HomeMy WebLinkAbout15-02 Application4GK�cDG
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Submittal Deadline
P/C Meeting .3--
BOS Meeting 01- n a__n
APPLICATION FOR CONDITIONAL USE PERMIT
FREDERICK COUNTY, VIRGINIA
1. Applicant (The applicant if the _ / owner other)
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NAME: rt./?/ Q � ✓ / I Q
ADDRESS: 1-lew
TELEPHONEf
2. Please list all owners, occupants, or parties in interest of
the property:
a / '
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3. The property is located at: (please give exact
include the route number of your road or street)
directions and
a
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4. The property has a road frontage of �,3 feet and a
depth of 3 feet and consists of acres.
(Please be exact)
5. The property is owned b C� n ��/ !� !/ Gi as
evidenced by deed fFro A ,� r 1�c recorded
Ott( revious' owner)
in deed book no .,rj on page as recorded in the
records of therCierk of the Circuit Cour County of
Frederick. Na
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6. 14 -Digit Property Identification N
Magisterial District /',- 1 �. j
Current Zoning HP
7. Adjoining Property:
USE ZONING
North ( qS e
East
South
West
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The type of use proposed
before completi�)
is (consult with the Planning Dept.
9. It is proposed that the following buildings will be
constructed:
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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 sLt-reet 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:
I�Pth �r
NAME/
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PROPERTY ID#
d NAME
PROPS
ADDRESS
ADDRESS i rC10,�'
NAME -Farz l lz 4i ADDRESS
PROPERTY ID#
NAME / /�✓�J� 'liJ ADDRESS
PROPERTY ID#
NAME7 v(— i�/CeADDRESS / f-�r�C�,�`(�il fe-i
PROPERTY ID# T J -
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NAME (f�QS�� �GZ%? me /� ADDRESS �c�(� ,n y (,
PROPERTY ID#
NAME
PROPERTY ID#
NAME
PROPERTY ID#
ADDRESS
77� i �✓��r %yl��
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. /y „jO/v e/
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12. Additional comments if an lave.,
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I (we), the undersigned, do hereby respectfully make application /
and petition the governing body of Frederick County, Virginia to�°S��i��
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.
all, slvlzLlllt� lryev
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TO BE COMPLETED BY ZONING ADMINISTRATOR:
USE CODE:
RENEWAL DATE: