REVISED Executed Application with Attachment submission

TOWNSHIP OF WEST ORANGE APPLICATION FORM FOR THE PLANNING BOARD OR ZONING BOARD OF ADJUSTMENT -ACAPPLICANT INFORMATION Full Legal Name: _ Seton Hall Preparatory School (Last) — First) Mailing Address: 120 Northfield Avenue West Orange NJ 07052 (Street) (City) (State) (Zip) hone Number: (973) 325-7737 Email:_mgallo@shp.org Is the Applicant an: 01 Individual, 01 Corporation, 0 Partnership, Kl Other Parochial Non-Profit High School ifthe Applicant is a corporation or partnership, a list of the names and addresses of persons having a 10% f i. interest or more in the corporation or partnership must be attached. N/A The Applicant is a non-profit corporation without stock ownership Relationship of the applicant to the property: | Owner, ) Tenant or Lessee, 1 Purchaser under contract (with consent of owner, ( Other (please specify) 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 JM Check here if same as applicant. If the owner is not the applicant, please complete the following: Owner's Name: Applicant is owner Address: Telephone Number: ( ) Email: C.PROPERTY INFORMATION : ; Street Address: 700 Prospect Avenue, West Orange, New Jersey 07052 Block Number(s): 82.01 ; Lot Number(s): 1 7 Tax Plate: 15 and 16 ; Zone of Property: _R-1 Single Family Residential District ‘The location of the property is approximately 1,750 __ feet from the intersection of Prospect Avenue and_Northfield Avenue (closest intersection.) Has there been any previous Zoning Board of Adjustment or Planning Board hearings involving this property? & Yes, Date(s):_See Application Attachment ;0 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. X{ None Is this property listed in “The Historic Sites Survey” prepared by Robert Guter 7/9/1992 [1 Yes RI No TAPLANNING. BRD\Dacument Libray\PB-ZBA Application 4-20-5.doe | | \