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Planning Board Application
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Executive Summary
This document contains the application form and instructions for applicants seeking approvals from the Borough of Roosevelt Planning Board. The Planning Board reviews applications requiring exceptions from the Borough's Land Use Ordinance, such as site plans, subdivisions, conditional uses, and variances. Applicants are encouraged to consult with the Borough Zoning Officer before submitting an application. The application process involves submitting various documents, including the Development Application, Application Checklist, payment of Escrow and Application Fees, Statement of Corporate Ownership, Certified List of Property Owners, and other relevant materials. Applicants are also responsible for notifying property owners within 200 feet of the subject property and providing public notice of the hearing.
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Document Text
--- Document: Planning Board Application Document ---
BOROUGH OF ROOSEVELT
33 North Rochdale Avenue
P.O. Box 128
Roosevelt, NJ 08555
Board Secretary: April Claudio
Phone: (609)448-0539
Fax: (609)448-8716
Web: rooseveltnj.us
april@rooseveltnj.us
PLANNING BOARD
APPLICATION FORM
TABLE OF CONTENTS
Application Item
Page Number
1.
Instructions on how to file an application.
1
2.
Development Application...
7
3.
Statement of Corporate or Other Ownership.
12
4.
5.
Request for Property Owners within 200'.
Notice to Owners within 200'.
13
14
6.
Public Notice.
15
7.
Affidavit of Service.
16
8.
Municipal Tax Status Request..
17
9. Application Checklist..
18
PLANNING BOARD
INSTRUCTIONS AND GENERAL PROCEDURES
Welcome to the application packet for the Borough of Roosevelt Planning Board. The following
description provides a general overview of the Planning Board and the reason for Zoning and
the instructions for making an application to the Board.
What is Zoning?
The Borough is divided into various "zones" and each has specific regulations related to use,
setbacks, lot coverage, building height and other various features of land use. These zones have
been created by the Borough Zoning Ordinance which is meant to encourage the most appropriate
use of land and conservation of the value of property. It prevents conflicts between different types
of uses and provides buffers between different zones.
What does the Planning Board do?
The Planning Board is responsible for considering applications that require exceptions from
standards in the Borough's Land Use Ordinance. Examples of these exceptions could be as simple
as minor or major site plan for commercial properties, minor or major subdivisions, conditional
uses, and so forth. In some cases bulk ("C") variances and "D" variances The Board is empowered
by the Municipal Land Use Law (MLUL), N.J.S.A. 40:55D-1, to grant exceptions to the zoning
ordinances in cases where the literal and rigid interpretation and enforcement of the zoning laws
would cause undue hardship or injustice. These exceptions are called variances, approvals or
waivers.
Since zoning variances may infringe on the rights of neighbors, an applicant is not entitled to a
variance, waiver, or subdivision. Some items to consider when requesting approvals are special
reasons, benefits, negative criteria and hardship. In some cases, applicants may not be able to
meet the land use requirements due to the physical characteristics of the property such as shape,
lot size, frontage or other features. An applicant may want to subdivide a larger parcel into small
smaller parcels. Applicants must meet specific criteria contained in the MLUL by satisfying
specific legal standards of proof. This burden of proof is placed upon the applicant to demonstrate
the requested relief is justified without impinging upon the rights of neighbors.
Instructions for
Planning Board Application
Page 2 of 4
Instructions on Applving to the Planning Board
Applicants are encouraged to meet with the Borough Zoning Officer prior to filling out any forms
to ensure that a variance is required for the proposed work. Once the Zoning Officer has
determined that the applicant must appear before the Planning Board by issuing a denial of the
zoning application, the application process may begin. The applicant should familiarize
themselves with the Borough Code which is available on the website at rooseveltnj.us. Based
on the level of complexity of the variance/waiver/approvals that is required, the applicant should
consider hiring professionals to represent them and make their case to the Board.
The application consists of various documents that all must be filled out and submitted in order for
your application to be deemed complete. The following items must be submitted:
1) Development Application - Four (4) sheets that provide the Board with contact information
for the applicant and all professionals, the type of application, the items of the proposed
development, an overview of the project and the consents required for the application
review and approval.
2) Application Checklist – A checklist that the applicant must complete.
