ECCC_Pool House Executed Application with Attachment submission

TOWNSHIP OF WEST ORANGE APPLICATION FORM FOR THE PLANNING BOARD OR ZONING BOARD OF ADJUSTMENT A. APPLICANT INFORMATION Full Legal Name: Essex County Country Club (Last) (First) Mailing Address: 350 Mt. Pleasant Avenue, West Orange, NJ 07052 (Street) (City) (State) (Zip) Telephone Number: (973) 731-1400 = Email: john.delmauro@gmail.com Is the Applicant an: 0) Individual, 1 Corporation, 1) Partnership, Xl 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. There is not one entity or individual that owns a 10% or greater interest in the Applicant. Relationship of the applicant to the property: & Owner, 0 Tenant or Lessee, Purchaser under contract (with consent of owner, C] 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: 350 Mt. Pleasant Avenue Block Number(s):_156 ; Lot Number(s): _1 : Tax Plate:39, 39.01, 39.02 and 39.03 ; Zone of Property: R-2 The location of the property is approximately ) feet from the intersection of Mt. Pleasant Avenue and Prospect Avenue (closest intersection.) Has there been any previous Zoning Board of Adjustment or Planning Board hearings involving this property? & Yes, Date(s):_See attached “No If yes, please attach copies of the written decisions adopted by the Board to each application. Please attach a list ofall contiguous or adjacent property owned by the applicant or owner. &} None Is this property listed in “The Historic Sites Survey” prepared by Robert Guter 7/9/1992 01 Yes Rl No TAPLANNING.ARD\Dacument Library\PB-ZBA Application 4-20-13.toe