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TOWN OF SOUTHOLD, NEW YORK DATE _Atlg. 4 , 1977
ACTION OF THE ZONING BOARD OF APPEALS
Appeal No. 2316 Dated July 5 , 1977
ACTION OF THE ZONING BOARD OF APPEALS OF THE TOWN OF SOUTHOLD
To Lillian Van Duzen (Valentine Stype) Appellant
5305 Westpath Way
Washington, D.C.
at a meeting of the Zoning Board of Appeals on August 4 , 1977 the appeal
was considered and the action indicated below was taken on your
( j Request for variance due to lack of access to property
( ) Request for a special exception under the Zoning Ordinance
(X) Request for a variance to the Zoning Ordinance
1. SPECIAL EXCEPTION. By resolution of the Board it was determined that a special exception ( ) be
granted ( ) be denied pursuant to Article .................... Section p .................... Subsection .................... Paragraph
......I............. of the Zoning Ordinance and the decision of the Building Inspector ( ) be reversed ( ) be
confirmed because 10:05 P.M. (E.D.S.T. ) upon application of Valentine
Stype a/c Lillian Van Duzen, 5305 Westpath Way, Washington, D.C.
for a variance in accordance with the Zoning Ordinance„Article III,
Section 100-30 and Bulk Schedule for permission to divide property
with insufficient area. Location of property: Dicks Point Road
and Holden Avenue, Cutchogue, New York, bounded on the north by Dicks
Point Road; east by Holden Avenue; south by now or formerly E. Mott;
west by Haysom, Fox, and May.
2. VARIANCE. By resolution of the Board it was determined that
(a) Strict application of the Ordinance (would) (would not) produce practical difficulties or unnecessary
hardship because
SEE REVERSE
(b) The hardship created (is) (is not) unique and (would) (would not) be shared by all properties
alike in the immediate vicinity of this property and in the same use district because
SEE REVERSE
(c) The variance (does) (does not) observe the spirit of the Ordinance and (would) (would not)
change the character of the district because
SEE REVERSE
and therefore, it was further determined that the requested variance ( ) be granted ( ) be denied and
that the previous decisions of the Building Inspector ( ) be confirmed ( ) be reversed.
SEE REVERSE
APPROVED 'x
ZONING BOARD OF APPEALS
FORM ZB4
irman of AoDeajS
After investigation and inspection, the Board finds that the
applicant requests permission to divide property with insufficient
area, Dicks Point Road and Holden Avenue , Cutchogue, New York.
The findings of the Board are that this application will not seriously
affect the water supply or sewage disposal possibilities in this
area.
The Board finds that strict application of the Ordinance
would produce practical difficulties or unnecessary hardship;
the hardship created is unique and would not be shared by all
properties alike in the immediate vicinity of this property and
in the same use district; and the variance will not change the
character of the neighborhood, and will observe the spirit of
the Ordinance.
THEREFORE IT WAS RESOLVED, Lillian Van Duzen, 5305 Westpath
Way, Washington, D.C. be GRANTED permission to divide property
with insufficient area, Dicks Point Read and Holden Avenue,
Cutchogue, New York, as applied for, subject to the following
condition:
This division of property shall not take place unless
Board of Health approval is obtained for both water
and sewage.
Vote of the Board: Ayes: Messrs : Gillispie, Bergen, Hulse,
Grigonis, Doyen.
f � _
I
Town Clcrk, Town of Southold
LEGAL NOTICE
Notice of Hearings
Pursuant to Section 267 of the
Town Law and the provisions of
the Amended Building Zone
Ordinance of the Town of
Southold, New York, public
hearings ~ be held by the
Zoning Board of Appeals at the
Town Hall, Main Road, Soutbol~d,
New York, on Thursday, August
4, 1977, on the following appeals:
7:30 P.M~ (E.D.S.T.) Re/:essed
hearing u~on aoplication of
Helmut Ha// for a variance for
approval,:of ,building built in
violation of. the Building and
Housing C/xies, east side Beverly
Road (Pvt. Rd.), Southold, New
York.
7:40 P.M~. (E.D.S.T.) upon
application of. Virginia W. Suter,
Beachwood Rond, Cutchogue,
New York (~.bigail Wickham,
Esq.) for a variance 'in ac~
cordance with the .Zoning Or-.
dinance, Article HI~tio~ 10~
30, 100-32, and B~for
permission ~t~ ~ ia~
cessory buildia~~
setback. Loratio~ of~pr~y:
Beachwood Road. Cutchogue,
New York, bounded on the north
by now or formerly J. Dean; east ~
by R. Seh; south by Beachwood
Road (Pvt. Rd.); west by Crock
Road (Pvt. Rd.).
