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Building Dept: Date Received _ _ __ VILLAGE OF EAST AURORA In conjunction with the Town of Aurora Building Department Complete App _ _ __ 585 Oakwood Avenue, East Aurora, 575 Oakwood Avenue, East Aurora, Village Cleric New York 14052 716-652-6000 opt 4 New York 14052 716-652-7591 Date Received _ _ __ Amount$,_ _ _ __ SITE PLAN APPLICATION Receipt# _ _ _ __ PROPOSED PROJECT Site Lighting SBL#: 175. 07-1-1.11 LOCATION 123 Grey Street ZONINGDISTRICT.cl.j1 C..=----- 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 stud_ies, drainage, lighting, water, and sewer plans. APPLICANT NAME Benderson Development Company, LLC ADDRESS570 Delaware Ave. Buffalo, NY 14202 TELEPHONE 716-878-9626 E-MAIL [email protected] SIGNATURE F A . 8&-,i-#4. OWNERNAME3~T, LLC ADDRESs570 Delaware Ave. Buffalo, NY 14202 TELEPHONE716-87 8-962 6 E-MAIL [email protected] SIGNATURE ~ A. 8&-~l!t,,.· ENGINEER/ARC~DSCAPE l'RCHITECT NAME_N---'-/_A_ _ _ _ _ _ _ _ _ _ _ FIRM,_ _ _ _ _ _ _ _ _ _ _ _ _ _ __ ADDRESS570 Delaware Ave. Buffalo, NY 14202 TELEPHONE 716-87 8-9626 [email protected] SIGNATURE _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _~AFFIX STAMP THIS APPLICATION MUST INCLUDE THE FOLLOWING: • Twenty (20) Sets - Cover letter to Village Board, Supporting Documents, and SEQR as required in §285-51.3 • One (1) complete file of submittal package in PDF format via email (under 10MB). Larger files may be submitted on a USB drive. • Application fee $25.00 and Public Hearing fee $100.00 -Total $125 at time of application OFFICE USE ONLY: Sketch Plan Meeting Date _ _ _ _ Minor Project written request to waive PC mtg Y/N/NA: VB Decision YIN REQUIRED MEETINGS/REFERRALS: Mtg/Mail Date Conditions/Comments, if applicable: Planning Commission Historic Preservation ZBA EC Div of Planning NYSDOT Town Notification Safety Committee VEADPW OTHER (specify) SEQR ACTION: _Type 1 __ Type 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. Page2 of3