HomeMy WebLinkAbout07-03 ApplicationSubmittal Deadline
P/C Meeting
BOS Meeting
APPLICATION FOR CONDITIONTAL USE PERMIT
FREDERICK COUNTY, VIRGINIA
1. Applicant (The applicant if the owner other)
NAME:
� I
ADDRESS: � I ��il� ���1 %�� ) L , �,11 "o ck��-Q.
TELEPHONE
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 numbe_r� of your road or street)
I ry) , .
IC
4. The property has a road frontage of feet feet and a
depth of !_ — feet and consists of _j,�_ acres.
(Please be exact)
5. The property is owned by
evidenced_ by deed from L ,, y�c. _ �, r as
..`�� �'/ `t C i )c rte:ecorded
�
(previous owner) Y
in deed book no. ` on pages 5 , as recorded in the
records of the Clerk of the Circuit Court, County of
Frederick.
6. Tax(Parcel)Identification (I.D.)No)- 3
Magisterial District Q:'w
Current Zoning
7. Adjoining Property:
USE ZONING
North
East f �i
South �QS� ryJ_,11 ctl 0
West
= CSC' C t Can 10f/
TO: Barbara - Data Processing
FROM: -4are € Planning DeptWF
Please print sets of labels by:
THANKSM
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. 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:
L -NAME LjY C CCS F ADDRES
PROPERTY ID# - C� _.—j f52
ADDRESS
PROPERTY ID# '5-"_;?
----------------
DRESS
PROPERTY ID#
ADDRESS
PROPERTY ID#
AM DESS
PROPERTY ID#
A �I't C z; Il� . E►c? r ADDRESS
10
PROPERTY ID# z
NAME ADDRESS
PROPERTY ID#
NAME
PROPERTY ID#
ADDRESS
I �cl�rl``C'-li7 i� L'in
ire L. f 5�x V (C S
'Vi l/UC- f(tS `a ice'( VA
1 -,
W D
331-
D -
WR
12. Additional comments, if any
`I-
-4<D
;l
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
a�
Owners' Mailing Address
Owners' Telephone No.
TO BE COMPLETED BY ZONING ADMINISTRATOR:
USE CODE:
RENEWAL DATE: