Crestmont Application Package modular home 5124

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ron Wi-9 (Rev. October 2018) Department of the Treasury Jafemnal Revenue Service Request for Taxpayer Identification Number and Certification Go to www.irs.gov/FormWS for instructions and the latest information. Give Form to the requester. Do not send to the IRS. Crestmont Country Club, Inc. 1 Nama fas shown on your tncome fax ratum), Name ts required on this fine; do not feave this line blank 2 Business name/disregarded entity name, i diferont from above Crestmont Country Club following seven boxes. 7) incivicuat/sote proprietor or Corporation [1] s corporation single-member LLC Print or type. (2) Other isee instructions) > 7 timited tabilty company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) > Note: Check the appropriate box in the line above for the tax classification of the single-member owner, Do not check | txemption from FATCA reporting LLC i the LLG is classitie as a single-member LLC thats dlsregarded from the ewer unless the owner ofthe LLCS. | og any) another LLC that is not disregarded from the owner for U.S, federal tax purposes. Otherwise, a single-member LLC thal vl is disregarded from the owner should check the anpropriate box for the tax classification of ils owner. ‘9 Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only ane of the | 4 Exemptions (codes apply orily to certain entities, not individuals; see Instructions an page 3): Cl Partnership «1 Trusvestate Exempt payee code (# any} ‘Apptes 1a accounts mtintelnest oot! the U.S} 5 Address (number, sireet, and apt. or suite 10 Soe instructions. P.O. Box 358 / 750 Eagle Rock Avenue~ See Specific instructions on page 3. Requester’s name and address (optional) & City, state, and ZiP code West Orange, NJ. 07052 7 List account aumberts} here (oplonaly Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box, The TIN provided must match the name given on line t to avoid _| Soclal security number ] backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, See the instruotions for Part |, later. For other - - entities, il is your employer identification number (EIN). if you do not have a number, see How to get a or TIN, later. Note: If the account is in more

instruotions for Part |, later. For other - - entities, il is your employer identification number (EIN). if you do not have a number, see How to get a or TIN, later. Note: If the account is in more than ane name, see the instructions for line 1. Also see What Name and Number To Give the Requester for guidelines on whose number to enter. Employer ident 2/2) -) 1/5/41 5/0;2)0 Certification Undier penalties of perjury, | cerlily that: 4. The number shown on this form is my correot taxpayer identification number (or | am waiting for a number to be issued to me); and 2.1 am not subject to backup withholding because: (a) | am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service ((RS) that | am sublect to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS hes notified me that | am no longer subject to backup withholding; and 3.1. ama U.S, citizen or other U.S. pers fine 4. The FATCA code(s) entered on this form (if any) indicating that [ am exempt from FATGA reporting Is correct. Certification instructions. You must cross out item 2 above it you have been notified by the IRS that you ere currently subject to backup withholding because you have failed to report all interest and dividends on your tax relurn. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancel debi, contributions to an individual retirement arrangement (IRA), and generally, payments n other than interest and Bividenda, you are nat requires 0° 8 epsiication, but you must provide your correct TIN. See the instructions for Part ll, later. Sign | signature ot Here | us. person Mead CEE * Date SVE Zo2e General Instr étio n Ss Section references are te the Jnternal Revenue Code unless otherwise noted. Son Future developments, For the latest information about developments related to Form W-9 and its instructions, such as legistation enacted after they were published, go to wiww.irs.gov/FarmlW9. Purpose of Form ‘An individual or entity (Form W-9 requester) who is raquired to file an information return with the IRS must obtain your correct taxpayer identification number (TIN) which may be your social security number (SSN), individual taxpayer identification number (ITIN), adoption taxpayer identification number

must obtain your correct taxpayer identification number (TIN) which may be your social security number (SSN), individual taxpayer identification number (ITIN), adoption taxpayer identification number (ATIN}, or employer identification number (EIN), to report on an information return the amount paid to you, cr other amount reportable on an information return. Examples of information returns include, but are not limited to, the foliawing. ‘+ Form 1089-INT (interest earned or paid) » Form 1099-DIV (dividends, including those from stocks or mutual funds) * Form 1099-MISC (various types of income, prizes, awards, or gross proceeds) * Form 1099-8 (stock or mutual fund sales and cortain other transactions by brokers) * Form 1099-8 (praceeds from real estate transactions) * Form 1099-K (merchant card and third party network transactions) * Form 1098 chome mortgage interest), 1098-E (student foan interest), 1098-T (tuition) * Form 1099-C (canceled debt) * Form 1089-A (acquisition or abandonment of secured property) Use Form W-8 only if you are a U.S. person (including a rasident alien), to provide your correct TIN, If you do not return Form W-9 to the requester with a TIN, you might be subject to backup withholding. See What is backup withholding, tater. Cat, No. 10231X Form W--9 (Rev. 10-2018)

