Application

TOWNSHIP OF WEST ORANGE : APPLICATION FORM FOR THE PLANNING BOARD OR ZONING BOARD OF ADJUSTMENT Fail Legal Name: CT'T0. PAUL “(East irst) Mailing Address: 250 Main Street __ We Siege New Jersey 07052 Street) (City) . (State) (Zi + ‘Petephone Number: (860).400-5043 Evail; citopen@aot.cag®) CP) isthe Applicant.an: G1 Individual, &1. Corporation, 1 Partnership, 11 Other. If the-Appli a corporation or parti “i, interest Gr more int the corporation or ship, alist of the names and addresses'of persons having’a 10% iership must.be attached, ‘Relationship of the ajipticaint’fo the property: 9% Owner, C] ‘Tenant of Lesseé, C1 Purchaser under contract (with-consent of owner, C1) Other (please specify) ‘Tf the applicant is not the.ownéi of the property in question, the applicant niust siibinit an affidavit with the owner(s) authorization to proceed with this process, z pe is re Check here if same as applicant, If thé owner ig not the applicant, please complete the following: Osyuer's Name:West Orange Commumity House. -.- a _ Addvess! Paul Cito, CEO 242 Main Street, West Orange New Jersey 07052 (862) 400-5043 Fa . eitopem@aol.com Telephone Number: ea Steet Address: 250-252 Main Street weg, Orange NJ 07052 Block Number(s): 114 ; Lot Nuinbei(ay:_78 ; Tax Plater. } Zone of Propeity: Main Street Subzone ‘The focation of the property is approximately feet from tlie intersection of Main St. and Erwin Place (ele st intersection: Has there béeiv'any previous Zoning Board of Adjtistment of Planniig Board hearings involving this propetty? TD Yes, Date(s): . = 7 : 30 No If yes, please attach copies of the written decisions adopted by the Board to each application, Please attach a list of all coritiguotis or adjacent property owned by the applicant or owner. 1) None Is this:property llsted in “Phe Historic Sites Survey” prepated by Roteit Gute 7/9/1992 1 Yes § No TPLANNING BAP\Dneument HbruhPD-2hd Applicithend 4201S idie