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Town of Aurora Special Use Permit 575 Oakwood Avenue Application East Aurora, NY 14052 Owner Authorization www.townofaurora.com The undersigned, whe is the owner of the premises know as: SHORE ORG sss cccesuessenaseceesansenseeceesensscuepes , Kdentified as Tax Map (SBL#....178.06-3-9........... hereby authorizes ... PCW. Enterprises LLG sess 0 bring an application for a special use permit before the Town of Aurora Town Board for review and potential approval, The undersigned further permits the Town or its authorized representative(s) access to the property to review existing site conditions during the review process. avid la@ecmo ([a}zere Owner (print) Date Dave lacono, PBI Holdings of WNY LLC a Owner (signature) Sauk Aways = \ STATE OF NEW YORK ) $s COUNTY OF ERIE ) On this ln day of January _, 20_26,, before me, the undersigned, a notary public in and for said state, personally appeared __Dave lacono , personally known to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is (are) subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies), and that by his/her/their signature(s) on the instrument, the individual(s), or tha person upon behalf of which the individual(s) acted, executed the instrument. JASON L. BURFORD Notary Pubtic, State of New York (Me Qualified in Erie Gounty s ivn Expives Coninission Expires 1/51/ VOL7F Ai Public \