7:50 P.M. (E.D.S·T.) upon
application of James and
Deborah Navas, 30 3rd Stroct,
Riverhead, New York (Rudolph
Bruer, Esq.) for a variance in
accordance with the Zoning
Ordinance, Article VII, Section
100-70 A (1) for permission to
construct dwelling unit in
business building. Location of
property: North side Main Road,
Mattituck, New York, bounded on
the north by G. Cullen and W.
Krause; east by W. Winiarz;
south by Main Road; west by
W.J. Moisa.
8:00 P.M. (E.D.S.T.) upon
application of Gilbert and
Madellne Michaelis, Main
Bayview Road, Southold, New
York (Gary Otsen, Esq.) for a
variance in accordance with the
Zoning Ordinance, Article III,
Section 100-30 and Bulk Schedule
for permission to set off existing
buildings on undersized lots~
Location of property: South side
Summit Road, Seuthold, New
York; Lots 29, 29A, and 30, MaD
2034, Bay Side Terrace.
8:15 P.M. (E.D.S.T.) upon
application of William G. Raf-
ferry, 18 Farmviow Drive, Dix
Hills, New York (Gary Oisen,
Esq.) for a variance in ac-
cordance with the Zoning Or-
dinance, Article III, Section 100-
30 and Bulk Sehe~luie for per-
mission to set off lot with in-
sufficient width and area.
Location of property: North side
Pinetree Road, Cutchogue, New
York, bounded on the north by
Hickory Acres Subdivision; east
by L. Wahl; south by Pine Tree
Road; west by now or formerly S.
Bourguignon.
8:25 P.M. (E.D.S.T.) upon
ap~~ I,~l.~ 59
variance in~e
Zoni~ Ordinance, Article HI,
Section 1o~o ~ Bulk Schedule
for permission to set off exist/ng
buildings on undersized lot.
Location of pr~: South side
CR 27,' S~thold, Now York,
bonnded on the north by CR 27
(North Road) east by H. ~-!% A.
Stachtiaris, N. II~olito. F.
J. Sm~lcbos~ M. Furne~_j~
west by now or formerly Nassau
Stem*hip Agency..
9:35 P.M. (E.D.S.T.) upon
application of Lee and Barbara
$iroa, 3 Lee Lane, Wflbraham,
Mass., (Gary Oisan, Esq.) for a
variance in accordance with the
Zoning Ordinance, Article III,
Section 100-30 and Bulk Seheduie
for permission to set off lot with
insufficient width and area·
Location of property: East side
Doer Path, Mattituek, New York,
bounded on the north by Miller
Right.of-way; east by D.
Trimmer; south by right-of-way,
Dickerson and Beier; west by
Doer Path (Pvt. Rd.).
9:45 P.M. (E~D.S.TD upon
application of George Ahlers,
Builder, Inc. a-c- Julius Kinczcl, 7
2nd Street, Now Su/folk, New
York for a variance in ac-
SUFFOLK,
YORK, ~ ss:
IEW
~ o. DOrlUa~l ............... being duly Sworn,
Ie. .... is Printer and Publisher of the SUFFOLK
MES, a newspaper published at Greenport. in said
~nt the notice, of which the annexed is u printed
;en published in the said Suffolk Weekl~ Times
~ week, ~ur one (1) weeks
twenty-elKhth
' commencin~ on ~he ......................
·
me this., .
..... ,,.7.7.
{,~ NI%NCY
..... NOTARY PUBLIC.
coraance yam the Zonin~ Or- ceesorFbulldiugonpro~-_rtyline,
dinance, Article III, Section 100- Location of pr~: East side
~ for permission to construct l~i.dehuim Boulevard, Seutbold,
accessory buildi~ in front yard
area. Location of property: East
side Second Street, Now Suffolk,
New York, bounded on the north
by now or forme~ty l~ors Est.;
cast by M. Majaski; south by now
or formerly Zamphir~..f; west by
Second Street·
8:55 P.M. (E.D.S.T.) upon
application of Tennis Courts
Unlimited a-~ William LaMorge,
North Bay~iew Roa~, Sontbold,
Now York for a variance in ac-
dinance. Article IH, Section 100-
35 C for permission to construct
tennis court with fence exceeding
maximum height. Location of
property: East side North Road
to Bayview, Southcld, New York.
bounded on the north by Pine
Neck Road; east by Southold
Bay; south by North Road to
Bayview; west by North Road to
Bayview.
