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HomeMy WebLinkAbout11-16 ApplicationSubmittal Deadline a P/C Meeting 10 BOS Meeting lwr"� APPLICATION FOR CONDITIONAL USE PERMIT FREDERICK COUNTY, VIRGINIA 1. Applicant (check one): Property Owner_ Other 1 4 9 NAME: ADDRESS: TELEPHONE: 0C4 O R- :� - LQ q' Q 2. Please list all owners, occupants, or parties in interest of the property: 3. The property is located at: (please give exact directions and include the route number of your road or street) t 13 1r) \h \ �C�-C,e - 4. The property has a road frontage of :6_ 7 5 feet and a depth of ! �6 feet and consists of 0. Z 5 acres. (Please be exact) 5. The property is owned by ef 01 DW R t (� -� ({� as evidenced by deed from (previous owner) recorded in deed book no. on page , as recorded in the records of the Clerk of the Circuit Court, County of Frederick. 6. Property Identification Number (P.I.N.) -7SF' Z 73 Magisterial District oh"E Q Vo n( Current Zoning - 5 7 Adjoining Property: USE North / C� East t sweN C.0 South ES/D /VCe' West a/a r • ZONING — P R19 RP RP 8. _The type of use proposed is (consult with the Planning Dept. before completing): . - L 9. I, 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 2e22le will be notified by mail of this application: Name and Property Identification Number Address Name BE7``/ &fHfPMY `j)Q A i eACwS PL- Property LProperty #? 5 F 2 7q - Name YName ,E?E 19 w4 W-ce, M(O 6'4RMJx S PL Property # % S F Z 72. Name J -Aft s j T -A M 1 A al o']— 165 6AC&40 0 S PL. Property # —7S F Z 6 Name RRA0U_Y-CkA9Co7TE $7(NULVW lD3 6,499,+C>0PL- Property LProperty # Sl` 2 6S Name EaEe /0 7 B/fK6A D° s FL Property # %S1= Z (0 5 Name (/A/PV K I D WE LL /� Property # `7,�j %5 / / 0 7 C HEV /() f f" L. Name /1 1116 y, VAN PE -7f:1� / 03 CHF -VI a 1 ��-- Property # 75 F 2 / (o G 0 11. Please use this page for your sketch of the property. Show proposed an structures on the property, including measurements to all property lines. Y existing 0 12. 0 Additional comments, if any: Q AkW 0 1 ir ncu- r� Out 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 Signature of Owners' Mai Applican Owner ling Address Owners' Telephone No. MMM [- M3l1iS�A� TO BE COMPLETED BY THE ZONING ADMINISTRATOR: USE CODE: RENEWAL DATE: