TOWNSHIP OF MANALAPAN Department of Planning & Zoning 120 Route 522 & Taylors Mills Road, Manalapan, NJ Fax (732)

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TOWNSHIP OF MANALAPAN Department of Planning & Zoning 120 Route 522 & Taylors Mills Road, Manalapan, NJ 07726 Fax (732) 446-0134 Administrative Officer Planning/Zoning Board Clerk NANCY DEFALCO LISA NOSSEIR 732-446-8322 732-446-8367 JANICE MOENCH 732-446-8350 BOARD OF ADJUSTMENT SUBMISSION REQUIREMENTS PLEASE TAKE NOTICE, the official recording device used by the Manalapan Township Board of Adjustment is a CD recording device. Any applicant is welcome to bring his own court reporter to his Public Hearing. If the court reporter is certified, the Board will adopt the court reporter s transcript as its official recording. PRELIMINARY SUBMISSION: Submit required documents and forms for completeness review. All fees must be paid upon submission of complete application (including sketch plat, site plan or survey maps) at the time of filing prior to the first meeting. 1. Preliminary application fee of $210.00. Escrow fee of $500.00. Check(s) should be made out to Township of Manalapan. 2. Two page variance application. 3. Contribution Disclosure Statement. 4. Affidavit of Ownership and Consent Form. 5. Twenty photocopies of survey (to scale) showing proposed construction (fence, deck, addition, etc.) and measurements (in feet) to the affected property line(s). 6. Twenty elevation sketches if your project involves a deck, addition, shed, garage, gazebo, etc. (not necessary for fences). ~ Sample Attached 7. For house additions only Twenty informal (not professionally drafted) floor plans showing existing floor plan and proposed floor plan. 8. If variance(s) have been granted in the past, please include a copy of variance resolution(s). 9. Copies of any existing or proposed deed restrictions or covenants.

TOWNSHIP OF MANALAPAN Department of Planning & Zoning 120 Route 522, Lower Level Phone: 732-446-8367 Manalapan, NJ 07726 Phone: 732-446-8350 Fax: 732-446-0134 Web: www.mtnj.org BOARD OF ADJUSTMENT APPLICATION FOR APPEAL FROM THE REQUIREMENTS OF THE ZONING ORDINANCE OFFICE USE ONLY APPLICATION No. First Submission Date: Resubmission Date: Complete/Incomplete Date Complete/Incomplete Date(s) APPLICANT ADDRESS PHONE NO. (Home) OWNER ADDRESS (Work/Cell) APPLICATION IS HEREBY MADE FOR THE FOLLOWING VARIATION OF THE ZONING ORDINANCE 1. Premises affected are situated at (address of construction) 2. Block No. Lot No. 3. To permit the (describe proposed change and type of construction) 4. Size of lot Frontage (feet) Depth (feet) 5. Size of building/structure (street level) Feet Front Feet Deep 6. Present type of use or occupancy 7. Proposed type of use or occupancy 8. How long has present owner held title to property until appeal? 9. Has the property been granted any variances in the past? SIGNATURE E-MAIL ADDRESS - 1 -

The undersigned hereby applies for a Zoning Certificate to be issued on the basis of the representation contained in this application. 1. Location of property 2. Name of owner Address 3. Name of applicant Address 4. If applicant is not owner, applicant s interest in this land is: 5. Proposed: Use New construction 6. Sketch or survey of the entire property showing existing and proposed roads, existing and proposed structures, is attached. 7. Remarks DATE APPLICANT S SIGNATURE OFFICE USE ONLY Variation of Section No. Located in Zoning District Zoning permit filed: Granted Denied DENIAL OF ZONING CERTIFICATE On the basis of the above application, the representations in which are a part hereof, the proposed usage is found to be not in accordance with the Township Zoning Ordinance, and the application for a Zoning Certificate is hereby DENIED for the following reasons: SIGNED - 2 -

CONTRIBUTION DISCLOSURE STATEMENT The following list specifies the amount, date and the recipient of any and all contributions made to or on behalf of any candidate, candidate committee, joint candidates committee, political committee, continuing political committee or political party committee of, or pertaining to, this municipality, made up to one year prior to filing the variance application and/or during the pendency of the application process and required to be reported pursuant to N.J.S.A. 19:44A-1 et seq.: Date of Recipient of Amount of Contribution Contribution Contribution This list must be submitted in accordance with Section 95-12.2 of the Code of the Township of Manalapan. Please provide any additional contribution information on a separate sheet of paper. If no contributions have been made, please write No Contributions Made. Name of Contributor CERTIFICATION I hereby certify that the above statements made by me are true. I am aware that if any of the above statements made by me are willfully false, I am subject to punishment. Date: Signature:

CONSENT FOR SITE REVIEW The applicant and owner realize that as part of the Zoning Board of Adjustment review of its application, that the Board may determine it necessary or advisable to visit the subject premises for the purposes of performing a site inspection and review. The applicant and owner do hereby give permission to any member of the Township of Manalapan s Zoning Board of Adjustment, Environmental Commission as well as any other Township employee or officer to enter the subject premises for the purpose of performing a site inspection and review. Owner Initials Date Applicant Initial Date AFFIDAVIT OF APPLICANT STATE OF NEW JERSEY COUNTY OF I,, of full age, being duly sworn according to law, on oath deposes and says that all of the above statements and the statements contained in the papers submitted herewith are true. Sworn to and Subscribed before me this day of, 201. Applicant s Signature Notary Public AFFIDAVIT OF OWNERSHIP & STATEMENT OF THE LANDOWNER STATE OF NEW JERSEY COUNTY OF a. I hereby certify that I am the Owner of Record of the site depicted and that I concur with the plans presented to the Zoning Board of Adjustment. b. Application is made with my complete understanding and permission in accordance with the agreement of purchase or other option entered into between me and the applicant. c. Permission is here by granted to: otherwise known as the Applicant, to submit the proposed development plans on my behalf as the: (Tenant or Contract Purchaser): Sworn to and Subscribed before me this day of, 201. Owner s Signature Notary Public