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REQUEST FOR CONDITIONAL USE PERMIT COMMENTS Virginia Department of Transportation Attn: Resident Enbi"neer 14031 Old Valley Pike Edinburg, Virginia 22824 (540) 984-5600 The local office of the Transportation Department is located at 2275 Northwestern Pike in Winchester if you prefer to hand deliver this form. Applicant's name, address and phone number: e- 12 12 3 Name of development and/or description of the request: Location: 1'� M' :) F/= 5- 2 ) Al Va. Dept. of Transportation Comments: The application for a Conditional Use Permit for this property appears to have little measurable impact on Route 681, the V Prior tooperation of the business a commercial entrance nstructed to our standards to allow for safe egress and ingress of the proper y. Tny wo State's right-of-way must be covere un era and re vires an in d Land Use Permit Application information.) Sight distance of 610 feet will have to be acquired. At a minimum, cutting brush, small frees and th S61. The entrance will have to be cons ruc e acc I usin the Standard P attached). Positive drainage needs to maintained at all times dunng and after construction. An entrance pipe maybe required. This can be discussed on . VDOT Signature and Date: /req � � �� &jA2 (NOTICE TO RESIDENT E I R31 -,k }T.r A cu vrimxT ��: ,�T. NOTICE TO APPLICANT It is your responsibility to complete this form as accurately as possible in order to assist the agency with their review. Also, please attach two (2) copies of your application form, location map and all other pertinent information= - REQUEST FOR CONDITIONAL ITSE PERMIT COMMENTS Winchester -Frederick County Health Department 107 North Kent Street, Suite 201 Winchester, Virginia 22601 (540) 722-3480 The Winchester -Frederick County Health Department is located in the County Administration Building at 107 North Kent Street in Winchester, if you prefer to hand delivered this form. Applicant's name, address and phone number: T v© n Ven.s1/A 30 - 3341f t and/or description. of the request: "� - "L,,� 1�/ .k1 .E'er G?v� %� �J� %t' « ,u✓u :� Health Department Comments: / ! Signature and Date: NOTICE TO APPLICANT It is your responsibility to complete this form as accurately as possible in order to assist the agency with their review. Also, please attach a copy of your application form, location map and all other pertinent information. JUL 3 0 2007 REQUEST FOR CONDITIONAL USE PERMIT COMMENTS Frederick County Inspections Department Attn: Building Official 107 North Kent Street, Suite 200 Winchester, Virginia 22601 (540) 665-5650 The Frederick County Inspections Department is located at 107 North Kent Street, 2nd floor of the County Administration North Building in Winchester, if you prefer to hand deliver this review form. Ap s name, address and phone number: Name of development and/or description of the request: Location: Inspections Department Comment: Code Administrator Signature & Date: a (NOTICE TO INSPECTIONS DEPT*PLE RETURN HIS, -2S FORM TO AP1' CA1�'.) NOTICE TO APPLICANT It is your responsibility to complete this form as accurately as possible in order to assist the agency with their review. Also, please attach two (2) copies of your application form, location map and all other pertinent informations C RECEIVED JUL 3 () 2007 fREDERIN GOUN1Y tC WORN & 11&fMONS Retail Stores shall complywith �# iii' V-ir* .-ia tllnifi)rm Stat"vad �'ii'e�uiii�= Code s12'edd use �a �- �- };e� -�� },nom gi�up id k _'110—Uncantifeli i3t uic hutt nrlaILiU semi 2?�'iuldi€ig �.c,€ C '_:,'>,fJ. t thii s �.�odle that :d�E:11ca L 10 1' 4 N F e�I A Y 1 '7 1 IfIA! ; S r- ': rcouirernents in IB V-11, Ie 107 70 11 A IInxi,21-4P Oua— ity s of lazard(jus Materials Stonnw_ i Y �YJ<= Y Pleas' submit a pians at the %ime,, of change iii use 'building app icalion shovdr g the ares eiii utilized. i'£'nMI SgaH by issued . nispeel ons approved and a new eeruncate of