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Home My WebLink About24-04 Outback Steakhouse - Restaurant - Opequon - Backfile (2)Received From Address For L% — U o� Y • e y AMT OF a7 ACCOUNT AMT PAID i b BALANCE DUE All Dollars $ I nd CASH - - --- � — CHECK /( '� SITE PLAN TRACKING SHEET Date: �1-),O�OV File opened 0 o Reference Manual updated/number assigned Zo o D-base updated .,VQ• File given to Renee' to update Application Action Summary CO E OUT FILE: 4D Approval (or denial) letter mailed to applicant/copy made for file r% b File stamped "approved", "denied" or 'lry drawn' 1 / o / Reference Manual updated % D-base updated ?, /3 •ay File given to Renee' for final update to Application Action Summary jd(— _ ard�Common'Tn;kmg ch-13 Site Plan Tnzb.g Wpd Al JAI l 4 J 16v iv l 1A / � .0 ir0 SITE PLAN APPLICATION CHECKLIST The checklist shown below specifies the information which is required to be submitted as part of the site plan application. The Department of Planning & Development will review the application to ensure that it is complete prior to accepting it. If any portion of the application is not complete, it will be returned to the applicant(s). (1) One (1) set of approved comment sheets are required from each relevant review agency prior to final approval of a site plan. It is recommended that applicants contact the Department of Planning & Development to determine which review agencies are relevant to their site plan application. A list of potentially relevant review agencies is shown below: Frederick County Department of Planning & Development --� eparlment of GIS (Geographic Information Services) ederiok-County�tation Authori Frederick Coup Building Inspections Deparhnen ;� ederick County Department of Public Works Frederick County Fire Marshal Frederick County Health Department Frederick County Department of Parks & Recreation 7- Virginia Department of Transportation (VDOT) ----City of Winchester 'Mown of Stephens City -------Town of Middletown /-- Frederick County / Winchester Airport Authority V (2) One (1) copy of the Site Plan application form. 1/ (3) Payment of the site plan review fee. (4) One (1) reproducible copy of the Site Plan (if required). • . , o COU F�bkQYICK Department of Planning and Development 540/665-5651 FAX: 540/ 665-6395 July 13, 2004 Mr. Ronald A. Mislowsky, Jr., P.C. Gilbert W. Clifford & Associates: A Division of Patton Harris Rust & Associates, PC H 7 East Piccadilly Street, Suite 200 Winchester, Virginia 22601 Re: Approval of Site Plan #24-04, Outback Steakhouse Property Identification Number (PIN) 75A-6-B-41B Dear Ron: The Frederick County Department of Planning and Development administratively approved the above - referenced site plan on July 13, 2004. This site plan is approved for the construction of a 6,163 square foot restaurant at the corner of Route 839 and Route 11 South, in the Back Creek Magisterial District. All requirements for development of a restaurant within the B2 Zoning District have been satisfied in the approved site plan. Furthermore, all relevant review agencies have approved the project at this time. I am providing you with five (5) copies of the approved site plan. Please forward these copies to the property owner and/or other appropriate persons. Please inform the property owner that a copy should be kept for future reference, and an approved copy must be kept on the construction site throughout the development process. Once site development is complete, the owner should contact this office to schedule an on -site inspection. Feel free to contact me should you have any questions or concerns. Sincerely, J remy F. Camp - Planner I1 JFC/bad Attachments cc: Barbara E. Van Osten, Back Creek District Supervisor mane Anderson, Real Estate _,P�dirick Barker, Economic Development Commission ems, LLC, P.O. Box 3243, Winchester, VA 22601 _,0-utback Steakhouse, Inc., 2202 N. Westshore Blvd., 5" Floor, Tampa, FL 33607 em: dreg Unger, Back Creek District Planning Commissioner ,-'Cordell Watt, Back Creek District Planning Commissioner. 107 North Kent Street - Winchester, Virginia 22601-5000 Jul 12 04 12:29p g.w. clifford & assoc. 40-665-0493 p.2 Request for Site Plan Comments Frederick County inspections Department RECEVVED ' Hail to: Hand deliver to: •t ,y i3(� 1'rederick Cot:nty Inspections Dept. 107 N. Kent St. Attn: Building Official Fourth floor 4,.*1 RICK=0 107 N. Kent Street Winchester, VA 22601utnwaP�cR Wincheste,, VA 22601 (540) 665-5650 (540) 665-5650 Please fill out the information as accurately as possible in order'to assist'the agency with their review Please attach one (1) cop)' of the cite phin with'th'is sheet. Applicant's Name: _Gilbert W.-Chffofd &_Associates,:Tnc Address: c/o Ronald A. Mislowsky 11-T.B.-Piceadilly Street Wliwlxstrr, VA 226U1 : - Phone'Number: (540) 667-2139 ,lame of development and/or description of the request: Outback Steakhouse Location of property: Southwest corner of Valley pike (US Route 11) and VA sec. Route 839, just south of the Route 11 and Route 37 interchange In ectio s )evelopment's (;onuncnts. y� ,-4.i�it • Patton Harris Rust & Associates, pc • June 23, 2004 Jeremy Camp Frederick County Planning 107 N. Kent Street Winchester, VA 22601 RE: Outback Steakhouse Dear Jeremy, PRA I've enclosed revised plans here for your approval. HAlso enclosed are all of the necessary agency approvals, but for the Building Inspector. We had previously added the notes he requested and resubmitted for his review, but have not heard anything yet. As soon as we get his approval, I will forward it. 0- "` Please call if you have additional questions. Regards, gilbert w. clifford & associates Id WAMOiVslowsky, �E, cc: Eric Hartman e COMMONWEALTH of VIRGINIA DEPARTMENT OF TRANSPORTATION EDINBURG RESIDENCY Philip A. Shucet 14031 OLD VALLEY PIKE COMMISSIONER EDINBURG, VA 22824 June 21, 2004 Mr. Ronald A. Mislowsky, P.E., V.P. C/O G. W. Clifford & Associates, Inc. 117 E. Piccadilly Street, Suite 200 Winchester, VA 22601 Ref: Outback Steakhouse Route 11, Valley Pike, and Route 839 at Route 37/11 Interchange Frederick County Dear Ron: JERRY A COPP RESIDENT ENGINEER TEL (540) 984-5600 FAX (540) 984-5607 We have received your revised site plan dated June, 2004 for the referenced project. It appears all of our earlier review comments have been satisfactorily addressed. Please advise the owner of our approval. Also please provide six (6) sets of approved construction plans with signed seal for VDOT distribution. Due to the magnitude of improvements on VDOT facilities, it appears a preconstruction conference should be held by the engineer/developer with the attendance of the contractor, various County agencies, and VDOT prior to initiation of work. The appropriate land use permit may now be applied for to cover work within the Routes 11/839 right- of-way. The permit is issued by this office and will require a minimum processing fee, surety bond coverage, and the salary & expenses of a State assigned Inspector. Once satisfactory application has been made, a permit will normally take approximately thirty days to process and issue. Should you have any questions, do not hesitate to call. Sincere • Barry J. Sweitzer, Trans. foadway Engineer For: Lloyd A. Ingram, Transportation Engineer BJS/rf Enclosure xc: Mr. Dave Heironimus Mr. Jeremy Camp VirginiaDOT.org WE KEEP VIRGINIA MOVING Rezonin2 Comments Virginia Department of Transportation Mail to: Virginia Dept. of Transportation Attn: Resident Engineer 14031 Old Valley Pike Edinburg, VA 22824 Hand deliver to: Virginia Dept. of Transportation Attn: Resident Engineer 