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SITE PLAN APPLICATION
- Office Use Only (}
Date Application Received: Application #: i
O�
Fees Received: � �� � Receipt #: ay3� Initials:_
l . Project Title
2. Project Description:
3. Location of Property:
(Street address)
Q
Applicant/Designer:
Name e oo E
Primary Point of Contact:
Address:
5. Property Owner (if different than above):
Name:
Address: ;
Telephone:
email: _
Telephone:
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:
f. Magisterial District(s)
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7. Site Plan Type:
a. Is this an original or new site plan? Yes II No
b. Is this a revised site plan? Yes o No X
If yes provide all previous site plan numbers:
C. Is this a minor site plan? Yes n No
If yes provide all previous site plan numbers:
8. Zoning Information:
a. Current Zoning: RA
b. Was this property Rezoned? Yes No X
C. If yes provide the rezoning number for this property:
d. Are there any proffers for this property? Yes No X
e. Has a MDP been approved for this property? Yes No X
f. If yes provide the MDP number for this property:
9. Adjoining property zoning and use:
North
East
South
West
USE
Residential/Vacant
Vacant
Residential/Vacant
Residential
ZONING
RA
M1
RA
RP/RA
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.
AXSignature: o ��jl
Name (Printed): Michael M. Artz
Date: ( r l
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