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08-00 Application
Submittal Deadline ') ^1-©o P/C Meeting 7- cc BOS Meeting 7-/2 C) r" APPLICATION FOR CONDITIONAL USE PERMIT FREDERICK COUNTY, VIRGINIA 1. Applicant (The applicant if the owner other) NAME: ADDRESS: TELEPHONE �!57go AUC 2. Please list all owners, occupants, or parties in interest of the property: '1fcg't 3. The property is located at: (please give exact directions and include the route number of your road or street) U WC 4 & 4. The property has a road frontage of j 15'(fij fe-ak and a depth of q_(� (�ij feet and consists of acres. (Please be exact) �t 5. The property is owned by� as evidenced by deed from recorded cc (previous owner) in deed book no. 0 _ on page f rj3r) , as recorded in the records of the Clerk of the Circuit Court, County of Frederick. r"t'� 6.113t-y—Identificat-on-N.o Magisterial District �1c Current Zoning M 7. Adjoining Property: ZONING RECEIVE® APR 13 2000 ,� � 1;WMW _ 0S-5 tk USE North 8 iq East South West ZONING RECEIVE® APR 13 2000 ,� � 1;WMW _ 0S-5 tk 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: 4 A621" 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�>),4YA04911f Hi4osevr ADDRESS 0k{CCt PROPERTY ID# , � 5 C -11 J� NAME D 4 1 S J_ ADDRESS PROPERTY ID# iS " 1A - SS C :ass NAME 00, %l �. G.v vep' ADDRESS 6491 Cko KCA q PROPERTY ID# Ss- j) - \ S C NAME% �✓i�3/9/���T7/pUStC , 4L ADDRESS ll_� 117 �K��P�'1 C"111k�C�1 PROPERTY ID# A - �qo q S 'E � S j IMA41D PROPERTY ID# NAME PROPERTY ID# NAME PROPERTY ID# NAME PROPERTY ID# 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 Applicant Signature of Owner zltdp`4A Owners' Mailing Address UAL"q 5 Iq Owners' Telephone No. 546 W - 1l6 TO BE COMPLETED BY ZONING ADMINISTRATOR: USE CODE: RENEWAL DATE: 6,5