1 Application Form

TOWNSHIP OF WEST ORANGE APPLICATION FORM FOR THE PLANNING BOARD OR ZONING BOARD OF ADJUSTMENT A. APPLICANT INFORMATION Full Legal Name: _Crestmont Country Club, Inc. (Last) (First) Mailing Address: 750 Eagle Rock Avenue (Street) (City) West Orange (State NJ (zip) 07052 Telephone Number: (973 ) 232-5061 - attorney Email:_rick@schkolnicklaw.com - attorney Is the Applicant an: C1 Individual, XI Corporation, (1 Partnership, Other X - 501C7 Not for Profit If the 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: [{ Owner, [] Tenant or Lessee, 0 Purchaser under contract (with consent of owner, (1 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 &] Check here if same as applicant. If the owner is not the applicant, please complete the following: Owner’s Name: Address: Telephone Number: ( ) Email: C. PROPERTY INFORMATION Street Address: 790 Eagle Rock Avenue Block Number(s): 174 ; Lot Number(s): 1.01 Tax Plate:_123 ; Zone of Property: _R-2 Zone The location of the property is approximately Ofeet feet from the intersection of Laurel Avenue site is located at the intersection of Eagke Rock Avenue and Laurel Avenue (closest intersection.) Has there been any previous Zoning Board of Adjustment or Planning Board hearings involving this property? A Yes, Date(s): See attached resolutions of approval for pickleball and modular dwelling; O 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. &] None Is this property listed in “The Historic Sites Survey” prepared by Robert Guter 7/9/1992 [1 Yes KI No TAPLANNING.BRD\Document Library\PB-ZBA Application 3-15-18.doc us

D. TYPE OF APPLICATION Indicate the type of application being submitted, check all boxes that apply. Note that more than one variance may be necessary, please indicate the number of each type needed: 1) O Interpretation of ordinance or map. 2) O Appeal of action of Zoning Officer. 3) [ Variance “C1” Reason: O shape of property; X physical features; I exceptional situation. 4) & Variance “C2”. 5) O Variance “D”. 6) Oi Subdivision without variances: O major; O minor; O preliminary; O final; Opreliminary and final. 7) O Subdivision with variances: 0 major; 1 minor; O preliminary; O final; Opreliminary and final. 8) QM Site Plan: O preliminary; O final; Klpreliminary and final; &l with variances; L) without variances. 9) Kl Amended Site Plan. 10) O Conditional Use. 11) O Conceptual. 12) C1 Home Professional Office. 13) O Home Occupation. 14) 0 Soil Removal Permit. Please list the specific Sections of the Ordinance for which a variance is sought. If additional space is required, please attach alist. * Variances listed in the project narrative and in the cover letter Section: ; Proposed: ; Description: Section: ; Proposed: ; Description: Section: ; Proposed: ; Description: Section: ; Proposed: ; Description: E. DESCRIPTION OF PROPERTY Existing Use of the Property Briefly describe the major elements of your proposal: (a more detailed description is required in Section G.) and Oval Road. Modifications to the existing driveway and parking area are also proposed. venus The property is_6,400,399 square feet_ (square feet);__ 146.9 acres (acres) Impervious Surface Coverage: Present: 6.76% ; Proposed: Building Coverage: Present: 1.10% : Proposed: _1.10% (no change) Is the property located: Within 200 feet of another municipality? Kl Yes ONo Adjacent to an existing or proposed county road? Xl Yes O1No Adjacent to other county land? O Yes KI No Adjacent to a state highway? O Yes BX No TAPLANNING.BRD\Document Library\PB-ZBA Application 3-15-18.doe ws

