Application 6 12 25

[ J. VERIFICATION AND AUTHORIZATION. | 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. [am aware that if any of the foregoing statements are willfully false, I am subject to punishment. Applicant’s Signature, LUCA 5X aster Date: _ 6- MN as — 4 CONTINUANCE ” Potege “ Y ANA Crete : ae ween h 7. 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 OO LK pn Mo ldsteuc Date:_ ©-II aS” _ Cleoyy “Hacobbe Aiffert Jacoby, spe l/CartS Corrgl OWNER’S AUTHORIZATION - MUST BE SIGNED - . b {Same os Ape Vere Thereby certify that I reside at (Wae+Om> ce eA ttColeteadtta7A Se E06 in the County of Esse and the State of _ AAT~ ; and that I am thg owner ofall that certain lot, piece or parcel of land known as Block(s) [7X _ : Lot(s)QQ (S] on the Tax Map of best OAK ich property is the subject of the above application, and that said application is hereby authorized by me. Furthermore, I authorize inspection of the site which is the subject of this application. Owner's Signature: Aleathe) Moldale cus Date: _©-/1-aS” Cleary Gacobbe. Al fen’ Jacob ,o7 nehatfot Owner 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.BRDWacument Library\PU-ZIA Applicdtion 4-20-1S.dne .