HomeMy WebLinkAbout07-18 CommentsREQUEST FOR CONDITIONAL USE P
Frederick County Inspe(
Mail to: /
Frederick County Inspections Department
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107 North Kent Street, 2nd Floor gent
Winchester, Virginia 22601
(540) 665-5650
Applicant: It is your responsibility to complete c) assist the
agency with their review. Also, please attach t ►n map and .
all other pertinent information.
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Applicant's Name: IQ i r t t Telephone: 7e, 3 /y 7S- - y(�, c
Mailing Address: 5C, i I f�,j t= y /3 K 0'1 G Ij rL2 a r1 D
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Name of development and/or description of the request:
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Location of Property:
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Building Official's Comments:
Building Official's Signature & Date:
Notice to Inspections Department - Please Return This Form to the Applicant
12
REQUEST FOR CONDITIONAL USE PERMIT COMMENTS
Winchester -Frederick County Health Department
Mail to:
Frederick -Winchester Health Department
Attn: Sanitation Engineer
107 North Kent Street
Winchester, Virginia 22601
(540) 722-3480
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Frederick -Winchester Health Department
Attn: Sanitation Engineer
107 North Kent Street, Suite 201
Winchester, Virginia
Applicant: It is your responsibility to complete this form as accurately as possible in order to assist the
agency with their review. Also, please attach two (2) copies of your application form, location map and
all other pertinent flifom-iati0l).
Applicant's Name: 10 Tc` 1z, J C J !.I Telephone: 703 - i-1 ts' 76 60
Mailing Address: I P;]VtFx
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Name of development and/or description of the request:
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Location of Property:
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Frederick -Winchester Health Department's Comments:
Health Dept. Signature & Date:
Notice to Health Department - Please Return This Form to the Applicant
13
REQUEST FOR CONDITIONAL USE PERMIT COMMENTS
Frederick County Fire Marshal
Mail to: Hand deliver to:
Frederick County Fire Marshal Frederick County Fire & Rescue Dept.
1800 Coverstone Drive Attn: Fire Marshal
Winchester, Virginia 22602 Public Safety Building
(540) 665-6350 1800 Coverstone Drive
Winchester, Virginia
Applicant: It is your responsibility to complete this form as accurately as possible in order to assist the
agency with their review. Also, please attach two (2) copies of your application form, location map and
all other pertinent information..
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Applicant's Name: W rJ L H r ..5 i t rZ / O 1 L L L Telephone: _% o 3 41 1-Sti g G It v
Mailing Address: !7 C? i J P ; y k)i- R C -4
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Name of development and/or description of the request:
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Location of
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Fire Marshal's Comments:
Fire Marshal's Signature & Date:
Notice to Fire Marshal - Please Return This Form to the Applicant
11
HISTORIC RESOURCE ADVISORY BOARD
REVIEW APPLICATION
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Frederick County
107 North Kent Street, Suite 202 MEETING DATE
Winchester, Virginia 22601
Telephone: (540) 665-5651
Fax: (540) 665-6395 DATE STAMP
Description of Application: Please describe briefly the request of the application: (rezoning, master development plan,
conditional use permit). Please be specific.
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This application is not complete until all of the following information has been provided to the Department of
Planning and Development. Please check the materials that have been submitted.
Copy of required application as described in 1.1
nDescription of proposed development or construction project, including proposed uses and general timeframe for
development (1.2)
ElStatus of any identified historic or archaeological resources on the site or adjacent to the site (e.g., located in any identified
historic area, survey area, or battlefield site or individually listed on a local, state or national historic register, relevant
information on record with the Virginia Department of Historic Resources) and presence of other historic structures or
significant landscape features or archaeological sites; (1.3)
F] Photographs (color) of all historic resources on the property (1.4)
PROPERTY IDENTIFICATION NUMBER PIN
Name of Applicant: t,' i y :_ r, / 1) G Tele hone Number (%3) y 7S = y O
Address: Street % �(v' '' KtCitti t r hl Cr► j=,t; State ^,,p9 Zip Code l 16 42
Signature: / Print Name: P1414 /< -1 1-),4 ri L Date: / j
Please note that the applicant or his/her appointed representative must be present at the meeting.