01 WO PB Application Form 32265751

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. I am aware that if any of the foregoing statements are willfully false, 1 am subject to punishment. Trader Joe's East, Inc. A Vobcae ___Date: July _31__, 2025 Applicant's Signature: _ Andy Tobias, Director of Construction 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. Trader Joe's East, Inc. A Ta hieg Date; July 31_, 2028 Applicant's Signature: _ 7 Andy TobidS, Director of Construction OWNER’S AUTHORIZATION ~ MUST BE SIGNED Thereby certify that | maintain a principal office at 25 Main Street, Suite 200 in Hackensack inthe County of Bergen and the State of NewJersey eee and that I am the owner of all that certain lot, piece or parcel of land known as Block(s) 157, Los) 5 _ on the Tax Map of _87 _ __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 application. : rom Mt ree amis Ltd. LA ro Owner's Signature: WY ~ __. Date: July _34__, 2025 Printed rik ee weet “Orr? Title: LY, 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. TAPLANMING.BRDDuctument Library\PHeZIA Application 420-L Sdn