HomeMy WebLinkAbout19-04 Application4 iq-0�1
,)(JL e 7l04 Submittal Deadline
P/C Meeting
BOS Meeting
r N"mri3, s . ENT
APPLICATION FOR CONDITIONAL USE PERMIT
FREDERICK COUNTY, VIRGINIA
1. Apt-licant (The applicant if ther-'�
owner ri other)
NAME:
ADDRESS:
TELEPHONE
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2. Please list all owners, occupants, or parties in interest of
the property:
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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 oc)
depth of feet and a
(� feet and consists of ,� _ acres.
lease be exact)
5. The property is owned by I �1��
evidenced by deed from 9 =� - C W)': x4- as
e- ;5� 1 4 rec rded
in deed book no. revious owner)
on page , as recorded in the
records of the Clerk of the Circuit Court, County of
Frederick.
6. Tax(Parcel) Identification (I.DNo, 2Magisterial District 14 - ��`�
"
Current ZoningG C, �,
7. Adjoining Property:
USE ZO ING
North es;��yc� ,
East L
South
West e nica�
S.
9.
The type of use proposed is (consult with the Planning Dept.
before completing)
It is proposed that the following b ildings will be
constructed: c}. %%c_ li[rl�?;a v� /_;��;,
Al"')e
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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
AxcS get Q/ll, ADDRESSn���J,����(�.�
PROPERTY Ino Z-') -
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NAME �Jj,`/� y /r�ALtn r �1 ADDRESS
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PROPERTY ID#
NAME 6r/} 2 Lj 1 n� /� t;,1 �!� /t' ADDRESS
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PROPERTY ID# y
NAME p(E'HeIVD410114 IA14114C(f ADDRESS
PROPERTY ID# �, ,)-
NAME &Anl � 'AA lJic l(' ADDRESS
PROPERTY ID# SD-- /,5 3 !4
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NAME �'1�'c.� Ll eL j<< ADDRESS _/
PROPERTY ID# 5-D - / SL -_3 -
NAME
PROPERTY ID#
NAME
PROPERTY ID#
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.
12. Additional comments, if any:_jklej-Vt �,.��,2 ,,//
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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 Owner
Owners' Mailing Address
Owners' Telephone No. S yG�� ,�,�, ;�- 5sYTr
TO BE COMPLETED BY ZONING ADMINISTRATOR:
USE CODE:
RENEWAL DATE: