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SITE PLAN APPLICATION
1. Project Title: _______________________________________________________________
2. Project Description: ___________________________________________________________
__________________________________________________________________________
3. Location of Property: _____________ ____________________________________________________
(Street address)_________________ ______________________________________________________
___________________________________________________________________________________
4. Applicant/Designer:
Name: _____________________________ Telephone: ___________________
Primary Point of Contact: ________________________ email: ___________________
Address: ______________________________________________________________
________________________________________________________________
5. Property Owner (if different than above):
Name: _____________________________ Telephone: ___________________
Address: ______________________________________________________________
________________________________________________________________
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) ________________________________________
- Office Use Only-
Date Application Received: _________________ Application #: __________________
Fees Received: _____________________ Receipt #: __________________ Initials:______________
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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 ____ No _____
If yes provide all previous site plan numbers: ______________________________________
8. Zoning Information:
a. Current Zoning: ______________________________________
b. Was this property Rezoned? Yes ____ 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 ______________________ __________________________
East _______________________ __________________________
South ______________________ __________________________
West ______________________ __________________________
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): ________________________________________
Date: _____________________________________________