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HomeMy WebLinkAbout34-16 Application2 3 SITE PLAN APPLICATION - Office Use Only - Date Application Received: Ie I ,n i c Application #• Fees Received: ^ r }. Receipt #: `ice+ -' Initials: - Project Title: Diesel Exhaust Fluid Pilot Treatment System - Flying J #752 Location of Property (Street address) 1530 Rest Church Rd Clear Brook, VA 22624 Applicant/Designer: Name: The Johnson Company Address: 100 State Street, Suite 600 Montpelier, VT 05602 4. Property Owner (if different than above): Name: Pilot Travel Centers, LLC Address: 5508 Lonas Drive Knoxville, TN 37909 5. 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: 802-229-4600 Telephone: 865-474-2340 3391 24.98 (total parcel acreage) 815 square feet Fuel Station No Change Winchester, VA 6. Site Plan Type: a. Is this an original or new site plan? Yes II No Iy b. Is this a revised site plan? Yes No El 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: 26-96, 54-4, 01-10, 13-11, 14-15 7. Zoning Information: a. Current Zoning: B-3 b. Was this property Rezoned? Yes El No I v I 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 F-1 No –Fv-(] f. If yes provide the MDP number for this property: 8. Adjoining property zoning and use: USE North Orchard East interstate 81 South Vacant Land West Agriculture ZONING RA Interstate ROW B3 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. Signature: Date: /0 QJ L':