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OPEN DEVELOPMENT AREA APPLICATION To be Completed by the Applicant PETITIONER: Name: Address: Phone Email SBL# Project Address: Project Description: Signature State of New York; County of Erie Onthe dayof in the year before me, the above individual appeared, personally known to me on the basis of satisfactory evidence to be the individual whose name subscribed to the within instrument and acknowledged to me that he/she/they executed the same for the purposes therein stated. Notary Public