Application Package

J. VERIFICATION AND AUTHORIZATION SIGNATURE IS REQUIRED FOR ALL OF THE FOLLOWING: APPLICANT'S VERIFICATION Applicant’s Signature: MD- . Date:_ I//0o/Q =~ 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: WD Date:_ T//a 7.2 y- OWNER’S AUTHORIZATION ~ MUST BE SIGNED Thereby certify that [reside at_S/G Plea cant Valle. in the County of Fs ek and the State of De, £ 5 and that I am the owner of all that certain lot, piece or parcel of land known as Block(s)__/ 3-7. OG : Lots) j) 2 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 application. Owner’s Signature: AD Date: A/lo/dy- THIS APPLICATION DOES NOT RELIEVE THE APPLICANT FROM COMPLYING WITH OTHER TAPLANNING,BRDWDocument LibrurylPU-ZRA Application 4-20-18.