HomeMy WebLinkAbout27-05 Greenwood Grocery - Convenience Store - Shawnee - Backfile (2)SITE PLAN TRACKING SHEET
Date:
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�/ �� Reference Manual updated/number assigned
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CLOSE OUT FILE:
5 3 o !�7 Approval (or denial) letter mailed to applicant/copy made for file
44-0-s-- File stamped "approved", "denied" or "withdrawn"
/S oS Reference Manual updated
ny- D-base updated
�5 File given to Renee' for final update to Application Action Summary
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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
Department of GIS (Geographic Information Services)
Frederick County Sanitation Authority
Frederick County Building Inspections Department
Frederick County Department of Public Works
Frederick County Fire Marshal
Frederick County Health Department
Frederick County Department of Parks & Recreation
Virginia Department of Transportation (VDOT)
City of Wimchester
Town of Stephens City
Town of Middletown
Frederick County / Winchester Airport Authority
(2) One (1) copy of the Site Plan application form.
(3) Payment of the site plan review fee.
(4) One (1) reproducible copy of the Site Plan (if required).
r
m
0
v
•�oATE {l No. 8276
RECEIVED FROM
ADDRESS,.>.��
FOR
ACCOUNT/ PAID
ACCOUNT I �
AMT PAID CHECK
AAL,ANCE ORDER BY
u ��•� (JO
f
COUNTY of FREDERICK
Department of Planning and Development
540/665-5651
FAX: 540/ 665-6395
May 13, 2005
Mr. Craig McBride
Quarles Petroleum, Inc.
1701 Fall Hill Road, Suite 300
Fredericksburg, Virginia 22401
Re: Approval of Site Plan 9 927-05; Greenwood Grocery
Property Identification Number (PIN): 55-A-198
Dear Mr. McBride:
The above -referenced site plan was approved on May 13, 2005. The site plan is approved for the construction
of a new 960 square foot canopy and new gas pumps at the existing Greenwood Grocery site.
I am providing you with three (3) copies of the approved site plan. Please forward these copies to the
appropriate representative(s). Furthermore, advise the owner(s) 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(s) should contact this office to schedule an on -site inspection.
Do not hesitate to contact me if you have any questions or concerns.
Do not hesitate to contact me if you have any questions or concerns regarding this letter.
Sincerely,
i
Candice E. Perkins
Planner II
CEP/bled
cc: Greenwood Grocery, 1893 Senseny Road, Winchester, VA 22601
107 North Dent Street, Suite 202 • Winchester, Virginia 22601-5000
0 auarles,
DATE: May 11, 2005
TO: Candice Perkins
• 0
Quarles Fuel Network
1701 Fall Hill Avenue - Suite 300 877.444.FUEL phone
Fredericksburg VA 22401 540-371-9613 fax
(540) 665-5651
Department of Planning and Development
Planner II
107 North Kent Street, Suite 202
Winchester, VA 22601
RE: Review Comments for Site Plan #27-05, Greenwood Grocery
Property Identification Number (PIN): 55-A-198
SUBJ: Greenwood Grocery Site Plan Resubmission
FROM: Craig McBride
540-361-4863
Attached are five (5) copies of the final site plan. Approval letters from each review agency are attached. Their comments
have been addressed in the final site plan.
If you require anything further or have any questions please give me a call.
Thanks,
Craig=Mcride
V.uarles. 0 0
Quarles Fuel Network
1701 Fall Hill Avenue - Suite 300
Fredericksburg VA 22401
DATE: May 10, 2005
RE: Greenwood Grocery
1750 Senseny Road
Winchester, Virginia 22601
SUBJ: response to 1" submission comments
Frederick County Sanitation Authority — Approved as noted.
Comment - Label sign as existing.
Response - Sign has been labeled as existing.
Comment - Show owner name, address, and phone number.
Response - Owner name, address, and phone number has been added to drawing.
Comment - Describe sewer service.
Response - Note #8 has been revised to show the site is served by private septic system.
.Department of Planning and Development — Denied until comments are addressed.
Comment — Adioining Properties — Provide the information for the adjoining property to the north.
vesponse — Information on property adjoiner has been moved to center of property it labels.
