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Proposed water service: _ _* public private (well} n/a Isthisaxisting YIN Yes
Proposed sanitary sewer: public__* _ private (septic)___rv/a Isthis existing Y/N y2sbatto
increased
Hours of operation (if applicabte):
Day Monday | Tuesday | Wednesday | Thursday | Friday | Saturday | Sunday | By Appt.
Hours | ALL AU ALL ALL ALL ALL ALL NA
Peak hours: NA
Number of employees (if applicable): Full-time 5 — Part-time 2 Seasonal _9_
Upon approval of this application, the applicant intends to apply for: (Check all that apply)
a. Bullding Permit *
b, Sign Permit x
IV. SIGNATURE (This application must be signed by the applicant/petitioner. if the applicant is not
the owner of the property, a separate owner authorization farm must be submitted — see pg. 4)
, ?
(PPh ts }
“Signature of AppligéntiPetttioner
Carner Development Group Inc., by Rachel Krajawski, President
Print name of Applicant/Petttioner
State of New York; County of Erie
On the tan day offemay in the year 206 before me, the
above Individual appeared, personally known to me an the
basls of satisfactory evidence to be the individual whose
name is subscribed to the within instrument and
acknowledged to me that he/ehafthay executed the same
for the he stated.
Notary Public [/ \ }
RYAN MCCARTHY
NOTARY PUBLIC, STATE OF NEW YORK!
{Notary stamp} Registration No. 02MC6277628
Qualified in Erle County
Commission Expires March 11, 2029
Office Use Only: Daie received: Receipt #:
Application reviewed by: