HomeMy WebLinkAboutTR-2163 GF Board Of Southold Town Trustee-s
P~ease tear off and return to the Tl~/stee Office
Tl:RlvtS ~nd GONDITIONS
· he Pern~ee Lester E. Shapiro
Gull Pond (43 Andover Ro'ad, Rockville_~nter I~, ¥7
· -,.~' p~ of ~e co~ideraflon for ~e ~ce of ~e Pe~t d~ ~d~d ~d p~ to ~e fol* '
'lowing: 1. That the Southold Trustees Permit must be prominently
displayed on the premises effected thereby during the period of
~:~"~,~"-, ' -:' ~ ~e s~d B~d of T~s ~d ~e Town of ~u~old ~ ~l~ed from ~y ~d work
~:~don ~rfomd p~t to ~s ~6 ~d &e ~d P~ ~ at ~ ~ her o~ ~e~ the
: ~i& z~pect ~eto, m ~e ~mplete ~dmlon of ~e ~d of T~e~ of ~e Town of ~oi~
~ufficient ~e r~ed ~ complete ~e work ~volv~ but should ~o,m~c~ ~g ~ ~ion may be ~de to ~e ~d at a late~ da~ '
4.2 ~t ~ P~t ~o~d be ret~ ~def~tely, or as long ~ ~e s~d P~ ~
~t~ ~e ~e or pmjea ~volv~ to pro~de e~d~ce ~o ~yone ~ncem~ ~
~ ori~y obt~
~at ~e work ~vol~ed ~1 b~ mbj~ to ~e ~sp~on ~d approv~ of ~e ~d
agent. ~d nom~mp~mce ~ ~e pro.iota of ~e ori~na~g appH~o% ~ ~ ~e
of ~ Pe~t ~ r~oluHon of ~e said B~d...
' 6. ~at there w~ be no ~o~ble {nterf~ce ~ na~d~ ~ a r~t of ~e w~
~, herein au~omed.
~at ~e~'~all ~ no ~tederence ~ the H~t of ~e ~bHc to p~s ~d r~
~ beseem ~ ~d Iow water marks.
~at ff furore op~atlom of ~e Town of ~old r~e ~e r~ov~ ~d/or
· e lmflon of t~ work her~ au~o~ or ~, ~ ~e o~ of ~e Bo~d of T~e~, ~e
';work ~ ~ u~e~o~ble obs~on to free na~gadon, ~e s~d Pe~R~ ~ ~ r~
u~n due nodce, to remove or ~t~ ~is work o~ proj~t her~n stated ~out ~ to ~e To~
9. ~at ~e s~d Board w~l ~ no~fi~ b~ the Per~e~ ol ~e ¢~ple¢oa o~ Se work
o~e& (See tear off sheet.)
tO. ~at ~e Pe~mittee wi~ obtHn a~ o~er p~u and comen~ ~t ~y ~ r¢~
ple~eat~ to ~ pet w~ af ~ ~bj~ to revoke upoa f~ to ob~
BOARD OF TOWN TRUSTEES
(516~ 765-1892
TOWN OF SOUTHOLD
Town Hall, 53095 Main Road
P.O. Box 728
Southold, New York 11971
GRANDPATHER APPLICATION
- , - bulkhead, dock
2. Address~ Applicant: % ~ ~/~ 0 ~/~
4. ~ear of Construction: I?6C lq6~
5. Sketch of the work including sizes:
6. Mark off-0~r~he map attached, where your proper~y is located
using an X.
Signature: ~ '~'~' ' %.9 -
Please nose that there is a $5.00 filing fee, which is a one time
fee, for this application.