HomeMy WebLinkAbout15-04 Applicationur / Lto ri -tkiyq
Submittal Deadline
P/C Meeting
BOS Meeting
APPLICATION FOR CONDITIONAL USE PERMIT
FREDERICK COUNTY, VIRGINIA
1. Applicant (The applicant if the
NAME:
ADDRESS:
TELEPHONE
..- /f --o
owner V other)
2. Please list all owners, occupants, or parties in interest of
the property:
intc ku-
P. L L - -F
3. The property is located at: (please give exact directions and
include the route number of your road or street)
3 03
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The prop
depth of _
(Please be
y has a road frontage of feet and a
feet and consists of A�lff,f acres.
exact)
5. The property is owned
evidenced by deed from
in deed book no. '110
records of the Cler
Frederick.
acs
by kL as
(previousowner)
on page 69
, as recorded in the
k of the Circuit Court, County of
6. Tax(Parcel)Identification
Magisterial District -..�t
Current Zoning
7. Adjoining Property:
(I.D.)No.
USE ZONING
North
East
South zif
West
8. The type of use pr(
before completing)_
4. &*e4
✓j�i l s j 40(
i
b
t s prop seAh 1
constructed: W ° X
used isSconsult with the P1
I
J 1 x
inn - C1, 0,16i
he o lowing uildingswil
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.)hes�,�people will be notified by mail of this
GGtiti��44 L
application. '
NAME 14 ADDRESS : �t� 1 # C �_ rle�i" 1 rf-% . Crr—A— -
PROPERTY IDI (c; f -3 " I
Nig
NAME \� '� ' (��?i� d� _ f:: i ..af"L:'t ) ADDRESS )( i }`� ..,i: s 1 'ATG
PROPERTY ID#
Y I D ` •?.
`4 ADDRESS
NAME1�:i. I
,
PROPERTY ID#
NAME i:l C�. �, / `�,'l f�Z:i ( ADDRESS
PROPERTY ID#
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NAME I'V1 A IVI
1- �_�>- ADDRESS
PROPERTY ID#
1
NAME �j
L I L ADDRESS
PROPERTY ID#
NAME PLI-I Ivy)
n
ADDRESS
PROPERTY ID#
E�
NAME f -'I'j R)
ADDRESS
PROPERTY ID#
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NAME I ADDRESS
PROPERTY
IDI
A
vil
NAME
�\"ADDRESS
PROPERTY
IDI
ADDRESS ss
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PROPERTY
IDf
NAME
ADDRESS
PROPERTY
IDf
NAME
ADDRESS
PROPERTY
ID#
NAME
ADDRESS
PROPERTY
ID#
NAME
ADDRESS
PROPERTY
IN
NAME
ADDRESS
PROPERTY
ID#
NAME
ADDRESS
PROPERTY
IDI
NAME
ADDRESS
PROPERTY ID#
NAME ADDRESS
PROPERTY ID#
PROPERTY ID#
NAME
PROPERTY IDI
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 .
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
sA
Owners' Mailing Address] ,617M.,' "11K 6-A Tv
Owners' Telephone No.
TO BE COMPLETED BY ZONING ADMINISTRATOR:
USE CODE:
RENEWAL DATE: