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Id Town Trustees
Board Of Southold -
SOUTHOLD, NEW YORK
PERMIT NO. ..%501.44.
..... DATE: ._:.November 27, . , -
r`i . ,; WILLIAM & MARY FERGUSON
ISSUEDTO .............................. ......................................_........................
Pursuant to the provisions of Chapter 615 of the Laws of
► . the State of New York, 1893; and Chapter 404 of the Laws of the State of New York 1952; and the Southold Town Ordinance
en-titled ."REGULATING AND THE PLACING OF OBSTRUCTIONS :
{�
... IN AND ON TOWN WATERS AND PUBLIC LANDS and the
" R OTHER MATERIALS FROM k
REMOVAL OF SAND, GRAVEL O �
LANDS UNDER TOWN WATERS;:'...': and in accordance with the
.�.
Resolution of The Board adopted at a meeting held on ................. ..........,
2000' 1 . aid b
and in consideration of the sum of $......... .50......0o.......... p y I ��
t•, William & Mary Ferguson k '
Et Setket
of .....: as au ................................... N. Y. and. subject to the
Terms and Conditions listed on the reverse side hereof,
of SSo thold Town' Trustees aut{h,orizes and ermits the following:
Wetlan3 �ermit to square-out the northe�st corner of the house,
increase square footage of house approx. 160 sq.ft. , install cella
under front area of house (18.3'X12.6') ,and- construct portico at
front entrance (4.8'X6.2') , all with the condition that a row'.oft_
ha ales be laced w o t
y a�l in accordance wii% i%e $ef�CedaoA�StiZ�s �E �}4 ed in
;1 the originating a ..lication: _ -
IN WITNESS.WHEREOF, The said Board of Trustees here-
"`' Seal to be affixed and these resents •to:.-
by.'causes itsorporafe t
lo
be subscribed'by a'mar.ty of the said Board-as of this date.,-:' -;
o - ! -
.(: L .y • y
Trustees
� � ,..wr '"nv� •+•�•..-�- -.+•-�'q"" "s"'�rr7' s'�e�+,�rry.•-��� v:..•R• �.
- ;l 'v�y .sue ��irvi L_:=_�.d��'�i.• +�� y" iv�1`�E+J �' L
�`�'`- �'�•�
TERMS and CONDITIONS
1'ennittee William & Mary Ferguson
221 Old Town Road East Set auket
residing at N. Y., as
part of the consideration for the issuance of the Permit does understand and prescribe to the fol-
lowing:
1. That the said Board of Trustees and the Town of Southold are released from any and
all damages, or claims for damages, of suits arising directly or indirectly as a result of any open-
adon performed pursuant to this permit, and the said Permittee will, at his or her own expense,
defend any and all such suits-initiated by third parties, and the said Permittee assumes fall liability
with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold
2. That this Permit is valid for a period of 24 mos. which is considered to be the
estimated time required to complete the work involved, but should circumstances warrant, request
-for an extension may be made to the Board at a later date.
3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes
to maintain the structure or project involved, to provide evidence to anyone concerned that auth-
orization was originally obtained._ 4. That the work involved will be subject to the.inspection and approval of the Board -cut.
its agents, and non-compliance with the provisions of the originating application, may be cause for-
revocation of this Permit by resolution of the said Board.
5. That there will be no unreasonable interference with navigation as a result of the work
herein authorized.
G. That there shall be no interference with the right of the public to pass and repass along
the beach between high and low water marks.
7. That if future operations of the Town of Southold require the removal and/or alterations
in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the.
work shall cause unreasonable obstrucnon to free navigation, the said Penmittee will be required, =�
upon due notice, to remove or alter this work or project herein stated without expenses to the Tows I
of Southold. '
8. That the said Board will be notified by the Permittee of the completion of the work auto-
orized.
9. That the Permittee will obtain all other permits and consents that may be required sap
so -
plemental to this. permit which may be subject to revoke upon failure to obtain ma t
Albert J.Krupski,President �OSUFF�(�'C Town Hall
James King,Vice-President hr� O�/y. 53095 Route 25
Henry Smith o= P.O.Box 1179
Artie Foster v3 = Southold,New York 11971-0959
Ken Poliwoda 5 Telephone(631) 765-1892
Fax(631) 765-1366
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
November 27 , 2000
Mr. & Mrs . William Ferguson
221 Old Town Road
East Setauket, NY 11733
Re: 220 Lake View Terrace, East Marion
SCTM#31-9-16
Dear Mr. & Mrs . Ferguson:
The following action was taken by the Board of Town Trustees
during its regular meeting held on November 21, 2000 regarding
the above matter:
WHEREAS, WILLIAM & MARY FERGUSON applied to the Southold Town
Trustees for a permit under the provisions of the Wetland
Ordinance of the Town of Southold, application dated October 27,
2000, and
WHEREAS, said application was referred to the Southold Town
Conservation Advisory Council for their findings and
recommendations, and,
WHEREAS, a Public Hearing was held by the Town Trustees with
respect to said application on November 21, 2000 at which time
all interested persons were given an opportunity to be heard,
and,
WHEREAS, the Board members have personally viewed and are
familiar with the premises in question and the surrounding area,
and,
WHEREAS, the Board has considered all the testimony and
documentation submitted concerning this application, and,
WHEREAS, the structure complies with the standards set forth in
Chapter 97 of the Southold Town Code,
WHEREAS, the Board has determined that the project as proposed
will not affect the health, safety and general welfare of the
people of the town,
NOW THEREFORE BE IT,
RESOLVED, that the Board of Trustees approve the application of
WILLIAM & MARY FERGUSON to square out the northeast corner of
the house, increase square footage of house approx. by 160
sq. ft. , install cellar under front area of house ( 18 . 3 'X 12 . 61 ) ,
and construct portico at front entrance (4 .8 'X 6 .2 ' ) , all with
the condition that a row of hay bales be placed down on the lake
side -of the house.
BE IT FURTHER RESOLVED that this determination should not be
considered a determination made for any other Department or
Agency which may also have an application pending for the same
or similar project.
Permit to construct and complete project will expire two years
from the date it is signed. Fees must be paid, if applicable,
and permit issued within six months of the date of this
notification.
Two inspections are required and the Trustees are to be notified
upon completion of said project.
Fees : None
Very truly yours,
� x
Albert J. Krupski, Jr.
President, Board of Trustees
AJK/lms
cc: DEC
Building Dept.
o Town Hall: 53095 Maim Road
P.O. Box 1179
Telephone 0, OT Southold,New York U971
(631) 765-1892Ql
SOUTHOLD TOWN
CONSERVATION ADVISORY COUNCIL
At the meeting of the Southold Town Conservation Advisory Council held Wednesday,
November 15, 2000, the following recommendation was made:
WILLIAM & MARY FERGUSON 31-9-16 to"square out" northeast corner of house,
decrease square footage of house approx. by 160', install cellar under front area of house (18.3'X
6.2'), and construct portico at front entrance (4.8'X 6.2').
220 Lakeview Terrace, East Marion
The-CAC did not make an inspection, therefore no_recommendat-ion-was_made
4
SUFFOLK GOUNTY, NY
l
i P vane '. WIMIARi
232 37. Road COMMONWEAL 1V64 o
a 53250
rr� I NSURA
3q.oc, �aole 28..37'
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OCT 2 7 2000
,
Z20 LAKE YIEW TERRACE
EAST MARION
UQ
--- ❑❑ -_-
... ..... .. ... .
_.---._
_ aTJEI aar�al»
__.::__:. = E100
00 _ OGG
----rood __.._..----- -----
OCT 2 7 2000
ELEVAT 1011(
Albert J. Qf FO`�CO Town Hall
Krupslu,President hZ• r/,y 53095 Main Road
James King,Vice-President c 1 P.O.Box 1179
Henry Smith A Southold,New York 11971
O
Artie Foster
Ken Poliwoda 41- Q�� Telephone(516) 765-18,92
Fax(516) 765-1823
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Office Use Only
oastal Erosion .Permit Application
Wetland Permit Application
Grandfather Permit Application
Waiver/Amendment/Cha%gev
Received Application �(� Ir
Received Fee:$ OCT 2 7 2000
Completed Application
Incomplete
SEQRA Classification: ,.._
Type I Type II Unlisted _ ..-
Coordination: (date sent)
CAC Referral Sent: o 1
Date of Inspection:
. filliqlLy-
Receipt of CAC Report:
Lead Agency Determination:
Technical Review:
Public Hearing Held: "
Resolution:
Name of Applicant G 111 mx Gemisaki
Address 2-2-1 plug 7'oWkj {goad East 14rFa-ake-F �!� //7a
JF
Phone Number (631 ) ')S/ -2.7 3 s
Suffolk County Tax Map Number: 1000 - 031.yo - o 1j, O0 - 014;00
Property Location: 2 20. L.ctk,-_ Vicki lerracc, 1F4S* ,A0(Qr)cn IJY
/'14prIA c,eSt curler &f vd Z 33. Sr7' east o•P d eYt�
(provide LILCO Pole #, is ance to cross streets, and location)
AGENT:-
(If applicable)
Address-
Phone-,
FAX#:
1
yard Trustees A-. .icati
GENERAL DATA
Land Area (in square feet) : S SLjg
Area Zoning: kesi'Ainhd
Previous use of property: /QQJioPC`t{7'o�/
Intended use of property: ReJ+Wea pia/
Prior permits/approvals for site improvements:
'J Agency Date
5OV 190 d uddh Na :0 2S'907 Z 7T19 --� S*iJ1
4" knnA � �Yi�rw�sa.¢y ti ad
��w+n�y �firepkace iasl�lle¢
No prior permits/approvals for site improvements.
