HomeMy WebLinkAbout01-20 Applicationn
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APPLICATION FOR CONDITIONAL USE PERMIT
FREDERICK COUNTY, VIRGINIA
1. Applicant (check one): Property Owner__ Other (�
NAME: r -,j , C_. E'
� A
ADDRESS:
TELEPHONE: fl C-1$ 2.� �j J — �11a 2 Z o Z-
2.
Please list all owners, occupants, or parties in interest of the property:
i
1
3. The property is located at: (please give exact directions and include the route number of
your road or street)
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4. The property has a road frontage of (3 �-ry feet and a depth of Z
consists of ) p -J<- feet and
.� acres. (Please be exact
5. The property is owned by
evidenced by deed from as
(previous owner) recorded in
deed book no. n z- on page101_, as recorded in the records of the Clerk of the
Circuit Court, County of Frederick.
6. Property Identification Nujnber (P N.) j J
Magisterial Dist!��
Current Zoning
5
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7• Adjoining Property:
FUSE ZON. NQ
North
East -i
C C -
South l
West V
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The type of useiFproposed is (consult with the Planning Dept. before completing):
c7 i ,- ,C kV ; E--,
9• It is proposed that the following buildings will be constructed:
10. The following are all of the individuals, firms, or corporations owning property
adjacent to both sides and rear and in front
where the requested use will be conducted.
These people will be notified by
of (across street from) the property
(Continue on back if necessary.)
mail of this
application:
Name and Property Identification Number
Name
LCti U L'e ~
Property # %
Address
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p 5-�--A � ��-�—�
Name
Property #
Name
Property #
IN
Name rI,� ��S , , '/
-
Property # �`" _ �v�to
�
Name �.
Property # s LC _ _ �^
Name &Cllr
Property #
Name fi ���
`
1
Property # ci
I /1
tl
0
Name and Property Identification Number
Address
Name - + Q� � �
/
%
Property #
Name t` %� f�
I !(J`r t PLACe
Property # y lot
Name �✓( G' ' '� C_
s:z (;e�cvGQj .f
Property #
Name
i}C✓�"
Property # ��� _ _ -��.-
Namet
�� !✓rpt �� .
Property # �1- r ��1f _� i
Name(
Property #
Name
Property #
Name
Property #
Name
Property #
Name
Property #
Name
Property #
Name
Property #
Name
Property #
Name
Property #
l 1. Please use this page for your sketch of the property. Show proposed and/or existing
structures on the property, including measurements to all property lines.
1.3
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GRAPHIC LEGEND
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12. Additional comments, if any:
I (we), the undersigned, do hereby respectfully make application and petition the governing body
of Frederick County, Virginia to allow the use described in this application. I understand that the
sign issued to me when this application is submitted must be placed at the front property line at
least seven (7) days prior to the first public hearing and maintained so as to be visible until after
the Board of Supervisors' public hearing. Your application for a Conditional Use Permit
authorizes any member of the Frederick County Planning Commission, Board of Supervisors or
Planning and Development Department to inspect your property where the proposed use will be
conducted.
Signature of Applicant
Signature of Owner
Owners' Mailing Addre:
Owners' Telephone No.
11 PS b
TO BE COMPLETED BY THE ZONING ADMINISTRATOR:
USE CODE:
RENEWAL DATE:
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