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CITY OF LACKAWANNA DEPARTMENT OF DEVELOPMENT 714 Ridge Road ~ Room 309 Lackawanna, NY 14218 Tel: (716) 827-6421 Fax: (716) 827-1868 APPLICATION TO THE CITY OF LACKAWANNA PLANNING AND DEVELOPMENT BOARD Leos Date: 4] 26 * Application No. Site Plan Review — . , Filing Fee $10.00. Xx Less than 0,5 actes $ 50,00 ___ 0.5 to 1.0 aeres $ 200.00 1.0 to 2.0 acres . __..__2.0°to 5.0 acres $ 400.00 $ 400.00 aoonetoat than er 5 acres $ 400.00 plas $100.60 per acres $ Special Use Permit $ 500.00 Development Plan Review $ 50.00 Property Aditress: be Febe ook Ga [ Lt S.BL.No._ 1212 2-78 Desotiption, of Proposed Project: Lon stay tion ot- Q Siig le farily hoe ths | Ap 9 Ht. alll hue 3 bed Sons t Director of Development