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APPLICATION IS HEREBY MADE to the City of Lackawanna Planning and Development Board for -a site plan review, special use permit, development plan review or subdivision review as required by the Municipal Code of the City of Lackawanna. The appli¢ant hereby agrees to comply with all applicable laws, rules, ordinances and regulations. , Taha Ona ARbdy = Alle | Name of Applicant Address of Applicant Applicant Phone No, f UN Dembsa+ PA Jy Ro vest be, Role of Applicant to Proj ect (owner, attorney, lessee, agent, architect, engineer, contractor...) | Property Owner: NAMB: gO Kawa ne. CS rig Magee Director of Development }