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TR-139
A TOWN OF SOUTHOLD BOARD OF TOWN TRUSTEES ' �q PERMIT NO. .................... Pursuant to the provisions of Chapter 615 of the Laws of 1893 of the State of New York and Chapter 404 of the Laws of 1952 of the State of New York and in accordance with the resolution of the Board of Trustees of the Town of Southold adopted at a meeting March 27, 1961 of sold Board on............................................................... and in consideration of the sum of 1.00...., lawful money of the United States, paid by..Mattituck Park District ............................... residing at ..........W ...Love Lane. .,...Matt. ituck,....L...I. .............. . ...................I New York, .... .... . ....... ............... .. . .. . the said Board of Trustees of the Town of Southold, Suffolk County, New York, hereby Mattituck Park District authorizes and permits said.......................................................................... .. . . to place a floating dock 40' x 80' at the soot of Love..Lane, Mattituck, L.I. ,N.Y. , all in accordance with the application submitted. The said .....Matti.tuck Park District as art of the consideration ......................... P for the issuance of this permit does hereby release the said Board! of Trustees .and the Town of Southold from any'and all damages, claims for damages or suits that may arise or occur directly or indirectly as a result of;any operation carried on under and pursuant to this permit, and will at his own expense,, defend any land all suits which may be brought by third parties as a result of any operation carried on pursuant to or in accordance with the terms of this permit, and assume full liability with respect thereto to the complete exclusion of said Board of Trustees and the Town of Southold. H THIS PERMIT is subject to the following terms and conditions: 1. That there shall be no unreasonable interference with navigation as a result of the work herein authorized. 2. That there shall be no interference with the right of the public to pass and repass along that portion of the beach between low and high water. mark. 3. That the work shall be subject to the supervision and approval of the said Board of Trustees or its agents. IN WITNESS WHEREOF, the said Board of Trustees of the Town of Southold has caused its corporate seal to be hereunto affixed and these presents to be subscribed by a majority of the said Board of Trustees, the day and year above written. seal ... . S.) ......... .................... (L. S.) ..... ..... .....�G... �:�.............(L. S.) .......(L. S.) S.) STATE OF NEW YORK ) SS: COUNTY OF SUFFOLK ) ON THIS.......2AAt�!...day of..........4PA .................................. 19..61., before me personally appeared Emmons Dean,of Greenport, NY; Frank Dawson, of New Suffolk, NY; John McNulty, of Laurel, NY; Philip Weiler, of Orient, NY and Alvah Goldsmith, of SOutholdellypersonally known to me, who, being by me duly sworn, severally said that they each resided in the Town of Southold, County of Suffolk, State of New York, and were members of the Board of Trustees of said Town of Southold .and constituted a majority of the same; that they knew the corporate seal of said Town of Southold; that the seal affixed to the foregoing instrument was such corporate seal; that it was so affixed thereunto by order of the Board of Trustees of said Town of Southold and that each one signed his name thereto as .a Trustee and by like order. C� ��.� . ../. .. .., ..: ............... Mary Public� JUDITH T. 60KEN Notary Public, State of New York No. 52-0344963, Suffolk County 8emmission,Expires,Adarch 30,496v 3 t FORAM NO..1 TOWN OF SOUTHOLD 3 1 BOARD OF TOWN TRUSTEES I TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Exarnined 21% -_.: Z 19 l Application No. .. , Approved -----:-� ��-,�— - =: ��---------------------- Permit No. :......----..:-------------- -------------- Disapprod a/c.---------------------------- ------............. ...:-....__.-----------........_.................................................................-......................-.........._.................................._...._................................... -------------- , Board of Trustees APPLICATION FOR PERMIT INSTRUCTIONS A. This,application to be completely filled in by typewriter or in ink and submitted to the Town Trustees in dup- licate: B. Plot play) showing location, of lot and buildings on premises, relation to adjoining premises, public streets, parks;- etc., and giving detailed description of proposed layout of.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 permirt shall be kept on 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, Suffolk County, New 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 lia;bili;ty and damages of any kind. Name of.owner of premises ------Y4_tt!_t.LaOk...Park---DiStyipt......................................,............................................................ ..................................................................... Street Address of Property Love------31'1_e_�-..-"ia_tti----u�,�..a..._N,....._._...._.....:....................................:.....---.-....................................-......._....-................_................. -Home address If Other Than. Location -----:= '......................................................................................................................._............................................._.................. Creek, Bay or Harbor Fronting Property--------Va_tti_tack...-Greek...................................................................................................._...................................................._........... PermitRequested To: ---Pla-ce---fl©at3n....dock................................................................._....:........................................._.........._.........._.._............._..............................._.._......-.... Size of Proposed Work: Length __--...40_1.................. Width ......$0!.................... Heighth Above High Water ...18?......------------ floa'ting I2" Depth Below Low Water _he- ow............. Average Rise In Tide -.___6 0_-_....-_.:_-;__,.__-_- Yards to Be Excavated ...IIO e3.::_--..__.--_.. water Width of..Canal. Creek or Bay Fronting Property ' Depth. at--Low Tide ...........fi!.............:.. Is This For Private or Business Use? _ftm- ubltc............................. Area Zoning _____.Cbmzer ia1--___-----------.--_____-__-----_-- Complete plot plan to be drawn on reverse side of this application. STATE OF NEW YORK) COUNTY OF u FF0 ) ------------------------------- ----------&fgf-------- .:-------&4fry.___ being duly sworn, deposes and says that he is the applicant for the above de- scribed 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 Town of Southold and said trustees harmless and free from any and all damages and claims arising under or by virtue of said permit. .... ............. .... ... �_.. ..........z..... (a icant) � r I�Re.� I J0A,4 Sworn to before me this ---------- day of 1S �9OY.4RY p��L1� a Notary public -_____. count of __________ ______�..._-._ s�� 52-6��,fi50 'de?r Yor' ----------------------------- -------- ///����� � bf z in Suf�odk Couacpy �lMit/ fires Marsh 30. f l � � i Qe IN, STArioN 1961 p cs O S a 0 o , N o ��o•. 74d d .1 a /YOT '7-0 $C R G (C 0 P• Y) March 21, 1961 BOARD OF TOWN TRUSTEES TOWN CLERK'S OFFICE SOUTHOLD, N.Y. APPLICATION FOR PERMIT Name of owner of premises : Mattituck Park District Street address of property: Love Lane, Mattituck, N.Y. Creek, Bay or Harbor fronting property: Mattituck Creek Permit Requested To: Place floating dock Size of Proposed Work: Length 40' Width 80' Height above High Water 18" Depth Below how Water Floating 12" below water Average Rise in Tide 6' Yards to be Excavated : None Width of Canal, Creek of Bay fronting property 250' Depth at Low Tide: 6' Is This for Private or Business Use? Semi-public Area Zoning: Commercial C',9.eL Z3 LSC.y ✓� � way j QQ V I WYF�G�E� C1 � TT/IN At ----------------- Q � t f/M� GQ� �ti✓_A���� Tb ra �asr5 Ap k �o T' To