HomeMy WebLinkAbout38-16 ApplicationSITE PLAN APPLICATION
- Office Use Only -
Date Application Received: I I I Le Application #:
Fees Receiveu:,�Co . UC) Receipt #: ''1 1 i � i4 initials:
I . Project Title: Pine Creek Retreat Center Addition and Renovations
2.
3
Location of Property 1794 Back Creek Rd
(Street address) Gore VA 22637
Applicant/Designer:
Name: Pennoni Associates Inc.
Address: 117 E. Piccadilly Street, Suite 200
Winchester, VA 22601
4. Property Owner (if different than above):
Name: Pine Creek Camp Inc.
Address: P_O. Box 247
Gore, VA 22637
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: 540-667-2139
Telephone: 540-858-2842
37-A-46
2,050 SF
7,965 SF
Retreat Center
Retreat Center
Gainesboro
6. Site Plan Type:
a. Is this an original or new site plan? Yes n No
b. Is this a revised site plan? Yes Flel 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: God's Glory Lane Approved 9/21/95
7. Zoning Information:
a. Current Zoning: RA
b. Was this property Rezoned? Yes El No
C. If yes provide the rezoning number for this property:
d. Are there any proffers for this property? Yes No ILI
e. Has a MDP been approved for this property? Yes No
f If yes provide the MDP number for this property:
8. Adjoining property zoning and use:
North
East
South
West
USE
Vacant
Residential
Vacant
Residential
ZONING
RA
RA
RA
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: r, V �E �
Date: November 3, 2016