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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: é 7 7-2 b Application No. Site Plan Review Filing F Su00 ) Less than 0.5 acres 0.5 to 1.0 acres Adi) 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: ASH Lambets L177 Pie S.BL. No. Description of Proposed Project: Sv7 »Y /je 7, r Lo fof ig / Het _pfr}.' Qeyicons te Prspie Director of Development