HomeMy WebLinkAbout04-06 ApplicationSubmittal Deadline
P/C Meeting
BOS Meeting
APPLICATION FOR CONDITIONAL USE PERMIT
FREDERICK COUNTY, VIRGINIA
1. Applicant (The applicant if the owner __X_ other)
NAME: _AlJoQCw -b^-'_.r
ADDRESS: -711b6 O%Fw VkDGC ot�a 5v t l� 1-�Rr�OJL1Z, NA6 Q-10-76
TELEPHONE ceu-� C�ta� q(3-y9�a OAF ccs �r�a) gsq ylll
2. Please list all owners, occupants, or parties in interest of
the property:
3. The property is located at: (please give exact directions and
include the route number of your road or street)
5. The property is owned by �g,�L May A,J9e2sa,,1
evidenced by deed from as
LV �� � f� Bir ^� - 2M ) US recorded
(previous owner)
in deed book no. ! Iy on page �3a , as recorded in the
records of the Clerk of the Circuit Court, County of
Frederick.
6. Tax(Parcel) Identification (I. D.) No. , 3 A loo
Magisterial District Z,6,c� <Lr
Current Zoning (Z,c�
7. Adjoining Property:
USE
North
East
South
West
ZONING
2 A
2 A-
2 .�
1005
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TVlCS
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j7A 4.�F�X J7i lce 41pF1( µ b�GoNrS
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4.
The property has a
road frontage of
depth of
feet and consists of
feet and a
(Please be exact)
ioa acres.
5. The property is owned by �g,�L May A,J9e2sa,,1
evidenced by deed from as
LV �� � f� Bir ^� - 2M ) US recorded
(previous owner)
in deed book no. ! Iy on page �3a , as recorded in the
records of the Clerk of the Circuit Court, County of
Frederick.
6. Tax(Parcel) Identification (I. D.) No. , 3 A loo
Magisterial District Z,6,c� <Lr
Current Zoning (Z,c�
7. Adjoining Property:
USE
North
East
South
West
ZONING
2 A
2 A-
2 .�
8. The type of use proposed is (consult with the Planning Dept.
before completing) "t�Z�Cd�. �I�,J�-�p►�1 S -����
9. It is proposed that the following buildings will be
constructed: A �Sp 2092" - A,,S 1��6� xZd
C-
10.
Qy P crJ i 5� i—E�C2 .
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,F- i�LOS , ADDRESS /aaV5�v% (-(-,N VA
PROPERTY ID#
a �6Ss
NAME ADDRESS 6i,=1 VD:)a 8a ea Zoo,)
PROPERTY ID# -73 R
NAME 22 R�9a� �ADDRESS /6r(6
PROPERTY ID# --�3
NAME�Eo� 2cJi�l� QtS,(JJdt ;czoS % ADDRESS
PROPERTY ID# `)3
NAME Ii i�
PROPERTY ID# 'l3 A �$
ADDRESS ' ' ( I I k '/
NAME (Zo11� ADDRESS l0
PROPERTY ID# 3
NAME ��ct�,o QQCW)OC\. t v -QS+ ADDRESS
PROPERTY ID# 3 /4, 9 Lk
NAME Z i ��c i� �o` z c (� L ADDRESS I Co M H ZA gp(&6
PROPERTY ID# -)3
NAME Q,�,Jrz0�'QTIt� LC
ADDRESS
ISS Mfl e L U2� 1
PROPERTY IDI --)-3
NAME ii k I ,
ADDRESS
PROPERTY ID#
NAME Sr'�.2Lty �
ADDRESS
13 kl
PROPERTY ID#
NAME
ADDRESS
PROPERTY ID#
NAME
ADDRESS
PROPERTY ID#
NAME
ADDRESS
PROPERTY ID#
NAME
ADDRESS
PROPERTY ID#
NAME ADDRESS
PROPERTY ID#
NAME ADDRESS
PROPERTY ID#
NAME ADDRESS
PROPERTY ID#
NAME ADDRESS
PROPERTY ID#
NAME ADDRESS
PROPERTY ID#
NAME ADDRESS
PROPERTY ID#
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 (p09
Owners' Telephone No. _ �j�'{(�) E601-.-.21,FD
TO BE COMPLETED BY ZONING ADMINISTRATOR:
USE CODE:
RENEWAL DATE: