PB ZB Application Package KLEIN Final

J. VERIFICATION AND AUTHORIZATION. ats SIGNATURE IS REQUIRED FOR ALL OF THE FOLLOWING: APPLICANT'S VERIFICATION hereby certify that the above statements made by me and the information contained in the papers submitted in connection with this application are true. I am aware that if any of the foregoing statements are willfully false, I am subject to punishment. Applicant's Signature: Date: 03/16/2025 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: Date: 03/16/2025 OWNER’S AUTHORIZATION ~ MUST BE SIGNED Thereby certify that I reside at 7 Himsl Court, West Orange, NJ, 07052 in the County of __ Essex and the State of ___ New Jersey ; and that lam the owner of all that certain lot, piece or parcel of land known as Block(s) 00167.01 : Lot(s) __ 00013 on the Tax Map of which 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 appli Owner's Signature: Cd Date:___ 03/16/2025 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 LRM acument Librars PR2BA Application 42015 dec