14031 Old Valley Pike Winchester, VA 22601 Applicant: Please fill oufthe information as accurately as possible in order to assist the Virginia~. Department of Transportation with their review. Attach three copies of your application form;; location map, proffer statement, impact analysis, and any other pertinent information. Applicant's Name Mailing Address: Location of Property: Patton Harris Rust & Associates, pc c/o Ron Nlislowsby. P.E. 117 E. Piccadilly Street, Suite 200 Winchester, VA 22601 Phone: (540)667-2139 Southwest corner of VA Rout 839 and U.s. Route 11 in Kernstown, Frederick County, South of VA Route-3 7. Current Zoning: B2 Zoning Requested: BW w/YA Acreage: 2 Virginia Department of Transportation Comments: The documentation within the application to rezone this property appears to have little measurable impact on Routes 11, 839 and with the laws of the Commonwealth of Virginia, no private advertisement sign can be placed on the State's right-of-way. Prior to contacting Mr. Larry Curry at (540) 332-9098. See attached letter from VDOT dated June 21, 2004 to G. W. Gifford & Associates. VDOT Signature & Date: / Z/ 4� — Notice to VDOT— Please Return This Form to the Applicant gilbert w. clifford & associates a division of Patton H arris Rust i Associates,pc Engineers. SSurveyors Planner3. Landscape Architects. PHRA 117 East Piccadily Street, Suite 200 Winchester, Virginia 22601 T 540 667,2139 F 540 665 0493 To: Barry Sw-eitzer, VDOT -� John Whitacre, FCSA John Trenary, Frederick County Inspections Tun Welsh, Frederick County Fire and Rescue From: Date: Project Name/Subject: PHR+A Project file Number: June 8, 2004 Outback Steakhouse. Inc. cc: Eric Hartman We've revised the site plans to address comments provided by your agencies. Copies are enclosed here for your approval. Many of the changes were minor in nature. The significant changes include: 1. We've confined the Route 839 widening to the south side of that road. 2. The Route 839 widening section is provided. 3. The Route 11 widening section has been updated. 4. The fire hydrant at the rear of the building has been relocated. 5. Additional details have been provided for the pump station and the specification has been clarified. 6. Sidewalk access to the historical markers is provided. If you have anyadditional questions, please give me a call. ►//,Z'Vr/ — �i�i�.4 D vE�D 14 S /Yo TKO 7 / T,F,,n S �7/,iY4 -;)W.: / i,6 1OR1,vn MYL-h? F 5-.�e7s ,� C6�S Z3Y �28✓ON • • '— �'� WINCHESTER REGIONAL AIRPORT o �� of 491 AIRPORT ROAD MP a Hr�au WINCHESTER, VIRGINIA 22602 41— -4 (540) 662-2422 May 13, 2004 Ron Mislowsky Gilbert W. Clifford & Associates 117 East Piccadilly Street, Suite 200 Winchester, Virginia 22601 Re: Site Plan Comments Outback Steakhouse Opequon Magisterial District Dear Mr. Mislowsky: Following a review of the above referenced site plan, it has been determined that this proposal should not impede operations at the Winchester Regional Airport. Therefore special conditions are not being requested on behalf of the airport. Thank you for your continued support and allowing us the opportunity to review these plans. Sincerely, 6P, YT" Serena R. Manuel Executive Director Request for Site Plan Comments Frederick County Engineering Department Mail to: Hand deliver to: Frederick County Engineering Dept. 107 N. Kent St. Attn: Director of Engineering Fourth Floor 107 N. Kent Street Winchester, VA Winchester, VA 22601 (540) 665-5643 (540) 665-5643 Please fill out the information as accurately as possible in order to assist the agency with their review. Please attach two (2) copies of the site plan with this sheet. RECEIVED Applicant's Name: Gilbert W. Clifford & Associates, Inc. Address: c/o Ronald A. Mislowsky 117 E. Piccadilly Street „_, lry r Winchester VA 22601�ro8ld� Phone Number: (540) 667-2139 Name of development and/or description of the request: Outback Steakhouse Location of property: Southwest corner of Valley pike (US Route 11) and VA sec. Route 839, just south of the Route 11 and Route 37 interchange Engineering Department's Comments: ito vs - I` Engineering Dept. use onh 7W 1 Date received �r 11 Date revision received Date approved Incomplete Incomplete Date reviewed _S Z_ C) /Gt/ Date review d Sivnature and Date-------- Si-nature and Date (revisions) 7_5A - e --T)- q 18 Request for Site Plan Comments Frederick CounA-Winchester Health Department Mail to: Frederick -Winchester Health Dept. Attn: Sanitation Engineer 107 N. Kent St., Suite 201 Winchester, VA 22601 (540) 722-3480 Hand deliver to: 107 N. Kent St. Suite 201 Winchester, VA (540) 722-3480 Please fill out the information as accurately as possible in order to assist the agency with their review. Please attach one (1) copy of the site plan with this sheet. Applicant's Name: Address: Phone Number: Gilbert W. Clifford & Associates, Inc. c/o Ronald A. Mislowsky 117 E. Piccadilly Street Winchester, VA 22601 540) 667-2139 Name of development and/or description of the request: Outback Steakhouse Location of property: Southwest corner of Valley pike (US Route 11) and VA sec. Route 839, just south of the Route 11 and Route 37 interchange Health Dept's Comments: Health Dcpf use'onT Date received �� Date revision received Incomplete Incomplete Date reviewed �/� ^�� Dat ewed Signature and Date Signature and Date (revision) Date approved z,-I-L6`D�1 Rezoning Comments Mail to: Frederick Co. Fire Marshal 107 N. Kent St. Winchester, VA 22601 (540) 665-6350 Frederick County Fire Marshal Hand deliver to: Frederick Co. Fire & Rescue Dept. Attn: Fire Marshal Co. Administration Bldg., I" Floor 107 N. Kent Street Winchester, VA 22601 Applicant: Please fill out the information as accurately as possible in order to assist the Frederick Count} Fire Marshal with his review. Attach a copy of your application form, location map, proffer statement, impact analysis, and any other pertinent information. Applicant's 'Name: Patton Harris Rust & Associates, pc Phone: (540)667-2139 Mailing Address: c/o Ron Mislowsky. P.E. 117 E. Piccadilly Street, Suite 200 Winchester. VA 22601 Location of Property: Southwest corner of VA Rout 839 and U.s. Route 1 I in Kernstown, Frederick County, South of VA Route 37. Current Zoning: B2 Zoning Requested: BW w/IA Acreage: 2 Fire Marshal's Comments: Fire Marshal's Signature &Date io adjf Notice to Marshal — Please Retu This Form to the Applicant 11 • is Control number SP04-0021R Project Name Outback Steakhouse Address 117 EPiccadilly Street Type Application Site Plan Current Zoning B2 Automatic Sprinkler System Yes Other recommendation Emergency Vehicle Access Adequate Siamese Location Adequate Emergency Vehicle Access Comments Access Comments Additional Comments Pians approved as submitted. Frederick County Fire and Rescue Department Office of the Fire Marshal Plan Review and Comments Date received Date reviewed Date Revised 5/9/2004 6/10/2004 6/7/2004 Applicant G W Clifford & Associates City State Zip Applicant Phone Winchester VA 22601 540-667-2139 Tax ID Number Fire District Rescue District 75A-6-B-41B 11 11 Recommendations Automatic Fire Alarm System Yes Requirements Hydrant Location Adequate Roadway/Aisleway Width Adequate Election District Back Creek Residential Sprinkler System No Fire Lane Required Yes Special Hazards No Plan Approval Recommended Reviewed By Signature ��~a • - _ Yes Timothy L Welsh F iitl� .,�f c :.,'.: i74A Passociates gilbert w. chfford a division of 9 Patton H arris Engineers. Surveyors. Rust & Associates,pc Planners. Landscape Architects. ,jUN S 2()()4 PH R+A Street,Suite200 East Winchester, 22601 � Wi ei,Virgiy F[if [>F 6IICi1L(�)4t�[iY T Sa0.667.2139 HtaNW e Cc VT t# H%,;! NT F 540.665.0493 Memorandum To: Barry Sweitzer, VDOT John Whitacre, FCSA John Trenary, Frederick County Inspections Tim Welsh, Frederick County Fire and Rescue From: Date: June 8, 2004 Project Name/Subject: Outback Steakhouse, Inc. PHR+A Project file Number: cc: Eric Hartman We've revised the site plans to address comments provided by your agencies. Copies are enclosed here for your approval. Many of the changes were minor in nature. The significant changes include: 1. We've confined the Route 839 widening to the south side of that road. 2. The Route 839 widening section is provided. 3. The Route 11 widening section has been updated. 4. The fire hydrant at the rear of the building has been relocated. 5. Additional details have been provided for the pump station and the specification has been clarified. 6. Sidewalk access to the historical markers is provided. If you have any additional questions, please give me a call. Request for Site Plan Comments Frederick County Enpineerinp, Department Mail to: Hand deliver to: Frederick County Engineering Dept. 107 N. Kent St. Attn: Director of Engineering Fourth Floor 107 N. Kent Street Winchester, VA Winchester, VA 22601 (540) 665-5643 (540) 665-5643 DECEIVED MA`( : 0 , iEDEFICK COU, , r NNING & DEVELOPMENT Please fill out the information as accurately as possible in order to assist the agency with their review. Please attach two (2) copies of the site plan with this sheet. RECEIVED Applicant's Name: Gilbert W. Clifford & Associates, Inc. Address: c/o Ronald A. Mislowsky 117 E. Piccadilly Street Winchester, VA 22601 ['L�Ct�ORN�1"'SP'Cu° Phone Number: (540) 667-2139 Name of development and/or description of the request: Outback Steakhouse Location of property: Southwest comer of Valley pike (US Route 11) and VA sec. Route 839, just south of the Route 11 and Route 37 interchanize Engineering Department's Comments: Engineering Dept. use only Date received 0L/ Date revision received Date approved-512,oley Incomplete Incomplete Date reviewed :SZ_O /Ot/ Date review Signature and Date Signature and Date (revisions) • 0 United Sign Systems. 205 Tower Drive • Oldsmar, FL 34677 • 888-704-1516 • Fax: 813-855-3351 Transmittal Date: 4126104 To: Mark Cheran Planner I Dept of Planning and Development 107 North Kent Street 4"' Floor Winchester, VA 22601 Phone: 540-665-5651 Fax: 540-665-6395 From: David DeLellis Subject: Outback Steakhouse Winchester, VA Mark As per our conversations about this location, I am sending you this to look over. If I understood this correctly then the following would work out. You said we base off of exit #310 which is 805' mean sea level According to the topo map we have the rear left elevation is 743' Which gives us a difference of 62', plus the original height of 35' for this sign would allow us 97'. We are asking for one at 80' in height with the supporting photos included. I have also included a very basic drawing of the sign to give you an idea of what we are proposing for this location. Can you please give me a call or email when you are done reviewing this to let me know your thoughts. David De Lellis 888-704-1516 davedel@unitedsignsystems.com E Location of sign: Back left corner of lot. 35 ft. off ramp at exit 310 North 35 ft. off ramp at exit 310 South 35 ft. 1-81 North —No visibility. E 50 ft. at ramp exit 310 South 1-81 80 ft. 1-81 South at exit 310 50 ft. off exit ramp 310 1-81 South 80 ft at mile marker 309 1-81 North J 23'-4" 36" OUTBACK i CD STEAKHOUSE IM Elevation Scale: 3/1615= V-0" @ 11"x17" Standard 150 square foot ..... Pylon sign: �.1.