Comment - Developer— Label the developer of the improvements.
Response - Quarles Petroleum has been labeled as the developer of the improvements.
Comment - Cano — Provide the height of the new canopy as well as a schematic of the canopy.
Response - Height of canopy has been more clearly shown and canopy detail has been added.
877.444.FUEL phone
540.371-9613 fax
Comment - Handicap Space - The parking calculations state there is one HC space, this space needs to be shown on the
plan. This space is required to be twelve feet in width as well as paved and striped.
Response - A handicap space has been added and labeled on the plans.
Comment - Magisterial District - This property is in the Red Bud Magisterial District, not Shawnee.
Response - The plans have been revised to show the property as being in the Red Bud Magisterial District.
Comment - Property Owner - Our records state that this property is owned under the name Green Sen, LLC. Provide this
r,
along with the owner's name.
Response - The owners name has been revised to show it as Green Sen, LLC.
MAY 1 2 2005
• •
Virginia Department of Transportation - Approved as noted.
,Comment - The application for site plan appears to have significant measurable impact on Routes 657 and 656, the VDOT
facilities which would provide access to the property.
Response - So noted.
'Comment - Be advised a right turn lane from Route 657 onto Route 656 is expected to be built in the near future.
,Response - So noted.
Comment - If any work is performed on the State's right-of-way, a land use permit will need to be applied for and issued to
cover said work. The permit is issued by this office and requires a fee and surety bond coverage.
Response - No work is planned on the State's right-of-way.
Frederick County Inspections Department - Approved as noted.
Comment - Structure and tanks shall comply with The Virginia Uniform Statewide Building Code and Section 312, use
group U (Utility and Miscellaneous) of the International Building Code/2000.
Response - Note 11 has been added on the site plan stating compliance.
Comment - Structural plans for the canopy submitted for permit application shall be sealed by a VA Licensed Design
Professional. Please note the requirements in Chapter 17 Special Inspections for this type structure, soils, concrete, bolts,
ect.
t
Response - So noted.
Comment - Tank location in reference to the property line shall comply with NFPA 30 and the International Fire Code.
Response - Note 12 has been added on the site plan stating compliance.
Frederick County Sanitation Authority — Approved as submitted.
Frederick County Fire Marshall-- Approved as submitted.
0200S 1:23 PM FROM: Fax TO: 15403719462 PAGE: WF 003
COUNTY of FREDER ICK
Mpartment or Planning and Ikielopnwnt
!G111f 60-5651
F.4X: 53111609•6395
April �s1:)`
',,fr.t'r.1it �i.liriIC.
Q)uarlcs I'cimlcunl. 11'.C.
170, Fall Hill htl+Id. Suite il)u
Ft dcrickthare. Virainia'__14"
Re: Review l'omtnent+ for Site Plan M27-05; Greenwood Grocer
Prolivrt, ldentification Number (PIN): 55-A-19fi
Dear %ir. MJil"AC:
3i ltllltlt'� `�?:at tlit�'�'t i'?w d the atk+: iC1.rti11eCd ,ite plan to dz!ernttftc Can
h: Brant;,' .1t +n-i tirtio. cairri istr&1w appri-:al "rintlt he gantcd. This site plan is denied witil the
1.zurc in this. re:c�aiencis, have hcnddry �t a. Y
Plea,. tc:i:�: tilt) omin,ow.; I.:.cl a.:ltn, anJ then pr:patc a r::i>ed silo plan ::Itirh aticquatt y
a.iirc"s .ach cur. �: r..
Revie% Comments:
11 %dittining l'i ont'rtit Pro.Ii a Aw information Ittr die udioin111C pl'olvrly it) dw with.
2) Location Blau. } h: ha•.tli:'n mar. on the site plan needs to he 1:2000• and include rtrads and
1) Ikccloper. i cthtl thrd:':cit'r'<'rc�l the utthr,�ti•mcnl;.
(.';tnu s. I' is the ieia:: +,; the n.a' cttaty vS wr11 a, a;.h�'m:iEic (�t the canal
�) Y.
51 Ilan(licatlSp-,jcc. 1 It:• ral king : ak ulation: sww that then is rue HC space: thii space needs to
hr.I-:,::nun the pl:ui l ai, a•:ae i� required tt,'t>` ::::t�'e in:hL's in::idth a�.::cll :!a pared and
h) \132tstcrial DiMricthtupvrt� t. to (1c Red NO Magi:.tcrial Flistti;t. not Sha::l><t .
7) Proper" Owner. tl;ir records Azte Ilutl :his prOpertti is (,wncd under the iwme of t:arccn Sen.
t 1.1,. prt�:id, tl . iloty %%ith Ow -owner': name.
After :r.0 1:a:e %%ki l ttl: "I" li;.tn. phase resubmit ilne Wpy u> dull I may verity the inConnatinn
Citntat:tt:�i r.r.:}:: rl:ta. 1 N al ntC� :Sil itrl7fh\ ttt rC� ICw il'i'.t'Iti:' t'�1111T71eT;t Sl1CCt5 and at le:ul II:C CtSp1CY UI
the final plan fi-r :irh-W-11. Cun:tt:e:t1 ,liccis are required 1ront Itw tollo:cias agencics::►k Fr.'•d rick
( (na71 lt: %14 i ::i �1� : I: f4:7 !'r+i'N! "'. +. ,...:,'+ •. :,r�rr:' lk'rD..7lfllt'►1j Ul 1'41+JIt' J'{'UI'+ES ; i Jl+Jlli' f M��p4NfTf iliC
Fred. r:. a (nu+"t 1• U;l? .� �qi+r, ! :r ; . r 1�'� �i � <..•a►+!} .�;;mr+7Jlpn .itlJhnr:h, rtrcl tl)c' F'rr:,;rria 17rFKa'lnti nt t+1
Iill North htnl 5ti-vo. Suite 2112 • witit•liester, Virginia 22601-:000
Request For Site Plan Comments
Frederick County Inspections Department
Mail to:
Frederick County Inspections Dept.
Attn: Building Official
107 North Kent Street
Winchester, VA 22601
(540) 665-5650
Hand deliver to:
107 N. Kent Street, Suite 200
North Building, 2nd Floor
Winchester, VA
(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) copy of the site plan with this sheet.
Applicant's Name
Address:
Phone Number:
les Pei 1(\c
II0i (call Nv;a,ff 3c,C
Y A 3L_1L{Ol
4Vti-s
Name of development and/or description of the request: nre�,o w:, CA 4
Location of property: i S 3 S f?n.Pr, y R
Inspections DeparrtmeWVCmme
L 5
Inspections Dept. use only
Date received
Incomplete
Date reviewed
Signature and Date
Signature and Date (revision)
Date revision received
Incorplete_ _ %
Date approved S a�
M
16 ,;�liC W RK & Ifs PECiww..
Structure and tanks shall comply with The Virginia Uniform Statewide Building Code and
Section 312, use group U (Utility and Miscellaneous) of The International Building Code/2000.
Structural plans for the canopy submitted for permit application shall be sealed by a Va. Licensed
Design Professional. Please note the requirements in Chapter 17 Special Inspections for this type
structure, soils, concrete, bolts, etc.
Tank location in reference to the property line shall comply with NFPA 30 and the International
Fire Code.
Request For Site Plan Comments
Frederick County Engineering Department
Mail to:
Frederick County Engineering Dept.
Attn: Director of Engineering
107 North Kent Street
Winchester, VA 22601
(540) 665-5643
Hand deliver to:
107 N. Kent Street, Suite 200
North Building, 2nd Floor
Winchester, VA
(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.
Applicant's Name:
Address: IIkv gall Kdf tivc'ur - S"J4 �c
Phone Number: liY�> -30 -gS;;;
Name lof development and/or description of the request:
Eng Department's Comments:
Engineering Dept. use only
Date received 4-Vc=5
Incomplete
Date reviewed PEP
Signature and Date
Signature and Date (revision)
Date revision received
Incomplete
Date approved
l�
RECEIVED
17
MWERICK COUNT:
MC WORK & INSPECTIIA..
