Executed Tree Removal Application 4908 7908 10792

WEST ORANGE Permit No: Date Issued: Township of West Orange Application for Tree Removal and Replacement Permit ALL questions must be answered for the Applications to be considered COMPLETE. Application Date: This Application for a Tree Removal and Replacement Permit is made with reference to and the intent to comply with all applicable laws, rules, and regulations, including the General Revised Ordinances of the Township of West Orange. 1. Name of Applicant:_525 Northfield Ave., LLC Street Address:_91 Kossuth Street City/State/Zip: Newark, NJ 07105 Home Phone: Work/Cell Phone:_973-695-2700 Email: Pedro@GomesGroupLLC.com Location of Property Subject to Proposed Tree Removal Activity Street Address: 525 Northfield Avenue Block:_159.04 Lot:_1.01 (formerly 1.01, 1.02 & 1.03) Property Owner(s) of Record Name of Owner: By Gomes Northfield, LLC Street Address:_91 Kossuth Street City/State/Zip: Newark, NJ 07105 Home Phone: Work/Cell Phone: 973-695-2700 Email: Pedro@GomesGroupLLC.com Status of Applicant (Check One) ___Tenant |Owner _Contract Purchaser _x Other:_related entity *If the Applicant is not the owner, attach hereto the notarized consent of the owner.* Has this property been the subject of an application and/or otherwise involved in a matter before the West Orange Planning Board and/or Board of Adjustment? Yes x No____lf yes, please state the dates and action taken or pending, identify the Township Agency who or is handling the matter, and enclose a copy of the resolution conserved by the Agency, if applicable: Has the property received a construction permit and/or is there a construction permit pending? Yes No x___If yes, please state the reason for and the date of application or the date of the issuance of the permit: Tree Removal Application 4-13-15