SITE PLAN OF
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LOT _____
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BLOCK _____
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ZONE _____
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DATE _____
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SCALE
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APPLICANT
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ADDRESS
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I CONSENT TO THE FILING OF THIS SITE PLAN WITH
THE PLANNING BOARD
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(Owner)
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(Date)
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I HEREBY CERTIFY THAT I HAVE PREPARED THIS SITE
PLAN AND THAT ALL DIMENSIONS AND INFORMATION ARE CORRECT.
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(Name)
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(Title and License No.)
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I HAVE REVIEWED THIS SITE PLAN AND CERTIFY THAT
IT MEETS ALL CODES AND ORDINANCES UNDER MY JURISDICTION.
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(Date)
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(Municipal Engineer)
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To be signed before issuance of a building permit:
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I HEREBY CERTIFY THAT ALL THE REQUIRED IMPROVEMENTS
HAVE BEEN INSTALLED OR A BOND POSTED IN COMPLIANCE WITH ALL APPLICABLE
CODES AND ORDINANCES.
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(If Improvements Installed)
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(Township Engineer)
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(Date)
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(If Bond Posted)
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(Township Clerk)
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(Date)
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Building Permit Issued
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(Date)
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APPROVED BY THE PLANNING BOARD/(Preliminary
) __________
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(Final __________
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(Chairman)
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(Date)
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