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CITY OF LACKAWANNA D E PARTMENT OF DEVELOPMENT 714 Ridge Road - Room 309 Lackawanna, NY 14218 Tel: (718) 827-6421 Fax: (74 6) 827-1866 APPLICATION TO THE CITY OF LACKAWANNA ZONING BOARD OF APPEALS Date YW -/2 ao ; ApplicatioNo. n Application Fee: Fee xX Land Usse Variance $ 250.00 Zoning B.aw Appeal $ 250.00 Property Address: /9 WV Boe S77 S.B.L. No. > Description of Action to be Appealed:_ (30/0 IN ¢ C a/c PHe.- GARAGE 2° OCP NideoRs Fever line APPLICATIONE 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 Municipal Code of the City of Lackcawanna. The applicant hereby agree s to comply with all applicable laws, tules, ordinances and regulations. Director of Development