HomeMy WebLinkAboutCARROLL, EUGENE - _
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,May 4, 19:71
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Ndr Eugene Carrot=i _ ".
Leeton Drzve `
- :Southold; New York 1;197.'1'- - -' ,
D16, are .returning` your appii cation;; to ;the
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.. Southold:"Town Txuatee,s for permit to':erect a
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bulkhe. d, at high =wat mark on your property
- -at Lee ton Dr1ve, Southold; New York -
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Ina smtich as this-;bulkhead -appears•. to be
above high water `mark.: and';-_on the' `shore.:.of .Long:
-Island Sound;, the: Southold Town '.Trustees .Piave' - - ,. ' ,
no jurisdictonwn this matter-
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Very truI,y yours,..
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- Alvah B >Goldsmzkh
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thold Town' Trustees
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FORM .x0 i
TOWN 'OF .-SOU.THOL®
BOAR® OF TOWN TRUSTEES
,. .TOWN CLERICS OFFICE
SOUTHOLD
` Examined
14 . .. Application No.
Approved .. ,
.. .. .. .. . .. . . . Permit No
Disapproved a/c.
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` ' ' ' '' '' ''• •. • ••• • • • • • • • • chairman, Board of Trustees
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- APPLICATION FOR PERMIT
INSTRUCTIONS
A.This application to be completely filled in by typewriter or in'ink and submitted to the T
licate. own:Trustees 'in dup-
B.'Plot plan showing location of lot and buildings on premiscs,'relation to' adjoining
etc., and'giving detailed description-of ro osed layout of a Premises, public. streets, parks.
proposed y project must be drawn on-diagram which. is part of this
application..;
C. The work covered-by this application may not be commenced before the issuance of a permit.
'D. Upon approval of-this application, Town Trustees will issue a permit to applicant. Such permit shall be kept on
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the'premises and available for inspection at all times.
E."Applicant shall;notify the Board of Trustees upon completion of the work covered by permit.
APPLICATION IS HEREBY MADE to the Board of 'Trustees of the Town of Southold, Suftolk County, New z'
York, for the issuance of a permit pursuant to the laws, Ordinances and regulations
�' governing construction of: docks,
piers; bulkheads, jettys and dredging in, under, and over the waters of Town of Southold.' -The applicant. agrees
to:comply:with all applicable laws, ordinances,.regulations and conditions specified by said trustees; and to hold the
Town of Southold; and all Town officials free from 1i� ilrty and damages of any kind.
yy
I�Tame of Owner of Premises .4'�l/u• ;. (�
Street Address "of Property •. • • • . • • !� ! !. e i
Hoe Address If
Other Than Location'".
in
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Cr eek, Bay or Harbor Fronting,, Ppproerty :!�-:: . rc
Permits Requested .To: ����r . .. . . . .
Size of Proposed Work: Length 7-5
Width .
Heighth Above High Water
. ?. .
Depth Below'Low Water !. .. .. Average Rise In Tide -3. . . .. . . .. . Yards to Be Excavated '
Width of Canal Y '
,.Creek or' Bay
Fronting Property.. . . . . . . . .. .. . ... . . . . . . Depth at Low Tide',
Is This For Private or Business Use? . . . . . . . . . .
Area b
A Zoning
Complete plot plan to be drawn on reverse side of this application.
A.
STATE OF NEW. YORK
COUNTY OF ��tu'-�.► ) �;
�' eing duly sworn deposes and says that he is the applicant for the above described
permit, and- that`all statements contained herein.are true to the best of his knowledge and belief;'that the work ``
will 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 applicant agrees to hold 'the Towri of 'Southold and said trustees harmless.and free from anv and
all damages and claims arising under or by virtue of said permit. 'n
day of . . .(applicant)
Sworn to before me this . . •• 2
Y . .. .. . . . 19. .. . . . .
Notary public . . . . .
1ntY of /�• l'v=r--� . P:. ®®f td. °
1973
�y ..iin.:,! n It rd�i County
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