The checklist provides a line by line list of items that must be addressed by the applicant
for completeness plan requirements. Based on the type of variance required, the applicant
will only have to address those items that correspond to that variance and are checked off
on the checklist.
a.
Administrative
The applicant shall notice that all items listed under Section 1
Completeness Requirements of the checklist must be submitted for the application
to be accepted. Failure to submit a requested item may be cause for your application
to be rejected. The Board Professionals will not begin to review your application
until these items are received.
b. Applications will typically require the applicant to hire a professional engineer or
architect to prepare a plan to present to the Board.
3) Escrow & Application Fee -The fees shall be paid to the Borough of Roosevelt in the
form of two separate checks prior to the actual public meeting. Fees shall be determined by
the Board Secretary upon review of the application.
4) Statement of Corporate or Other Ownership
This form is required for all
applications involving an LLC or other type of corporation and allows the Board to determine
true ownership of the corporation, partnership or individual applying for the variance.
Instructions for
Planning Board Application
Page 3 of 4
5) Certified List of Property Owners - The Municipal Land Use Law (MLUL) requires
that notice be served on all property owners within two hundred feet (200') of the parcel
that is the subject of the application. This notice alerts the neighbors that a variance is
being requested and assures them an opportunity to witness the presentation and support
or object to the application. The applicant should request a certified list of property
owners from the Tax Assessor by utilizing the sample request letter provided.
6) Notice to Owners - Once the application has been deemed preliminary complete by the
Board Secretary, and the escrow paid by the applicant, the Board Secretary will notify the
applicant of the assigned hearing date. The applicant shall fill out the "Notice to Owners"
as provided in the package and send a copy to all owners on the list via certified mail, return
receipt requested, at least ten (10) days prior to the hearing. Copies of the notice and the
certified receipts must be submitted to the Board Secretary at least three (3) days prior to
the hearing or the application may be removed from the agenda.
7) Public Notice - The MLUL requires that an applicant provide a public notice which shall
appear in a local newspaper designated by the Borough. This notice alerts the public that
a variance is being requested and assures that anyone who wants the opportunity to witness
the presentation and support or object to the application may do so. The public notice
shall appear in the newspaper at least ten (10) days prior to the hearing. Copies of the
public notice and an Affidavit of Publication must be submitted to the Board
Secretary at least three (3) days prior to the hearing or the application may be removed from
the agenda. The Asbury Park Press (APP) or the Times of Trenton (TT) are the local
newspapers designated by the Borough. Notice should be sent to the APP or TT a few days
ahead of time to meet their internal deadline for publication.
8) Affidavit of Proof of Service - This form must be filled out, signed and notarized for all
applications to the Board. The applicant should check off all parties that were served
notices and swear to it to ensure compliance with the MLUL. The applicant should
attach copies of all notices that were sent out.
9) Municipal Tax & W/S Status Request - The applicant shall fill out the top portion of this
form and submit it to the Tax Collector for certification that all taxes and water/sewer are
paid and up to date and return the form to the Board Secretary.
10) Package Completeness In order for your application to be deemed preliminarily
complete by the Board Secretary, all items listed above must be addressed and anything
checked off on the checklist must be provided. Two copies of the completed application
(the 5 pages), plans, surveys, pictures, drawings, etc. along with an electronic copy
emailed to the Board Secretary, must be submitted to be deemed complete. If the
applicant is requesting a waiver for an item on the checklist, a written explanation for the
request must be submitted.
Instructions for
Zoning Board & Planning Board
Application Page 4 of 4
a. If the application requires review from the Borough's Engineer the full application
will be submitted to the Borough Engineer for review. A Review letter will then be
mailed to the applicant and their professionals.
b. Once the applicant has paid the fee, the Board Secretary will assign a hearing date
for the application. When the hearing date has been assigned, the applicant shall
notice all parties as listed above and on the attached checklist, and provide copies
of the notice, receipts, and affidavits at least three (3) days prior to the hearing.
Failure to provide these documents may cause the application to be removed from
the hearing agenda.
c. After all of the items listed above have been addressed and the package is deemed
administratively complete, the application will be heard at the assigned hearing. The
applicant should be prepared to provide testimony on their behalf in support of the
application which should include exhibits, professionals, etc.
This is a general overview of the process to apply to the Borough of Roosevelt Planning Board.