► `�i+ United Sign Double sided VA AI S stems y ,..,, PH. 888-704-1516 THIS DESIGN IS SUBMITTED AS PART OF OUR PROPOSAL AND IS TO REMAIN OUR PROPERTY EXCLUSIVELY UNTIL ACCEPTED AND APPROVED BY PURCHASE. r • COUNTY of FREDERICK Department of Planning and Development 540/665-5651 FAX: 540/ 665-6395 April 27, 2004 Mr. Ronald A. Mislowsky, Jr., P.E. Gilbert W. Clifford & Associates: a division of Patton Harris Rust & Associates, PC 117 East Piccadilly Street, Suite 200 Winchester, Virginia 22601 Re: Review Comments for Site Plan #24-04, Outback Steakhouse Property Identification Number (PIN) 75A-6-B-41B Dear Ron: Staff is in receipt of the site plan for the above -referenced project, accepted on April 20, 2004. At this time, the site plan is denied until the following comments are adequately addressed. Review Comments: 1) Aisle Widtli. The parking aisle closest to Route 839 is only 20' wide. Please increase the aisle width to a minimum of 22', as required by the Frederick County Zoning Ordinance for 90 degree parking spaces. Changing the parking space dimensions closest to Route 839 from 9' x 20' to 10' x 18' would allow for the 2' needed without significant changes. 2) Speed Limit For Valley Pike. Please provide the posted or unposted speed limit for the portion of Valley Pike (Route 11 N) which fronts the subject property. 3) Historical Markers. Pedestrian access to the historical markers along the front of the property appears to be appropriate. Please consider adding a small sidewalk for such purpose. 4) Maintenance of Landscaping Note. The maintenance of landscaping note on page 4 of 7 appears to be the standard continent used for the City of Winchester. Please remove the portion of the statement after the first sentence (All landscaped area shall be maintained in good condition by owner). 107 North Kent Street • Winchester, Virginia 22601-5000 Page 2 Mr. Ron Mislowski, P.E. Re: Review Comments for S.P. #24-04 April 27, 2004 5) Magisterial District. The proposed restaurant is located in the Back Creek Magisterial District, not the Opequon District. Please correct as necessary on the title page and on each individual page of the site plan. 6) Existing Off -Premise Business Sign. Please note that the existing off -premise business sign for Route 37 Self -Storage shall be removed from the property. A conditional use permit is needed to keep the existing sign on the property or to erect a new off premise business sign on the property. 7) Adjoining Meat Vendor to South. A sidewalk or trail linking the subject property and the property to the south is recommended "if' regular deliveries will be made between parcels. Once you have adequately addressed all of these comments, please resubmit a copy for my review. I will need all approved review agency comment sheets and at least five copies of the final plan for approval. Comment sheets are required frorn the following agencies: The Frecerick County Department of Building Inspections, The Frederick County Fire Marshal, The Frederick County Engineer, The Frederick County Sanitation Authority, The Frecerick County Health Department, The Frederick County Airport Authorit}, and the Virginia Department of Transportation. Feel free to contact me if you have any questions. Sincerely, �A �� , C Jeremy F. Camp Plamler II JFC/bad cc: /'Utback Steakhouse, Inc. (2202 N. Westshore Blvd. 5`' Floor Tampa, FL 33607) 0 0 SITE PLAN APPLICATION Department of Planning and Development Use only. Date application received AO Application # 'Q Complete. Date of acceptance Incomplete. Date of return. 