4867 7883 8253 1 WO ZBA 10 Ridge Friedman Application

WEST ORANGE Permit No: Date Issued: Township of West Orange Application for Tree Removal and Replacement Permit ALL questions must be answered for the Applications to be considered COMPLETE. Application Date: This Application for a Tree Removal and Replacement Permit is made with reference to and the intent to comply with afl applicable laws, rules, and regulations, including the General Revised Ordinances of the Township of West Orange. 1, Name of Applicant: Street Address: City/State/Zip: Home Phone: Work/Cell Phone: Email: Location of Property Subject to Proposed Trea Removal Activity Street Address: Block: Lot: Property Owner(s) of Record Name of Owner: Street Address: City/State/Zip: Home Phone: Woark/Cell Phone: Email: Status of Applicant (Check One) Tenant __Owner Contract Purchaser ___ Other: *If the Applicant is not the owner, attach hereto the notarized consent of the owner,’ Has this property been the subject of an application and/or otherwise involved In a matter before the West Orange Planning Board and/or Board of Adjustment? Yes___ No___ If yes, please state the dates and action taken or pending, identify the Township Agency who or is handling the matter, and enclose a copy of the resolution conserved by the Agency, if applicable: Has the property received a construction permit and/or is there a construction permit pending? Yes___ No___ If yes, please state the reason for and the date of application or the date of the issuance of the permit: Traa Ramaval Application 4-13-15