Board Recommendations — Fillable Form

Request for Recommendations

Application To Go Before the Board

Planning Board #
Zoning Board #
Hearing Date Set For:
Applicant Name:
Project Location:
Department Head Please print comments/initials clearly

DEPARTMENTSINITIALS
Please scan form to the email below or interoffice at Room 101 to the Bureau of Planning at least 5 days before Hearing Date
Email: Phyllis Reich, preich@elizabethnj.org / Pablo Garcia, pablo.garcia@elizabethnj.org
NOTE:
Please check one: Recommended Recommend with conditions Not Recommended
Comments:
Conditions stipulated for approval as follows:
Attachments? YES NO
Sign here (or leave blank to sign after printing)
Signature
Date
Printed Name
Title / Department