1 11 24 691 Eagle Rock Ave zoning application packet to West Orange

J. VERIFICATION AND AUTHORIZATION SIGNATURE IS REQUIRED FOR ALL OF THE FOLLOWING: APPLICANT'S VERIFICATION I hereby certify that the above statements made by me and the information contained in the papers submitted in connection with this application are true. [ am aware that if any of the foregoing statements are willfully false, I am subject to punishment. Applicant's Signature: Date: iahig EES 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: be Qi Date: 12 1¢ [23 { OWNER’S AUTHORIZATION - MUST BE SIGNED Thereby certify that I reside at__ 22 foe Avenue, Newark UT , in the County of E Sse and the State of Mw Jersey o7lo6: and that I am the owner of all that certain lot, piece or parcel of land known as Block(s) 177.08 8 Lot(s) _ 21 on the Tax Map ee property is the subject of the above application, and that said application is hereby authorized byhe. Furthermore, | authorize inspection of the site which is the subject of this ay lication. taj1g/a Owner's Signature: 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. TAPLANSENG.B