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ZR wt own af Town of Aurora Town Board 575 Oakwood Avenue, East Aurora NY, 14052 Special Use Permit Application Form I. PROJECT INFORMATION (Applicant/Petitioner): Business/Project Name: Fontaine - Ground Mount Expansion Business/Project Address: 2100 Lewis Road, South Wales, NY 14139 Applicant Name: Jackson Guthrie Mailing Address: 176 East Main Street, Rochester, NY 14604 City Rochester State NY Zp 14604 Phone (585) 265 - 2384 Ext.108 Fax Email [email protected] Interest in the property (ex: owner/purchaser/developer) Contractor I. PROPERTY OWNER INFORMATION (If different than Applicant AND the Owner does not sign below, please submit and orginal, notarized “Owner Authorization” form - attached): Property Owner(s) Name(s) Robert Fontaine lf a corporate, please name a responsible party/designated officer: Address 2100 Lewis Road City South Wales State NY zip 14139 Phone (716) Fax Email 1 ioor.com ll. SPECIAL USE AND PROPERTY INFORMATION: Property Address 2100 Lewis Road, South Wales, NY 14139 SBL# _201.00-3-13.132 Describe Special Use requested (use additional pages if needed): Installation of a ground mounted solar system expansion Property size in acres 27.40 Property Frontage in feet Zoning District RR/A Surrounding Zoning RR/A Current Use of Property___ Single Family Home Size of existing building(s): 4,915 sf Size of proposed building(s) sf Present/Prior tenant/use: Parking spaces: Existing: Proposed additional spaces: Total #: io)