HomeMy WebLinkAbout42-17 ApplicationSITE PLAN APPLICATION
- Office Use Only -
Date Application Received: �L`-' �� Application #
Fees Received: %YC , �� (�4 /'ur� Receipt #• S1
Initials: s
z
1. Project Title: _
?. Project Description: i Park iniprQve,
3. Location of Property:
(Street address)
H
Applicant/Designer:
Name:
Primary Point of Contact:
Address:
5. Property Owner (if different than above):
Name:
Address:
Telephone: _
email:
Telephone: -
6. Property Information:
a. Property Identification Number:
b. Total acreage of the parcel to be developed:
C. Total disturbed area of the parcel:
d. Present Use:
e. Proposed Use:
f. Magisterial District(s)
8
7. Site Plan Type:
a. Is this an original or new site plan? Yes✓ No
b. Is this a revised site plan? Yes No ✓
If yes provide all previous site plan numbers:
C. Is this a minor site plan? Yes II No �✓
If yes provide all previous site plan numbers:
8. Zoning Information:
a. Current Zoning: RA
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? YesOF] No
f If yes provide the MDP number for this property:
9. Adjoining property zoning and use:
USE ZONING
North Residential RP
East Park RA
South Residential RP
West Residential RP
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: �"= (
Name (Printed): `Ptu 1s,> ,-,A"J V—
Date: j 70 1 7
J
9