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CITY OF LACKAWANNA DEPARTMENT OF DEVELOPMENT 714 Ridge Road — Room 309 Ss Lackawanna, NY 14218 i SS Tel: (716) 827-6421 Fax: (716) 827-1866 it —— APPLICATION TO THE CITY OF LACKAWANNA ZONING BOARD OF APPEALS Date:__ © | s | 2c Application No. Application Fee: Fee Land Use Variance $ 250.00 Zoning Law Appeal $ 250.00 Property Address: 2624 SS oats Prac ume sBL.No_ IND4L . 8-14. | Description of Action to be Appealed: Replace ‘eR Shoge, _ a uf 2 5! ence ~, | fo APPLICATION IS HEREBY MADE to the City of Lackawanna Zoning Board of Appeals fora Land Use Variance and/or Zoning Law Appeal as required by the Municip al Code of the City of Lackawanna. The applicant hereby agrees to comply with all applicab le laws, rules, ordinances and regulations. Director of Development