PB 22 10 Altera 769 LLC Filed Application with Exhibits Final Site Plan Phase 2

DISCLOSURE STATEMENT Pursuant to N.J.S.A. 40:55D-48.1, the following is a list of all 10% or more interest holders in the Applicant (Altera 769, LLC): MEMBER ADDRESS INTEREST HSRE-Altera I, LLC 769 Northfield Avenue 100% West Orange, NJ 07052

CHECK LIST OF REQUIRED ITEMS "C" AND "D" APPLICATIONS INTERPRETATIONS AND APPEALS APPLICATIONS FOR MAJOR/MINOR SITE PLAN OR SUBDIVISION MUST REFER TO THE SITE PLAN/SUBDIVISION CHECKLIST -52 ITEMS. 20 Total (original and 19 copies). All checked items are required; please complete and submit to Board Secretary: ¥ Completed Application Form, 20 Total (original and 19 copies), including: v — the written proposal; Y — list of variances being requested; v property information; Y — applicant and owner information; ¥ statement or legal brief which clarifies why the variance should be granted and the specific reasons or hardship that pertain to the proposal, or Yin the case of an appeal or interpretation, a statement or legal brief that clarifies the position of the applicant. Y Survey ~ original signed and sealed by New Jersey licensed Land Surveyor, 20 Total (original and 19 copies), Y Site Plan, all dimensions, including setbacks, must be shown and prepared by New Jersey licensed Professional except for an owner occupied, single family home, in which case the property owner may ptepare the site plan, 20 Total (original and 19 copies). ¥ Floor plans, all dimensions must be shown-prepared by New Jersey licensed Architect except for an owner occupied, single family home, in which case the property owner may prepare the floor plan, 20 Total (original and 19 copies). ¥ _ List of property owners within 200° certified by the Municipal Tax Assessor (original) ¥ Proof that taxes have been paid, certified by the Municipal Tax Collector (original). ¥ A200’ radius map, 20 Total (original and 19 copies). Y Application fee (non-refundable) also a Digitizing Fee. Y Elevations of three sides, in the case of an existing structure with no proposed structural changes, photographs may be used, 20 Total (original and 19 copies). ¥ Height dimensions to be included on all elevations, 20 Total (original and 19 copies). Y Allplans and documents for West Orange COAH requirements Y For all Major Subdivision applications, major site plan applications and all applications applying for a “D” variance, a Planner’s report prepared by a New Jersey licensed Planner must be submitted, 20 Total (original and 19 copies). Y For all Major Subdivision applications, and major site plan applications, a Traffic Study prepared by a New Jersey licensed Engineer must be submitted, 20

itted, 20 Total (original and 19 copies). Y For all Major Subdivision applications, and major site plan applications, a Traffic Study prepared by a New Jersey licensed Engineer must be submitted, 20 Total (original and 19 copies). ¥ All Site Plan applications must submit a tree removal application and a tree replacement plan and provide a report according to Chapter 31 of the West Orange general ordinances, 20 Total (original and 19 copies). Your application will not be deemed complete unless all these items are included. It is absolutely necessary that all dimensions and elevations be shown on the site plan and floor plan. Please note: other materials may be requested by the Planning Director or Board Members. Revised 8/29/05

TOWNSHIP OF WEST ORANGE Site Plan/Subdivision Checklist APPLICANT: Altera 769, LLC ALL DOCUMENTS MUST BE PREPARED, SIGNED AND SEALED BY NEW JERSEY Major Application LICENSED PROFESSIONAL. Pre-Application - WAIVER Concept Plan Minor Application Subdivision Site Plan REQUESTED General COMPLETE INCOMPLETE Development Item Number Description Subdivision Site Plan Plan Preliminary Final Preliminary Final I PROJECT-PLAT INFORMATION X 1 Item: Name, address of owner and applicant X X X X X X X X 2 Item: Name, signature, license number, seal and address of engineer, land surveyor, architect, professional planner, and/or landscape architect, as

