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SITE PLAN APPLICATION
- Office Use Only -
Date Application Received: q Lp Application #: C0 —IQ
Fees Received: 5DE) Receipt #: aS a I Initials:
1. Project Title: Golden Corral
2. Project Description: Demolition of existing resturant and construction of new building
within same footprint of the existing building. Minimal Site Layout modifications.
3. Location of Property: 120 Costello Drive
(Street address)120 Costello Drive
Winchester, VA
4. Applicant/Designer:
Name: Balzer & Associates Telephone: 540-433-1908
Primary Point of Contact: William S. Moore, PE email: wmoore@balzer.cc
Address: 128 West Market Street, Suite 103
Harrisonburg, VA 22801
5. Property Owner (if different than above):
Name: Valley Corral, LLC
Address: 5104 W. Village Green Drive, Suite 108
Midlothian, VA 23112
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)
8
Telephone: 804-389-9623
ZEW
2.0 acres
0.64 acres
Restaurant
Restaurant
Shawnee
7. Site Plan Type:
a. Is this an original or new site plan? Yes No
b. Is this a revised site plan? Yes El No
If yes provide all previous site plan numbers:
C. Is this a minor site plan? Yes F] No
If yes provide all previous site plan numbers:
8. Zoning Information:
a. Current Zoning: B-2
b. Was this property Rezoned? Yes F] 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
North Retail B-2
East Hotel / Motel B-2
South Medical Warehouse B-2
West Hotel / Motel B-2
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): William S. MOOT@
Date:
LO l°I
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