HomeMy WebLinkAbout03-15 Application5
Submittal Deadline'TL�5115.
P/C Meeting I 1(D -1
BOS Meeting l
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CATION FOR CONDITIONAL USE PERMIT
FREDERICK COUNTY, VIRGINIA
1. Applicant (check one): Property Owner _� Other
NAME:
ADDRESS: lO N Fai f fit x Pike Wh,►'t f &s +, UA ;;66-?
TELEPHONE: .moi 44 a - "S' 0 - 40 5 o
2. Please list all owners, occupants, or parties in interest of the property:
9GA0Lf1!N E LlE Yl Qi ei'c f
The property is located at: (please give exact directions and include the route number of
your road or street)
4. The property has a road frontage of feet and a depth of feet and
consists of acres. (Please be exact)
5. The property is owned by 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
Magisterial District 6pea use n
Current Zoning .� R
F1
Adjoining Property:
USE ZONING
North
East
South
West
8. The type of use proposed is (consult with the Planning Dept. before completing):
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 people will be notified by mail of this application:
Name and Property Identification Number
Address
Nameni
1
14C. .
/ s 3,2 Fq I r -F,7 x < <� c
Property # -/39
Name
pinS ^
Property # V7 7 - %9 -Vr 13
Name
Property #
Name
3 Q
Property #
Name looni°
' (mmall
160
Property # O `� - "/
N
C1111Ocv1-*—'tW
i so d U' i q X r
Properly# � - A -
Name &
li r ct) d A i cWf
i L4% Fc, i ci X ' )< C
Property # 7 . 9
0 0
Name and Property Iden/tificfation Number
Address
Name Le �� t / q' f
`7� �i Ci r
Property #
Name
Property #
Name
Property #
Name
Property #
Name
Property #
Name
Property #
Name
Property #
Name
Property #
Name
Property #
Name
Property #
Name
Property #
Name
Property #
Name
Property #
Name
Property #
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.
12. Additional comments, if any:
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
Owners' Telephone No. ;5Iqo 96 9 e9a'<0
TO BE COMPLETED BY THE ZONING ADMINISTRATOR:
USE CODE:
RENEWAL DATE:
9
9
E
HISTORIC RESOURCE ADVISORY BOARD
REVIEW APPLICATION
a �
Frederick County
107 North Kent Street, Suite 202 MEETING DATE
Winchester, Virginia 22601
Telephone: (540) 665-5651
Fax: (54065-6395 DATE STAMP
Description of Application: Please describe briefly the request of the application: (rezoning, master Jdevelo ment 1
conditional use ermit . Please e s ifi . CP V e -
j
This application is not complete until all of the following information has been provided to the Department of
Planning and Development. Please check the materials that have been submitted.
FCopy of required application as described in 1.1 (1.1.1-1.1.4)
nDescription of proposed development or construction project, including proposed uses and general timeframe for
development (1.2)
Status of any identified historic or archaeological resources on the site or adjacent to the site (e.g., located in any identified
historic area, survey area, or battlefield site or individually listed on a local, state or national historic register, relevant
information on record with the Virginia Department of Historic Resources) and presence of other historic structures or
significant landscape features or archaeological sites; (1.3)
IIPhotographs (color) of all historic resources on the property (1.4)
PROPERTY IDENTIFICATION NUMBER PI
—
Name of A licant:
Telephone Number (6 110 —
Address: Street Ci K t
ie f05,j State Zip Code.2al f;
Signature: Print Name:
ff /" 'S Date: C/'
i
Please note that the applicant or his/her appointed representative must be present at the meeting.
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