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Building D,pt: Date Received _ __ _ VILLAGE OF EAST AURORA In conjunction with the Town of Aurora Building Department Con,plotc App _ _ __ 585 Oukwood Avenue, East Auroru, 575 O~kwood Avenue, East Aurora, Village Clerk; New York 14052 716-652-6000 opt 4 New York 14052 716-652-7591 D1tlC Rcijcjvcd _ __ _ Am ount$,_ _ __ _ SJTE PLAN APPLICATION Receipt# _ _ _ __ PROPOSED PROJECT Verizon's East Aurora Cluster SBL#: 164.20-2-29.2 LOCATION in front of 340 Prospect Avenue ZONING DISTRfCT _S_F_R_ __ The applicant agrees to reimburse the Village for any additional fees required for the consultant's review of submitted technical data, including but not limited to traffic studies, drainage, lighting, water, and sewer plans. APPLICANT NAME Bell Atlantic Mobile Systems LLC d/b/a Verizon ADDRESS 17 ·ns Road, Roch · Y 14623 TELEPHONE ( ,) [email protected] SIGNATURE __.:~..p..£.....J~-1..L---\,-r~....:;.- - - - - - - - - - - - - - OWNERNAME...:.A..:i+:..:.><.....:...:::..:.---'--=-=-=----------- - - - - - - -- - -- - - ADDRESS ...:.3_C:..:.i:..!.. ty.....L,;---..;..:,..-----------------_:._R_o,;_c-'h_es.;_t,;_er"'-,_N_Y_,_, _1,;_4_6,;_ 0_4 _ _ _ _ _ _ _ __ _ TELEPHONE _ _ _ _ _ _ _ _ _ _ __ _ _ E-MAIL._ _ _ _ _ _ _ _ _ __ __ SIGNATURE See Exhibit E ENGTNEER/ARCHlTECT/LANDSCAPE ARCHITECT NAME Martin Willix FIRM Erdman Anthony -------'------------ ADDRESS 145 Culver Road, Suite 200, Rochester, NY 14620 TELEPHONE (585) 427-8888 E-MA1L_ _ _ _ _ _ _ _ _ _ __ SIONATURE See Exhibit 0 AFFIX STAMP THlS APPLICATION MUST lNCLUDE THE FOLLOWTNG: • Twenty (20) Sets - Cover letter to Village Board, Supporting Documents, and SEQR as required in §285-51.3 • One ( I) complete file of submittal package in PDF fonnat via en.mil (under 10MB), Larger fi les may be submitted on a USB drive. • Application fee $25 .00 and Public Hearing fee$ I00.00 Total $125 at time of application OFFICE US£ ONLY: Sketch Plu11 Meeting Dute _ _ _ _ Minor Proj~ct wriltcn request lo w11ivc PC mtg Y/N/NA: VB Decision YfN REQUIRED MEETINGS/REFERRALS: Mtg/Mail Date Conditions/Comments, if applicable: Planning Commission Historic Preservation ZBA EC Div of Pla1ming NYS DOT Town Notification Safety Committee VEA DPW OTHER (specify) SEQR ACTION: _Type I _ _ Typ~ 2 _ Unlisted VILLAGE BOARD ACTION: Mtg/Mail Date Public Hearing Notices Mailed Posted Notice-VEA Hall Posted Notice-Prop Approval/Denial Date Attach Village Board resolution with noted conditions. l•ugcl of 3