9:10 P.M. (]E.D.S.T.) upon
application of 3ean Lohn and B.
Loretta Vom Lehn, Minnehaha
Boulevard, Seqthold, New York
for a variance i~ accordance with
the Zoning Ord~h~nce. Article IH,
Section 100-30 and 100-32 for
permission to ~:onstruct ac-
Now York, bounded an the north
by Prieto; east by Corey Creek;
~ Vanderbeek; w~t by
I 9.'~0/.~.M. (E.D.S.T.) upon
~ian of Valentine Stype a-c
~ Van Dusen, ~3~ Westpath
Way, Washin~On, D.C. for a
Zoning Oral,re:e, Article HI,
Section 1~0-~0 and Bulk Schedule
with insufficient ar~L Location
of property: Dicks Point Rcad
and Holden Avenue, Cutchogue,
Now York, bounded on the North
by Dicks Point Road; east by
Holdan AvenUe; south by now or
formerly E. Mort; west by
Hayson, Fox, and May.
9:30 P.M, (E.D.S.T.) upon
application of George Bambrick,
46 Cedars Road, Caldwell, Now
Jersey for a variance in ac-
dirmnes, Art/cie IH, Sectiop
30 and Bulk Schedule for per-
mission to construct dwelling
with insufficiant setback and rear
yard. Location of property: Lake
I~lve a/~ Lake Coart, Seuthold,
New York, bounded on the north
by Lake Drive; east by Sen-
dericker; south by Sendericker;
west by Lake Court.
9:40 p.M. (E.D.S.T.)' upon
application of Gustav Bartra, 227
Breakwater Road. M~ttitnck
New York for a variance in ac-
dinnnce, Article HI, Section 100-
30 C and 100-32 A for permission
to construct-radio and T.V.
towers exceeding maximum
Right-d-way, East side Break-
water Road, Mattitoek, New
york, bounded on the north by
Stupiallo and Malone; east by
Domdd Co,per; south by right-of-
way, D. Cceper; west by Can-
Any person desiring to be heard
on the above appeals should
appear at the time and place
above specified.
Dated: July 22, 1977
BY ORDER OF
THE SOUTHOLD
TOWN BOARD
OF APPEALS
1TJY~8--Z771
t~on or property: Nortr~ sidle
Pinetree Road, Cutchogue, New
York, bounded on the north by
Hickory Acres Subdivision; east
by L. Wahl; south by Pine Tree
Road; west by now or formerly S.
Bourguignon.
8:2S P.M. (E.D.S.T.) upon ap-
plication of VIP Inn, Ltd., 3c
Gehring Street, Commack, New
York (Gary Olsen, Esq.) for a
variance in accordance with the
Zoning Ordinance, Article III,
Section 100-30 and Bulk Schedule
for permission to set off existing
buildings on undersized lot. Loca-
tion of property: South side CR27,
Southold, New York, bo,anded on
the north by CR27 (North Road);
east by H. Hass, A. Stachtiaris,
N. lppolito, F. Bruch, J. Smul-
cheski, M. Furner, E. Stewart;
south by Mill Creek; west by now
or formerly Nassau Steamship
Agency.
8:3S P.M. (E.D.S.T.) upon ap-
plication of Lee and Barbara
Siros, 3 Lee Lane, Wilbraham,
Massachusets (Gary OIsen,
Esq.) for a variance in accordance
with the Zoning Ordinance, Art-
icle Ill, Section 100-30 and Bulk
Schedule for permission to set off
lot with insufficient width and
area. Location of property: East
side Deer Path, Mattituck, New
York, bounded on the north by
Miller Right-of-way; east by D.
Trimmer; south by right-of-way,
Dickerson and Beier; west by
Deer Path (Pvt. Rd.).
8:4S P.M. (E.D.S.T.) upon ap-
plication of George Ahlers,
Builder, inc. a/c Julius Kinczel, 7
2nd Street, New Suffolk, New
York for a variance in accordance
with the Zoning Ordinance, Art-
icle Ill. Section 100-32 for permis-
sion to construct accessory build-
;ng in fl'ont yard area. Location of
properly: East side Second
Street, New Suffolk, New York,
bounded on the north by now or
formerly Rogers Est.; east by M.
