Historic Site Designation – Owner’s Permission Ewing Township, New Jersey
Date____________________
To The Planning Board of Ewing, New Jersey
I understand that the below captioned property is nominated for inclusion on the Ewing Township Register of Historic Places. By signing this, I further represent that I am the owner or owners representative and lawfully able to receive this designation of Historic Place for the below captioned structure or place. Thank you,
Title_____________________________________________________ Homeowner_______________________________________________ Representative_____________________________________________ Signature_________________________________________________ Property address____________________________________________ Block/lot__________________________________________________
Notary ____________________________________________________