X 2 Item: Name, signature, license number, seal and address of engineer, land surveyor, architect, professional planner, and/or landscape architect, as X applicable, involved in preparation of plat X X X X X X X X 3 Item: Title block denoting type of application, tax map sheet, county, name of municipality, block & lot, X and street location X X X X X X X X 4 Item: A key map at specified scale showing location of tract with reference to surrounding properties, streets, municipal boundaries, etc , within 500' X Comment: Describes setting; may be less detailed in pre-application-concept plan and GDP stages X X X X X X X X 5 Item: A schedule of required and provided zone district(s) requirements including lot area, width, depth, yard setbacks, building coverage, open space, parking, etc Comment: Schedule may be less detailed in pre- X application-concept plan stages X X X X X X X X 6 Item: North arrow and scale X X X X X X X X X 7 Item: Proof that taxes are current X X X X X X X X 8 Item: Signature blocks for Chairman, Secretary and Municipal Engineer

X X X X X X 8 Item: Signature blocks for Chairman, Secretary and Municipal Engineer X X X X X X X X 9 Item: Appropriate certification blocks as required by Map Filing Law X X X N/A 10 Item: Monumentation as specified by Map Filing Law Comment: Monumentation required only for final X X N/A subdivision 11 Item: Date of current property survey Comment: Required by Map Filing Law for final subdivision and site plan; necessary for vesting on GDP X X X X X X X X 1

ALL DOCUMENTS MUST BE PREPARED, Major Application SIGNED AND SEALED BY NEW JERSEY LICENSED PROFESSIONAL. Pre-Application - WAIVER Concept Plan Minor Application Subdivision Site Plan REQUESTED General COMPLETE Development INCOMPLETE Item Number Description Plan Subdivision Site Plan Preliminary Final Preliminary Final 12. Item: One (1) of four (4) standardized sheets: 30" x 42", 24" x 36", 15" x 21", 8.5" x 13" Comment: Required by Map Filing Law for X minor and major subdivisions. X X X X X X 13. Item: Metes and bounds description showing dimensions, bearings, curve data, length of tangents, radii, arcs, chords and central angles for all centerlines and right-of-way, and centerline curves X on streets.

line curves X on streets. X X X 14. Item: Affidavit of ownership. Comment: Map Filing Law for minor and major X subdivision. X X X X X X X X 15. Item: Acreage of tract to the nearest tenth of an acre (for GDP--to nearest acre). X X X X X X X X 16. Item: Date of original and all revisions. Comment: Item necessary for continuity-history X of project. X X X X X X X 17. Item: Size and location of any existing or proposed structures with all setbacks dimensioned. X Comment: Item important for detailed planning. X X X X X X X X 18. Item: Location and dimensions of any existing or proposed streets (for GDP and pre-application- concept plan -- general locations). X Comment: Item important for detailed planning. X X X X X X X X 19. Item: All proposed lot lines and area of lots in square feet. X X X X X X X 20. Item: Copy and/or delineation of any existing or

X X X X X X X 20. Item: Copy and/or delineation of any existing or X proposed deed restrictions or covenants. X X X X X X X X 21. Item: Any existing or proposed easement or land reserved for or dedicated to public use.  X X X X X X X X N/A 22. Item: Development stages or staging plans (for GDP--general staging). Comment: Not applicable at pre-application- concept plan stage; minor plans usually not built in N/A stages. X X X X X 2

ALL DOCUMENTS MUST BE PREPARED, SIGNED AND SEALED BY NEW JERSEY Major Application LICENSED PROFESSIONAL. Pre-Application - WAIVER REQUESTED Concept Plan Minor Application General Subdivision Site Plan COMPLETE INCOMPLETE Development Item Number Description Subdivision Site Plan Plan Preliminary Final Preliminary Final 23. Item: List of required regulatory approvals or permits. X Comment: Basic planning information.  X X X X X 24. Item: List of variances required or requested.  X Comment: Basic planning information. X X X X X X 25. Item: Requested or obtained design waivers or exceptions.  Comment: Describes location of all adjacent structures; not necessary at pre-application-concept