This overview should not be considered all-inclusive and it is the responsibility of the applicant to
follow all rules and regulations of the Board and the MLUL. If you have any questions or need
additional information, please contact April Claudio, Board Secretary.
Keep in mind that we cannot offer you legal advice or information as to presenting the merits of
your case. All applicants should consider seeking outside professional assistance in preparation of
their case.
BOROUGH OF ROOSEVELT
33 North Rochdale Avenue
P.O. Box 128
Roosevelt, NJ 08555
Board Secretary: April Claudio
Phone: (609)448-0539
Fax: (609)448-8716
Web: rooseveltnj.us
april@rooseveltnj.us
DATE RECEIVED:
RECEIVED BY:
Date Prepared:
Block(s):
Site Address:
Name of Owner(s):
Owner Address:
Phone #:
DEVELOPMENT APPLICATION
APPLICATION NO:
FEE AMOUNT PAID:
(Items above to be filled out by the Borough)
Name of Applicant (if different than owner):
Applicant Address:
Phone #:
Name of Professional Preparing Plan:
Name of Firm:
Firm Address:
Phone #:
Name of Attorney Representing Applicant:
Name of Firm:
Firm Address:
Phone #:
(Please Print)
Zone:
Lot(s):
Email:
Email:
Email:
Email:
License #:
Borough of
Roosevelt Development
Application Page 2 of 4
Final Major Subdivision
Conditionally Exempt Site Plan
1. Application Request
a. The applicant is hereby requesting an application for the following:
Minor Subdivision
Preliminary Major Subdivision
Final Major Site Plan
Appeal of Zoning Officer's Decision ("A")
Interpretation of Zoning Ordinance ("B")
Hardship or Flexible Bulk Variance ("C")
Minor Site Plan
Use Variance (“D”)
Preliminary Major Site Plan
Other:
Amended Preliminary, Final or Minor Subdivision
Amended Preliminary, Final or Minor Site Plan
Is a variance or conditional use approval required?
section of the Ordinance:
explanation of the variances needed and attach explanation hereto.
2. Items of Proposed Development
If so, please specify the
and provide a detailed
a.
Address:
b. Zoning District:
c. Number of Existing Lots:
Number of Proposed Lots:
d. For the construction of: (check all that apply and provide # of each type)
Single Family Dwelling
Two Family Dwelling
Other Residential
Other (Describe)
Accessory Use
Addition
Commercial Structure(s)
Number of units that will qualify as Affordable Units
e. Provide brief description of proposed development:
for sale and
for rent.
Borough of Roosevelt Development
Application Page 3 of 4
3. Consent for Site Review
a. The applicant and owner realize that as part of the Planning Board / Zoning Board of
Adjustment review of its application, that the Board may determine it necessary or advisable
to visit the subject premises for the purposes of performing a site inspection and review. The
applicant and owner do hereby give permission to any member of the Borough of Roosevelt's
Planning Board and Zoning Board of Adjustment as well as any other Borough employee or
officer to enter the subject premises for the purpose of performing a site inspection and review.
Owner Initials
Date
Applicant Initials
Date
5. Certificate of Concurrence & Statement of the Landowner
a. I hereby certify that I am the Owner of Record of the site depicted and that I concur with the
plans presented to the Planning Board / Zoning Board of Adjustment.
b. Application is made with my complete understanding and permission in accordance with the
agreement of purchase or other option entered into between me and the applicant.
c. Permission is hereby granted to:
,
otherwise known as the
Applicant, to submit the proposed development plans on my behalf as the: (Tenant or
Contract Purchaser if applicable):
Owner Initials
Date
Applicant Initials
Date
6. Escrow Agreement
a. The ordinances of the Borough of Roosevelt require the Applicant to pay certain sums into an
escrow account for review of said application for development and for the Owner of said
property to agree to the charges against same or become a lien on its property.
b. The Applicant shall submit an escrow payment to the Borough of Roosevelt in the amount of
to be held by the Borough in an interest bearing account pursuant to N.J.S.A. 40:55D-53.1.
с.
