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Soop
Foun af Town of Aurora Town Board
aA irda 575 Oakwood Avenue, East Aurora NY, 14052
SIENY-
YNst ,
Special Use Permit Application Form
Il. PROJECT INFORMATION (Applicant/Petitioner):
Business/Project Name; _ East Aurora Family Dental
Business/Project Address: 359 Quaker Road, East Aurora, NY 14052
Applicant Name: __ PCW Enterprises LLC
Mailing Address: __ 4185 East Blood Road :
City Cowlesville State _New York ZIP_14037
Phone __ 716-572-1127 Fax Email [email protected]
Interest in the property (ex: owner/purchaser/developer)___purchaser
ll. PROPERTY OWNER INFORMATION ((f different than Applicant AND the Owner does not sign below, please
submit and original, notarized “Owner Authorization” form - attached):
Property Owner(s) Name(s)___ PBI Holdings of WNY LLC
If a corporate, please name a responsible party/designated officer:__Dave lacono
Address __359 Quaker Road
City East Aurora State _New York ZIP_ 14052
Phone Fax Email
lil. SPECIAL USE AND PROPERTY INFORMATION:
Property Address __ 359 Quaker Road
SBL# 175.06-3-9
Describe Special Use requested (use additional pages if needed):
Property size in acres __0.7 Property Frontage in feet__150
Zoning District__c-3 Commercial Surrounding Zoning _ -3, GM (Village)
Current Use of Property offices
Size of existing building(s): _+/-2900 sf Size of proposed building({s) _ 5525 sf
Present/Prior tenant/use: __ commercial offices
Parking spaces: Existing: _10 Proposed additional spaces: __ 16 Total #:_26 including 2 ADA
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