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P/C Meeting
BOS Meeting
APPLICATION FOR CONDITIONAL USE PERMIT
FREDERICK COUNTY, VIRGINIA
1. Applicant (The applicant if the owner other)
NAME: ?cn,,J`�1��;;/�/� S
ADDRESS: ?SO 1-x-44, ,ya/A .,�--- 44m' 4)zA--,C
TELEPHONE '7-5-6-
2.
5` 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)
F4-57- 7'-D -N-4-b 65A),J, A11JJ-
4. The property has a road frontage of Y,5 3: `fI feet and a
depth of X1.5 feet and consists of �,,'' acres.
(Please be exact)
5. The property is owned by �1,�, , a, �r,t�r� as
evidenced by deed from recorded
(previous owner)
in deed book no. on page yz_�- as recorded in the
records of the Clerk of the Circuit Court, County of
Frederick.
6. 14 -Digit Property Identification No. ,
Magisterial Districth�aw,;j�✓�,�,¢
Current Zoning NJ-�
7. Adjoining Property:
USE ZONING
NorthL,,,�,.ec,;
East
South Al -1
West
AIA12k"CA6
AQD%2f�
4. The property has a road frontage of Y,5 3: `fI feet and a
depth of X1.5 feet and consists of �,,'' acres.
(Please be exact)
5. The property is owned by �1,�, , a, �r,t�r� as
evidenced by deed from recorded
(previous owner)
in deed book no. on page yz_�- as recorded in the
records of the Clerk of the Circuit Court, County of
Frederick.
6. 14 -Digit Property Identification No. ,
Magisterial Districth�aw,;j�✓�,�,¢
Current Zoning NJ-�
7. Adjoining Property:
USE ZONING
NorthL,,,�,.ec,;
East
South Al -1
West
8. The type of use proposed is (consult with the Planning Dept.
before completing)t,Lec s c�4-1 of A
/✓l�/19� G��%� �5���-'C�� ��? £: �,/o ��; �� .32��? d'��/�2`'£!»s'-�er;`� r-,�
n'I 'Ono i.JA i/T. A���t-'n.1'� _ �is���=,� i -s
9. it is proposed that the following_ buildings will be
constructed:,
Ge�y�' 513 �1G7„'L-E'1 �-•� 'y".�i r S 71.+9?f -
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 /&J, // f r, ;�>&Via, R.-�
PROPERTY IDI 63 X4
NAME fiA�,,, mj 6. - ;- c
PROPERTY ID# 6 3 0 8
NAME
PROPERTY ID#�>/
NAME
PROPERTY ID#
I
PROPERTY
ID#
NAME
PROPERTY
ID#
NAME
PROPERTY
ID#
NAME
PROPERTY
ID#
ADDRESS-hc-/54Ig , XW- cam:--'S--n
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3J f , 'IT,
ADDRESS
c> r I&IK_ IgV6
ADDRESS'rch€sTeF , l/,9
ADDRESS lei c.� £STC%2 , lfA
ADDRESS
ADDRESS
ADDRESS
ADDRESS
12. Additional comments, if any:
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 Applican
Signature of Owner
FA
Owners' Mailing Address Y � �% c� 1 4rtA1e-`
0,-e c:
Owners' Telephone No. 7rs - j-j'y - X5 %
TO BE COMPLETED BY ZONING ADMINISTRATOR:
USE CODE:
RENEWAL DATE: