Crestmont ZBA Application Package 72224

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. I am aware that if any of the foregoing statements are willfully false, | am subject to punishment. Applicant’s a wo Date: y the hy ole a -_ 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 sowie <1 . Date: Z/ of 2 OWNER’S AUTHORIZATION — MUST BE SIGNED Thereby certify that bersistecn bY” business address is 750 Eagle Rock Avenue, West Orange, NJ 07052 in the County of __Fssex and the State of New Jersey ;and that I am the owner ofall that certain lot, piece or parcel of land known as Block(s) 174. :Lot(s) 1.01 onthe Tax Map of _West Orange. which property is the subject of the above application, and that said application is hereby authorized by me. Furthermore, I authorize inspection of the site which is the subject of this application. Owner’s ee a Wii Date: TZ Piubiz Crestmont Country Club 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. TAPLANNING.BRD\Document Library\PB-ZBA Application 3-15-18.doc uA