West Orange Compiled ZBA Application 5 15 24

- Date Resolution Adopted: TOWNSHIP OF WEST ORANGE - . AFFIDAVIT OF COMPLIANCE MUST BE SIGNED BEFORE C.0. OR C.C.0. IS ISSUED Name: Address: Zoning Board of Adjustment/ Planning Board Application # x Property Address: : _— Block: , Lot: : , Zone: I the applicant do hereby certify that all the conditions of the resolution stated in the above referenced application have been met, I do understand that if any of the foregoing Adams at (973) 325-41 19, to review and approve that all conditions in the resolution have been satisfied. Applicant’s Signature Date Swor to before me, Notary Public Signature & Seal Date T have inspected this application and certify that all the work is in compliance with the Conditions set forth in the resolution and the approved signed plans, Approved by Zoning, Official: Signature (Geniece Gary-Adams) Date E:\Forms & Awards\4 ffidavit of Compliance.doc