ZB21 22 19 Wheatland Development LLC 21 10 27 Rodas West Orange Zoning Board Application exe

TOW APPLICATION FORM FOR THE PLANNING BOARD OR ZONING BOARD OF ADJU A. APPLICANT INFORMATION Full Legal Name: 19 Wheatland Development LLC (Last) First) Mailing Address: 10 Orton Road West Caldwell NJ 07006 (Street) (City) (State) (Zip) Telephone Number: ( ) . Email: RGaccione@gpmiegal.com Is the Applicant an: [] Individual, 1 Corporation, 1) Partnership, M Other Limited Liability Company 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: HJ Owner, [] Tenant or Lessee, (1 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; 17 Wheatland Avenue, West Orange NJ 07052 Block Number(s):__ 39 _ ; Lot Number(s): _ 58-06 : Tax Plate: 11 ; Zone of Property: _R-6 One Family Residential The location of the property is approximately _110 feet from the intersection of South Valley Road andi Wheatland Avenue (closest intersection.) Has there been any previous Zoning Board of Adjustment or Planning Board hearings involving this property? 0 Yes, Date(s): ;@ 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. Mil None Is this property listed in “The Historic Sites Survey” prepared by Robert Guter 7/9/1992 1 Yes Hl No TAPLANNING.BRD\Document Librar\PB-ZBA Application 3-15-18.doc ws