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APPLICATION FOR CONDITIONAL USE PERMIT
FREDERICK COUNTY, VIRGINIA
1. Applicant (The applicant if the owner L/ other)
NAME: Ginqu1air Tlm S kQs yy3-6Z4- ($)
ADDRESS: 71 \,5b�ne�cYC%
TELEPHONE: -717- -i%6 O
2. Please list all owners, occupants, or parties in interest of the property:
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I(��Ir�t�,`��� �/f;�j1tT��� j���Zt� R�:�i1V�1�i1�1'.'Y� r � � �•
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3. The property is located at: (please give exact directions and include the route number of
your road or street)
noigq- onto TbM W4-
400+0 r! T0631-1 Go-Ou nv. T y -n (ted+ o r46US 11 ivrf7 �c, I. - o►�t�
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5
03
The property has a road frontage of t53Yt feet and a depth of ZGCXnt feet and L -9--C
consists of 2_ acres. (Please be exact)
The property is owned by abl n 9. as evidenced by deed
from recorded
(previous owner)
in deed book no. _575_'; on page 3 Je4 , as recorded in the records of the Clerk of
the Circuit Court, County of Frederick.
Tax (Parcel) Identification No. (P.LN.) G1 - A- 1 1 8
Magisterial District ick creQ�G
Current Zoning
JAN�- 5� 2005 � D
FREDERICK COUNTY
PLANNING & DEVELOPMENT
7. Adjoining Property:
USE ZONING
North Agrxcu k�U'Ccj
East CrcW 1-lurV'A � rl
South
West \A --V rv.A
8. The type of use proposed is (consult with the Planning Dept. before completing)
9. It is proposed that the following buildings will be constructed:
10' 'G 20l )G 1 o" J'�--a kavt.,( - -o Gy.172 pty' tiV
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 Pn CV�nQ (•-4- `C"b��go�
PROPERTY ID#
NAME e*-) ' o ,ra4 Ves5
PROPERTY ID#
PROPERTY ID# C 1 -3 -3
NAME Cpy�
PROPERTY ID# G 1-3- " LA
NAME W 4-- ( —UIP
PROPERTY ID# G I - A- -I (c,
NAME rV) + M Lp
PROPERTY ID# & I - P - I r
ADDRESS ODSta CRckW eek GYa&
ADDRESS 29$0 CQdair CrQeVGV�
ADDRESS 35- G?� Creek CWo.%
ADDRESS 3S- CQc�
NAME Mk- ivy LF
PROPERTY ID#
(o)- 4q - J2'7
NAME M -F
M Lp
PROPERTY ID#
(b ! - A -
NAME VV) + M LP
PROPERTY ID#
- A - Zp
NAME Yn
fVkM (Q -V"
PROPERTY ID#
CoI - A - I2A
NAME rV-orya5
PliAJ, JA
PROPERTY ID#
(e i - fs,, `-4A.5
NAME
PROPERTY ID#
NAME
PROPERTY ID#_
NAME
PROPERTY ID#_
NAME
PROPERTY ID#_
NAME
PROPERTY ID#_
NAME
PROPERTY ID#_
NAME
PROPERTY ID#_
ADDRESS 50315
ADDRESS 336 CQ: 3 Cra--314(3y c)Q,
ADDRESS S3S 62-ckNw- CxQakc 6;�v�
ADDRESS 3035 Cir Grwe -, , O tp
ADDRESS
ADDRESS
ADDRESS
ADDRESS
ADDRESS
ADDRESS
ADDRESS
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.
�Yco-�Y 5�
12. Additional comments, if any:
W clan a VA- poe P5d 7:laV)c S
WR_n Y126U C9- d -kms 00'
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(pie 2 a ��� Q,Wkk y ri r, ,�
Owners' Mailing Address 3035
�1Ni nc����i(� 22C�a2
Owners' Telephone No. 540— G7 2 — 13Pt\
TO BE COMPLETED BY THE ZONING ADMINISTRATOR:
USE CODE:
RENEWAL DATE:
® E C W
JAIL - 5 2001,
FREDERICK COUNTY
PLANNING & DEVELOPMENT