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CITY OF LACKAWANNA DEPARTMENT OF DEVELOPMENT 714 Ridge Road ~ Room 309 Lackawanna, NY 14218 Tel: (718) 827-6421 Fax: (716) 827-1866 APPLICATION TO THE CITY OF LACKAWANNA PLANNING AND DEVELOPMENT BOARD Date: q/ q/ y is ' Application No. : Site Plan Review . “o>, Filing F ce $10.00 Xx Less than 0,5 acres $ 50.00 0.5 to 1.0 acres $ 200.00 1.0 to 2.0 acres . $ 400,00 2.0 to 5.0 acres $ 400.00 seqenStoater than 5 acres $ 400.00 plus $100.00 per acres $ — Special Use Permit : $ 500.00 Development Plan Review $ 50.00 Property Address: ida Lexter St SBLNo. JNLNS-S-H I] Desctiption, of Proposed Project; Cong nel Taal of- q Singletai . | home. thet 3} | Al tt: and ho 34d rool Director of Development