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See west 5 ORANGE } ea se" 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 all applicable laws, rules, and regulations, including the General Revised Ordinances of the Township of West Orange. 1. Name of Applicant: West Orange Board of Education Street Address: _179 Eagle Rock Avenue City/State/Zip, West Orange, N.J-0705Z Home Phone: Work/Cell Phone: Email: torangeschools.org Location of Property Subject to Proposed Tree Removal Activity Street Address:_9 Manger Road, West Orange, Nu 07502 Block: 172 - Lot: 29.07 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 Xe 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__ NoX_ 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. ___Ifyes, please state the reason for and the date f application or the date of the issuance of the permit: Tree Removal Application 4-13-15