UPPER FREEHOLD TOWNSHIP
Location___________________________________________________________________
Block_______________________________Lot___________________________________
Owner of Record___________________________________________Phone____________
Address___________________________________________________________________
Zoning District______________________________________________________________
Proposed Use______________________________________________________________
Proposed Construction_______________________________________________________
Setbacks FRONT____________SIDE (L)________(R)________REAR______________
Encroachments (floor plain, etc.)________________________________________________
Building dimensions (outside measurements)________________________________________
Total Square Feet of Building___________________________________________________
Percent of Lot Coverage______________________________________________________
Height of Proposed Building___________________________________________________
Estimate Cost______________________________________________________________
I hereby certify that the proposed work is authorized by the owner of record and that I have been
authorized by the owner to make this application as his or her authorized agent and we agree to
conform to applicable laws of this jurisdiction.
Signature of Application Address Date
__________________________________________________________________________
DO NOT WRITE BELOW THIS LINE
Conforms to Present Zoning: ____________________________________________________
Requires Approval by : Planning Board___________________Zoning Board_______________
Remarks:___________________________________________________________________
__________________________________________________________________________
Zoning Officer_________________________________Date__________________________