Prior Resolutions of Approval submission

TOWNSHIP OF WEST ORANGE AFFIDAVIT OF COMPLIANCE MUST BE SIGNED BEFORE C.O. OR C.C.O. IS ISSUED Name: Address: Zoning Board of Adjustment/ Planning Board Application # Property Address: Block: , Lot: , Zone: Date Resolution Adopted: I, the applicant do hereby certify that all the conditions of the resolution stated in the above referenced application have been met. I do understand that if any of the foregoing is false, I will be subject to penalties and/or fines as per Township and State Ordinance. Furthermore, I understand J must contact the Township Zoning Official, Geniece Gary-Adams at (973) 325-4119, to review and approve that all conditions in the resolution have been satisfied. Applicant’s Signature Date Sworn to before me. Notary Public Signature Date and Seal Ihave inspected this application and certify that all the work is in compliance with the conditions set forth in the resolution and the approved signed plans. Approved by Zoning Official: Signature (Geniece Gary-Adams) Date E:\Forms & Awards\Affidavit of Compliance.doc