HomeMy WebLinkAbout02-19 ApplicationSubmittal Deadline ? Z y
P/C Meeting
BOS Meeting
APPLICATION FOR CONDITIONAL USE PERMIT
FREDERICK COUNTY, VIRGINIA
1. Applicant (check one) : Property Owner —L�_ Other
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NAME: L?.A ,A i s26 r Oti n S S
ADDRESS: � `� Z 7 � �1 � 1-e- { C ` k e. 4 � �C V � c A T'4 z -L 5 ��
TELEPHONE: o) Z
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2. Please list all owners, occupants, or parties in interest of the property:
L6VA V. /VAnsS
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The property is located at: (please give exact directions and include the route number of
your road or street)
4. The property has a road frontage of C00 feet and a depth of 3 r feet and
consists of L/, U 1 acres. (Please be exact)
5. The property is owned. by L v '1 i -e– -{ LCIA c.4:, JV 1, S S as
evidenced by deed from W,1) ti.M .t 5'��� �r J (previous owner) recorded in
deed book no. oiHaage_ _1 as recorded in the records of the Clerk of the
Circuit Court, County of Frederick. i A"{- �0 1 Yo o/ v t y
6. Property Identification Number (P.LN.) A Z
Magisterial District
Current Zoning K A
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7. Adjoining Property:
USE
North uCi 4—
East A c
South gJnit_ss('oJ 1. P3, ds
West CiLl r-rIAL
ZONING
EA
IN
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 arc 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 neonle will be notified by mail of chic nnnlinntinn•
Name and Property Identification Number
Address
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Name and Property Identifieation Number
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Property #
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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
Owners' Mailing Address l S 2 `�
Owners' Telephone No.`�� Z 7 S 771
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12. Additional comments, if any: 5 a
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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
Owners' Mailing Address l S 2 `�
Owners' Telephone No.`�� Z 7 S 771
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