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CIry OF LACKAWANNA DEPARTMENT OF DEVELOPMENT 714 Ridge Road ~ Roorn 309 Lackawanna, NY 14218 Tel: (718) 827-6421 Fax: (716) 827-1866 APPLICATION TO THE CITY OF LACKAWANNA ZONING BOARD OF APPEALS Date: /: 4/ Ly a Application No. = Application Fee: Fee x Land Use. Variance §& 250.00 —._ Zoning Law Appeal $ 250,00 Propeity Address: 2 3H Lily wool Gn ale, SBL.No,_ MZ, DLA , lat 1 P Desiription of ction to be Appeated:\/' 9rig ght repeat br the rene Stn to be peduted by 0° [tn fect) bobo the fopesell hot. lesb. a APPLICATION 18 HEREBY MADE to the City of Lackawanna Zoning Boatd of Appeals for'a Land Use Varlanée and/or Zoning Law Appeal as required by the Municipal Code of the City of Lackerwanna, The applicant hereby agrees to compl y with all applicable laws, rules, ordinances. and regulations. Director of Development