APPLICANT NAME: MAILING ADDRESS OF PROPERTY PROPOSED FOR DEVELOPMENT (include number, street, post office, CASE #:

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APPLICANT NAME: MAILING ADDRESS OF PROPERTY PROPOSED FOR DEVELOPMENT (include number, street, post office, and zip code): BLOCK(S): LOT(S): CASE #: PLANNING BOARD ZONING BOARD OF ADJUSTMENT TYPE(S) OF APPLICATION (check all that apply) Informal Review ( 166-60) (PB Only) Preliminary Major Site Plan ( 166-62) Final Major Site Plan ( 166-74) Minor Subdivision ( 166-61) Preliminary Major Subdivision ( 166-62) Final Major Subdivision ( 166-74) Exception from Design Standards ( 166-105) "C" Variance ( 166-9E(1), 166-19C) "D" Variance ( 166-19D) (ZBA only) Appeal of Zoning Officer Error ( 166-19A) (ZBA only) Interpretation of Zoning Regulations ( 166-19B) (ZBA only) Permit for Area on Official Map ( 166-215) Permit for Lot not Abutting Street ( 166-217) Certification of Nonconforming Use/Structure ( 166-151H) (ZBA only) Amended Approval (Defined in 166-4A - limited to minor changes made prior to perfection of original approval) Certification of Subdivision Approval ( 166-59H) Extension of Approval ( 166-28, -61F, -62D(1)(c), -62D(2), -78B, -78C, -79A) Tree Removal Approval ( 166-110.1, -131) Request to Amend Master Plan, Land Use Ordinance TOTAL Filing Fee(s) Escrow Deposit(s) 1 Revised Feb. 20, 2014

DEVELOPMENT APPLICATION/APPEAL FORM TOWNSHIP OF HANOVER Instructions to Applicants: All applicants are required to complete Parts I, II, III and IV. The various attachments must be completed if they apply to your application. If any parts of the form do not apply to your application, please state "not applicable", "none", etc. If you have any questions, please contact the Board Secretary. Provide twenty (20) complete sets of fully executed application forms, plans and supporting documents to the Board Secretary @ the Municipal Building, 1000 Rt. 10 West PART I. APPLICANT AND OWNER INFORMATION A. Applicant Name B. Applicant Mailing Address (incl. number, street, post office and zip code) C. Applicant Telephone Fax Email D. Applicant's Attorney Name E. Applicant's Attorney Mailing Address (incl. number, street, post office and zip code) F. Attorney Telephone Fax Email G. Property Owner's Name H. Property Owner's Mailing Address (incl. number, street, post office and zip code) I. Applicant's interest in land, if not owner (e.g., contract purchaser, owner's agent, etc.) J. Applicant's Ownership. If the applicant is a corporation or partnership applying for permission to subdivide a parcel of land into six (6) or more lots, or applying for a variance to construct a multiple dwelling of twenty-five (25) or more family units or for approval of a site to be used for commercial purposes, a list of the names and addresses of all stockholders or individual partners owning at least 10% of its stock of any class must be identified in accordance with N.J.S.A. 40:55D- 48.1 thru 48.4. 2 Revised Feb. 20, 2014

PART II. PROPERTY INFORMATION A. Street Address of Property (incl. number, street, municipality; this may be different than mailing address) B. Tax Map Block Number(s) Lot Number(s) C. Zone District(s) D. Fire District(s) Cedar Knolls Whippany (Note: The boundary between the fire districts is Jefferson Road and Cedar Knolls Road from Jefferson Road to Whippany Road. Properties west of this line are in the Cedar Knolls district and properties east of this line are in the Whippany district.) E. F. G. H. Is the property identified as an affordable housing site in the housing element of the Township's master plan or in the zoning regulations? (check one) Yes No (Note: the housing element can be viewed in the office of the Planning Board.) If 'yes,' attach a description on a separate Does the owner or applicant now own or have any interest in any other property that adjoins the premises which are the subject of this application? (check one) Yes No If 'yes,' describe the adjacent property by block and lot number(s) as shown on the current tax map.) Are there any deed restrictions, protective covenants, easements, etc. affecting the subject property? (check one) Yes No If 'yes,' attach a description on a separate sheet. Have there been any previous applications or appeals to the Board of Adjustment, Planning Board or Township Committee involving these premises? (check one) Yes No. If 'yes,' attach a copy of the resolutions setting forth the decisions for all such applications. I. Describe the existing use and improvements on the property. If the application seeks approval of the existing use and/or improvements, describe the use and improvements that existed before the current use and improvements. 3 Revised Feb. 20, 2014

PART III. DEVELOPMENT INFORMATION A. Use for Which Approval is Requested (check all that apply) Single Family Residence Other Use (Please explain, describing the nature of materials and/or services involved, the days and hours of operation, the number of operators and employees, etc.) B. Describe the improvements for which approval is requested, including but not limited to buildings, paving, utilities, storm drainage, lighting, signs, landscaping, fencing, etc. and any alterations to existing improvements. C. Required approvals from other governmental agencies other than the Township of Hanover Planning Board or Board of Adjustment (check all that apply) TOWNSHIP OF HANOVER Construction Code Official Health Department Hanover Sewerage Authority Tree Removal/Planting Approval Other MORRIS COUNTY AND ADJACENT MUNICIPALITIES County Planning Board Township of East Hanover Borough of Florham Park Township of Morris Borough of Morris Plains Township of Parsippany-Troy Hills 4 Revised Feb. 20, 2014

