Executed Application

Permit No: Date Issued: Township of West Orange Application for Tree Removal and Replacement Permit DEAD TREES DO NOT REQUIRE THE ISSUANCE OF A TREET REMOVAL PERMIT ALL questions must be answered for the Applications to be considered COMPLETE. Application Date: This Application for a Tree Removal and Replacement Permit is made with reference to and the intent to comply with all applicable laws, rules, and regulations, including the General Revised Ordinances of the Township of West Orange. 1, Name of Applicant: MPB Realty, LLC Street Address: __ 301 Route 17 N, Suite 802 City/State/Zip: Rutherford, NJ 07070 Home Phone: WA Work/Cell Phone:_908-531-8021 Email:_ ¢d-baksh@pnrestaurants.com 2. Location of Property Subject to Proposed Tree Removal Activity Street Address: 470 Eagle Rock Avenue Block:_153 Lot; 38 3. Property Owner(s) of Record Name of Owner, Ruth Kram FJ Assoc%Kruvant Brothers Street Address: 71 Valley Street #204 City/State/Zip:__ South Orange, NJ 07079 Home Phone: Work/Cell Phone: Email. 4. Status of Applicant (Check One) ——Tenant _ Owner _X Contract Purchaser __ Other: “If the Applicant is not the owner, attach hereto the notarized consent of the owner.* 5. Has this property been the subject of an application and/or otherwise involved in a matter before the West Orange Planning Board and/or Board of Adjustment? Yes__ No. xX If yes, please state the dates and action taken or pending, identify the Township Agency who or is handling the matter, and enclose a copy of the resolution conserved by the Agency, if applicable: This application is being submitted as part of a Site Plan Approval package to the Zoning Board of Adjustment. 6. Has the property received a construction permit and/or is there a construction permit pending? Yes__ NoX_ If yes, please state the reason for and the date of application or the date of the issuance of the permit: Tree Removal Application 8-31-18