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Short Environmental Assessment Form Part 1 - Project Information Instructions for Completing Part 1 – Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding, are subject to public review, and may be subject to further verification. Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item, please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency; attach additional pages as necessary to supplement any item. Part 1 – Project and Sponsor Information Name of Action or Project: Zen Nails Project Location (describe, and attach a location map): 1976 Ridge Road - West Seneca, NY 14224 Brief Description of Proposed Action: The property is currently owned by Tiffany Truc Phan, owner of Tiffany Zen Nails Spa of Erie LLC. The work included for this project will be the partial demolition to an existing building to include a new addition. The project will provide a new salon with programs such as pedicure stations, manicure stations, a bar and other aesthetic amenities. This property is located in the C-2 Zone. Name of Applicant or Sponsor: Telephone: 716-932-7156 Michael Berger E-Mail: [email protected] Address: 5409 Main Street City/PO: State: Zip Code: Williamsiville New York 14221 1. Does the proposed action only involve the legislative adoption of a plan, local law, ordinance, NO YES administrative rule, or regulation? If Yes, attach a narrative description of the intent of the proposed action and the environmental resources that ✔ may be affected in the municipality and proceed to Part 2. If no, continue to question 2. 2. Does the proposed action require a permit, approval or funding from any other government Agency? NO YES If Yes, list agency(s) name and permit or approval: Building Permit, Planning Approval, Demo Permit, ZBA Parking Reduction ✔ 3. a. Total acreage of the site of the proposed action? 0.460 acres __________ b. Total acreage to be physically disturbed? __________ 0.460 acres c. Total acreage (project site and any contiguous properties) owned or controlled by the applicant or project sponsor? __________ 0.460 acres 4. Check all land uses that occur on, are adjoining or near the proposed action: 5. ✔ Urban Rural (non-agriculture) Industrial ✔ Commercial Residential (suburban) □ Forest Agriculture Aquatic Other(Specify): □ Parkland Page 1 of 3 SEAF 2019 Page 374 of 849