02-20 ApplicationTo he comj)leted ley- Planning Staff Fee .Amount Paid x I •_ 1 8 �1. 5 t%
Zoning Amendment Number �- Anticipated PC Hearing Date
Date Received Anticipated BOS Hearing Date
REZONING APPLICATION
FREDERICK COUNTY, VA DEPARTMENT OF PLANNING & DEVELOPMENT
1. Prope rty Owner(s) (please attach additional page(s) if more than two owners):
Name: Ralph S. Gregory, Trustee under Land Trust Agreement Dated as of 10th Day of July 1989
Specific Contact Person if Other than Above:
Address: 164 Meadow Trace Lane, Middletown, VA 22645
Telephone: (540) 974-5413 Email: rsgregory39@gmail.com
Name:
Specific Contact Person if Other than Above:
Address:
Telephone: Email:
2. Other Applicant Party (such as a contract purchaser) (please attach additional page(s)
if necessary):
Name: n/a
Specific Contact Person if Other than Above:
Address:
Telephone: Email:
3. Law firm, engineering firm, or other person, if any, serving as the prim'ary' ntact
person for this application:
Firin Name: GreyWolfe, Inc
Specific Contact Person at Firm: Gary R. Oates, LS -B, PB
Address: 1073 Redbud Road, Wincheste, VA 22603
Telephone: (540) 667-2001 Email: GreyWolfelnc@aol.com
Please note that, if a law firm, engineering firm, or other person, other than the owner of the
property, will be acting on behalf of the owner and/or executing papers on behalf of the
owner in connection with the rezoning, the owner will need to execute a power of attorney
form granting the firm or person such authority.
Page 12
4. Pro ject Name (if any):
5. Property Information:
in Industrial Park
a. Property Identification Number(s): 75 -(A) -27A
b. Total acreage of the parcel(s): 19.885 acres
c. Total acreage of parcel(s) to be rezoned (if other than whole parcel(s) is being rezoned):
19.885 acres
d. Cur rent zoning designation(s) and acreage(s) in each designation:
RA - Rural Areas
e. Proposed zoning designation(s) and acreage(s) in each designation:
B-3 - Industrial Transition - 19.885 acres
f. Magisterial District(s): Back Creek
g. L ocation - the property is located at (give street address(es) if assigned or otherwise exact
location based on nearest road and distance from nearest intersection, using road names
and route numbers):
4440 Valley Pike. Just north of AppleLand Sports on the west side of Route 11.
h. Adjoining Properties:
Parcel ID Number
74-(A)-75
75-(A)-27
75 -(A) -26B
75 -(A) -26A
75-(A)-78
Use
Agriculture
Outdoor Recreation - CUP
Agriculture
Agriculture
Agriculture -Old Quarry
Please attach additional page(s) if necessary.
Zoning
RA
RA
RA
RA
RA
Property identification numbers, magisterial districts, and deed book and page numbers/
instrument numbers may be obtained from the Office of the Commissioner of the
Revenue, Real Estate Division, 107 North Kent Street, Winchester, VA 22601.
Page 13
6. D isclosure of real parties in interest.
Virginia Code § 15.2-2289 provides that localities may by ordinance require any applicant
for a zoning amendment to make complete disclosure of the equitable ownership of the real
estate to be affected including, in the case of corporate ownership, the name of stockholders,
officers, and directors, and in any case the names and addresses of all real parties of interest.
Frederick County has, by County Code § 165-101.09, adopted such an ordinance.
For each business entity that is an owner or contract purchaser of the property, please list the
name and address of each person owning an interest in, or who is an officer or director
of, any entity that is an owner or contract purchaser of the property (you need not
indicate the amount or extent of the ownership interest). Please note that this requirement
does not apply to a corporation whose stock is traded on a national or local stock exchange
and having more than 500 shareholders.
Ralph S. Gregory - 164 meadow Trace Lane, Middletown, VA 22645
Please attach additional page(s) if necessary.
7. C hecklist. Please check that the following items have been included with this application:
Location Map
❑ Plat Depicting Metes/Bounds of Proposed Zoning
❑ Impact Analysis Statement
❑ Proffer Statement (if any)
❑ Agency Comments
❑ Fee
❑ Copies of Deed(s) to Property(ies)
❑ Tax Payment Verification
❑ Digital copies (pdPs) of all submitted items
Page 14
7. S ignature(s):
I (we), the undersigned, do hereby respectfully make application and petition the Frederick
County Board of Supervisors to amend the zoning ordinance to change the zoning map of
Frederick County, Virginia. I (we) authorize Frederick County officials to enter the property
for site inspection purposes.
I (we) understand that the sign issued when this application is submitted must be placed at
the front property line at least seven days prior to the Planning Commission public
hearing and the Board of Supervisors public hearing and maintained so as to be visible
from the road right-of-way until the hearing.
I (we) hereby certify that this application and its accompanying materials are true and
accurate to the best of my (our) knowledge.
Owner:
Owner:
Date 4a o�3 40
117 If signing on behalf of an entity, please state name of entity and your title:
Date
If signing on behalf of an entity, please state name of entity and your title:
Other Applicant Party (if any):
Date
If signing on behalf of an entity, please state name of entity and your title:
If additional signature lines are necessary, such as if more than two persons are owners,
please use additional copies of this page.
Page 15
ADJOINING PROPERTY OWNERS
Owners of property adjoining the land will be notified of the Planning Commission and the
Board of Supervisors meetings. For the purpose of this application, adjoining property is any
property abutting the requested property on the side or rear or any property directly
across a public right-of-way, a private right-of-way, or a watercourse from the requested
property. The applicant is required to obtain the following information on each adjoining
property including the parcel identification number which may be obtained from the office of the
Commissioner of Revenue. The Commissioner of the Revenue is located on the 2nd floor of the
Frederick County Administrative Building, 107 North Kent Street.
Name and Property Identification Number
Address
Name Pippin Enterprises, LLC
164 Meadow Trace Lane
Middletown, VA 22645
Property #74-(A)-75
Nan,e Ralph S. Gregory, Trustee
164 Meadow Trace Lane
Middletown, VA 22645
Property #75-(A)27
Name Hack Woods, LLC
PO Box 367
Woodstock, VA 22664
Property # 75-(A)-78
Name Ruth Ann Petrie-Allsbrook
3519 Dahlia Avenue
Los Angeles, CA 90026
Property #75 -(A) -26A
NameRuth Ann Petrie-Allsbrook
3519 Dahlia Avenue
Los Angeles, CA 90026
Property #75 -(A) -26B
Name
Property #
Name
Property #
Name
Property #
Name
Property #
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