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LEONARD MENDOLA
CONSTRUCTION CODE OFFICIAL
ROSELAND ZONING DEPARTMENT
GAIL TYNAN, ZONING OFFICIAL
APPLICATION, PERMIT AND CERTIFICATE OF COMPLIANCE APPLICATION:
The undersigned seeks a permit for property in a(n)
_____________________________________________ zone,
located at
___________________________________________________________________________ known as
( Street Address)
Lot ___________ in Block _____________ on the Roseland Tax map.
(Describe proposed construction, alteration or change in use):
1. Construction:
2. Alteration:
3. Change in Use:
Dated: ______________________________
Applicant: ___________________________________
PERMIT:
The undersigned has reviewed the above application and all supporting
documentation. The application conforms to the Zoning ordinance of the Borough as may have
been modified by variances granted on the property. The above application is hereby
granted, and the permit hereby issued.
Dated: ______________________________
Zoning Officer: ______________________________
CERTIFICATION OF COMPLIANCE:
The undersigned has inspected the completed construction or operation set forth
above, and hereby certifies the work has been completed in conformity with the
application, permit and Zoning ordinance and any variances granted on the property.
Dated: ______________________________
Zoning Officer: ______________________________
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