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CITY OF LACKAWANNA DEPARTMENT OF DEVELOPMENT ,* 714 Ridge Road — Room 309 I; Lackawanna, NY 14218 ny7f Wy Tel: (716) 827-6421 Fax: (716) 827-1866 , APPLICATION TO THE CITY OF LACKAWANNA PLANNING AND DEVELOPMENT BOARD Date: Ss | S | 2u Application No. _ Site Plan Review Filing Fee $10.00 XA _Less than 0.5 acres $ 50.00 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: 283% Sat Ate: ' : SBL.No._ '42-Y%, Fi4- I Description of Proposed Project: 2 ce Pas we to mack te Got ns tAc of Aw Vou deny “CQ w& racvwu tc Shue and 2 perth side A \evldy aS oN o Mice | Qe bast a ia | a pee pak. trong COME < clone “far Director of Development