Submission Packet 912

J. VERIFICATION AND AUTHORIZATION SIGNATURE IS REQUIRED FOR ALL OF THE FOLLOWING: APPLICANT'S VERIFICATION Uhereby certify that the above statements made by me and the information contained in the papers submitted in connection with this application are true, Tam aware that if any of the foregoing statements are willfully false, Fam subject to Panisreyt Laren Applicant's stag be bf eo C— Date: Lhilomy x hee t Vere? 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: Mb ALE Loe Date: Valay (jee & oun? OWNER’S AUTHORIZATION ~ MUST BE SIGNED Thereby certify that reside at 34 & 29 Bradford Avenue in the County of _ Essex and the State of New Jersey i and that Tam the owner ofall that certain lot, piece or parce! of land known as Block(s)___ 55.06 Lot(s) 1.07 & 2.01 on the Tax Map of Orange which property is the subject of the above application, and that said application is hereby authorized by me. Purthermore, | authorize inspection of the site which is the subject of this application. Owner's Signature: hepa Date: afor4 X Jee t AamouS 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, FAPLANMING RED Wocument Library\PH-ZUA Applteatlan 201 Salu