Executed Disclosure and Consent Statements 4913 1220 85032

CONSENT OF OWNER I, the undersigned, being the owner of the lot or tract described in this Application for Tree Removal and Replacement Permit (the “Application”, hereby authorize the applicant to make this application. I further agree to be bound by the Application and related materials, and any representations or stipulations made by, or on behalf of the applicant, and the conditions of the Township, in the same manner as if I were the applicant. I further consent to the inspection of this property in connection with this application as deemed necessary by the municipal agency. (If owned by a corporation or limited liability company, must be signed by an authorized corporate officer. If applicant is a partnership, must be signed by a general partner.) By Gomes Northfield, LLC By: 525 Northfield Ave., LLC By: Arbol By Gomes LLC, j anager By: 3 208s f iPedro Gomes, $@fe Member/Manager Date