Has any permit/approval ever been revoked or suspended by a
governmental agency?
_ No Yes
If yes, provide explanation:
Project Desbrip.tion (use attachments if necessary) : side
2
Lrd 4- - Trustees Ap. ,.catic
WETLAND/TRUSTEE LANDS APPLICATION DATA
Purpose of the proposed operations: /D it�¢dJQQ•C2 � ��
cL� •,ff ���yu.�1 A� �rr.4p Ct�d� 1 4 P/1A&Ae S.t.I�� e� 44WA. _—.
i�� lGo 47
Area of wetlands on lot: 570 0 Q square feet
Percent coverage of lot: a
Closest distance between nearest existing structure and upland
edge of wetlands: (9 O feet
Closest distance between nearest proposed structure and upland
edge of wetlands: $S feet
Does the project involve excavation or filling?
No y Yes EXe.MV* 0K e'er' CQ114►'
If yes, how much material' will be excavated? G5 cubic yards
How much material will be filled? .WoK'e cubic yards
Depth of which material will be removed or deposited: 7 beef
feet
Proposed slope throughout the area of operations: J6Ve4
Manner in which material will be removed or deposited:
Al ecli a nI ggLI
Statement of the effect, if any, on the wetlands and tidal
waters of the town that may result by reason of such proposed
operations: (use attachments if appropriate) :
No exec -
3
' are f Trustees A; Acatil'
County of Suffolk
State of New York
(,tJ1��IQYV1 �..,� 1�SroN BEING DULY SWORN
DEPOSES AND AFFIRMS T HE/SHE IS THE APPLICANT FOR THE ABOVE
DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE
TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL
WORK WILL 'BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION
AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES.
THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN
TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS
ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S) , IF GRANTED.. IN
COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES,
THEIR AGENT(S) OR REPRESENTATIVES(S) , TO ENTER ONTO MY PROPERTY
TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS
APPLICATION.
R
Signature
SWORN TO BEFORE ME THIS a —DAY OF
tji.ry Public
MMYJANE WAUMA
Nolq N oO WAOD1of ftw Yo�c
41
Commbilon Evk"Oct
7
1-4•1E 4(2/87)—Text 12
PROJECT I.O. NUMBER 617.21 SEC
Appendix C
State Environmental Quality Review
SHORT ENVIRONMENTAL ASSESSMENT FORM
For UNLISTED ACTIONS Only
PART I—PROJECT INFORMATION (To be completed by Applicant or Project sponsor)
1. APPLICANT/SPONSOR 2. PROJECT NAME
W Ili 4m g Metry >7•e aSon
3. PROJECT LOCATION: /��
Municipality .50VI410 1d W kip County S V491
4. PRECISE LOCATION(Street address and road intersections, prominent landmarks, etc.,or provide map)
ZZo Lakel/ew Terrace ', Eaat marioN
232 . 37 fec1- eas+ o-F a, A-Verive o" Some+h Side
of Locke.Vek/Tevra.cr-
5. IS PROPOSED ACTION:
❑New RlExpanslon ❑Modification/alteration
6. DESCRIBE PROJECT BRIEFLY:
INcreasc Mouse sii0_ by . `t56.varrrtg out " -fMHt of
house . Ins�kf ll cP_11Ct1- behedL+4 hew 6trO X of fry Ht of house .
