Fillable Application for a License to Practice as a (State of New Jersey, Dept. of Law & Pub. Safety, Office of the Attorney General)

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Application for a License to Practice as a (State of New Jersey, Dept. of Law & Pub. Safety, Office of the Attorney General)

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New Jersey Ofce of the Attorney General
Division of Consumer Affairs
State Board of Professional Planners
124 Halsey Street, 3rd Floor, P.O. Box 45016
Newark, New Jersey 07101
(973) 504-6465
Application for a License to Practice as a Professional Planner
This application is for licensed professional engineers and land surveyors,
registered architects and certied landscape architects in New Jersey.
N.J.S.A. 45:14A-11
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 
must 
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  




 

 
 




 
 
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 
  


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 
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   
  
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       
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
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 
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                    

 
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Last name First name Middle initial
AffidAvit
This afdavit is to be executed by the applicant before a notary public:


 
          








       






  





(for office use only)
  



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Application for a License to Practice as a (State of New Jersey, Dept. of Law & Pub. Safety, Office of the Attorney General)

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Completed 15 August 2020

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