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RECEIVED
REQUEST FOR SITE PLAN COMMENTS JUN 19 2012
Frederick County Public Works &
Mail to: Hand deliver-to:
Frederick County Public Works Department Public Works Department
Attn: County Engineer 107•North Kent Street, 2nd Floor
107 North Kent Street, Winchester Virginia 22601
Winchester Virginia 22601 Phone- (540) 665 -5643
Applicant: It is your responsibility-to -complete this form,as, accurately as.possiblelin }order toy assist the agency, with their
- review -Pleaser'attich tfiiee, {3)•copi8.6ftIf Site =Pliin with :this`sheet.
Applicant's Name: PHR +A/A,Pennoni Company Telephone: (540) 667 -2139
Mailing Address: c/o Ronald Misl6wsky, PE
117 E.'Piccadilly Street, Suite 200
Winchester, VA 22601
Name of development and/or description of the request:
Campinq World Plan Revision
Location of Property
Commonwealth Business Court
190 Commonwealth Court
Winchester. VA 22602
Public Works Department Comments:
(AlA fY Ls ~W Ind Q 1A4,ro w al O
- FREDERICK COUNTN PUBLIC WORKS DEPARTMENT USE'ONL V
Date Received _ Review Number. '{ci one)
Date :Reviewed
kevision Required, ' / t' •DateiApproved
Signature &,D'ate: f'✓ ' �,/ 1 7 ' � L
** PkisvRetui=n:Foirm to Applicant':*
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