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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 LACKAWANNA PLANNING AND DEVELOPMENT BOARD Date: S12 & Application No. Site Plan Review Filing Fee 10.00 zs hin than 0.5 acres $ @0.00-. 0.5 to 1.0 acres $ 200.00" 1.0 to 2.0 acres : $ 400.00 2.0 to 5.0 acres $ 400.00 Greater than 5 acres $ 400.00 plus $100.00 per acres $ Special Use Permit $ 500.00 Development Plan Review $ 50.00 Property Address:_} 14 LV); lkes bere St a S.B.L.No. Description of Proposed Project: “1 went +, ad Sea Xnes to He side of (ns building Por Berks Fats and Treats Melk) Ase Jeke. te Pot EN Aa alas er CansDy ers ear Planters . Director of Development ) ) ) j