RESOLUTION Township of West Orange Planning Board PB 23-06 Crestmont Country Club/750 Eagle Rock Avenue Block: 174 Lot: 1.01; Zone: R-2 Decided on July 5, 2023 Memorialized on July 19, 2023 Minor Site Pian Approval WHEREAS, Crestmont Country Club (Hereinafter the “Applicant”) has made an application for Minor Site Plan approval to construct three (3) pickleball courts adjacent to its tennis courts located at 750 Eagle Rock Avenue, also known as Block: 174 Lot: 1.01 , in the R-2 Zone; and WHEREAS. a properly noticed public hearing was conducted on July 5, 2023; and WHEREAS, the Applicant was represented by Gary Forsher, Esq.; and WHEREAS, the Applicant provided testimony by Daniel Fryer P.E., of Van Cleef. Engineering, a licensed Civil Engineer in the State of New Jersey whose credentials were accepted by the Board; and WHEREAS, the Applicant provided testimony by Dana Cancellaro, General Manager and COO of the Crestment Country Club; and WHEREAS, the Applicant submitted the following documents to the Board in the form of the application package: ITEM SIGNED BY DATE/REVISION

2. The proposal is to build three (3) new pickleball courts. 3. As to site plan requested waivers, items #20, 28, 34, 39, 44, 45 and 46 the Applicant provided information that there are no deed restrictions, no proposed lighting, no environmentally sensitive areas within at least 500 feet of the work area and due to the large size of the property, grade elevations and of all buildings and property comers are not provided but all relevant topographical data was shown on the plan and adjacent to the work area. 4. A waiver from submitting the Sustainability Checklist and for the requirement that Applicant submit a signed and sealed copy of the survey of the property these items are not relevant due to the very limited scope of the work and are not relevant to the proposed project. NOW THEREFORE be it resolved by the Planning Board of the Township of West Orange minor site plan approval is granted. AND IT IS FURTHER RESOLVED that the above approval is subject to the following terms and conditions: 1. The Applicant shall comply with all applicable Township, County, State and Federal laws, ordinances, regulations and directives, including without limitation, obtaining all applicable local, state and federal approvals and/or permits. Without limitation of the foregoing, prior to the signing of the approved site plans, and prior to the commencement of any land disturbance or construction but excluding interior renovations, the Applicant shall submit to this Board, with a copy to the Board Engineer, proof that it has obtained all required governmental approvals.

2. Ifanother governmental entity or agency grants a waiver or a variance affecting the plans and/or exhibits submitted by the Applicant, this approval or the conditions attached to it, then the Applicant shall re-apply to this Board respecting the same and this Board shall have the right to view that issue as it relates to this approval and these conditions and modify and amend same, if appropriate. 3. In the event that any other required regulatory approval conflicts with the terms and conditions hereof, or materially alters the same, or the terms and conditions hereof are materially altered by any change in applicable law or regulation other than those municipal regulations for which change is prohibited by the Municipal Land Use Law (MLUL), or in the event Applicant or its successor or assigns construct or attempt to construct any improvement in conflict with or in violation of the terms of this approval, the Board hereby reserves the right to withdraw, amend or supplant the instant approval. 4, All construction, use and development of the property shall be in conformance with the plans approved herein, all representations of the Applicant and its witnesses during the this resolution. 3. The Applicant shall pay all outstanding taxes, tax liens, application fees and technical review fees, as well as any inspection fees that may be required hereunder. The Applicant shall pay any additional fees or escrow deposits which may be due and owing within thirty (30) days of the notification or this approval shall be deemed withdrawn. 6. All notes included in the approved plans, including notes required by this Resolution, shall be deemed conditions of approval having the same force and effect as conditions expressly set forth in this Resolution.

7. Four trees will be planted as replacement for the trees removed for the project. 8. There will be no lighting installed as the pickleball courts are for daytime use only. 9. The fence shall surround the courts (All four sides) and will be six (6°) feet high. 10, Applicant will comply with all State and local noise level requirements. 11, Applicant agrees to comply with all recommendations set forth in the report of John Hess, P.E. dated July 3, 2023. 12. Applicant shall list all conditions of approval onto a final site plan submission. The undersigned secretary certifies the decision set forth herein was made by this Board on July 5, 2023, and memorialized herein pursuant to N.J.S.A. 40:55D10(g) on July 19, 2023. Abd. Byes at Jamilet Baquerizo-Vite, Planning Board Secretary

Vote Action Taken by the Board on July 5, 2023: Board Member Motion Second Aye Nay Abstain Absent K, Alper 4. Guarino L, Klein S. McCartney >< [>< fos f >< C. Morgen P. Smeraldo W. Wilkes T. Williams S. Jensen J. Cardoza R. Bagoff Vote on Memorialization on July 19, 2023: Board Member Motion Second Aye Nay Abstain Absent K. Alper J. Guarino L klein S. McCartney C. Morgan b.smeraldo... W. Wilkes T. Williams S$. Jensen J. Cardoza R. Bagoff