16-23 ApplicationSITE PLAN APPLICATION
- Office Use Only -
Date Application Received: Application #: �- a
Fees Received: 500 • Receipt #: �� Initials: �-
1. Project Title:
2. Project Description: -7 p �a f �Z- el
3. Location of Property: e10/f S C �� �✓ (` ��g 5 f S r
(Street address) �,� ��� v6�� <<���C IL C(
4. Applicant/Designer:
Name: r LA Telephone: ,s1/0
Primary Point of Contact: 7,' r r email: —14, tic, r bar � "Z
Address: F
5. Property Owner (if different than above):
Name: �J,f CC�/njj �� F� t� C h �'rG ' Telephone: 5y� �69- G y9
Address: 6 3 s- 3 0 11V e C ku fc (_ �J
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)
8
2
7. Site Plan Type:
a. Is this an original or new site elan?
1'es
No
b. Is this a revised site plan?
YcsU
No
If yes provide all previous site plan numbers:
x
� e�``
C. Is this a minor site plan?
Yes
No
If yes provide all previous site plan numbers:
S. Zoning Information:
a. Current Zoning:
b. Was this property Rezoned'?
Yes
No XL
c. If yes provide the rezoning number for this
property:
X
d. Are there any proffers for this property?
Yes
No
e. Has a MDP been approved for this property? Yes
No X
f. If yes provide the MDP number for this property:
9. Adjoining property zoning and use:
USE
North
East
South
West
ZONING
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: %J
Name (Printed): r
Date: �� 7,Z2
9