HomeMy WebLinkAboutCOHEN, SAMUEL S Nay '4; . 19.11 _ _
Dr. Samuels S. Chen-
45 W.. 54th -Street.
New -York, N6w York
Dear Dr. 'Cohen-:-
We are returning your ag�plication to the :
:. Southold _Town -Tres-toes for permit to erect a
bulkhead at high,. waster riiark on `your--property at
: Leeton Drive, Ke.nny'.s., -,.h,. Southold, N.Y.
Inasmuch ,as'_this--bulkhead appears to be
above high :water mark.,and. :on- the shore- of Long
Island- Sound, the Southold-Town Trustees have .
: no jurisdiction in tr:ss,.;mater.
-Ve
.- ry -truly :Yours, _-- -.- -
- :
,- -.. . ,_ .. . :. .-Alvah B. .�oldsniith
"Southold Town Trustees, _
ABG/jb _
M 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 subinitted to the Town Trustees in dtip- z
licate.
B. Plot plan showing location of lot and buildings on premises, relation to ng adjoini remises
adjoining premises, 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 Nvill 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,. \ew
York, for the issuance of a permit pursuant to the laws, Ordinances and regulations governing construction of: docks, s,
piers, bulkheads, jettys and dredging in, under, and over the ��aters 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
�pofficials`free froln li bility`,and damages of any kind. _
:Name of Owner of PremisesI� .�JU Pi-� l'� fir
Street Address of Property
Home Address If Other Than Location . .711 . . �
Creek, Bay or Harbor Fron g eo er y . . . . •� u
/ : .�.:.f u;
Permits Requested To: f I ��> ^� 4
Size of Proposed Work: Length. l / 'r' , /'� .
a Width . . . . . . . . . Heighth Above High Water . 'r� a"
Depth Below Low Water . . .&. '
ti
Average Rise In Tide . . ?. . . Yards to Be Excavated . .7777 i}
Width of Canal, Creek or Bay Fronting Aropert} . . . . . Depth at Low Tide
its
Is This For Private or Business Use? :?� �?2 � • . , , , . • • • . , Area "Coning ... .. • . . . ; , .
Complete plot plan to be drawn on reverse side of this application.
7
STATE OF NEW YORK
S.S.
COUNTY OF
� �� '�• • ••` ?%�� being.duly sworn deposes and says that lie is the applicant for the above described a 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 Y''S Southold, and the applicant agrees to hold 'the Town of Southold and said trustees harmless and free from anv and all damages and claims arising under or by.virtue of said permit. ,
frr9cP ' (applicant)
Sworn to before me this ) of rOf��. •� 1 7 ,.
Notary public . . A
� /' ,IDSEPH G. SHIELDS • • County of L� . . . . . . . .Public, State of New York
No.41.8973550
Qualified In Queens County
Term Expires March 30, 1972 '
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