HomeMy WebLinkAbout01-13 ApplicationSubmittal Deadline
P/C Meeting p 3
o BOS Meeting
G - �
APPLICATION FOR CONDITIONAL USE PERMIT
FREDERICK COUNTY, VIRGINIA
1. Applicant (The applicant if the Z owner other)
NAME:
ADDRESS:
F314
'ryser 7r•
E'�earbn
in deed book
no. (06,,1
on page (o UG, as recorded in the
TELEPHONE
ri q 0
2 '1 - mn r
County of
2. Please list all owners, occupants (adult individuals as well
as any entities occupying the property), or parties in the
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`e=o C4c?// t L=mat,7 it• �a�� _7 l 1 i11L -Ajrrfir' 3n
i+n
4.
�T het pr� 14 SG l.4
The perty has
depth of
(Please be exact)
a road frontage of
feet and consists of
feet' and a
acres.
5. The property
evidenced by
is owned by
deed from j
Jt., A q Tsriale
W w�g' ti - t2a'rro I
(previous owner)
as
recorded
in deed book
no. (06,,1
on page (o UG, as recorded in the
records of
the Clerk
of the Circuit Court,
County of
Frederick.
�;t A
6.
Tax(Parcel)Identification
Magisterial District �<'-t;y
ffiC q p�,� 2�ning
C
(I.D.)No.
JAN 9 2013
F,w riCK COUNTY
Adjoining Property: 60e-
USE
6'ee-
USE
North
East
South
West
ZONING
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, fines, 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 { r x i`� j L L ADDRESS
PROPERTY ID#
5v NAMES,�,ip �v55�a` (�rf,,,,`)ADDRESS Vic? 1uL .
BrcrK'
, Vcc
PROPERTY ID# 3oZ —) - / 49'�C� ,2 J{
�>'NAME Jo, me S <_'vv r� ���er ADDRESS
C" 1
PROPERTY ID#
vexNAME ]2 s 51�// t ilo ADDRESS /> lie/✓ G c�.
PROPERTY ID# & 2
x"
q " NAME l%rr���{ /� h 7%!e cfav ZjADDRESS -22�'/
/lrr �f ✓_ /rrk1<Gr �� .
PROPERTY
�2 �2/ y
NAME
PROPERTY ID#
F.W11:7 70f.Y.y
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 Pernrit
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 C% , 4 zg—�
Signature of Owner r
0
Owners' Mailing Address 2 LI I i I e i r. ear ro G kC V0 2 4
Owners' Telephone No. 5 40 — '3 2 3 -10 10
TO BE COMPLETED BY THE ZONING ADMINISTRATOR:
7.y-��I17-17