HomeMy WebLinkAbout01-23 Application
To be completed by Planning Staff: Fee Amount Paid $
Zoning Amendment Number Anticipated PC Hearing Date
Date Received Anticipated BOS Hearing Date
REZONING APPLICATION
FREDERICK COUNTY, VA DEPARTMENT OF PLANNING & DEVELOPMENT
1.Property Owner(s) (please attach additional page(s) if more than two owners):
Name:
Specific Contact Person if Other than Above:
Address:
Telephone: Email:
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:
Specific Contact Person if Other than Above:
Address:
Telephone: Email:
3.Law firm, engineering firm, or other person, if any, serving as the primary contact
person for this application:
Firm Name:
Specific Contact Person at Firm:
Address:
Telephone: Email:
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.
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4.Project Name (if any):
5.Property Information:
a.Property Identification Number(s):
b.Total acreage of the parcel(s):
c.Total acreage of parcel(s) to be rezoned (if other than whole parcel(s) is being rezoned):
d.Current zoning designation(s) and acreage(s) in each designation:
e.Proposed zoning designation(s) and acreage(s) in each designation:
f.Magisterial District(s):
g.Location - 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):
h.Adjoining Properties:
Parcel ID Number Use Zoning
Please attach additional page(s) if necessary.
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.
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6.Disclosure 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.
Please attach additional page(s) if necessary.
7.Checklist. 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 (pdf’s) of all submitted items
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8.Signature(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: Date
If signing on behalf of an entity, please state name of entity and your title:
Owner: 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.
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11/3/22
Car Credit Nation, POA