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HomeMy WebLinkAbout23-19 ApplicationSITE PLAN APPLICATION Office Use Only - Date Application Received: q Application #: J ( j 1-4 1C) (1 Fees Received: ,-3?1 Receipt #: n6O C I 1-7 Initials• 1. Project Title: Holtzman Oil Corp North Frederick Pike - Route 522 2. Project Description: Re -develop an existing restaurant site to a convenience store with gas pumps 3. Location of Property: North West Quadrant of the Intx Route 522 & Fox Dr (Street address) 1409 North Frederick Pike, Winchester Va 22603 4. Applicant/Designer: Name:Holtzman Oil Corp/Gordon Primary Point of Contact: Todd Heck Telephone: (304) 725-8456 email: theck@crordon . us. com Address: 148 S Queen St Suite 201, Martinsburg WV 25401 5. Property Owner (if different than above): Name: MamaMia, LLC Telephone: Address: 1409 North Frederick Pike, Winchester VA 22603 6. Property Information: a. Property Identification Number: b. Total acreage of the parcel to be developed C. Total disturbed area of the parcel: d. Present Use: e. Proposed Use: £ Magisterial District(s) 8 42-5-C1 1.35 Ac 1.03 Ac Restaurant Convenience Store/Gas Station Stonewall 7. Site Plan Type: a. Is this an original or new site plan? Yes No b. Is this a revised site plan? Yes No If yes provide all previous site plan numbers: C. Is this a minor site plan? YesF-1 NoILL If yes provide all previous site plan numbers: 8. Zoning Information: a. Current Zoning: b. Was this property Rezoned? Yes F-1 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 North Route 37 East Vacant Lot/Gas Station South Gas Station West Route 37 ZONING N/A B2 E N/A 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): H Date: 9