The Borough has the right to withdraw funds from said escrow account for payment of all
invoices submitted by the professionals reviewing the application on behalf of the Borough
pursuant to N.J.S.A. 40:55D-53.2.
d. If the escrow account is reduced to 25% of its original amount or if additional payments are
deemed necessary by the Planning Board / Zoning Board of Adjustment / Borough, the
Applicant shall be notified of such and agrees to make an additional payment within twenty-
one (21) days of receipt of request pursuant to Borough Code.
Owner Initials
Date
Applicant Initials
Date
Borough of Roosevelt Development
Application Page 4 of 4
7. Final Certification
Owner
Applicant (if other than owner)
Name:
Address:
Signature:
Notary Public
Attorney on behalf of Applicant/Owner
Name:
Address:
Signature:
Stamp:
Seal:
Borough of Roosevelt Development
Application Page 5 of 5
Applicant
Professional Engineer/Architect
Company Name:
Company Name:
Address:
Address:
Contact Name:
Signature:
Date Submitted:
Block:
Street Address of Property:
Lot:
Contact Name:
Signature:
Date Submitted:
License No.:
Seal
STATEMENT OF CORPORATE OR OTHER OWNERSHIP
1. Please indicate if the applicant is a (an):
a. Individual
b. Corporation
c. Partnership
2. If the applicant is a Corporation or a Partnership, the following shall be provided:
a. The names and addresses of all stockholders owning 10% or more of its stock of any
class;
b. The names and addresses of all individual partners who own 10% or greater interest
therein.
3. If one or more such stockholders or partners is itself a corporation or partnership, the
stockholders holding 10% or more of that corporations stock, or the individual partners owning
10% or greater interest in that partnership, as the case may be, shall also be listed.
Name:
Address:
Percentage Ownership:
Signature:
Date:
Name:
Address:
Name:
Address:
Percentage Ownership:
Signature:
Date:
Name:
Address:
Percentage Ownership:
Signature:
Date:
Percentage Ownership:
Signature:
Date:
Date:
Borough of Roosevelt
Attn: Tax Assessor
Donna Taylor
taxassessor@rooseveltnj.us
Re: Certified List of Property Owners
Borough of Roosevelt Development
Application
Dear Ms. Taylor:
I hereby request a certified list of property owners within two-hundred (200') feet of the property
listed below:
Block(s):
Should you have any questions, I can be reached at
Please email the list to:
Thank you.
Very truly yours,
Name:
Address:
Signature:
Lot(s):
BOROUGH OF ROOSEVELT PLANNING BOARD
NOTICE TO PROPERTY OWNERS
PLEASE TAKE NOTICE:
That the undersigned has filed an appeal or application for development with the Planning
Board of the Borough of Roosevelt so as to permit the applicant to:
on the premises located at:
(physical address of the property)
In conjunction with the application, the applicant is applying for the following variances/design
waivers: (Note: Please be specific. One must list all necessary variances (i.e., One must list the Borough's Zoning Requirements, and what is being proposed.)
and designated as Lot(s):
Block(s):
on the Borough Tax
Maps, and this notice is sent to you as an owner of property within two hundred (200') feet of the
applicant's property.
This appeal / application has been assigned by the Planning Board and a public hearing has been
ordered for:
(Month)
at 7:00 p.m.,
(Day)
(Year)
to be held via Zoom. (Insert Zoom Instructions)
When the case is called, you may appear either in person, or by agent or attorney, and present
any objections which you may have to the granting of the relief sought in the petition.
All documents relating to this appeal / application that are on file may be reviewed by the public
at Borough Hall or at rooseveltnj.us.
This notice is sent to you by the applicant, by the order of the Planning Board.
Respectfully,
(Name of Applicant)
(Signature of Applicant)
(Date
BOROUGH OF ROOSEVELT PLANNING BOARD
PUBLIC NOTICE
day of
20
TAKE NOTICE that a public hearing will be held on the
at 7:00 p.m. at the Borough of Roosevelt via Zoom, for the appeal / application of the undersigned
for a variance or other relief so as to permit the applicant to:
on his premises located at:
(physical address of the property)
In conjunction with the application, the applicant is applying for the following variances/design
waivers: (Note: Please be specific. One must list all necessary variances (i.e., One must list the Borough's Zoning Requirements, and what is being proposed.)
and designated as Lot(s):
in the
Block(s):
Zone on
the Borough Tax Maps. When the case is called, any interested party may appear either in
person, or by agent or attorney, and present any objections which you may have to the granting
of the relief sought in the appeal / application.