2 2005
Request For Site Plan Comments
Frederick County Fire Marshal
Mail to:
Frederick County Fire Marshal
Attn: Director of Engineering
107 North Kent Street
Winchester, VA 22601
(540) 665-6350
Hand deliver to:
107 N. Kent Street
First Floor
Winchester, VA
(540) 665-6350
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: xucJles P( (11- eu1`) ,Zrc
Address: t tall iiIII (I\ie0U(e — 5 (A Ile 36c.
Phone Number:
Name of development and/or description of the request: G �,jcO l GrK)ce�y
Location of property: i lgi 3 S e--\Se1y lkz)(iA
W' mc. .�s i-ec VA D726b►
Fire Marshal's Comments:
Fire and Rescue Dept. use only
Date receivedS
Incomplete
Date reviewed
Signature and Date
Signature and Date (revi
Date revision received
Incomplete
18
Date approved y- 7-01-
•
Control number
SP05-0019
Project Name
Greenwood Grocery
Address
1701 Fall Hill Ave. Suite 300
Type Application
Site Plan
Current Zoning
RA
Automatic Sprinkler System
No
Other recommendation
Emergency Vehicle Access
Adequate
Siamese Location
Not Identified
Emergency Vehicle Access Comments
Access Comments
Additional Comments
•
Frederick County Fire and Rescue
Department
Office of the Fire Marshal
Plan Review and Comments
Date received Date reviewed Date Revised
4/5/2005 4/7/2005
Applicant
Quarles Petroleum
City State Zip Applicant Phone
Fredericksburg VA 22401 540-361-4863
Tax ID Number Fire District Rescue District
55-A-198 18 18
Recommendations
Automatic Fire Alarm System
No
R e C1 Ll i re n-, e n ts
Hydrant Location
Adequate
Roadway/Aisleway Width
Adequate
Election District
Shawnee
Residential Sprinkler System
No
Fire Lane Required
Yes
Special Hazards
No
Plan Approval Recommended Reviewed By Signature �
Yes Timothy L. Welsh °�+-
Title L]� i f���F,FI)
f'�Irri� 1�{1G'1. ti H A 9
Request For Site Plan Comments TNS
Frederick Countv Sanitation Authoritv
Mail to: Hand deliver to:
Frederick County Sanitation Authority 315 Tasker Road
Attn: Engineer Director Stephens City, VA
P.O. Box 1877 (540) 868-1061
Winchester, VA 22604
(540) 868-1061
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
Address: '-101 FG�I U'l, Av,nue— S.,,Fe 3c(.
ireks� ,r CIA -1 ut
Phone Number: y 3t;3
Name of development and/or description of the request: G G ; Ce
Location of property:
Frederick County Sanitation Authority's Comments:
/ 5, - V
14PPRoY�o �S NOTFo /TF-y1S
Sanitation Authority use only
Date received
Incomplete
Date reviewed
Signature and Date
Signature and Date (revision
Date revision received _
Incompl to
Dater
Zi
14
Date approved 5/ AR
0
Request for Site Plan Comments
Virginia Department of Transportation
Mail to:Hand deliver to:
Virginia Department of TransportationVirginia Department of Transportation
Attn: Resident Engineer2275 Northwestern Pike
14031 Old Valley PikeWinchester, Virginia 22603
Edinburg, Virginia 22824(540) 535-1818
(540) 984-5600
Please fill out the information as accurately as possible in order to assist the Virginia
Department of Transportation with their review. Please attach five (5) copies of the site
plan with traffic generation data and drainage calculations with this sheet.
Applicant's Name: '1u4r 1es Fe }ale w,) I n c
Address: I 0 00
f �clVA --aY01
Phone Number: 5 � 0 -- 1�1) b i `1 �s 6
Name of development and/or description of the request: G cc e,\ LQcc d 0-\)cFM
Location of property: I &,^i 3 �,k-2VA hoQc�
tk� ci,C�,ei 1-a,
Virginia Department of Transportation's Comments: `VI ' :' .
The application for site plan for this property appears to have significant measurable impact on Routes 657 and 656,
the VDOT facilities which would provide access to the property.
If any work is performed on the State's right-of-way, a land use permit will need to be applied for` and issued to cover^
said work. The permit is issued by this office and requires a fee and surety bond coverage.
