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P/C Meeting
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APPLICATION FOR CONDITIONAL USE PERMIT
FREDERICK COUNTY, VIRGINIA
1. Applicant (The applicant if the owner _� other)
NAME:
I � Win&aaf
ADDRESS: 110 013idPels l /.I�rde, VC(
TELEPHONE 5' O - W4- 3b4 jpl
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)
Oh rink 4-. -h-rs - V44- on
rd
obrxns
Utten
_Howe. ':s 3f cel ri QU - -
4. The property has a road frontage of Vl_ feet and a
depth of s 10 feet and consists of Mo acres.
(Please be exact)
5. The property is owned by Mjchael M as
evidenced by deed from ( 4AL+h&i46i J 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) Identifica ion (, . D�) No. S� fi� , 3 y , yo
Magisterial District �C D
Current Zoning Rr
7. Adjoining Property:
ZONINGUSE —
North Et5�OUI.JACIA-
RI
East
South
West
8. The type of JJuse proposed is (consult with the Planning Dept. before completing)
9. It is proposed that the following buildings will be constructed:
I
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:
Ox, d-'-)
NAME �� _fid tit f yx ADDRESS�r'�C-
PROPERTY ID# SS 1`
NAME J Ff-(-x �� C la y
PROPERTY ID#'5S F -
NAME Vxn o'
PROPERTY ID# SS 8 - 11414
NAME
PROPERTY ID#
NAME �2c - C-
PROPERTY ID#,S S I _ - /- 3 -14k
NAME
PROPERTY ID#
ADDRESS /0- l'r -.5 Ciro L-
lA->g (/' --
332-�
ADDRESS
330
ADDRESS
Vrr-
t
1 1 1 a b s i� s �' j �•-�.
ADDRESS
A
ADDRESS
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 110 ob t, 1 S (�idW n. V� a�
Owners' Telephone No. 540 - b(pa— 3�a,
TO BE COMPLETED BY THE ZONING ADMINISTRATOR:
USE CODE:
RENEWAL DATE: