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CITY OF LACKAWANNA DEPARTMENT OF DEVELOPMENT 714 Ridge Road ~ Room 309 Lackawanna, NY 14218 Tal: (716) 827-6421 Fax: (748) 827-1866 APPLICATION TO THE CITY OF LACKAWANNA PLANNING AND DEVELOPMENT BOARD Date: 4/ if 16 ; ; Application No, Site Plan Review ; Filing Fee $10.00 x Less than 0,5 acres $ 50.00 0.8 to 1.0 acres ‘ § 200.00 1.0 to 2.6 aces . $ 400.00 2.0°¢o 5:0 acties $ 400,00 quar, (toater than 5 acres $ 400.00 pius $160.60 per actes & _ Special Use Permait $ 500,00 Development Plan, Review § 50.00 Prpety adtresn 24 PrattSt S.BL. No. NLTIZ-23 . . Desotiption, of Propoved Peneot Con tution of 4 Sitphe tanill howe. thet: 2 [io a ft at hes 3 Fedlrooms. ; Director of Develaprient