IQ a vM o�e Sk ed . ro wf e-ki en s i o".6 1 K I&!$ -Fivv v tt at re aL osx d lex taen d
7. AMOUNT OF LAND AFFECTED-
Initially
L. I�.f. s!2C 2'3� S�V4r'Q f Gpr{S�y V Gfj OYf Qy�q
Initially �� s vare „ Ultimately acres
8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS?
;2"yoes ❑No If No,describe briefly
9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT?
Residential ❑-!ndustrial ❑Commercial ❑Agriculture L Park/Forest/Ooen space L i Other
Describe:
10. DOES ACTION INVOLVE A PERMIT APPROVAL,OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY(FEDERAL,
STAT qR LOCAL)?
Yes ❑No If yes,list.agency(s)and permit/approvals
ul Yr7(tti{�. �3TJ3-tomA t✓E�( txJ�s eQfN 1T•'
11:" DOES ANY ASP�CT.OF THE ACTION HAVE'A.CURRENTLYwAL10 PERMIT OR APPROVAL?":'-
❑Yes' No If yes,list agency name and permit/approval
12. AS A RESULT OF ROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION?
❑Yes No
I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
Applicant/sponsor n e: v Date: I 1
SI9 nature•
If the action'is in the Coalstal Area, and you area state agency, complete the
Coastal Assessment Form before proceeding with this a_;sessment
OVER
PART II—=NVIi 1"E.4 A 3 E S MT ,7o be comciete Agenc,
DOES ACT;CN EXCcEC :.NY : _. TiiRESHCL'J :N 5 NYCF.F. ?.r=.T 5t7.7<? It yes, cocrcrnats :ne reviwy ::rccess anc usa :r.e FUL_77.
Yas i_No
3. WILL ACT:CN RE'CEWE ..CCRCINATED REVIE`N AS?RCVIOED =CR UNUSTEC ACTICNS iN 5 N'eC=R. ?AAT 4:7.5; ;f No, a negaw/e _eaar
may be sucersedec zy anctr,er ;nvolvea agency.
I712 Yes
C. CCULD .ACTION RESULT:N ANY ROVE=SE EFFECTS ASSCC;.,TED WIT;'. --E FOLLOWING.:Answers may oe nanc`.vrit-en. J ;egiblel
C1. Existing air duality, surface or groundwater cuality or cuantity, naise levels. exisfng :caffic patterns, solid .vaste prccuc"on or also
potential for erosion. =ainage or :loading proolems?=;ola:n nneily:
C2. aesthetic, agricultural, archaeological,historic, or other natural or cultural resources:or community or neignberncod cnarac;er? Explain :
C3. Vegetation or fauna. fish, shellfish or wildlife species, significant haoitats, or threatened or endangerea soec:es? Exclain brleily:
C». A community's existing plans or goals as officially adopted,or a change in use or intensity of use of land or other natural resources?Explain
C5. Growth• subseauent ievelooment,or related activities likely to be induced by the orobosea action? Explain oriefly.
CS. Long term, snort term. cumulative,or other etfects not identified in C.-CS? Exalain briefly.
Omer imaac:s iinc:ucing cf:anges in use of tither quantity or type of energyl? °;plain moriefly.
i .
i
I
I
I ,
I 0. iS 7HERE, CR IS THERE LIKELY -O 3E.CONTROVERSY RELATED -0 POTENTIAL ADVERSE =_NVIRONMENTAL if.7P.ACTS?
_ Yes I!No If.Yes, explain briefly
PART Ili' DETERMINATION OF SIGNIFICANCE(To be completed by Agency)
INSTRUCTIONS: For each adverse effect identified above,determine whetherit IS substantial,•large;important or otherwise signi`
'cach effect sh ry
ouid be assessed in connection with its (a) setting (1.e. urban-or aura!); (b),probability of duratit
irreversibility;(e) geograonic scope; and (Q magnitude. If necessary; add attachments or refe' rence'supportini3 materials. Ensur
explanations contain sufficient detail to snow that ail relevant adverse impacts have been identified and adequately addresse
Check this box if you have identified one-or more potentially large or significant adverse impacts which•i`.1.
