HomeMy WebLinkAbout09-05 ApplicationSubmittal Deadline
P/C Meeting
BO S Meeting
APPLICATION FOR CONDITIONAL USE PERMIT
FREDERICK COUNTY, VIRGINIA
1. Applicant (The applicant if the v� owner other)
NAME:
ADDRESS:
TELEPHONE
2. Please list all owners, occupants, or parties in interest of
the property:
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S
`i Irk y- r -*.0l 1 - GR, dye L v.
3. The property is located at: (please give exact directions and
include the route number of your road or street)
4. The property has a road frontage of tj feet and a
depth of egg feet and consists of
Please be 6x -act) ' 7.0o acres.
( ) t,�(Lt%eC-�+is 336+
5 . The property is owned by 4rA l.._ 4 -gr, � _ �w e as
evidenced by deed from re rded
(previous owner)
in deed book no. _ on page, as recorded in the
records of the Clerk of the Circui t Court, County of
Frederick.
6. Tax(Parcel)Identification (I.D.Mlb
. �[
Magisterial District 61 Qt(AS
Current Zoning
7. Adjoining Property:
USE
North 'Ae
East - g
South de " LJo e
West
ZONING
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1 ,A
8. The type of use proposed is (consult with the Planning Dept.
before completing)
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9. It is proposed that the following buildings -will be
constructed:
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0e
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 fA A a &'&C2 to &.0S ADDRESS � 6_1 L ri C f� 5 tib do u) K-4 .
PROPERTY IDI � A 4p �j�uG'eS,
NAME le ���d'�y�- �t4lo� ADDRESSb' k.,�10
PROPERTY ID# 4f r� g �'`��� �� � V19
NAME ec tLj ^ �. G�Yt� �IQu�Sc,k ADDRESS Sem tFa1-ours t�doW Labte
wL*6taCs�, v6 D,6o3
PROPERTY ID# �� � ( II-- j
NAME E {'�j Q �. C16Yk ADDRESS 5 D tC k 1Lf o(J e
nn VO- Aa662
PROPERTY ID#_ A A OC 1
NAME ek -T_ ilel F, `!ct<<. i eADDRESS � b" 9 Dick -s &IIot.J P_J-
PROPERTY ID# WL14,A r5 4ov VV. a4(3-3
NAME IC,�p L. �et$ec ADDRESS 6 6 3 'DtC_k 6,,��}}���1 )LU Rk-
PROPERTY ID# t u '
e 5�% Y i`l ' aa�O.3
NAME - C ADDRESS 6 42 -tCk S dttjba
!
PROPERTY ID#
NAME
PROPERTY ID# 14 ( A ,S -
ADDRESS +,
�o bt.�-� Gdua.dai
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.
0' 200' 400' 600'
Rs 61-
ppOp�p1"Y MP�UI�bING qmouf
\
m�
J Reserve \
S ~ \ WELL
68'
\
\
DWELLING \
\
-7,000
\ \ ACp�S
e488,, \
SEE REGISTERED LAND SURVEY FOR \
TECHNICAL SURVEY INFORMATION. THIS \
IS FOR HOUSE LOCATION PURPOSES \
ONLY.
HEISEY LIMITED
141 Poorhouse Road
Winchester, VA 22601
EXISTING
UNDERGROUND ELECTRIC
SERVICE
60' 8R�
plcK5 HO�LOW
POAP
(VA. RTE. 608)
Wet Weather Stream
50 FOOT RIGHT OF WAY
IRS
DRAWING NAME: PLOT PLAN {
CUSTOMER: Rick Heisey P
SIZE: "A" DWG N0, 0002 REV NO: 00
SCALE: AS SHOWN DRAWN BY: RLH SHEET: 01
1
12 . Additional comments, if any: ��� p Vd ibs e jyx--v� p L5
01-h De -A tw . 1" qo— L (11 . r) \} Ulp—�', L C(eur,P 19 (�D Y Q
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cd-uv�cz tlJBQ wool ua e UVA, GyS (A c ruruc'�t1�*p
5 op. - WDv l j ��®� �l �z-P t
Vi l a ki So kJ ve s 4-bVie 'I� r� Qom- L �l e UIA (,)sS
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
Owners' Telephone No.
Wivae640.- (Iff. Q663
• r o
TO BE COMPLETED BY ZONING ADMINISTRATOR:
USE CODE:
RENEWAL DATE: