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P/C Meeting
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APPLICATION FOR CONDITIONAL USE PERMIT
FREDERICK COUNTY, VIRGINIA
1. Applicant (The applicant if the owner other)
NAME: TAV l D A - 1�0 LL&&
ADDRESS. KbRN ej i-"%r'J
TELEPHONE 5-4 0 Y} I- 2-2-09
2. Please list all owners, occupants, or parties in interest of
the property:
-PAW, 140 -wt ( -IC-
3. The property is located at: (please give exact directions and
include the route number of your road or street) From )0'7 tv. keK-f Froe.Q.e..d norTL
I t sS 4" Y+ 11► O +" ►T aG- A- -4.o r n ! GCA'b! LL�1 S-', -k✓N LPii o n l LLy 4N D PYoe jA'OL
WLst :kJio Holt_ -+o -3t va.ddock 54yaP4, -fvao Le:?. TRAve.l Sow'iN o,') (virga L '/Wk- ►n:,l.e,_
AND -T6Lr2N ritk-+ or Arv,tAer-ST S -t . Fallo►v ArnN+2dST S+rcct A-PPKoXIMA1¢L1 ✓f ►orR ��1� 4�
�<r h��•aZ STR2Et b x-&YY.,_s --'L> 4-- . So We St . C10K-41K AA- o tel. 5o (.JLst C 069-TRu.1 s-me1V jejF)
172, 7- rv--Zl2S -to SokthslDE of 5-roNe FACEb &AR.Afsc 10/ kWi7-e TtZ414-/L..
LA XT bo� 02AILE2 1s .2AS?5► LxE ^ FB�D(4-3 i
I-
4. The property has a road frontage of .3- feet and a
depth of feet and consists of j,Zs/per acres.
(Please be exact) JQ,4SE DEFER 74, .47r&Ne..D stcnv--y
5. The property is owned by A- 1`0Lt� as
evidenced by deed from tjW,,Aet A elAy k a 5L4&4t/ Al, (7IAek recorded
(previou's owner)
in deed book no. 493 on page 7.75 as recorded in the
records of the Clerk of the Circuit Court, County of
Frederick.
6. 14 -Digit Property Identification No. .2700004 0000 9J 6
Magisterial District
Current Zoning
7. Adjoining Property:
USE
North Woo:oj2's
East 1ocu� � Vyy'f sw-'p
South WoObE
West 4003e 4- S ADf
11 S2 7,,d J #0J bt� de&r M,1;7&�
ZONING
RA -
by eommissiuvzr a 6 T�'e ven u e
W - rgTE
�iY i S /ani
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:
NAME �Ynclatf 4 cl o `) ADDRESS
PROPERTY ID# ot7L(}� � A0 r'ngZO
NAME J G hill � � l� d 1) C� C1 f (_( "_ 9 ADDRESS
PROPERTY ID# USC;,/T 0 WC9 40
NAME �V i t -r- I 1 /a G v t- 0 d T ADDRESS
PROPERTY ID# (45
NAME ADDRESS
PROPERTY ID#
NAME Poul— 41.0-c ct r> ADDRESS
PROPERTY ID# i�j 1100 'a
NAME ADDRESS
PROPERTY ID#
NAME ADDRESS
PROPERTY ID#
NAME ADDRESS
PROPERTY ID#
06 tk 1l ((7
;31C; ,
Elf, , Vo. a ,�w3 7
FL
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 in ect your pr erty where the proposed
use will be conducted. i � 11 /J
Signature of Applicant
Signature of Owner
Owners' Mailing Address 4536 1yoZ7NWE5TE,ew ?,-kE
l!> inicNESTE�
VA Z. i z.o 3
Owners' Telephone No. S-10 — 2.77- a -2o9
TO BE COMPLETED BY ZONING ADMINISTRATOR:
USE CODE:
RENEWAL DATE:
7341 Northwestern Pike, Gore VA