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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: Fi [He (UTE Nn J™ o AIS Lin
Business/Project Address: AGS Ellvcatt (2. & dest Eawlls an VL Gl2d |
Applicant Name: _/V es ‘elle Plat IWS
Mailing Address: PO (RO KB
City ese ERIS | State AY zpP/Y/74
Phone
?/ 6°26 3~-3GS5'2 Fax Email: NHeptiias COTW Paco lac cam
Interest in the property (ex: owner/purchaser/developer)
IL PROPERTY OWNER INFORMATION ([f different than Applicant AND the Owner does not sign below, please
- submit andooriginal |, notarized “Owner Authorization” form- attached):
Property Owner(s) Name(s)_{N ev l Hoepk ANN x
lf a corporate, please name a responsible party/designated officer:
Address PO) Bax %
Ciy wes Fwlts State [V7 ziP/U!/7oO
Phone 2/6 ~86.9-2G52. Fax_ Email AV oe Bias Qu tmecolnaeonn
lll. SPECIAL USE AND PROPERTY INFORMATION:
Property Address SO© | Elleotk BR &uvest Falls we 14170
SBL#
Describe Special Use requested (use additional pages if needed): Borcdev lw GI ee Lens
CUR 6 vs SU Tf
Property size in acres ACO© Property Frontage in feet [BIG
Zoning District vA 4 Surrounding Zoning _—4
Current Use of Property _Kecre nw wom f Persor el
Size of existing building(s): tha, gL ___sf Size of proposed building(s) QH- sf
Present/Prior tenant/use: toee Wend &
Parking spaces: Existing: 2S@__- Proposed additional spaces: Total #: