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Town of Aurora Town Board 300 Gleed Avenue, East Aurora, New York 14052 Special Use Permit Application Form l. PROJECT INFORMATION (Applicant/Petitioner): Business/Project Name: KH e. (Qe iN LES AGS LW Business/Project Address: AYS E//rcott (& SK dest FrellS NY G/7o _ Applicant Name: /Vei eae p (rims Mailing Address: PO ROK % Ciy WUes FC ERIUS State (VY zP/Y7G Phone 7/6 -863-3G3'2. Fax Email: NH eet! asOTW ace traci cem 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) V-e. | Hoe ple ANN S lf a corporate, please name a responsible party/designated officer: Address FO Bax & Ciy west EWS State (NV 7 ZIP /S// 7 O Phone 246 -SG.3-SGS 2 Fax Email AV [tee Ritus GM feincalnecc ovr. lll. SPECIAL USE AND PROPERTY INFORMATION: Property Address SOO 1 Ellvcot'BR CUSes Falls wT /G(70 SBL# Describe Special Use requested (use additional pages if needed): Borde Laws wee Lend CLA wR ALAS “Tf l= [AL Property size in acres AO© Property Frontage in feet /67G Zoning District__4 Surrounding Zoning _—4 WOT ® ce Current Use of Property _Kec J Persorrnl Size of existing building(s): 4352 sf —_ Size of proposed building(s) B- sf Present/Prior tenant/use: Coece Len eS Parking spaces: Existing: 2S@ Proposed additional spaces: Total #: