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CITY OF LACKAWANNA DEPARTMENT OF DEVELOPMENT 714 Ridge Road ~ Room 309 Lackawanna, NY 14218 Tel: (716} 827-6421 Fax: (718) 827-1866 APPLICATION TO THE CITY OF LACKAWANNA. PLANNING AND DEVELOPMENT BOARD Date: fe o-Z 6 Application No. Site Plan Review Filing Fee $10.00 X_Less than. .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 $106.00 per acres $ Special Use Permit $ 500.00 Developmerit Plan Review $ 50,00 Property Address: (3 Mi'tc he// AA Lach. Qwanda. W Y S.BL. No. ae Description of Proposed Project__la Wark on ba lf Lact On ‘he Eide as a. Hoabh¥ ¢ Sid y Gig alto Shore balf Cat. pi an Mp Prop etLy Director of Development