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CITY OF LACKAWANNA DEPARTMENT OF DEVELOPMENT 714 Ridge Road ~ Room 309 Lackawanna, NY 14218 Tek (718) 827-6421 Fax: (716) 827-1886 APPLICATION TO THE CITY OF LACKAWANNA. PLANNING AND DEVELOPMENT BOARD Date: W/O he Application No. Site Plan Review Piling Fee $10.00 ese than.0.5 acres $ 50.00 e 0.5 to. 1.0 aores $ 200.00 1.0 to 2.0 acres : $ 400.00 2,0 t6 5.0 acres $ 400.00 Greater than 5 acres § 400.00 plas $100.00 per acres $ __ Special Use Pernit $ 500.00 Developtaent Pla Review $ 50.00 Property Address, SO Leg F/ S.BL. No. Description. of Proposed Project: Abb 4 Zo! fo feant ry f ereishhe builDin é TESS OA g ws — rout va 4 ‘ bot ast te Re card EN qveralf ke "5 dof of 306 l Preyer Grased dy top, a4 e eck . Director of Development