Application etc

TOWNSHIP OF WEST ORANGE APPLICATION FORM FOR THE PLANNING BOARD OR ZONING BOARD OF ADJUSTMENT CRT MTOR Full Legal Name: Ey apo MWirviiAm Mailing Address: : eM BZ. MowntAiv Ave i APLAVOob NI 6 746) Telephone Number: (Z if S38) 5 -2D or Li fA dor ale. co Js the Applicant an: C1 Individual, O Corporation, O) Partnership, Other ie cHiTEcy [Lv< Ifthe Applicant is a corporation or partnership, a list of the names and addresses of persons having a 10% » interest or more in the corporation or partnership must be attached. Relationship of the applicant to the property: C1 Owner, Tenant or Lessee, C1 Purchaser under contract (with consent of owner, Other (please specify) Aya. ci) FECT If the applicant is not the owner of the property in question, the applicant must submit an affidavit with the owner(s) authorization to proceed with this process. B, PROPERTY OWNER INFORMATION 7 Check here if same as applicant, If the owner is not the applicant, please complete ‘the following: Owner’s Name:_ JAHN £ MIy2@A Putman Adds; [2 Knoliwoap pews , Wear ceanak NI o7osa Telephone Number: oh T9- GOOF Email: Yr Pu LOM thd YAHOO oy Le “ C. PROPERTY INFORMATION pea Street Address: {2 Jénell Wood Dre, Vest Oran ge Block Number(s);__[@ | 0G Lot Number(s); &f Tax Plate: g a ; Zone of Property: Rep The location of the property is approximately 2/6. {feet ftom the intersection of _\VAL ee i2. kp. and [ZNolUw sop Dr, (closest intersection.) Has there been any previous Zoning Board of Adjustment or Planning Board hearings involving this property? O Yes, Date(s): 1 No If yes, please attach copies of the written decisions adopted by the Board to each application, Please attach a list of all contiguous or adjacent property owned by the applicant or owner. Kone Is this property listed in “The Historic Sites Survey” prepared by Robert Guter 7/9/1992 1 Yes aA TAPLANVING.BRDIDacromennt Library\PB-ZDA Applteation 4-20tS.ahve