HomeMy WebLinkAbout20-04 ApplicationSubmittal Deadline*0-Y97--
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P/C Meeting BOS Meeting
CATION FOR. CONDITIONAL USE PERMIT
FREDERICK coUNTy, VIRGINIA
I. Applicant (The applicant if the
owner other)
NAME: � � � I� � v t � _ �� �5 '
ADDRESS:r
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TELEPHONE -7 Z2- - a l ?j
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)
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4. The properthas a road frontage of ���� feet and a
depth of `� j i' b feet and consists of
(Please he exact) l t t�- acre#.
5. The property is owned b S-te� SS jG4 13
evidenced by deed from as
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in deed book no. (previous owner) recorded
records of the C1' erk of the Circuit Court �o County rded inhe
Frederick
6.
7.
Tax(Parcel)Identification (I.D.)No.j j �� Z
Magisterial District S��,cr��L
Current Zoning ,:f
Adjoining Property:
W,-
NorthEast"South 4,1
West
ZONING
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8.
The type of use proposed- is
before completing)
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(consult with the Planning Dept.
9. It is proposed that theifollwing buildings ill be -
constructed : (� 3� � 11� le -.0 ,I
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:
NAMEV i L i� , 1 U I i l t t '`..; , Y'
�i i ADDRESS�'l'
PROPERTY ID# r1
NAME tv cj t
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ADDRESS `)? i
PROPERTY ID#�'.L—
NAME 1r i i'; c, .l [ �...'� V ADDRESS
PROPERTY ID#
NAMES
PROPERTY ID# M
NAME
PROPERTY ID#
NAME
PROPERTY ID#
NAME
PROPERTY ID#
NAME
PROPERTY ID#
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ADDRESS Lf L>
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.
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12. Additional comments if any:_
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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 Ownerdd�-r
Owners' Mailing Address
Owners' Telephone No.
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TO BE COMPLETED By ZONING ADMINISTRATOR:
USE CODE:
RENEWAL DATE: