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Town of Aurora Town Board 9/75 Oakwood Avenue, East Aurora NY, 14052 | Special Use Permit Application Form I. PROJECT INFORMATION (Applicant/Petitioner): Business/Project Name: “The (> COON ia Post: Business/Project Address: Sh Q Bol Ralo R e. Applicant Name: Rebeaca. orm nghamM Mailing Address: SSX Bush © city Bask Nonna State AY ZIP ee Phone} lu-R2- FOAY Fax ee” Email interest in the property (ex: owner/purchaser/developer) Tend i. PROPERTY OWNER INFORMATION (It different than Applicant AND the Owner does not sign below, please submit and original, notarized “Owner Authorization” form - attached): Property Owner(s) Name(s _ ieee Supelu CIIAS, ne « lf a corporate, please name a responsible party/designated officer: Mic haeh Naum Address Fog INT 1QQGNG Fouls Rit wd he cy Nath Rmatuenda | ’ State NY zip__ [H4#IaO Phone “!llo- G9X-I6b00 Fax Email Wulee . Samulski @ IoSowo ly . iil. SPECIAL USE AND PROPERTY INFORMATION: Property Address S&S 5 ¥ ”A DE Ca \ y) Re} SOK spL#_ 1644. 00-\|—[ly Describe Special Use requested (use,additional pages if needed): Map bOsness Crain ai wr\\_be Qc DoMw\ ol OAS by Appt. (‘Na’) Chlor Lawcding(va? Day ene Property size In acres 3.93 w - Property Frontage in feet__ | 248° A 1 Zoning District__ C-3 _ Surrounding Zoning © /, €3, RRE 4 Current Use of Property Kee. it | | size of existing building(s): _6o0 sf size of proposed building(s) SOO sf Present/Prior tenant/use: \atengua2 Parking spaces: Existing: (0 Proposed additional spaces: D Total #: (5 he