STATE OF NEW JERSEY DEPARTMENT OF COMMUNITY AFFAIRS DIVISION OF CODES AND STANDARDS BUREAU OF ROOMING AND BOARDING HOUSE STANDARDS (509) 633-6251 8102 (a Control NO. - License No. .. Type of Construction ll- . .2 Im No. of Stories Units ?17 Lic. Capacity NO. of Res. Class A- DATE: . 4 EVALUATION REPORT AND ORDERS OF THE COMMISSIONER Owner?s Name. Address. Zip. County Property Address. Zip. County All/{Owners Phone Number I Property Phone Number Operatofs Name . . If!) i .- TYPE OF EVALUATION SOCIAL ADDENDUM PHYSICAL CYCLICAL PLEASE READ CAREFULLY This evaluation performed by the Bureau Of Rooming and Boarding House Standards is being conducted pursuant to the Rooming and Boarding House Act Of 1979. (N.J.S.A. et seq.). You are ORDERED to correct the conditions described in the attached notice Of violations by the compliance date indicated for each violation. Failure to comply with these orders will result in penalties and/or a court action in accordance with section 10 and 11 Of the Act. Please review the violations with the Bureau representative. You may contest these orders at an administrative hearing. The request for a hearing must be made within 15 days after receipt of these orders. Each issue intended to be raised at the hearing must be set forth in detail in the letter. Any issue not so raised Shall be deemed waived. The hearing shall be held pursuant to The Administrative Procedure Act, et seq.). Refer to the property address and date of compliance (if applicable) and address the hearing request to: Division of Codes and Standards. Hearing Coordinator, PO. Box 804, Trenton. New Jersey 08625 with a copy to the Chief, Bureau of Rooming and Boarding House Standards, at the same address. A corporation may be represented only by a licensed attorney. You will be notified of the time and place of the hearing. If you find an extension of time necessary to abate any violation. a letter must be submitted two (2) weeks prior to the date Of compliance which states in detail: (1) The violations abated to date; (2) The reason why each unabated violation cannot be corrected prior to the date of penalty; and (3) The date by which all violations can be abated. By requesting an extension. one expressly waives the right to a hearing and admits that the Notice and Orders are correct and free from procedural and substantive defects. . {Ii-{1 Wi?teceived'?y I Printed Name of Person Served Date Time Served White Owner?s Copy Yellow - File Copy Commissioner .- - . 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