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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 ZONING BOARD OF APPEALS Date: uf | Le | 2t ; Application No. ¥ v Application Fee: Fee X_Land Use Variance $ 250.00 ~~ Zoning Law Appeal $ 250.00 Property Address:_ FOO lng hem A Ve. Aac Ko.wean na, My }d2 1b S.B.L. No. Deeiiiion cfAusiionts beApnaled: Newmar Pera Bes ght Votiance ana potenti | front ya rd_vaciknae ty construct a_ 12 fot flagpole. Sa Arent fo Locastoa| \ APPLICATION IS HEREBY MADE to the City of Lackawanna Zoning Board of Appeals for a 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