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SITE PLAN APPLICATION
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Date Application Received: Application #: I — <
Fees Received: _�`''t` _ Receipt #: C 0 �J Q .'> Initials:_ iF
1. Project Title: �Ar--VJ GIFE
2. Project Description:
3. Location of Property:.
(Street address) W l HO H EfE-T'�V ,
4. Applicant/Designer:
Name:
Primary Point of Contact:
��nnal 1, . Ct�ln/l
Address: Ct
5. Property Owner (if different than above):
Name: t.E," L—I FE CzH Iz-l� �"j,bt�J Telephone:
Address: 2q " I PC-) LE
VJ10 C+4EcEt?T1:—z12 , V-7&� , 22Cvy2
6. Property Information:
a. Property Identification Number: 4
b. Total acreage of the parcel to be developed: 1 (7
C. Total disturbed area of the parcel: %, 15-:
d. Present Use:
e. Proposed Use: �j [4 w2o H
f. Magisterial District(s) G "t C-lF--
8
Site Plan Type:
a. Is this an original or new site plan? Yes n No
b. Is this a revised site plan? Yes ET No
If yes provide all previous site plan numbers:
C. Is this a minor site plan? Yes Er No
If yes provide all previous site plan numbers: ' —V �= Cje�>
8. Zoning Information:
a. Current Zoning:`
b. Was this property Rezoned?
Yes No
C. If yes provide the rezoning number for this property:
d. Are there any proffers for this property?
Yes No
e. Has a MDP been approved for this property?
Yes No
f. If yes provide the MDP number for this property:
9. Adjoining property zoning and use:
USE
ZONING
Northam 1001,1 171 A.
East CH U ►2G{_.}
� ,a
South �2� ►p��1,4�
West
I have read the material included in this package and understand what is required by the Frederick County Planning
Department. I also understand that all required material will be complete prior to the submission of my site plan.
Signature: '
Name (Printed): u �—' L
Date: I410 —V � 201 q