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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. LADe Nate of Applicant A Address of Applicant ae Applicant Phone No, io AandrzZe,jey6 Lid) IMeonp hyo Yong Over Applicant’s Email : Role of Applicant to Project (owner, attorney, lessee, agent, architect, engineer, contractor...) Property Owner: wae, LHC Address: So Lile. Fond Lavkewsane MV Y py i Director of Development