occur. Then proceed directly to the FULL EAF and/or p.redare a positive-declaration. -
Check this box if you have determined, based on the information and analysis above and any supoorti
documentation, :hat the proposed action WILL NOT result in-;p.ny significant adverse environmental imcac
ANO provide on attachments as necessary, the reasons supporting this determination:
.V„111e M Lend AgenCy
I
I
I
:$r1nt Ur vCC `:Jme OI .l a•)GOn5lole V111C of :n LeJO ••stienC'/ �111C OI >(v:OOns101e UftlCer
I
-ignJlu/e 9r .leicansicie•31,ccer n :ed0 AgenCY j1KOd:Ufe•Jr rr.!J,irer tlf 11I.e!ent ;rpm rCSOOnslold Orrlcerl
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2
SURVEY OF PROPERTY SURVEYED 3-22-cici
PROPERTY SUFFOLK GOUNTY TAX #
SITUATE: EAST MARI ON `y-,< - r, -_-- - 1000 - 31 - a - 16
TOWN OF SOUTHOLD
if
SUEEOLK COUNTY, NY OCT 2 7 2000
r' I
— - CERTIFIED TO:
PrivatewIMARY L. FER6U5ON
140ad GOMMONWEALTH LAND TITLE
r 232.3 7' I NSURANGE COMPANY
1V64 053,S0„
up 0 .
..
3q.00 ,..�,....28..37
p
IPe ...
Found a
(p 40.00'
ro
c10�
� Q 1
p
O p tf
xl�
0.2'W
S 9g o
0 W
0
W
54'
Well
1
1
4Q O t l l-.t\) Ct
t I h to m Q .
\ .
_3 3N �
c ,
as,
t, C.). pipe Fn�E
X €�5 W Wood f' O / O 6
/ 1 toP of bon F�
1,
ON
11
.,i V•
r,
(1
e edg of
_ I
--edge of la 99ke S5005291511W
Morrh 19
27.02'
aeo n
NOTES: L ak,! pF NF�rV -Ilnea..1,,r, l....d la a addition to. rrey
{�',��! oeerin.,..cen.ed loners r.ey,r'e•dale la
- 110.l,tlan of e¢[L Ian w York
suo-E lv lelon l of tn•
GO New York St an EGYC,t Ion Ue.-
MONUMENT FOUND y:• ,Q� mPe lv¢Plee fro,the ar..lnel of eht.,areay
arked vlln a ar,.lnel of the len.a rveror'e
\ lP •t,. a.eel eneil o.can.leered to e•e.l`aooiee�
O r�� -
PIPE FOUND F l taro lane Indic led he,,,".....I tnet en
i 7. a rvey.ea areyerea !n,ccoroenca.1,..d.n
1.tlh.code of Practice for Land Surv¢ye.d,Pted
.y the New York Slate Association of Professional
a,. Land Surveyors. 5•Id cart...call one anal.run only
to the,eraon rar.nod tn¢•ur..Y 1•area•r.d.
HEDGE �y Q and-n.a oen¢u to end "' .aaaeny. .oe.rn...-
/ 02 �� lei......and%.din. andt,tullon Il.t.a here an, and
5Q2 , the des......of the lane an. an.tllutt.h. e.rurl¢.-
AREA = 5,418 S.F. OR 0.12 ACRES _ ? .lone ere not lr•nalera.le to eddltlon,l lnatltutlon.
;i
N.Y.S. LIC. NO. 50202
JOHN C. EHLERS LAND SURVEYOR
GRAPHIG SCALE I"= 201 6 EAST MAIN STREET
— ---- — ' RIVERHEAD, N.Y. 11901
369-B28B Fax 369-8287 REFERENCE # 99-129
PROOF OF MAILING OF NOTICE
ATTACH CERTIFIED MAIL RECEIPTS
Name: Address : 61
s '
- - -
._
Posti
l Service
:'-
4 rage insurance Cove
Provided)
.. .
