ECCC_Pool House Executed Application with Attachment submission

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. [ am aware that if any of the foregoing statements are willfully false, [ am subject to punishment. Applicant's Signature: ue Date:__‘] bala 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 Signature: it Date: f: v3 wv po OWNER’S AUTHORIZATIONY MUST .e I hereby certify that [ restent have a business address at 350 Mt. Pleasant Avenue, West Orange in the County of [Essex and the State of _ New Jersey : and that [am owner of all that certain lot, plete g or iia of land known as Block(s) 156 Lot(s) on the Tax Map of So Ge and 39,03which property is the subject of the above application, and that said application is hereby authorized by me. Furthermore, [ authorize inspection of the site which is the subject of this a iN Owner's Signature: _ Date: ) | vy nt 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. TAPLANMING.BRDWDucument Library\PRZBA Application 4.20-15.toe