Application rev1

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: i fizfeu This Application for a Tree Removal and Replacement Permit is made with reference to and the intent to comply with all applicable laws, rules, and regulations, including the General Revised Ordinances of the Township of West Orange. 3 i ul Name of Applicant: Montclair Stables, LLC Street Address:___1320 Cape Street City/State/Zip: Annapolis MD 21409 HomePhone:_______Work/Cell Phone_561_951-0455 Email; fomainmarteau@gmail.com Location of Property Subject to Proposed Tree Removal Activity Street Address:__12-22 Woodland Avenue Block; 152.02 Lot:__176, 179 & 186 Property Owner(s) of Record Name of Owner,__same as applicant Street Address: City/State/Zip: Home Phone: Work/Cell Phone:, Email, Status of Applicant (Check One) —Tenant X 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_X_ Ifyes, 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 X_ Ifyes, please state the reason for and the date of application or the date of the issuance of the permit: ‘Tree Remaval Application 4-13-15