F. EXPERTS The following information is respectfully requested to enable the Board to facilitate the processing of this application: APPLICANT’S ATTORNEY: Richard Schkolnick, Esq. Telephone Number: 973 )_232-5061 Email: tick@schkolnicklaw.com Address: Law Offices of Richard Schkolnick, 75 Main Street, Suite 201, Millburn, N.J. 07041 APPLICANT’S ENGINEER: John Cote, P.E. Telephone Number: (973) 560-4900 Email:_JCote@langan.com ‘Address; Langan Engineering and Environmental Services, LLC, 300 Kimball Drive, Parsippany, “N-07054 APPLICANT’S ARCHITECT: NA Telephone Number: ( ) Email: Address: APPLICANT’S PLANNER: Se8n Moronski, P.P., AICP Telephone Number: (973) 560-4900 Email; SMoronski@langan.com Address: @2Ngan Engineering and Environmental Services, LLC, 300 Kimball Drive, Parsippany, NJ-07054 OTHER EXPERT(S):_TTaffic Expert: Karl Pehnke, P.E Telephone Number: (973) 560-4900 Email:_ kpehnke@langan.com Address: Langan Engineering and Environmental Services, LLC, 300 Kimball Drive, Parsippany, N.J. 07054 If necessary, please list any additional experts below, including address, telephone number and email address. TAPLANNING.BRD\Document Library\PB-ZBA Application 3-15-18.doc kas

G. REQUIREMENTS FOR VARIANCES 4A) Please attach a written statement labeled “PROPOSAL”, describe the major elements of your proposal, and describe in detail the physical and use changes proposed. See attached narrative 4B) Please attach a written statement labeled “REASONS FOR RELIEF”, which fully answers 4C-1, 4C-2 or 4D (Special Reasons) AND part 4E (Negative Criteria). See attached narrative 4C-1) (For C1 variances only) The strict application of the provisions of the Zoning Ordinance would result in the peculiar and exceptional practical difficulties or exceptional undue hardship under N.J.S.A. 40:55D- 70c(1). List in detail wherein this case conforms to this requirement, including, if applicable, reference to the exceptional narrowness, shallowness, or shape of the property, or the exceptional topographical conditions affecting the property which applicant contends warrants the granting of the variance. See attached narrative 4C-2) (For C2 variances only) State how the purposes of the Municipal Land Use Law would be advanced by a deviation from the zoning ordinance requirements and the benefits of the deviation would substantially outweigh any detriment according to N.J.S.A 40:55D-70c(2). Please list all benefits of the deviation to the Township and any adverse effects. State how the benefits of the deviation would substantially outweigh any detriment to the Township. See attached narrative 4D) (For D variances only) State the special reasons under N.J.S.A 40:55D-70d affecting this property. 4E) The granting of this variance will not be substantially detrimental to the public good and will not substantially impair the intent of the zone plan and zoning ordinance. List in detail the reasons, among others, why the variance can be granted without being materially detrimental to the welfare of the community or injurious to the property or improvements of others in the neighborhood and zone. H. PLAT SUBMISSION 4F) Please list all maps and other exhibits accompanying this application. Attach an additional sheet if lecessary. **Due to the large number of maps, documents and forms being submitted please refer to the cover letter for the full list. ITEM SIGNED BY DATE/REVISION I. NOTICE Applicant is responsible to publish and serve notice of this application in accordance with Zoning Board of Adjustment/Planning Board requirements; however, notice

SIGNED BY DATE/REVISION I. NOTICE Applicant is responsible to publish and serve notice of this application in accordance with Zoning Board of Adjustment/Planning Board requirements; however, notice may not be served until this application is certified as complete and the administrative officer has assigned the applicant a public hearing date. TAPLANNING.BRD\Document Library\PB-ZBA Application 3-15-18.doc 45

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, | am subject to punishment. Applicant’s Si = a Date:_A\(o|2ZG pp ignature: <<" __ ate ki | 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 Signaturez ae Date: al DI Qo OWNER’S AUTHORIZATION — MUST BE SIGNED I hereby certify that I reside at ~7 5D Easle Cocle Ave West Ormange in the County of Essex and the State of_Afews Serse = ; and that I am the owner of all that certain lot, piece or parcel of land known as Block(s) 174 Lot(s) 1.01 on the Tax Map of 123 which property is the subject of the above application, and that said application is hereby authorized by me. Furthermore, | authorize inspection of the site which is the subject of this application. Owner’s signature, 4) _—s Date: a tol Le 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\PB-ZBA Application 3-15-18.doc SS