Majeski; south by now or former-
ly Zamphiroff; west by Second
Street.
8:SS P.M. (E.D.S.T.) upon ap-
plication of Tennis Courts Unlim-
ited a/c William-LaMorte, North
Bayview Road, Southold, New
York for a varianco in accordance
with the Zoning Ordinance, Art-
icle Ill, Section 100-35 C for
permission to construct tennis
court with fence exceeding max-
imum height. Location of proper-
ty: East side North Road to
Bayview, Southold, New York,
bounded on the north by Pine
Neck Road; east by Southold Bay;
south by North Road to Bayview;
west by North Road to Bayview.
9:10 P.M. (E.D.S.T.) upon
application of Jean Lohn and B.
Loretta Vom Lehn, Minnehaha
Boulevard, Southold, New York
for a variance in accordance with
the Zoning Ordinances, Article III,
Section 100-30 affd 100-32 for
permission to construct accessory
building on property line. Loca-
tion of property: East side Minne-
haha Boulevard, Southold, New
York, bounded on the north by
Prieto; east by Corey Creek;
south by Vanderbeck; west J~y,,
Minnehaha Boulevard.
9:20 P.M.~(E.D.S.T.) upon
application of Valentine Stype a/c
Lillian Van Dusen, S305 Westpath
Way, Washington, D.C. for a
variance in accordance with the
Zoning Ordinance, Article III,
Section 100-30 and Bulk Schedule
for permission to divide property
with insufficient area. Location of
property: Dicks Point Road and
Holden Avenue, Cutchogue, New
York, bounded on the north by
Dicks Point Road; east by Holden
Avenue; south by now or formerly
E. Mort; west by Haysom, Fox,
and May.
9:30 P.M. (E.D.S.T.) upon ap-
plication of George Bambrick, 46
Cedars Road, Caldwell, New Jer-
sey for a variance in accordance
with the Zoning Ordinance, Art-
icle III, Section 100-30 and Bulk
Schedule for permission to con-
struct dwelling with insufficient
setback and rear yard. Location of
property: Lake Drive and Lake
Court, Southold, New York,
bounded on the north by Lake
Legal Notice .. - * =3- Hearings: August 4, 1977
8 :55 P.M. (E.D.S.T.) upon application of Tennis Courts
Unlimited a/c William LaMorte, North Bayview Road, Southold,
New York for a variance in accordance with the Zoning Ordinance,
Article III, Section 100-35 C for permission to construct tennis
court with fence exceeding maximum height. Location of property:
East side North Road to Bayview, Southold,. New York, bounded on
the north by Pine Neck Road; east by Southold Bay; south by
.North Road to Bayview; west by North Road to Bayview.
9 :10 P.M. (E.D.S.T.) •upon application of Jean Lohn and
B.. Loretta Vom Lehn, Minnehaha Boulevard, Southold, New York
for a variance in accordance with the Zoning Ordinance, Article''` • °
III, Section 100-30 and 100-32 for permission to construct
accessory building on property line. Location of property:
East side Minnehaha Boulevard, Southold, New York, bounded on
the north by Prieto; east by Corey Creek; south by Vanaerbeck;
west by Minnehaha Boulevard.
9:20 P.M. (E.D.S .T.) upon application of Valentine e
a/c Lillian Van Dusen, 5305 Westpath Way, Washington, . D.C. for
a variance in accordance with the Zoning Ordinance, Article III,
Section 100-30 and Bulk Schedule for permission to divide prop
erty with insufficient area. Location of property: Dicks Point
Road. and Holden Avenue, Cutchogue, New York, bounded on the
north by Dicks Point Road; east by Holden Avenue; south by now
or formerly E. .Mott; west by Haysom, Fox, and May.
9 :30 P.M. (E.D.S .T.) upon application-of George Bambrick,
46 Cedars Road, Caldwell, New Jersey for a variance in accord-
ance with the Zoning Ordinance, Article III, Section 100-30 and
Bulk Schedule for permission to construct dwelling with insuffi-
cient setback and . rear yard. Location of property: Lake Drive
and Lake Court, Southold, New York, bounded on the north by
Lake Drive; east by Sondericker; south by Sondericker; west by
Lake Court.
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
NOTICE OF DISAPPROVAL
FileNo. ............................ ................................... Date ........ .......
