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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 Date:_7/ Gy A Application No. 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 2.0 to 5.0 acres $ 400.00 _ X_ Greater than 5 acres $ 400.00 plus $100.00 per acres $ Special Use Permit $ 500.00 Development Plan Review $ 50.00 Property Address: BCP. Site Ho. CA Sl van S.BLL. No. WA Description of Proposed Project: _E, ally Install al ware hose LF su AT Stu P Director of Development