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4.
SITE PLAN APPLICATION
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ce Use Only -
Date Application Received: Application
CEO Q
Fees Received: d � Receipt #: A& Initials: /
Project Title: Of 1cV Co W We tfn 1r te:- (ex4er
Location of Property SPvt{P�o,/ (yYrPKUs19�X
(Street address) XI2 0",Oeety JAI
r19 1 Vf, 1s4¢x
Applicant/Designer:
Name: paAjicl g"ot.,- Telephone: et(-3- 3d/ c1gT3
Address:
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SO do anweed ilrr, Sue At S &4,44 p3mek V
Property Owner (if different than above):
Name: sq Wt
Address:
5. Property Information:
a. Property Identification Number:
b. Total acreage of the parcel to be developed:
c. Total disturbed area of the parcel:
d. Present Use:
e. Proposed Use:
f. Magisterial District(s)
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Telephone:
14C
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lAost f�CA�r 1` a /
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kjr� HUI
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6. Site Plan Type:
a. Is this an original or new site plan?
b. Is this a revised site plan?
If yes provide all previous site plan numbers:
c. Is this a minor site plan?
If yes provide all previous site plan numbers:
•
Yes F-1 No F]
Yes No El
Yes No
7. Zoning Information:
a. Current Zoning: tel9wr9tly 41V
b. Was this property Rezoned? Yes � No
c. If yes provide the rezoning number for this property: u � r
d. Are there any proffers for this property? Y
e. Has a MDP been approved for this property? Y
f. If yes provide the MDP number for this property: _
8. Adjoining property zoning and use:
USE
North
East
South
West
-s
;s
IL
No
No
F
ZONING
I have read the material included in this package and understand what is required by the Frederick County Planning
Department. I also understand that all required material will be complete prior to the submission of my site plan.
Signature: r
Date: du 4 °L
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