_ OCT 3 12000Article Sent To:,
;
P� ert( Ln
"u Borman aw p June "J"alcr -
F Postage $ -
co M co
-I" Certif� Ce= Certifled Fee tmark
co co go
Return Rec, Return F Return Receipt Fee re ^a
- (Endorsement R p (Endorsemen M (Endorsement Required) �A
C3Restricted Delis 6 Restricted D p Restricted Delivery Fee V&
0 (Endorsement F 1-3 (Endorsemen r3 (Endorsement Required)
Q Total Postage O Total Postal 0 Total Postage&Fees _/
rU Name(Please frU Name(Pleas,ru Name(Please Print Clearly) robe comp) 1
ru
rn �cw left rn G tnQ m ,Uo v7Vl a 1 _Jane �D° �` ----------------------------
Street,Apt.NcNo.:
----""---"""---"' Street A or PO ox
------ d7 `7
Street Apt.N
El-
--`�--' t` 320 lS?7 C�cCe �euJ /eorace-----------------------------------
Clt State,ZII g�
--------------- ---- ---
Y, 3 Clty fate, /,O Clty te,ZIPezn 11R'3 R
ULM
STATE OF NEW YORK
COUNTY OF SUFFOLK
11 ill,am J. residing at
2 i old 70wb 8Qrd East S, z uka-f /V)/
being duly sworn, deposes and says
that on the 2-7 day of 44 Z000, deponent
mailed a true copy of the Notice set forth in the Board of
Trustees Application, directed to each of• the.-above named .
persons at the, 'Addresses, set . opposite the°�'.respective names;
that . the addresses set opposite .the names .of',said..persons„are
the address"�bf said- persons as shown on the°:,current",',assessment
roll of the Town of Southold; that said Notices were mailed at
the United States' Post Office at Y c ti AA1 , that
said Notices were mailed to each of said persons by (certified)
(registered) mail.
Sworn to before me this � �
day of ��/'� rY9 �Ud .EILEEN IiEIILY
Notary Public, Rate of New York
No. 4735737
> Qualified in Suff lk County
Commission Expires /01
Notary r lic
NOTICE TO ADJACENT PROPERTY OWNER
BOARD OF TRUSTEES, TOWN OF SOUTHOLD
In the matter of applicant:
SCTM#1000-
YOU ARE HEREBY GIVEN NOTICE:
1. That it is the intention of the undersigned to request a
Permit from the Board of Trustees to:
IncreC45e. size orf Horse by approx;wlafelr 11:0 4 by
05s Vari►j ou+ " 4Ae frbKf df 44e s'fry cfvre . Stied fto'f ex�er+sloKs
are +n be remoye'd ;and gable roof to be exlewdad -Arward .
small porfiico and fV0-,%td0er also +o be added cL+ front.
2 . That the property which is the subject of Environmental
Review--is located adjacent to your property and is described as
follows :
Z Zo La-ke- View 1 erra c e Eas+ M v i om
6)31.00 — 09.00 — 61& , 00
3 . That the project which is subject to Environmental Review
under Chapters 32, 37, or 97 of the Town Code is open to public
comment on: 11/za/Z000 You may contact the Trustees Office at
765-1892 orwriting.
The above referenced proposal is under review of the Board of
Trustees of the Town of Southold and does not reference any
other agency that might have to review same proposal.
OWNERS NAME: IJilfia ni g Mary Aergvsoh
MAILING ADDRESS: ZZ 1 Old Townn Rpctd�
1Fgj+5etavkw-* N Y 11733
PHONE #: (431) ,751 - Z735'
Enc. : Copy of sketch or plan showing proposal for your
convenience.
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Albert J. Krupski, President �O$VFFO(�►C Town Hall
James King,Vice-President ��� �Gy .53095 Route 25
Henry Smith
P.O.Box 1179
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Southold,New York 11971-0959
Artie Foster
Ken Poliwoda 4y Telephone(631) 765-1892
Fax(631) 765-1366
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
BOARD OF TRUSTEES : TOWN OF SOUTHOLD
-----------------------------------
In the Natter of the Application
of
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COUNTY OF SUFFOLK) 7
STATE OF NEW YORK)
AFFIDAVIT OF POSTING
IM16Qyy% IeM0SeV1 residing at 221 Old rowvk Poo-ell
being duly sworn, depose and say:
That on the q*_�' day c,"40I1 %bet, 200 , I personally posted the
prcpert J known as 22o LcckQ LAAe...:) Terrace Cost ANgtrio�_ _
by _lacing the Board of Trustees official poster where- it can
easLl-v be seen, and that I have checked to be sure the poster
ha2 remained in place for eight days prior to the data of. the
public: hearing. Date of hearing noted thereon to be held oveMbe#_
Dated:
(signature)
Sworn to before me this
ab04-day 200
Notary Public
� U
f;ILEEN REILLY
Notary Public, State of New York
No. 4735737
Qualified in Suffolk County
Commission Expires ,���
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