ZB 22 08 Flores Application Submission Package

TOWNSHIP OF WEST ORANGE APPLICATION FORM FOR THE PLANNING BOARD OR ZONING BOARD OF ADJUSTME Full Legal Name: ___ FLORES JOSE (Last) First} Mailing Address; 91 MITCHELL STREET WEST ORANGE NJ 7052 (Street) Cit (State) (Zip) Telephone Number:( _) _—_(908) 528-6511 ( Dil: acta con Is the Applicant an: MI Individual, C] Corporation, ( Partnership, 11 Other If the Applicant is a corporation or partnership, a list of the names and addresses of persons having a 10% interest or more in the corporation or partnership must be attached. Relationship of the applicant to the property: | Owner, C1] Tenant or Lessee, (1 Purchaser under contract (with consent of owner, C] Other (please specify) If the applicant is not the owner of the property in question, the applicant must submit an affidavit with the owner(s) authorization to proceed with this process. @ Check here if same as applicant. If the owner is not the applicant, please complete the following: Owner’s Name: Address: Telephone Number: (___) Email: Street Address: 156 MAIN STREET, WEST ORANGE Block Number(s); 89 ; Lot Number(s): 24 ; Tax Plate: ; Zone of Property: B-1 The location of the property is approximately feet from the intersection of, MAIN STREET and CHARLES STREET (closest intersection.) Has there been any previous Zoning Board of Adjustment or Planning Board hearings involving this property? OQ) Yes, Date(s): : ;M No If yes, please attach copies of the written decisions adopted by the Board to each application. Picase attach a list of all contiguous or adjacent property owned by the applicant or owner. il None Is this property listed in “The Historic Sites Survey” propared by Robert Guter 7/9/1992 Cl Yes I No TAPLANNING.BRDWDocument Library\PB-ZRA Application 3-15-18.doc w