HomeMy WebLinkAbout29-17 ApplicationSITE PLAN APPLICATION
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Date Application Received: �� q Application
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Fees Received: �� Receipt #: --fM 5q(D Initials:
I. Project Title: DaVita Dialysis - Winchester (Site Plan Revision)
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Project Description: Addition of entrance canopy, planter bed, and vegetation to existing site.
Location of Property:
(Street address)
Applicant/Designer:
Name: Ken Van Tine, Architect
Off of Martinsburg Parkway, East of 1-81
141 Market Street, Winchester, VA
Telephone: 248.449.3564
Primary Point of Contact: Brian Eady, PM email: beady@in-formstudio.com
Address: inFORM studio
235 E. Main Street, Suite 102B Northville, MI 48167
5. Property Owner (if different than above):
Name: Total Renal Care, Inc (David Youngling) Telephone: 410.259.5060
Address: 1500 Carriage Hill Dr, Westminster, MD 21157
6. Property Information:
a. Property Identification Number: 1 { I [u'; U lD
b. Total acreage of the parcel to be developed: 9.65
C. Total disturbed area of the parcel: 0.019
d. Present Use: Business
C. Proposed Use: Business
f. Magisterial District(s) Stonewall
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7. Site Plan Type:
Is Yess No
a. this an original or new site plan?
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b. Is this a revised site plan? Yes V No
If yes provide all previous site plan numbers:
Yes No
C. Is this a minor site plan? Iy I
If yes provide all previous site plan numbers:
8. Zoning Information:
a. Current Zoning: B-2
b. Was this property Rezoned? Yes
No
C. If yes provide the rezoning number for this property:
d. Are there any proffers for this property? Yes
No
e. Has a MDP been approved for this property? Yes J�
No
f. If yes provide the MDP number for this property:
9. Adjoining property zoning and use:
USE
North
East
South
West
ZONING
I have read the material included in this package and understand what is required by the Frederick County Planning
Department. I also understand that all required material will be complete prior to the submission of my site plan.
Signature:�C'`G//6L�
Name (Printed): Ken Van Tine
Date: August 4th, 2017
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