That dish of your is killer and is singing sweet songs to me.
All righty, here's what you do...
1. Just as a FYI: that photo wasn't mine; didn't want to steal credit from the photographer.
2. My college days were spent in the Rochester, NY area. And that's where this [in]famous place, Nick Tahou's is.
3. The Food Network did a segment on Nick's a few years ago -- I think you can find it on YouTube. It's truly a cultural and local phenomenon. It's the kind of place that has its own character, and has been around for around 70-80 years.
4. I was lucky enough to have personally met (and been served by) Nick Tahou himself as a young college kid at his place of employment. He was a great guy; of Greek ancestry, but very street-savvy and usually quick to wisecrack, but was a truly cool and nice guy. (He passed away about 10ish years ago.)
5. There's been tons of imitators since then all over the U.S., but the only place you'll get an authentic garbage plate is at Nick Tahou's.
6. The Travel Channel just filmed a segment at Nick's about 2 weeks ago -- it hasn't aired yet.
So... sorry, but you're just going to have to hop on a Southwest flight from Vegas to Buffalo, then make the one hour drive east to 320 West Main Street in Rochester during daytime hours if you'd like to try a garbage plate.
(They used to be open all night, but had some crime issues in the area late at night so they're now only open 8am-8pm Mon-Sat.)