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Town of Aurora Town Board 300 Gleed Avenue, East Aurora, New York 14052 Special Use Permit Application Form 1. PROJECT INFORMATION (Applicant/Petitioner): Business/Project Name: The. (Qes ALTE oS AGS Li Business/Project Address: AY S Efle aatt (2. & mest FrellS NYIY/7o © Applicant Name: (Verto Pp (rings Mailing Address: PO ROKS Ciy tues t Frells State AY FT ziP/Y/79 Phone 7/6 -863-3G5'2. Fax Email: AVV/fo pt! wns OTH nce inci com Interest in the property (ex: owner/purchaser/developer) ll. PROPERTY OWNER INFORMATION (If different than Applicant AND the Owner does not sign below, please submit and original, notarized “Owner Authorization” form - attached): Property Owner(s) Name(s)_/N-@ Vl He ») ke ANN S If a corporate, please name a responsible party/designated officer: Address PO Bax & Ciy wes t& EWS State JV 7 ziP/“d/ 7 © Phone 2/G -S6.7-.%G32 Fax Email NV [Hee Ring Q (wim colnercom. Ill. SPECIAL USE AND PROPERTY INFORMATION: Property Address BOO 1 Ellvco Yee Suses Falls we JGYt(70O SBL# Describe Special Use requested (use additional pages if needed): [4 order Laws wee Wend CLAN AYMKS SHIT — VR Property size in acres AG@© Property Frontage in feet /SIG@ Zoning District va 4 Surrounding Zoning _—% Current Use of Property Kecre wn weomw VA Persor pA Size of existing building(s): U3, ¥ 2 ___sf Size of proposed building(s) Q- sf Present/Prior tenant/use: Coee Wey eS Parking spaces: Existing: 2S@ Proposed additional spaces: _ Total #: