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Home My WebLink AboutNELSON, ANN MARIE 1, 36 i BDARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SUFFOLK COUNTY NEW YORK November 14, 1967 Mrs. Ann Marie Nelson 34 Rockywood Road Manhassett, New York Dear .Mrs. Nelson; The Southold Town trustees reviewed your application to dredge in Goose. Creek at their meeting on November 13, 1967 . The Trustees request that you indicate on your application, which I am enclosing, wh6rb you intend to place the excavated material. This information is necessary before a permit can be issued. Very truly yours, Southold Town Trus es Marion A. Regent, Sec. FORM NO. 1 TOWN OF SOUTHOLD BOARD OF TOWN TRUSTEES TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined . .. .. .. .. :. . . . . . . .. .. . . .. . . .. . . . 19 . . . .. No. Application . . . . . .. . . .. . . .. .. . 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 officials fre om liability, and damages of any kind. Name of Owner of Premises . . . . . .. . . .. . .� . . . .. .. . . . Street Address of Property . ... ..... . . . (!... . . . . .. �; Home Address If Other Than Location . .. .. .. . .. .. . .. . . .. . . .. .. ..... . Creek, Bay or Harbor Fronting Property . .. . . . .(! .li�� . . . .. .Re Permits Requested To: Size of Proposed Work: Length . .. . ��/-r. . Width . .5-07�. . Heighth Above High Water . . . .. . . . . . . . . . l Depth Below Low Water .. .la.tV.PPT—Average Rise In Tide . . „�j . _Yards to Be Excavated Width of Canal, Creek or Bay Fronting Property 0 o.eHA)V/.0-)-. "I-epth at Low Tide . .f��' . . . .. . Is This For Private or Business Use? . . . .. .KE,� . . . . . . . . . . . . . . .. . ... .. . . .. . . . Area Zoning .��tL. �Ihd� T/ ��- Complete plot plan to be drawn on reverse side of this application. Chi Q STATE OF NEW YORK ) COUNTY OF'/�G,�)S.S. . . .. . .. . . .. . . . . . ?�<!✓ . .. . being duly sworn deposes and says that he is the applicant for the above described 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. r 1.� . . . .. .. . . . .. .. . . . . . . . . . . . (applicant) Sworn to before me this . .. /6.r/` :. .. . day of . . . .. .' . . . . . . . 19. Y Notary public . . unty of MADELINE CAR Notary public, State of New York No. 30-5609650 Qualilijd in Nassau County/(V( Term Ex6res March 30, 19---2 E rf 6f &A-r sso� 1 FORM NO. 1 TOWN OF . SOUTHOLD BOARD OF TOWN TRUSTEES TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined . .. . . ..... .. .... . . .... . . .. . . . . .. . 19 . . . .. Application No. . . . .. .. . ..... . . .... . Approved . .. . . .. .. .. .. .. .. .. .... .. . . .. .. .. .. .. ..... . .. Permit No. . .. . . .. .... . . .. .. .. .. . . .. . . . . Disapproved a/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.,. a'nd 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 agree's to comply with all applicable laws, ordinances, regulations and co;1di-tions specified by said trustees, and to hold the Town of Southold, and all Town o i Jals free f in liability and d;K.aVes of kind. Name of Owner of Premises . .. . . .. . . .. . . . .. .. .. .. .. .. . . .. .. .. . . . .. .. .. .. .. .. .. .. .... .. . ..... .. ..wr 00� Street Address of Property . . . . . ... . . . . . . . . . . .. . . . . . . .. . .. . .. . .. . . . . . Home Address If Other Than Location . .. . . . .. . . . .. ..... . .. . Creek, Bay or Harbor Fronting Property Permits Requested To:/???�.,WA 6--iF. .e#1.4 Size of Proposed Work: Length . . . . Width . .15�6,P.777. Heighth Above High Water ... . .. .. . ... . .. . ,Depth Below Low Water AF.7.W,—_TAverage Rise In Tide Yards to Be Excava:ted,, 7 Width of Canal, Creek or Bay Fronting Property epth at Low Tide 19.4p. .. .... . . . . Is This For Private or Business Use? . .. .. .... . . ... . . . .. . ... . Area Zoning Complete plat plan to be drawn on reverse side of this application. STATE OF NEW YORK COUNTY OF . . . . . .. .. . . . .. . .. UA--714-V --being duly sworn deposes, and says that he.is the applicant for.the above described 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 anv and all damag6s,:and'cla' ims arising under or by virtue -of -said- tv permi . . .. . . . . . . (applicant) Sworn to before me this . . . .A91. .. . day of . . . ..1;�.. . . . . . . .. Notary publi county of M��DL I' ty ,NJ& .t Notary Public, S to of New Yo& No. 30-5609650 Qualified in Nassau County/</ 'Term Expires March 30, 19__.L,� u y, f-- s o jy Cad C gh-Y /�aec, .