To f . ,... ......... �
� .v.,,...... A..w.. ... o (6
:. - ... . ..-,..... .��.. .. ..................
PLEASE TAKE NOTICE that your application dated .............L�6
....5..........,
for permit to cont� ; � ..K... 1� .at the premises ...... �,l ..��,.jtii�..
n ��
s, , .Q.,r.A.... ................................. Street
Map ................. .. �.,.�,Y Block ............•�% ��_.__.�._ ....... Lot ...........� .. ..�_4........................._ is .
I
re t nd disapproved on the following grounds ....
'Y 3'�t... Yr�.cr •r. ........ p�.O �....... ��,� .w, .. .......�'�c�.c ................................:
.......... . .. ...... .: � C-: .. ..L .................
wilding Inspec or
TOWN OF SOUTHOLD, NEW YORK /
APPEAL FROM DECISION OF BUILDING INSPECTOR APPEAL NO.
DATE.......... .—. `?.17T
TO THE ZONING BOARD OF APPEALS, TOWN OF SOUTHOLD, N. Y.
1, (We) Valentine Stype acet, of/
_.of Main Road P. 0. Box
L13:111me o7�eI�II...................... .... Stree ...
pp ant t and Number
TOWxa..o '..SQ 1tk ..QX..Iau.t.0ho.gue .........N.Y..........IHEREBY APPEAL TO
Municipality State
THE ZONING BOARD OF APPEALS FROM THE DECISION OF THE BUIL ING INSPECTOR ON
APPLICATION FOR PERMIT NO. .................................... DATED ........... .... .�...................
WHEREBY THE BUILDING INSPECTOR DENIED TO
Lillian Van Dusen
.................................................................................
Name of Applicant for permit
of 5305 Westpath Way Washington, D.C. 20016
.... .... ......................... .. ....
Street and Number Municipality State
( ) PERMIT TO USE
( ) PERMIT FOR OCCUPANCY
(X ) PERMIT TO DIVIDE PROPERTY
1. LOCATION OF THE PROPERTY Holden.Abe,..&. D..t0;q„Road "A" District
..............
Street Use District on Zoning Map
..... C ....... .. ............... C v
Map No. Lot Na o.
2. PROVISION (S) OF THE ZONING ORDINANCE APPEALED (Indicate the Article Section, Sub-
section and Paragraph of the Zoning Ordinance by number. Do not quote the Ordinance.)
Art, III Sec, 100-30 + Bulk Schedule
3. TYPE OF APPEAL Appeal is made herewith for
( xi A VARIANCE to the Zoning Ordinance or Zoning Map
( ) A VARIANCE due to lack of access (.State of New York Town Law Chap. 62 Cons. Laws
Art. 16 Sec. 280A Subsection 3
4. PREVIOUS APPEAL A previous appeal GM(has not) been made with respect to this decision
of the Building Inspector or with respect to this property.
Such appeal was ( ) request for a special permit
( ) request for a variance
and was made in Appeal No. ................................Dated ......................................................................
REASON FOR APPEAL
( ) A Variance to Section 280A Subsection 3
( 74 A Variance to the Zoning Ordinance
is requested for the reason that
Form ZB1 (Continue on other side)
REASON FOR APPEAL Continued
1. STRICT APPLICATION OF THE ORDINANCE would produce practical difficulties or unneces-
sary HARDSHIP because
In 1952 we purchased the lot in question as a possible retirement home.
Unfortunately circumstances were such that we were unable to realize this, and
now in our late' seventies, feel it is too late to build there. .'For financial
reasons we now feel we must sell. If variance is denied, financial :hardship
coule ensue.
2. The hardship created is UNIQUE and is not shared by all properties alike in the immediate
vicinity of this property and in this use district because
Other properties are built on smaller lots in this area. Large size lots
under today's conditions create a severe financial burden which many of us cannot
meet.
3. The Variance would observe the spirit of the Ordinance and WOULD NOT CHANGE THE
CHARACTER OF THE DISTRICT because
Under today's conditions land is expensive to purchase. and maintain. By
sub-dividing two attractive homes could be built. If permission is given we .will
only sell to responsible people who will maintain and contribute to the character
of the area.
Mar land ) ss V. � 4 W ..... .�.
