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Supporting Documentation · May 6, 2026

PB 25 12 Application

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J. VERIFICATION AND AUTHORIZATION | SIGNATURE IS REQUIRED FOR ALL OF THE FOLLOWING: APPLICANT’S VERIFICATION Thereby certify that the above statements made by me and the information contained in the Papers submitted in connection with this application are true. | am aware that if any of the foregoing statements are willfully false, I am subject to punishment. Applicant’s Signature: Yusoys— Date: qe \2 “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: Uwe putes _J- 12-2 225" OWNER’S AUTHORIZATION ~ MUST BE SIGNED Thereby certify that [reside at_|Q Utopia Court, Sreten Toland, Ny in the County of and the State of and that [ am the owner of all that certain lot, piece or parcel of land known as Block(s)_114 5 Lot(s) 50 on the Tax Map of West Orange 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: Yu, Date: 4- [2 -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 DRDWDacument Library\PL-ZHA Application 4-20-1S.dae

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