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Proposed water service: __™ ‘public private (well) n/a Isthis existing Y/N Yes Proposed sanitary sewer: ss public __*__ private (septic). n/a Is this existing YIN /* but to increased Hours of operation (if applicable): Day _| Monday | Tuesday | Wednesday | Thursday | Friday | Saturday | Sunday | By Appt. Hours | ALL ALL ALL ALL ALL ALL ALL N/A Peak hours: N/A Number of employees (if applicable): Full-time _° Part-time 2 seasonal 3 Upon approval of this application, the applicant intends to apply for: (Check all that apply) a. Building Permit * ener enter rere 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 form must be submitted — see pg. 4 ) ignature of Appligant/Petitioner Carner Development Group Inc., by Rachel Krajewski, President Print name of Applicant/Petitioner State of New York; County of Erie On the 18th day ofrebuay in the year 2026 before me, the above individual appeared, personally known fo me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that he/she/they executed the same for the purpoges therein stated. Notary Public | NOTAR RYAN. MCCARTHY YY PUBLIC, STATE OF NEW YORK (Notary stamp) Registration No. 02MC6277628 Qualified in Erie County Commission Expires March 11, 2029 oe noe mee mere sae ins mans nr aes “ote sae one arms sas - — —w Le ieeelonasheinteanderadinandheand Office Use Only: Date received: Receipt #: Application reviewed by: