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CITY OF LACKAWANNA DEPARTMENT OF DEVELOPMENT 714 Ridge Road — Room 309 i aS Lackawanna, NY 14218 iL — Tel: (716) 827-6421 Fax: (716) 827-1866 dl APPLICATION TO THE CITY OF LACKAWANNA ZONING BOARD OF APPEALS Date SOT RD Le Application No. Application Fee: Fee eat Use Variance $ 250.00 Zoning Law Appeal $ 250.00 Property Address: oh W. E\uy (ew Ao 2. S.B.L. No. Description of Action to be Appealed: “To erech Oy & 4+ once ‘ 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 Municipal Code of the City of Lackawanna. The applicant hereby agrees to comply with all applicable laws, rules, ordinances and regulations. Director of Development