PB 25 04 Application and Plans

SIGN ATER GS REQUIRED POR ALE GE FTE TORT OMe Pc: APRUIG ANT SVE RIE VION fommalton contarned 15 the peipers petely certvty thal the abyave statements made by me und the afemuation contarned as the peap Pie loregetng statement appleauon ate tue Lome aware that rf ar subnutted in connection with thy salltully false, Pan sulyoct to pamisty YW ime S7AL AS Appheant’s Signature CONTINUANCS Should the Planning Reard/Zoning Board of Adjustment have a tull and heavy agenda er ajlication requiring carry ng the matter past the statue ime Larmat discussion and mecting regarding this a) the appheant grants permission for sun ytension Apphsant’s Signature pace Sed (73 S- OWNE! “S AUTHORIZ AT (ON—MUST BE SIGNED. Thereby certify that I reside at _ —— and the State of New Jersey and that I am the owner of all that certain lot, piece or parcel of land known as Bloch(y).62 __ Lot(s) 2201 on the Tax Map of which property 1s the subject of the above un the County « application. and that said application is hereby authorized by me Furthermore, Lauthonze inspection of the site which 1 the subyect of tus application Owner's Signature g E APPLICANT FROM: COMPIVING WITH OTHER TOWNSINP ORDI CI 7 RIMOVAL ORDINANCE AND OBTAINING THE NECESSARY APP ROYALS AND PERMITS UNDER SUCH ORDINANCES 7 YALE BRL {Learn Lara IPE ZI Applcuiens A 20618 tie 4927 4673-1329, v 1