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VILLAGE OF EAST AURORA
■
585 Oakwood Ave, East Aurora, New York 14052
716-652-6000
In conjunction with I
Town of Aurora Building Department
575 Oakwood Ave, East Aurora, NY 14052
716-652-7591
SPECIAL USE PERMIT APPLICATION
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PRoPosED PRoJEcT Pl SBL#: IJ(o.OS - l-2l
LocAT1ON to?,5 Nch/l St, East Au(Drtb ZONING DISTRICT~~......
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The applicant agrees to reimburse the Village for any additional fees required for review by consultants hired by the Village.
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APPLICANT NAME
ADDRESS 4?:6 wwreoce i?:fll Q, &u I~
TELEPHONE Jj(o - Z]tp - 5623 e.,.+lDI E-MA1C v a,C~iC,o l old ia
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SIGNATURE • IA)
OWNER NAME ($(/) 0 ~ V.{J~l16CO
~pillort:J Vflr
ADDRESS IO(o~~wii B(1 ,ii
D1: . ~04,?2 bdi&& &b
TELEPHONE _ _ _ _ _ _ _ _ _ _ E-MAIL_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
SIGNATURE _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
DEVELOPER NAME.___._,
Q""" o..,,.u" - - - - - - - - - - - - - - - - - - - - - - - -
o ......
ADDREss _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
TELEPHONE _ _ _ _ _ _ _ _ _ _ _E-MAIL _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
SIGNATURE _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Request is for: D Restaurant, Indoor Dining andlor D Restaurant, Outdoor Dining
□ Gas Station D Car Wash ~ Other_./..._(
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_ ~ ... tr-t
-'~ - - - - - - - - - - - - - - - - -
□ Outdoor music or other noise impact; if yes please include a quick summation of request:
Days and hours of operation (indoor) Mon - f ( 1 9Am -lop1'.Yl 30t Bw . S'()al Simo~ IDtl - 4p
Are premises handicap accessible? MYes D No If not, premises must be made ADA compliant,
If ,:es, contact building department at 716-652-7591
Will there be any renovations ~Yes □ No_fXl
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~t....._J~S-f..... ._q_e-,(________________
THIS APPLICATION MUST INCLUDE THE FOLLOWING:
• Cover Letter to Village Board, Supporting Documents and SEQR as required in §285-52.2
• Complete file of submittal package (cover letter, application, SEQR and supporting documentation) in PDF format via
email (under 10MB) to [email protected]. Larger files may be submitted on a USB drive or CD-
ROM
• Application fee $25.00, Permit fee $25.00 and Public Hearing fee $100.00 - Total $150 at time of application .
• 8 copies of complete submittal package (cover letter, application, SEQR and supporting documentation) sent to or
dropped off at the Village Clerk's Office at 585 Oakwood Avenue East Aurora, NY 14052.
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