HomeMy WebLinkAboutMUDD, DAVID & BETTY JANE Oct. 31, 1962.
. Mr. Mrs. David L. Mudd
Pane. Neck Road
Southold, Ate,I. , N.Y.
Dear Mr. 's. Mudd
Inasmuch as the application
for a dock in Jockey Creek is at the end of a
right-of--way,, the Town Trustees feel that it
would be necessary to have on file releases
from all parties interested in said right-oar-F'
way, granting their approval to the proposed
dock.
The Board reserved decision
can the application pending submission of such
releases.
Very truly yours,
Southold; Town Trustees
Marion A. Regent, Sec.
FORM NO. 1
TOWN OF SOUTHOLD
BOARD OF TOWN TRUSTEES
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Examined . . . .. .. .. .... .. .. .. .. . . .. .. .. . 19. .. ... Application No. . .. .. .. .. .... ....
Approved . .. . . .. .. .... . ... .. .. .. .. . . .. . . . . .. ...... . . . Permit No. . . .. .. .. .. .. .. .. .. ........ ..
Disapproveda/c . .. .. .. .. .... . . .. .. .. . . .. .. .. .. . . ... . . . . . ..... . .. ...... .. .. .. ...... .... .. ...... ...... .... .. ..
• •• •. •••• .• •• .• ... . .. . . . . . .. .. . ..... chairman, 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 plan 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 permit 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 fficials free from liability and damages of any kind. \
Name of owner of premises . ... ...1. !� :, a• F T y a�W.. j. U U/� •..... .
Street Address of Property . .. . .`. .� .W f .. .. .C k' ' �A. .... .Z. .0.Lf I. d.Q.�:�.. ../ ..... .
Home address If Other Than Location . .. . . . . . .. . . .. . . .. . .. ... .. .. . . . .. . .. .. .. .. .. .. .. .. ...... .... .. ........
Creek, Bay or Harbor Fronting Property . . . .�. .0 ��•C�. . • • • •C• .• . .•.0 • •• ••
Permit Requested To: . .. .L1. 1<. . . .. . . ... ... . . . . .. . . . . . .. . . . ... . .. .. .. .. .. .. .. .... .. .. ...... .....
Size of Proposed Work: Length�.. .. U.. . . .. .. .Width. . .. .. .. .Heighth Above High Water.... . ....
Depth Below Low Water. .. .4.. .. . . .. .. .Average Rise In Tide. . . 3. . . . . .. .Yards to Be Excavated. .'160
!K.r...
i
Width of Canal, Creek or Bay Fronting Property...... . .. . Depth at Low Tide ... .:J. .... .... ......
Is This For Private or Business Use? • •. .• • • •• •• • • .. .Area Zoning ................... .......
Complete plot plan to be drawn on reverse side of this application.
STATE OF NEW YORK )
)S.S.
COUNTY OF
1.19C �Q 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 South d and said trustees harmless and free from any
and all damages and claims arising under or by virtue of said p mit.
p �i�� � O' (applicant)
Sworn to before'�me this. . . '!!fit- .day of. . L r� .. ... . . 19
Notary public!�!1^.!` . �. my of. . . .... ....
A.
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