REVISED Executed Application with Attachment submission

J. VERIFICATION AND AUTHORIZATION. SIGNATURE IS REQUIRED FOR ALL OF THE FOLLOWING: APPLICANT’S VERIFICATION I hereby certify that the above statements made by me and the information contained in the papers submitted in connection with this application are true. I am aware that if any of the foregoing statements are willfully false, I am subject to punishment. Applicant’s Signature: Gud Sadr Date: glicl ay CONTINUANCE Should the Planning Board/Zoning Board of Adjustment have a full and heavy agenda, or discussion and meeting regarding this application requiring carrying the matter past the statue time limit, the applicant grants permission for such an extension. Applicant’s Signature: MWuchaal £ Wa Date: ic [ If Z l a f OWNER’S AUTHORIZATION ~ MUST BE SIGNED am the mast€&t Seton Hall Preparatory School with an adress at Thereby certify that I resiteat _ 120 Northfield Avenue, West Orage in the County of _Essex and the State of New Jersey and that is the owner of all that certain lot, piece or parcel of land known as Block(s) 82.01 : Lot(s) 4 on the Tax Map of 15and16 which property is, the, subject of the above eer i tl authorizes application, and that said application is hereby authorized bya Furthermore seeeterize inspection of the site which is the subject of this application. Owner’s Signature: Arche & Lede Date: q lis [2 ia THIS APPLICATION DOES NOT RELIEVE THE APPLICANT FROM COMPLYING WITH OTHER TOWNSHIP ORDINANCES SUCH AS THE TREE REMOVAL ORDINANCE AND OBTAINING THE NECESSARY APPROVALS AND PERMITS UNDER SUCH ORDINANCES. TAPLANNING.BRD Document Library\PR-2BA Application 4-20-13,doe