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Board Of Southold Town Trustees
SOUTHOLD, NEW YORK
PERMIT NO 13 -�..".3... DATE:
5
}e�� 5
ISSUED TO ....... \....Q..................... . .............. 5.........:.........:.........................
Pursuant to the provisions of Chapter 615 of the Laws of ;E
1 � 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
5-
IN AND ON TOWN WATERS AND PUBLIC LANDS and the
REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM
{
LANDS UNDER TOWN WATERS;" and in accordance with the ti
Resolution of The Board adopted at a meeting held on ... rl '`1a.. '; 4
19............. and in consideration of the sum of paid by 4
\ '� till jar. a.••
.....................................................................................................................................................................
of ............................................ N. Y. and subject to the
Terms and Conditions listed on the reverse side hereof,
of Southold Town Trustees authorizes and permits the following:
. #1' all in accordance withr the detailed specifications as presented in
the originating application.
i . IN WITNESS WHEREOF, The said Board of Trustees here- r
by causes its Corporate Seal to be affixed, and these presents to (;
be subscribed by a majority of the said Board as of this date.
FFO(� ..... ....................................... ...............
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�OI �� Trustees .'
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M -OP PROPERTY:
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ct�' •�6llrv�.�ed.� ;Aug .. T f.c�•, �`� � •"►� '
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,LicQris'�d' ,Land•, .3�rveyar6 :Np V ro3.ao 0•�?0,7.re vie
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` CROSSVIEW . DIAGRAM
«o -,s l e'—Uc'CU P-eLs uu t L- � C Location Map
Re L 0 CA-C t V �, � L)ZT -rc, B Mark or Circle
Project Location
FRL012-- + ccs N Place Map
Distance ( ')
�� t-�L',rtic Here
i
18'� i
i Proposed
Distance
Piling Description — it i A .
AS ex,
Tie Rod and Deadman Whaler Description p �i
Description
Sheathing Description ��i �(- c 0
Mean Hlgh Water- c i
Backfill AS S c>AJ
(Typ�ondAmount) Mean Low Water
UP LA�D I�, Depth ( ') Project Description
Waterbody
T
Existing Bottom Village
Existing Sheeting Depth of Penetration Applicant Name
and Piles e;KLZ
Consultant Name
SCC1l@ Date Prepared
Replacement Bulkhead Consf ruction
r
.T +�y
RUSTEES � �,�, � � �"i�C��L rill SCOTT L. HARRIS
John M. Bredemeyer, III, President `�, ' Supervisor
A.
Henry P. Smith, Vice President
Albert J. Krupski, Jr. a � � ' ^ Town Hall, 53095 Main Road
John L. Bednoski, Jr. P.O. Box 1179
John B. Tuthill Southold, New York 11971
BOARD OF TOWN TRUSTEES Fax (516) 765-1823
Telephone (516) 765-1892 TOWN OF SOUTHOLD Telephone (516) 765-1800
GRANDFATHER APPLICATION
1, Name of Applicant: t0-R-C A'S CtA k CTF_:t LLS'
2. Mailing address: U l',E?w A-u'e ,
s ?C1 IV Tel. No:
3 . Address of Property: Same
4. Tax Map Number: 1000- l��'� Approx.yr.of construct: �
5. Prior owner if known:— �A Lin 12CJJ Q a
6. Diagram of existing structures, including all dimensions, must be
included with this application:
7 . Indicate on attached map: Location, ie; reference point, telephone
pole number, adjacent pro o ne s, etc.
Signature of applicant. Date: ! Z 1
* Please note, there is a one time fee of $50. 00 for filing this
application.
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