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HomeMy WebLinkAbout07-13 ApplicationL_ Submittal Deadline P/C Meeting BOS Meeting APPLICATION FOR CONDITIONAL USE PERMIT FREDERICK COUNTY, VIRGINIA 1. Applicant (The applicant if the owner other) NAME: ��L [ L S u5 f I' ry 1, Z 7 ADDRESS: �� i I��-D U�4K C -R0 -5S .JO-/ )L` ,9AJ Z_Z� TELEPHONE 2. Please list all owners, occupants (adult individuals as well as any entities occupying the property), or parties in the interest of the property: C-0 -n— S c 0 f A )-C (-4 -Or _n7�j 3. The property is located at: (please give exact directions and include the route number of your road or street) 14 I Rh 0Ay- �6 , C... -206S C 71 D tJ U A -2- -Z1, u R', ©IN —?—1 1 �f OAK %{ »ILC OA) )Q -1 l 4. The property has a road frontage ofIZ feet and a depth of �7 Z,13 feet and consists of _ acres. (Please be exact) 5. The property is owned by 5�rp � � S�urof i as evidenced by deed from bAOt W IC--K-S' recorded (previous owner) in deed book no. on page as recorded in the records of the Clerk of the Circuit Court, County of Frederick. 6. Tax (Parcel) Identification Magisterial District Current Zoning c �., 7. Adjoining Property: USE North East South West ZONING P 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: Mo/VL 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 _C— 1 ro �-) ADDRESS 41V3 04 [Zd PROPERTY ID# 1$ - A - Z 3 NAME ADDRESS PROPERTY ID#�� NAME ADDRESS PROPERTY ID# %g A - 2- 2-,4 NAME ADDRESS PROPERTY ID# /,y- 14 NAME ADDRESS PROPERTY ID# - 26 NAME ADDRESS PROPERTY ID#- - /1 - 2.7 Z4 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. `. 1 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. ,5-_4/0 - (' l �/ TO BE COMPLETED BY THE ZONING ADMINISTRATOR: USE CODE: RENEWAL DATE: a,f 22625'