ZB 22 08 Flores Application Submission Package

SIGNATURE IS REQUIRED FOR ALL OF THE FOLLOWING: APPLICANT’S VERIFICATION Thereby certify that the above statements made by me and the information contained in the papers submitted in connection with this application are true. I am aware that if any of the foregoing statements are willfully false, I am subject to punishment. Applicant’s Signature: Sin ga Date: 1S CONTINUANCE Should the Planning Board/Zoning Board of Adjustment have a full and heavy agenda, or discussion and meeting regarding this application requiring carrying the matter past the statue time limit, the applicant grants permission for such an extension, Applicant’s Signature: fat pate: £115 i 2027 OWNER’S AUTHORIZATION — MUST BE SIGNED Thereby certify that I reside at 91 MITCHELL STREET in the County of ESSEX and the State of NEW JERSEY . and that I am the owner of all that certain lot, piece or parcel of land known as Block(s) 89 : Lot(s) a on the Tax Map of WEST ORANGE whieh property is the subject of the above application, and that said application is hereby authorized by me. Furthermore, I authorize inspection of the site which is the subject of this application. Owner’s Signature: HE Srp Date: g {is (20227 f THIS APPLICATION DOES NOT RELIEVE THE APPLICANT FROM COMPLYING WITH OTHER TOWNSHIP ORDINANCES SUCH AS THE TREE REMOVAL ORDINANCE AND OBTAINING THE NECESSARY APPROVALS AND PERMITS UNDER SUCH ORDINANCES. T:\PLANNING.BRD Document Library\PB-ZBA Application 3-15-18.doc 55