VDOT use only
Date received
Incomplete
Date reviewed
Signature and Date
Signature and Date (revision)
Date revision received
Incomplete
13
Date approved
-1— 05
�LA 6eV
Request For Site Plan Comments
Frederick County Engineering Department
Mail to:
Frederick County Engineering Dept.
Attn: Director of Engineering
107 North Kent Street
Winchester, VA 22601
(540) 665-5643
Hand deliver to:
107 N. Kent Street, Suite 200
North Building, 2n° Floor
Winchester, VA
(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.
Applicant's Name: Q uacle� �eFti��uM.Tr��
Address: tJQ � gall M,il Ave.,ue - Su,ie 3C L
rrndc,t, k% . V4+ �ZYG 1
Phone Number: 5Yo 33 - gSoi
NaT; of development and/or description of the request: 6
Engineering Dept. use only
Date received��
Incomplete��
Date reviewed
Signature and Date
Signature and Date (revision)
MAY`TM
Date revision received
Incomplete
e reviewed _
Date approved
Z POO
REGEOVED
17
-11 101RIO. i;OUri i
• E.p it IiJ1� _���
CO Y of FREDERICK
Department of Planning and Development
540/665-5651
FAX: 540/665-6395
April 25, 2005
W. Craig McBride
Quarles Petroleum, Inc.
1701 Fall Hill Road, Suite 300
Fredericksburg, Virginia 22401
Re: Review Comments for Site Plan 1127-05; Greenwood Grocery
Property Identification Number (PIN): 55-A-198
Dear Mr. McBride:
Planning Staff has reviewed the above -referenced site plan to determine if administrative approval can
be granted. At this time, administrative approval cannot be granted. This site plan is denied until the
issues in this letter, as well as all issues of the other review agencies, have been adequately addressed.
Please review Staffs comments listed below and then prepare a revised site plan which adequately
addresses each concern.
Review Comments:
1) Adjoining Properties. Provide the information for the adjoining property to the north.
2) Location Map. The location map on the site plan needs to be 1:2000' and include roads and
properties.
3) Developer. Label the developer of the improvements.
4) Canopy. Provide the height of the new canopy as well as a schematic of the canopy.
5) Handicap Space. The parking calculations state that there is one I -IC space; this space needs to
be shown on the plan. This space is required to be twelve inches in width as well as paved and
striped.
6) Ala�istripester ial District. This property is in the Red Bud Magisterial District, not Shawnee.
7) Property Owner. Our records state that this property is owned under the name of Green Sen,
LLC. Provide this along with the owner's name.
After you have revised the site plan, please resubmit one copy so that I may verify the information
contained on the plan. I will need all approved review agency comment sheets and at least five copies of
the final plan for approval. Comment sheets are required from the following agencies: the Frederick
County Inspections Department, the Frederick County Department of Public GVorks (Cowity Engineer), the
Frederick County Fire Marshal, the Frederick County Sanitaliorr,4ulhority, and the Virginio Deparlrnent of
Transportation.
107 North Kent Street, Suite 202 • Winchester, Virginia 22601-5000
•
E
Mr. Craig McBride
Quarles Petroleum, Inc.
RE: Site Plan 427-05, Greenwood Grocery
April 25, 2005
Page 2
Do not hesitate to contact me if you have any questions or concerns regarding this letter.
Sincerely,
Candice E. Perkins
Planner I1
CEP/
cc: Greenwood Grocery, 1893 Senseny Road, Winchester, VA 22601
a
The following information must be included on your site plan. If your site plan is incomplete or
is missing information, it will not be reviewed and returned to you for revisions.
Administrative Information
Y N
1.
Name of proposed development.
2.
Name, address, and phone number of owner.
Name, address, and phone number of developer.
4.
Name, address, and phone number of designer.
5.
Certificate of surveyor, engineer, or architect.
�✓
6.
Date plan prepared and date of revisions.
ILA—
7.
A listing of all conditions placed on the site as a result of a
conditional use permit or conditional zoning approval.
8.
A space labeled "Approved by the Zoning Administrator"for
- -
the approval signature and date of approval.
ILL
9.
A description of setbacks or conditions placed on the site as a
- —
result of a variance approval. (Reference the variance
- -
application number.)
General Site Information
Y N
✓
10.