COIMTY OF ) Sig ature
Montgomery
Sworn to this ................................29th...... day of......................June.......................... 19 77
............ .'L � .............:................
otary Public
My commission expires July 3, 1979;
.d.N�UTHORIUD ALTERATION OR ADDITION ,�J
TOFTHIS SURVEY IS'•A VIOLAMN Of
( I
SECTION 7209 CF THE YORK STATE
EACATION W.Y.
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JUDITH T.TERRY C TELEPHONE
TOWN CLERK (516) 765-1801
REGISTRAR OF VITAL STATISTICS
Southold, L. I., N. Y. 11971
July 5, 1977
To: Southold Town Zoning Board of Appeals
From: Judith T. Terry, Town Clerk
Re: Application of °Lillian Van Dusen for a variance-Appeal No. �
I have on file in my office notification by certified mail
to :
Eugene Mott, Holden Ave. , CutchOgue, N.Y. 11935
Willam P. May c/o Erback, 3866 Maplewood Rd. , Seaford, N.Y.
E.W. Fox, West Creek Ave. , Cutchogue, N.Y. 11935
Wilhelm Haysom, 25 Prospect St. , Elmsford, N.Y. 10523
udith T. Terry
Town Clerk
JTT/bn
!' BOARD OF APPEALS, TOWN OF SOUTHOLD
,. In-the Matter of the Petition of
Lillian Van Dusen NOTICE
to the Board of Appeals of the Town of Southold
TO:
c
YOU ARE HEREBY GIVEN NOTICE:
1. That it is the intention of the undersigned to petition the Board of Appeals of the Town of Southold
• to request a (Variance) (Special Exception) (Special Permit) (the following relief:
VARIANCE ).
` 2. That the property which is the subject of the Petition is located adjacent to your property and is des-
cribed as follows: 9, DICKS POINT ROAD E. HOLDEN AVE.
S. N/P. E. MOTT W. HAYSOM, FOX, MAY
3. That the property which is the subject of such Petition is located in the following zoning district:
"All REB. DENTTA , DISTRICT
4. That by such Petition, the undersigned will request the following relief:
DIVIDE PREMISES INTO INO BUILDING LOTS
S. That the provisions of the Southold Town' Zoning Code applicable to the relief sought by the under-
signed are: ART—III SEC. 100-30 + BULK SCHEDULE
6. That within five days from the date hereof, a written Petition requesting the relief specified above will
be filed in the Southold Town Clerk's Office at Main Road, Southold, New York and you may then and there
examine the same during regular office hours.
7. That before the relief sought may be granted, a public'hearing must be held on the matter by the
Board of Appeals;that a notice of such hearing must be published at least five days prior to the date of such
hearing.in the.'Suffolk Times and in the Long Island Travel er-Mattitu c k Watchman, newspapers published in the
Town of Southold and designated for the publication of such notices;that you or your representative have the
right to appear and be heard at such hearing.
Dated: JIINE 222 1977
S7olnr �,n 9" a_seti �T
Petitioner Lillian Van Dusen
Post Office Address
P. 0. Boa 705
Cutchogue, .New York
PROOF OF MAILING OF NOTICE
NAME ADDRESS
EUGENE MOTT
HOLDEN AVENUE
CUTCHOGIIEs NEW YORK 11935
WILLIAM P. MAY
% EKBACIC.
3866 MAPLEWOOD DRIVE
SEAFORDO NEW YORK
y
E. W. FOX
WEST CREEK AVENUE
CUTCHOGUE, NEW YORK 11935 � (
.'WI LHELM HAYS ON '
25 PROS]SWT ISTREET
ELMSFORD., NEW YORK 10523
i
i
a
STATE OF NEW YORK ) ss.: ,
COUNTY OFSUFFOLK)
x, 4z'ez /G residing at
/ILI being duly sworn, deposes and says that on the day
of a /zl 15�- , 19 , deponent mailed a true copy of the Notice set forth on the re-
verse side hereof, directed to each of the above-named persons at the addresses set opposite their respective
names;that the addresses set opposite the names of said persons are the addresses of said persons as shown on
the current assess. ent roll of the Town of Southold;that said Notices were mailed at the United States Post Of-
fice at G v D U e- ;that said Notices were mailed to each of said persons by
(certified) (regisier4 mail.
F
_v 1
Sworn to 9ore me this
V
day of 19
Notary P bl'
OAL W. STYPE
&NdtarY Pub c, a State of New Y®rk
lQualified in Suffolk C®ditly
Commission Expires March a®,44,0
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