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APPLICATION IS HEREBY MADE to the City of Lackawanna Planning and Development Board for -a site plan review, special use permit, development plan review or subdivision review as required by the Municipal Code of the City of Lackawanna. The applicant hereby agrees to comply with all applicable laws, rules, ordinances and regulations. Moy ste Name of Applicant pha pplicant = = No. —ObnL Ge Role of Applicant to Project (owner, attorney, lessee, agent, architect, engineer, contractor...) Property Owner: NAME: Matt fu ee Addr Director of Development