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SITE PLAN APPLICATION
- Office Use Only -
Date Application Received: 1 i -A �� Application #:
Fees Received: i (`(; �C' j . Receipt #: (C:r_'s i JC' "
Initials:
C)
1. Project Title: �i'c�vc �ti�,Ez,. 5,�;���-1 \�:��— Ltic��,. �v ����v\c;.k lik
2. Project Description: v..; fit -V -�V t &Vvvx-2 v\- L k k k
SVA 'I? vtSIVA
3. Location of Property: \t �7 v� 5 ` n "- yt•r c� �� S nyl l �nV t ►� f\vt Ce S
(Street address) 2aj t �� r �y ( oy\v t V -\n c� L e
V i\ 224,5—L-,
4. Applicant/Designer:
Name: (\- r i ct c\ ` S Telephone: =1-0'; CLI> 4 .Z 4t -I-
Primary Point of Contact: CVJN. k V S email:
Address:
5. Property Owner (if different than above):
Name: V -\Cede \' c A1. Wc,\--P- v'
Address:
Telephone:
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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
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Lk C-
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? Yes II No
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? YesH No Iff
f. If yes provide the MDP number for this property:
9. Adjoining property zoning and use:
USE
North `Mlvn*,v\�G
East `-t.s' 1 1 0-k
South �- %A - c= k
West Cunytvvclho�n
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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: F
Name (Printed): Lyi -e e o -e- v -
Date: � T- A V, � 2 C, A 01
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