Soil Removal Permit Application Signed

RIFICATION AND AUTHORIZATION» 102200 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, 1 am subject to punishment. Applican’'s Signature: aren Ficectinan Date: 7/8124 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: Tut Leal U v _ Date: _rfsf/ey OWNER’S AUTHORIZATION ~ MUST BE SIGNED Thereby certify that L reside at 2 Rt dg dA, wf - ONAN in the County of_ Ee S@ Xe _and the State of __-_ AJ Pum J md OY, and that [ am the owner of all that certain lot, piece or parcel of land known as Block(s) 80.03 Lot(s) 10 on the Tax Map of 32 which 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 thi: appligation. Owner’s Signature: \Cul Loner Date: 7) 6/. 2y WWNTAIAZ (LESOURCE S 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 ARD!Document Libeary\PR-ZBA Applicntian 420-15. This document was created by an application that isn’t licensed to use novaPDF. Purchase a license to generate PDF files without this notice.