HomeMy WebLinkAbout02-16 Applicationr 0
Submittal Deadline Q C
P/C Meeting /
BOS Meeting
APPLICATION FOR CONDITIONAL USE PERMIT
FREDERICK COUNTY, VIRGINIA
1. Applicant (check one): Property Owner Other
NAME:
ADDRESS: lQ q S 11a 'I liev Ai
TELEPHONE: - Lob 7 -77q3
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2. Please list all owners, occupants, or parties in interest of the property:
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3. The property is located at: (please give exact directions and include the route number of
your road or street)
Ti . Coy_ q er of 6"
k Cold l''Oh1 C 5 f .
4 " pperty hsa road frontage of
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consists of acres. (Please be exact)
U,q Aev It Acf c`^- E
e e Pt L•tldO I' te 1ti
and a depth of feet and L e Ict
5. The property is owned by I 5 a% as
q evidenced by deed from K ;ue (p vious owner) recorded in
deed book no. 67(,V& f,on pa de y SD , as recorded in the records of the Clerk of the
4q Circuit Court, County of Frederick.
6. Property Identification Number (P.I.N.)
Magisterial District
1 Current Zoning
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7. Adjoining Property:
US ZONING
North
East
South <
West e-
8. The type of use proposed is (consult wito Jhe Planning Dept. before completing):
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9. It is proposed that the following buildings will be constructed:
10. The following are all of the individuals, firms, or corporations owning property
adjacent to both sides and rear and in front of (across street from) the property
where the requested use will be. conducted. (Continue on back if necessary.)
These nennle. will he. nntified by mail of this annlication-
Name and Property Identification Number Address
Nam u -( 44r" lae- f p / s Ua
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Property #
Name , L
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Property #
Name
Property #
Name
Property #
Name
Property #
Name
Property #
Namc
Property ,-
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11. Please use this page for your sketch of the property. Show proposed and/or existing
structures on the property, including measurements to all property lines.
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Additional comments, if any: Na /2 d , D/ q l ty +VGkLI-gq e V-7
I (we), the undersigned, do hereby respectfully make application and petition the governing body
of Frederick County, Virginia to allow the use described in this application. I understand that the
sign issued to me when this application is submitted must be placed at the front property line at
least seven (7) days prior to the first public hearing and maintained so as to be visible until after
the Board of Supervisors' public hearing. Your application for a Conditional Use Permit
authorizes any member of the Frederick County Planning Commission, Board of Supervisors or
Planning and Development Department to inspect your property where the proposed use will be
conducted.
Signature of Applicant
Signature of Owner
Owners' Mailing Address le
Owners' Telephone No ,
ire
0 667 -7783 ,,, ceff 765=5Z/ -3/YY
k3, cell' jt 5- 52,d -6 -NZ
TO BE COMPLETED BY THE ZONING ADMINISTRATOR:
USE CODE:
RENEWAL DATE:
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