PART III. DEVELOPMENT INFORMATION (continued) STATE AND FEDERAL AGENCIES (if approval required, state nature of approval) N.J. Department of Environmental Protection N.J. Department of Transportation Soil Conservation Service Other D. Persons and agencies for which notice of public hearing is required (check all that apply). All applicants are responsible for providing notice as required by law. No application will be heard unless adequate notice has been provided by the applicant. None - Application is exempt from hearing and notice (see 166-41A) Property owners within 200 feet of subject property (see 166-42A(1)) Notice must be served at least 10 days prior to hearing date. Proof of service of notice must be provided to the Board Secretary 3 days prior to hearing Official newspapers (see 166-42B) Planning Board and Board of Adjustment use the official paper of the Township of Hanover, designated as the Morristown Daily Record; this is a daily publication. Notice must be published at least 10 days prior to hearing date. Proof of publication must be provided to the Board Secretary 3 days prior to hearing date. Public utility, cable television or local utility company (see 166-42A(7)) Adjacent municipality (see 166-42A(3)) Morris County Planning Board (see 166-42A(4)) N.J. Commissioner of Transportation (see 166-42A(5)) N.J. State Planning Commission (see 166-42A(6)) 5 Revised Feb. 20, 2014

PART IV. SIGNATURES AND AUTHORIZATIONS A. Certification by Applicant/Appellant The undersigned applicant does hereby certify that all the statements contained in this application are true to the best of my knowledge. Applicant/Appellant (print or type name of individual signing application) Applicant/Appellant (signature) Date B. Owner Consent. If the applicant is not the property owner, the following consent must be signed by the property owner: I/We, the undersigned, hereby affirm that this application is being made with my/our consent and knowledge and that the information contained herein is true and correct to the best of my/our knowledge. Property Owner (print or type name of individual signing application) Property Owner (signature) Date C. Authorization of Agent. If the applicant is not the property owner, contract purchaser or other person having a proprietary interest in the subject property, the following authorization must be signed by the property owner: I/We, the undersigned, hereby affirm that the applicant named in Part I of this application form is authorized to act as my/our agent in this matter, and I/we agree to be bound by any and all terms and conditions concerning the subject property that said applicant may consent to as a result of this application, to the maximum extent permitted by law. Property Owner (print or type name of individual signing application) Property Owner (signature) Date D. Authorization for Inspection of Property I/We, the undersigned, hereby grant permission for personnel of the Township of Hanover municipal agencies and their agents to enter upon and inspect the premises that are the subject of this application, during the pendency of the application, for purposes related to the processing of the application. Property Owner (print or type name of individual signing application) Property Owner (signature) Date 6 Revised Feb. 20, 2014

ATTACHMENT PROPOSED VIOLATIONS OF THE LAND USE ORDINANCE (Chapter 166) A. The following violations of Chapter 166 are proposed by this application (reference the proposed violations by section and paragraph number in the ordinance): Violations of design standards ( 166-91, -92, -103 and -104) Violations of zoning regulations ( 166-109 through 166-211.4) Violations of official map regulations ( 166-215 and 166-216) B. On a separate sheet, indicate the reasons why you believe that the Board should grant relief of the above ordinance requirements, using the criteria in the code sections referenced below: Permit for Area on Official Map (see 166-215) Permit for Lot not Abutting Street (see 166--217) "C" Variance (see 166-19C and H) "D" Variance (see 166-19D and H) Exception from Design Standards - subdivisions and site plans only (see 166-105) 7 Revised Feb. 20, 2014

ATTACHMENT APPEAL INFORMATION A. If this application is an appeal from a decision of the Zoning Officer involving the zoning regulations, Article X of Chapter 166, (see 166-19A, -21A) state the nature of the decision and the reason(s) why you believe his/her decision is erroneous. B. If this application is for an interpretation of the zoning regulations, Part 5 of Chapter 166, (see 166-19B and -21) state the section(s) for which an interpretation is requested, and how you believe such section(s) should be interpreted. 8 Revised Feb. 20, 2014

ATTACHMENT REQUEST FOR WAIVER OF SUBMISSION REQUIREMENTS A. Submission requirements for which a waiver is requested (see checklists for various applications) B. Indicate the reasons why you believe that the above submission requirements are not relevant or necessary for the Board to take action on this application. 9 Revised Feb. 20, 2014

ATTACHMENT CERTIFICATION OF NONCONFORMING USE/STRUCTURE A. State the use(s) and/or structure(s) that legally existed prior to the ordinance which rendered such use(s) or structure(s) nonconforming. B. State the section number(s) of the ordinance provision(s) which render the use(s) or structure(s) nonconforming, and to what extent the use(s) and or structure(s) no longer comply with the regulations. 10 Revised Feb. 20, 2014