Insert Zoom Instructions:
All documents relating to this appeal / application that are on file may be reviewed by the public
at Borough Hall or at rooseveltnj.us.
(Name of Applicant)
(Date)
BOROUGH OF ROOSEVELT PLANNING BOARD
AFFIDAVIT OF PROOF OF SERVICE
State of New Jersey :
: SS
County of Monmouth :
of full age, being duly sworn according to law, on
his oath deposes and says that he resides at:
and that on:
(Month)
(Day)
(Year)
at least ten (10) days prior to the hearing date, gave personal notice by Certified Mail / Return
Receipt Requested, to all property owners within 200 feet of the property that is subject of the
hearing, as set forth on the attached Certified List of Property Owners provided by the Borough
of Roosevelt.
The following documents are attached:
Sworn and subscribed to
before me this
day of
1.
Copy of the Public Notice & Affidavit of Publication
2. The white certified mail receipts stamped by the Post Office.
3. Any envelopes returned undeliverable.
(Signature of Applicant)
(Date)
20
(Signature of Notary)
Note: Applicant shall fill out the information listed below on the top portion of this form only. The form shall be submitted to the Tax Office and
returned to the Board Secretary completed.
Date Prepared:
Block(s):
Site Address:
Zone:
Lot(s):
Qualifier:
Name:
Address:
Signature:
APPLICANT
OWNER
Name:
(Information listed below to be filled out by the Tax Collector)
*
Current Year Taxes
Prior Year Taxes
Borough Tax Lien
(Information listed below to be filled out by the Water/Sewer Collector)
Current Year Water/Sewer
Prior Year Water/Sewer
BoroughTax Lien
Address:
Signature:
Taxes Paid
Taxes Delinquent
No
Yes
W/S Paid
W/S Delinquent
No
Yes
****
********
I certify that the above information is a true statement pertaining to the status of the taxes and water/sewer on the
above listed property.
Respectfully,
(Name of Tax Collector/Water Collector)
(Signature)
(Date)
BOROUGH OF ROOSEVELT
33 NORTH ROCHDALE AVENUE
POST OFFICE BOX 128
ROOSEVELT, NJ 08555-0128
(609) 448-0539
Planning Board Checklist for Appeals, Interpretations,
Variances, Conditional Uses and Planning Variances
PLANS SPECIFICATIONS
1. Plans clearly and legibly drawn or
reproduced at a scale not smaller than 1
inch equals 100 feet.
2. Sheet size either 15" x 21", 24" x 36", or
30" x 42".
"B"
"A"
Appeal
Interpretation
or Special
Question
"C"
Variance
"D"
Variance
"Conditional"
Use
Planning
Variance
X
X
X
X
X
X
X
X
X
3. Plans shall be prepared by an architect,
planner, engineer, land surveyor, or the
X
X
X
X
applicant, where appropriate.
4. Plans prepared to scale based on deed
description, tax map or similarly reasonably
accurate data for the purpose of review and
discussion by the Planning Board.
X
X
X
X
GENERAL INFORMATION
5. Metes and bounds description of parcel in
question based upon current land survey
information.
X
X
X
X
6. Property line shown in degree, minutes
and seconds.
X
X
X
X
7. Key map showing location of tract to be
considered in relation to surrounding area.
X
X
X
X
8. Title block containing name of applicant,
X
X
X
X
preparer, lot and block numbers, date
prepared, date of last amendment and
zoning district.
9. Each block and lot numbered in
X
X
X
X
conformity with the municipal tax map as
determined by the municipal tax assessor.
10. Scale of plan, both written and graphic.
11. North arrow giving reference meridian.
12. Space for signatures of Chairperson and
Secretary of the Planning Board.
X
X
X
X
X
X
X
X
X
X
13. Names of all property owners within
200 feet of subject property.
14. Location of existing and proposed
property lines with dimensions in feet to the
nearest two decimal places.
X
X
X
X
X
X
X
X
X
X
X
15. Zoning district in which parcel is
located, indicating all setbacks, lot coverage,
height, floor area ratio, and density, both as
"B"
"A"
Appeal
Interpretation
or Special
Question
"C"
Variance
"D"
Variance
"Conditional"
Use
Planning
Variance
X
X
X
X
to required and proposed. Indicate the
above both written and graphically.
