PB 24 01 West Essex Highlands Inc Application and Relevant Documents

J. VERIFICATION AND AUTHORIZATION, SIGNATURE IS REQUIRED FOR ALL OF THE FOLLOWING: APPLICANT’S VERIFICATION | hereby 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. WEST ES. , INC. Applicant’s Signature: BY: Date: [232| 723 HOREMAN 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. WEST “CC Applicant's Signature: BY: a pate: |Z 12/123 OWNER’S AUTHORIZATION - MUST BE SIGNED Thereby certify that I reside at 8H Wns V_Z Sok Alés in the County of E& WAN and the Stateof _ New Jersey ; and that am the owner of all that certain lot, piece or parcel of land known as Block(s) __179 : Lot(s) 32 on the Tax Map ofWest Orange which Property is the subject of the above application, and that said application is hereby authorized by me. Furthermore, [ authorize inspection of the site Date: ! 2h L YZ LF which is the subject of this application. 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 TAPLASNING BRDWocument Libeary\PR-ZIA Application 420-1$.doe