Variance application 6 7 26rcd 6 8 2026

TOWNSHIPOF WESTORANGE APPLICATION FORM FOR THEPLANNING BOARD OR ZONINGBOARD OF ADJUSTMENT DDiCANT INFORMATION Full Legal Name: Gross man Max(Last) Street west 0range J 07052 (First)Mailing Address: 5 Ala (Street) (City) (State) (Zip) Telephone Number: Ž) 252-2533 _Email: max rossSMan eoutlecIk, comIs the Applicant an: ndividual, Corporation, O Partnership, Other If the Applicant is a corporation or partnersthip, a list of the names and addresses of persons having a 10% interest or more in the corporation or partnership must be attached. Relationship oftheapplicant to the property: Owner, Tenant or Lessee, Purchaser under contract(with consent of owner, D Other (please specity) Ifthe applicant is not the owner ofthe propcrty in question, the applicant must submit an affidavit with theowner(s)authorization to procecd with this process. B.PROPERTY OVNER 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:5 Alan Street West Oa aeM 07o52Block Number(s): |46 ;LotNumber(s): 72Tax Plate: 0066 ;Zone of Property: R-TThe location ofthe property is approximately |00 feet from the intersection of Valiey andAlan Street (closest intersection.)Has there been any previous Zoning Board ofAdjustment or Planning Board hearings involving this property?O Yes, Date(s): If yes, please attach copies of the written decisions adopted by the Board to each application. Please attach a list ofall contiguous or adjacent property owned by the applicant or owner. ANoneIs this property listed in "TheHistoric Sites Survey" prepared by Robert Guter 7/9/1992 O Yes No TAPLAMNING. DRDIDncument LlbrurylPU-ZDA Applleuitan 4-20-15.doe