HomeMy WebLinkAbout05-20 Owner Signature PagesBartonsville Energy Facility
CUP Application Form
Owner Signature Page
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.
Tax Map: 74-A-4
R & T Pack ag-Cor orae �'tion�
Name: Keveney R. `Furst, President
Owner's mailing address: 1835 Valley Avenue, Winchester, VA 22601
Bartonsville Energy Facility
CUP Application Form
Owner Signature Page
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.
Tax Map: 74-A-44 and 74 -A -44A
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Louis Carbaugh I/ ,
Owner's Mailing Address: 5140 Passage Road, Stephens City, VA 22655
Bartonsville Energy Facility
CUP Application Form
Owner Signature Page
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.
Tax Map: 74-A-44 and 74 -A -44A
Margaret Carbaug Wolfrays
Owner's Mailing Address:
Bartonsville Energy Facility
CUP Application Form
Owner Signature Page
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.
Tax Map: 74-A-44 and 74 -A -44A
Helen Carbaugh Pyne
Owner's Mailing Address:
Bartonsville Energy Facility
CUP Application Form
Owner Signature Page
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.
Tax Map: 74-A-44 and 74 -A -44A
f
Jd�ph Carbaugh r
Owner's Mailing Address:
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 Address
Owners' Telephone No.
TO BE COMPLETED BY THE ZONING ADMINISTRATOR:
USE CODE:
RENEWAL DATE:
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