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Town of Aurora Town Board
300 Gleed Avenue, East Aurora, New York 14052
Special Use Permit Application Form
|. PROJECT INFORMATION (Applicant/Petitioner):
Business/Project Name: File. (Qe, A LES RIS im CC.
Business/Project Address: AGYS E//eaott (LX do est ErllS NY Glea
Applicant Name: _/Verdto Pp (ring
Mailing Address: PO ROK S
Ciy ues
F EWUS State fF ziP/Y/ 7G
Phone 7/68 G3-=3G35'2. Fax Email: NH eepttiias COTW fa calac. cam
Interest in the property (ex: owner/purchaser/developer)
ll. PROPERTY OWNER INFORMATION (if different than Applicant AND the Owner does not sign below, please
submit and original, notarized “Owner Authorization” form - attached):
f F <
Property Owner(s) Name(s)_{N-e. + lL Hao P ie WW S
If a corporate, please name a responsible party/designated officer:
Address PO) Bax &
Ciy west FwulLs State [V 7 ZiP/W/
7 Oo
Phone 2/6 ~S6.7-8G32 Fax Email V Hoe Bias QO fluincelne com.
lll. SPECIAL USE AND PROPERTY INFORMATION:
Property Address SOO! Ellvca LER Suses® Falls we /Ht70
SBL#
Describe Special Use requested (use additional pages if needed): Borderland wee tend
CLAN AMS SIU ALA
Property size in acres AQ@© Property Frontage in feet [BIG
Zoning District kK 4 Surrounding Zoning _-%
re & WOM
Current Use of Property Kec Sf Personal
Size of existing building(s): ha, gL sf Size of proposed building(s) B- sf
Present/Prior tenantfuse: Cvee Wen &
Parking spaces: Existing: 2S@ Proposed additional spaces: Total #: