25 4 24 Katsanos Chit Chat Diner West Orange Zoning Board Application exe

| 3. VERIFICATION AND AUTHORIZATION SIGNATURE IS REQUIRED FOR ALL OF THE FOLLOWING: APPLICANT'S VERIFICATION T hereby 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, I am subject to punishment. Applicant’s Signature: orkeny Keeney Date: 4 ad ~2e Konstantinos Katsanos, Member Panorama LLC dba Chit Chat Diner 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: Hauke dina ets oO pate: fF -Deb - D4 Konstantinos Katsanos, Member Panorama, LLC dba Chit Chat Diner OWNER’S AUTHORIZATION — MUST BE SIGNED Thereby certify that I reside at 15 Mountain View Court, Totowa : inthe Countyof_ Passaic and the State of _ New Jersey : and that [am the owner of all that certain lot, piece or parcel of land known as Block(s)_109 / 111 Lot(s) 1.01/ 1.05 on the Tax Map of West Orangewhich property is the subject of the above application, and that said application is hereby authorized by me. Furthermore, | authorize inspection of the site which is the subject of this application. Owner’s Signature: Madre debe Date: - 7 Konstantinos Katsanos, Member Thea, LLC 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 BRDDocument Library\PlZIA Applicutiies f20-15 tac