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APPLICATION IS HEREBY MADE to the City of Lackawanna Planning and Development Rontd for-a site plan review, speclal 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, Joseph ODierno Name of Applicant Address of Applicant Applicant Phone No, Owner Applicant’s Email Role of Applicant to Project (owner, attorney, lessee, agent, arohitect, engineer, contractor...) Property Owner: NAME; 128 Farm Property Holdings Address; 1971 Abbott Road, Suite A _Lackawanna, NY, 14218 Director of Development