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CITY OF LACKAWANNA DEPARTMENT OF DEVELOPMENT 714 Ridge Road — Room 309 Lackawanna, NY 14218 Tel: (716) 827-6421 Fax: (716) 827-1866 APPLICATION TO THE CITY OF LACKAWANNA PLANNING AND DEVELOPMENT BOARD Date: 7/| 5 Roxb Application No. T/ / Site Plan Review Filing Fee $10.00 Less than 0.5 acres $ 50.00 0.5 to 1.0 acres $ 200.00 1.0 to 2.0 acres $ 400.00 HX _2.0 to 5.0 acres $ 400.00 ___ Greater than 5 acres $ 400.00 plus $100.00 per acres $ Special Use Permit $ 500.00 Development Plan Review $ 50.00 Property Address: “iq bO Q \dge Road sBL.No. (4), .3 7-/~-I Description of Proposed Project;__\W indow re lace : ment “\. dublic ’ entity 4 porch T rebuild Director of Development