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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 LACKAWANN ZONING BOARD OF APPEALS Date: 7 /|% / ab Application No. Application Fee: Fee Land Use Variance $ 250.00 Zoning Law Appeal $ 250.00 Property Address: BCP Site No. C4151973 S.B.L. No. Description of Action to be Appealed:(Que_ Cutie nt Planneck Lule ng anly dukes up 7% of the Pasfecty antl the code FeqiaiceS 1s%, Next Phase. howevec with new +Hecks Grol ddd if corel WMacehou be Wa office wall get US dhove the 1S % mack, APPLICATION IS HEREBY MADE to the City of Lackawanna Zoning Board of Appeals for a Land Use Variance and/or Zoning Law Appeal 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. Director of Development