16. Zone requirements per Ordinance and
per application.
X
X
X
X
X
X
17. Acreage of affected parcel to the nearest
hundredth of an acre.
X
X
X
X
X
X
18. Provide a photograph of the premises in
question taken from the opposite side of the
X
X
X
X
street.
NATURAL FEATURES OF THE SITE
AND WITHIN 200 FEET THEREOF
19. Contours to determine the natural
drainage of the land. Intervals shall be: up to
10% grade-2 feet; over 10% grade-5 feet.
X
X
20. Cliffs and rock outcroppings.
21. Flood plains.
22. Natural and artificial watercourses,
streams, shorelines and water boundaries
X
X
X
X
X
X
and encroachment lines.
23. Aquifer recharge areas, including safe
sustained ground water yield.
X
X
24. Wooded areas indicating predominant
species and size.
X
X
25. Location of trees 6 inches or more in
diameter, as "measured one foot above
ground level, outside of wooded area,
designating species of each.
X
X
26. Areas in which construction is precluded
due to presence of stream corridors and/or
steep slopes.
27. All areas to be disturbed by grading or
construction.
MAN-MADE FEATURES ON SITE
AND WITHIN 200 FEET THEREOF
28. Location of existing structures and their
setbacks from existing and proposed
property lines.
29. Location and type of existing easements
or rights of way including power lines.
30. Location of existing railroads, bridges,
culverts, drain-pipes, water and sewer
mains and other man-made installations
affecting the tract.
31. Location of existing wells and septic
systems.
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
32. When Applicant intends to use a
conventional septic disposal system:
location of test holes, test results and
approximate location of the intended
disposal field.
33. Plans and profiles of proposed utility
layouts, such as sewers, storm drains, water,
gas and electric, showing feasible
connections to existing or proposed utility
systems.
34. Location and description of monuments
whether set or to be set.
STREETS
"A"
Appeal
"B"
Interpretation
or Special
Question
"C"
Variance
"D"
Variance
Use
"Conditional" Planning
Variance
X
X
X
X
X
X
X
X
X
X
35. Location, names and widths of all
existing and proposed streets on the
X
X
X
property and within 200 feet of the tract.
36. Required road dedication.
X
X
X
37. Road orientation (as it relates to energy
conservation).
X
X
38. Plans, profiles and cross-sections of all
proposed new streets and/or access to
X
X
X
proposed streets.
MISCELLANEOUS
39. Proposed sight easements where
X
X
required.
40. Proposed drainage easements where
X
X
required.
41. Natural resource inventory information
including:
a. Soil types as shown by the current Soil
Conservation Survey Maps.
X
X
X
X
b. Soil depth to restrictive layers of soil.
X
X
X
X
c. Permeability of the soil by layers.
X
X
X
X
d. Height of soil water table and type of
water table.
X
X
X
X
e. Flood plain soil (status).
X
X
X
X
f. Limitation for foundation.
X
X
X
X
g. Limitation for septic tank absorption field
(only where septic tank is proposed to be
used).
X
X
X
X
h. Limitation for local road and streets.
i. Agricultural capacity classifications.
j. Erosion hazard.
42. Landscaping plan including the types,
quantity, size and location of all proposed
vegetation. The scientific and common
names of all vegetation shall be included.
X
X
X
X
X
X
X
X
X
X
43. Soil Erosion and Sediment Control Plan
consistent with the requirements of the
Freehold Soil Conservation District.
44. Design calculations showing proposed
drainage facilities to be in accordance with
the appropriate drainage run-off
requirements.
"A"
Appeal
"B"
Interpretation
or Special
Question
"C"
Variance
"D"
"Conditional"
Variance
Use
Planning
Variance
X
X
X
X
X
45. The purpose of any proposed easement
of land reserved or dedicated to the public
or common use shall be designated and the
proposed uses of sites other than residential
shall be noted.
X
X
X
X
X
X
46. Any sections for which a waiver is
X
X
X
X
X
X
specifically being requested and a narrative
paragraph explaining why the Applicant is
entitled to such a waiver.Protected Document Content
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Apr 2, 2026
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Apr 2, 2026
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