15 North Edgewood Ave application

TOWNSHIP OF WEST ORANGE APPLICATION FORM FOR THE PLANNING BOARD OR ZONING BOARD OF ADJUSTMENT | A. APPLICANT INFORMATION Full Legal Name: JEVINS, Zep ee CARIES ast) y First Mailing Address: ( EOxeuxcp AUG. wort WESTELAMSB. RI C752 Street) (City) , (Statey (Zi TelepHione Number: 1 Sek i440 Emall PAVE a VI Lissa ANET Is the Applicant an: 5 Individual, O Corporation, O Partnership, Other If the Applicant is a corporation or partnership, a list of the names and addresses of persons having a 10% interest or more in the corporation or partnership must be attached. Relationship of the applicant to the property: g Owner, 0 Tenant or Lessee, C Purchaser under contract (with consent of owner, 1) Other (please specify) If the applicant is not the owner of the property in question, the applicant must submit an affidavit with the owner(s) authorization to proceed with this process. B. PROPERTY OWNER INFORMATION = Check here if same as applicant. If the owner is not the applicant, please complete the following: Owner's Name: Address: Telephone Number: (___) Email: C. PROPERTY INFORMATION Street Address: 15 EBpreziuteeip> AUG. NoeTtH Block Number(s):___ (HF ;Lot Number(s): ; Tax Plate: F i ; Zone of Property: 2-4 The location of the property is approximately MOA, OF, feet from the intersection of RGGI AVE. WOETH and ELD (wid Zea~p (closest intersection.) Has there been any previous Zoning Board of Adjustment or Planning Board hearings involving this property? O Yes, Date(s): 4 No sions adopted by the Board to each application. If yes, please attach copies of the written de Please attach a list of all contiguous or adjacent property owned by the applicant or owner. 1 None Is this property listed in “The Historic Sites Survey” prepared by Robert Guter 7/9/1992 1 Yes ONo TAPLANNINGNROWDowement LibraryPL-ZRA Applicatian 4-2e1 Sloe