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a ay mpi *2 \ \ Toiun’et Jou ot Town of Aurora Town Board Ur ora 575 Oakwood Avenue, East Aurora NY, 14052 Special Use Permit Application Form |. PROJECT INFORMATION (Applicant/Petitioner): Business/Project Name: _ Fast Aurora Family Dental Business/Project Address: _359 Quaker Road, East Aurora, NY 14052 Applicant Name: __ PCW Enterprises LLC Mailing Address: __ 4185 East Blood Road : City Cowlesville State _New York ZIP_14037 Phone __ 716-572-1127 Fax Email [email protected] Interest in the property (ex: owner/purchaser/developer)__ purchaser ll. PROPERTY OWNER INFORMATION (if different than Applicant AND the Owner does not sign below, please submit and original, notarized “Owner Authorization” form ~ attached): Property Owner(s) Name(s)___PBI Holdings of WNY LLC If a corporate, please name a responsible party/designated officer:__Dave lacono Address __ 359 Quaker Road City East Aurora State _New York ZIP _14052 Phone Fax Email lll. SPECIAL USE AND PROPERTY INFORMATION: Property Address __ 359 Quaker Road SBL# 175.06-3-9 Describe Special Use on (use additional pages if needed): Su Property size in acres __0.7 Property Frontage in feet__150 Zoning District__C-3 Commercial Surrounding Zoning __C-3, GM (Village) Current Use of Property offices Size of existing building(s): _+/2900 sf Size of proposed building(s)_5525 Sf Present/Prior tenant/use: __ commercial offices Parking spaces: Existing: _ 10 Proposed additional spaces: __ 16 Total #:__26 including 2 ADA 2