1. Project Title: Outback Steakhouse Restaurant 2. Location of Properly: Valley Pike (Address): Winchester, VA 22602 3. Property Owner: Outback Steakhouse, Inc. Address: 2202 N. Westshore Blvd., 5" Floor Tampa, FL 33607 Telephone: 813-282-1 125 4. Applicant/Agent: Gilbert W. Clifford & Associates Address: 117 C. Piccadilly Street Winchester, VA 22601 Telephone: 540-667-2139 5. Designer: Gilbert W. Clifford & Associates Address: 117 B. Piccadilly Street Winchester, VA 22601 Telephone: 540-667-2139 Contact: Ron Mislowsky 6a. Is this a standard or `minor' site plan? Standard Minor 6b. Is this an original or revised site plan? Original X Revised 7a. Total acreage of parcel to be developed: 2 acres 7b. Total acreage of parcel: 2 acres 8. Property Information: a) Property Identification Number: 75A-6-B-41 B b) Current Zoning B2 C) Present Use: Vacant d) Proposed Use: RcstaUrant e) Adjoining Property Use(s) Residential, storage, office n Adjoining Property Identification Number (s) 75A-6-12A, 75A-6-B-41, 75-A-4 g) Magisterial District (s) Opequon 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 Date �� 0 • o�lc� c0, Special Limited Power of Attorney 14 County of Frederick, Virginia Frederick Planning Web Site: NvwNv.co.frederiek.va.us Department of Planning & Development, County of Frederick, Virginia, 107 North Bent Street, Winchester, Virginia 22601 Phone 540-665-5651 Facsimile 540-665-6395 Know All Men By Those Present: That I (We) (Name) �6 ,� �S LL C (Phone) �/-o 70 - U% 3 (Address)_?)O 7�-., ZZ�1� ��G the mvner(s) of all those tracts or parcels of land ("Property") conveyed to ine (Lis), by deed recorded in the Clerk's Office of the Circuit Court of the County of Frederick, Virginia, by Instrwnent No. `ZT S on Page 4�— e3 , and is described as Parcel: 41 g Lot: _g Block: 6 Section: 7 4 A Subdivision: do hereby make, constitute and appoint: (Name) Ronald Mislowsky (Phone) 540-667-2139 Gilbert W. Clifford & Associates (.Address) 1 1 7 F_ Pi coach 1 I v Street- , Winchester, VA 22601 To act as my true and lawful attorney -in -fact for and in my (our) name, place, and stead with full power and authority I (we) would have if acting personally to file planning applications for my (our) above described Property, including: ❑ Rezoning (including proffers) ❑ Conditional Use Permits ❑ Master Development Plan (Preliminary and Final) ❑ Subdivision ?lam Site Plan My attorney -in -fact shall have the authority to offer proffered conditions and to make amendments to previously approved proffered conditions except as follows: This authorization shall expire one year from the day it is signed, or until it is otherwise rescinded or modified. In witness thereof, I ve) have hereto set my (our) hand and sea] this S day of ' 200 Signa State of Virginia, City/County of rl(> -,Q I C k , To -wit: �S LI I, � A 9 8 A A Y-1 C UJ , a Notary Public in and for the jurisdiction aforesaid, certify that the person(s) who signed to the foregoing instrument personally appeared before me and has acknowledged the same before me in the jurisdiction aforesaid this day of �P� �l , 2004/. L4,a My Commission Expires: _m A l/ 2� d eopz Notary Public 0 Request For Site Plan Comments Department of PlanninI4 and Development Mail to: Hand deliver to: Department of Planning and Development 107 N. Kent St. Attn: County Planner- Fourth Floor 107 N. Kent Street Winchester, VA Winchester, VA 22601 (540) 665-5651 (540) 665-5651 Please fill out the information as accurately as possible in order to assist the agency with their review. Please attach two (2) copies of the site plan with this sheet. Applicant's Name: Gilbert W. Clifford & Associates, Inc. Address: c/o Ronald A. Mislowsky 117 C. Piccadilly Street Winchester, VA 22601 Phone Number: (540) 667-2139 Name of development and/or description of the request: Outback Steakhouse Location of property: Southwest corner of Valley pike (US Route 11) and VA sec. Route 839, just south of the Route 11 and Route 37 interchange Planning and Development's Comments: Planning and Development use only Date received Incomplete Date reviewed Signature and Date Signature and Date (revision Date revision received Incomplete Date reviewed Date approved