lijPlrln"on....... ................................................ ................................................
If applicant is a corporate, signature of duly authorized officer.
.~d...Yz:........~~6....J!-u:?..
I' (Name and title of carparote officer)
Builder's License No. ......~~,?..J;g:..................................
Plumber's License No. ................................................
Electrician's License No. ............................................
Other Trade's License No. ..............................................
1. Location of land an which proposed work will be done. Map No.: ...1I/1I.-Che8tlDllt..Ii4~..... Lot No. ........................
Street and Number ....... .............. ............................... ...... ........ ......... ...... ......... .......... .......... .... ........SOUthold.........
Municipality
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a.
E . 't' nd YBAa....
XISI '"g use a occupancy ............>fflH.~............................................................................................................
b.
Intended use and occupancy ................,...Re............,.......................................... ................................................
3.
Nature of work (check which Q,licable): New Building' .................. Agion .................. Alteration
Repair .................. Removal.................. Demolition.................... Other Work ................................................ ...
(Description) .
4. Est.imated Cost ...... .... ..................................... .... .........Fee ...... .......................................................................... ..........
(to be paid on filing this application)
5. If dwelling, number of dwelling units ............................Number of dwelling units on each floor ............................
If garage, number of cors .............................................................................................................................................
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................
7. Dimensions of existing structures, if any: Front ............................ Rear ................................ Depth ....................
Height ........................ Number of Stories .................................................................................................................
Dimensions of some structure with alterations or additions: Front .................................... Rear ............................
Depth ................................ Height ............................Number of Stories ................................
8. Dimensions of entire new construction: Front ...........26...................... Rear ............211.!.......... Depth .........38.1.........
Height .......20.......... Number of Stories ........11.........................................................................................................
9. Size of lot: Front ........~!.~?~..................................... Rear ........~~.~........................ Depth .....~.~....................
10. Dote of Purchase ............:...........................................Name of Former Owner ........................................................
11. Zone or use district in which premises ore situated ............,A....d1at.........................................................................
12. Does proposed construction violate any zoning low, ordinance or regulation: ..~................................................
13. Will lot be regraded .........QO............... Will excess fill be removed from premises: (x) Ves () No
14. ~~ame of Owner of premises ......~.~~..~~.~~.............. Address ................................ Phone No. .1.~~.....
Nome of Architect .............................................................. Address ................................ Phone No. ......................
Nome of Contractor ..9.l?~.~.~..~~~J~~.!'!C..~..~~.~.... Address ................................ Phone No. ..~~.~~?t..
PLOT DIAGRAM
Locate clearly and distinctly 011 buildings, whether ex'isting or proposed, and indicate 011 set-bock dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicate
whether interior or corner lot.
attubed
~6'0Wr$F O~E~~....jS.s
.................~~..~~....~...~~~.~........................................being duly sworn, deposes and says that he is the appliconl
(Nome of individual signing contract)
above named.
Corp. officer
He is the .. ........ .... .... .... .... .... .... ....... .... .... ..... ..... .... ........... ... ......... .... ......... ........................................... ............. ......................
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly authorized to perform or hove performed the said work and to make and file
this application; that 011 statements contained in this application ore true to the best of his knowledge and belief; and
thaT the work will be performed in the manner set forth in the-opplication filed therewith.
Sworn to ~fore me this
......./-F....:.:'.O_~.:-~~~~. ..........., 19.7.G.. ~ rJ) ff, ~
Notary pu~. . .("-<f'.. "~t"." ........:tJcounty ..... ........ . ......is~~t~;~~~.......................
JlJDlm T. BOKEN ,ef(j(Y
i:\":"': Stale of Nc York
:',. .",'v> .v ~ ..SUffOll( County 77
Cr-,,,,,,j,......,,,,, L.p,re" March 301 19
BOARD OF APPEALS. TOWN OF SOUTHOLD
In the Matter of the Petition of
NOTICE
to the Board of Appeals of the Town of South old
TO:
fuilding Dept. of Southol.d Town
Southol.d, NevYork
YOU ARE HEREBY GIVEN NOTICE:
1. That it is the intention of the undersigned to petition the Board of Appeals of the Town of South old
to request a (Variance) (Special Exception) (Special Permit) (the following relief:
'-I'" ra
fw .. .td. ,...4 n~. .f )t
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,
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)
2. That the property which is the subject of the Petition is located adjacent to your property and is des-
cribed as follows: __ lQ' "'_lll7lt~--..
~--4WQ _ r... b7 M".tl'TF~Z)
.... Lt. I:q Jt:.Ml1a, a..IIto lI, ,......
3. That the property which is the subject of such Petition is located in the following zoning district:
...4d~
4. That by such Petition, the undersigned will request the following relief:
.. 3 n. iii'.!.. yard ,,111'1.......
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)
5. That the provisions of the Southold Town Zoning Code applicable to the relief sought by the under-
signed are:
4S\.111
.-. )11 JO
6. That within five days from the date hereof, a written Petition requesting the relief specified above will
be filed in the South old Town Clerk's Office at Main Road, Southold, New York and you may 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 to the date of such
hearing in the Suffolk Times and in the Long Island Traveler-Mattituck Watchman, newspapers published in the
Town of South old and designated for the publication of such notices; that you or your representative have the
right to appear and be heard at such hearing.
Dated:
.". 12, 1976
<\crln. U. iIIIUdlIIc un "I'IItI.acU...a 1.....
Petitioner..... tor lied..,. .4.oklnaon
Post Office Address
...4. ~&_ ~""thAld"
,. Iowk u?n
PROOF OF MAILING OF NOTICE
NAME
ADDRESS
1T/~C1 7;uz J ~ ~b--zz( ~ c:,/ c4-/ -/c'<--tA ce K]---P - ~Lcp~
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3D\, (plus postage)
) POSTMARK'
OR DATE
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OPTIONAL SERVICES DR DITIONAL FEES
RETURN ~ 1. Shows to whom and date delivered
RECEIPT With dellvsry to addressee only....... .
SERVICES 2. Shaws to whom, date and where dlllvlred"::
With delivery to addressee only ,
DELIVER TO ADDRESSEE ONLy..................... ............
SPECIAL DELIVERY ( .................................. 5_
extra f.. required) ....................................
P S Form
A 3800 NO INSURANCE COVERAGE PROVIDED
p'. 1971 NOT fOR INTERNATIONAL MAIL - (5.. .,h., ,;d.)
* GPO: IS74 0 - 551-454
UI:LIYtK lU AUUI"lI:~~tt UNLT
SPECIAL DEll VERY (extra f.. ~~;;.~~d).::... ......................... ....,_5_011' I
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Ap,. ;;;1 3800 NO INSURANCE COVERAGE PROVIDED_
NOT fOR INTERNATIONAL MAIL (5.. .th., ,;d.)
* GPO. 1974 0 - 551-454
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~~~;~E;- TO~ ADDRESSEE ~~l~/ellver:t to aooressee only..... ... 85, I
SPECIAL DELIVERY (extro f ............... .. ... SOIt
PS Form .. required) ... ... ... .....
Ap,. 1971 3800 NO INSURANCE COVERAGE PRDVIDED
NOT fOR INTERNATIONAL MAIL (5.. .,h., ';d.)
'I>: GPO, 1974 0 _ 551'454
,,~
STATE OF NEW YORK)
COUNTY OF SUFFOLK)
ss.:
. ~ttdi:."? residing at --;?Jt..tZ<-~;'" ~d
~ being duly sworn, deposes and says that on the IS"'" day
of .U!<.-/ ,19 '7 (" ,deponent mailed a true copy of the Notice set forth on the re-
verse side hereof, directed to each of the above-named persons at the addresses set opposite their respective
names; that the addresses set opposite the names of said persons are the addresses of said persons as shown on
the current assessm nt roll of the Town of Southold; that said Notices were mailed at the United States Post Of-
fice at ; that said Notices were mailed to each of said persons by
(certified) mail.
/$ if,
day of ';?'hc".[nv;EcL/ ,19 It"
JAvdtr/ 'iW~ex-p;t"d' \
Notary Public V
'!lCT' T. BC.:'EN(~"''''>')
'-"':'_= :'i :'_,',' !"rk
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ay-nL VI ~ck~
Sworn to before me this
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GREAT POND
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EAS-r MeAOOIW. NY. 1I5S4
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TO THIS SUtVfY IS A VIQLATlON O'
SECTION 72'9 CF fHt. k\'l YORK STAn
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GUARAt'Tt:S ;~;',; ,"HAll RUN
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TUTiON. GUARANH[S Ah': i'i()T T:~ANSF,kAaLf
TO ADDITlONAl INS"fl"iUllQNS OR SUl>Si:QU~f'.Ir
QWNUS.
TITU: I
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MAP OF PeOPEeTY
AT
5OUTHOLO
SUFFOL"- CouIll'TV. N.Y.
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TDT HOLE: aul'F. CO. DKP'T. 01' HEALTH HIII'ItCII8 STAT_lINT Of' INTlINT
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5d"'~ THE WATD SU....LY AND .IIWA_
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to.... <of DATE, DISPOSAL .YSTEM. I'Olt THI. IIIDI.
ct,,'1 ",.6.'
. f\atoll ,",,'" ~ D~CI: WILL CON..OftM TO THE
c:loi' H. S. REF. NO,. STANDAIIIDS Of' .U....OLK CO. DEPT.
'Va..1 OF HEALTH. .EIlVIQIES.
-7 -- APPROVED,
(S) A..JlicANT
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