Location map (scale 1:2000)
11.
Magisterial District
12.
Scale of site plan (not to exceed 1:50)
✓
13.
North Arrow
✓
14.
Zoning of site
Use, zoning, and Property Identification Number (PIN#) of all
-
adjoining properties. This includes properties located across
right-of-ways, streams, and railroad tracks.
16.
Surveyed boundaries for all lots and parcels.
OJ
General Site (con't)
Y N
if
Building Information
Y N
Acreage of all lots included in the plan.
The location and dimensions of all required setbacks and yard
areas.
The location and type of all dwelling units.
Location and description of all recreation facilities.
Location of sidewalks and pedestrian ways.
Location and area of common open space.
The location, height, and dimensions of all signs.
Location, height, and specifications of outdoor lighting fixtures.
Location and nature of outdoor storage areas.
Location of outdoor trash receptacles and dimensions of
structure (fencing, etc.) required to enclose receptacles.
The height of all buildings and structures. Oayi D PI -I VLJ-4`5 VJ—
Location of all buildings, structures and uses.
The proposed use of each building, structure and area.
Ground floor area and total floor area of all buildings with FAR
calculations for commercial and industrial zoning districts.
Name and number of existing and planned streets on and
adjoining the site.
Location of existing and planned streets on and adjoining the
site.
Posted speed limit of existing adjacent roads.
Location and dimensions of all proposed entrances from public
right-of-ways.
A / 35. Location of all entrances on adjoining roads within 200 feet of the
proposed or existing entrance.
,4/r14' 36. Dimensions, boundaries, width, pavement, and construction of
planned roads.
Utilities
Y N
37. Location of all utilities, including sewer and water lines with the
size of lines, mains, and laterals. `--
✓ 38. Location and width of all easements, including access, utility,
and drainage easements.
39. Location and nature of fire lanes, fire hydrants, and all other
facilities necessary to meet Fire Code requirements.
Parking
Y N
40. Calculations describing the required number of parking and
loading spaces.
41. Location and dimensions of all parking and loading spaces,
driveways, parking aisles, curbing and other features to be used.
02. Location and dimension of all disabled parking spaces and
ramps.
Natural Features
Y N
✓ 43. Existing and finished contour lines.
44. Location of steep slopes, woodlands, floodplains, wetlands,
sinkholes, and other environmental features.
J✓�11 45. Location of streams and drainage ways.
Landscaping
Y N
n1 �A 46. Landscaping plan describing location and types of plants to be
used.
�V 1P, 47. Location of required buffers and screening with cross sections or
profiles.
Erosion and Sediment Control
Y N
48. A stormwater management plan with run off calculations and
location and description of facilities to be used.
49. Soil erosion and sedimentation control plan describing the
location and methods to be used to minimize erosion and
sedimentation during development.
12
r
2
3
4
5
SITE PLAN APPLICATION
Department of Planning and Development Use only.
Date application received: /{x�os- Application # / -,0
Fees received: L z1ar Initials: —
Project Title:
G(-emwood Geoc,ezy
Location of Property I S 7� S e n S e ny Roa4
(street address) gN �,�bUl
Property Owner: )clan Foy
Address: IV-i 3 Sen Sony Q,o("�
(, im ,e5i-er VM 'X-)6w
Telephone:
Applicant/Agent QUCk IeS Ve [ C'Je uc\ :� I A e
Address 1`-� I F,� II Hi II Aoc,d — Su, 300
rc-eAPri c k 5 hVN D-- � I
Telephone:
S'c 0 - 3 l 1 - .-� `i 19
Designer: (>L�Czdes \ �o(
Address: 1 101 FALL U,I( Kk3Q(-� - 5LA,Fe 300
TA ect &--, 6 r,: V P �- a ` Q) )
?Telephone:
I `Contact:
4' 3
Ccc\,q kQgv�A-e
G
APR - 5 2005
•
0
6a. Is this a standard or 'minor' site plan?
6b. Is this an original or revised site plan?
7a. Total acreage of parcel to be developed:
7b. Total acreage of parcel:
8. Property Information:
a) Property Identification Number:
b) Current Zoning:
c) Present Use:
d) Proposed Use:
e) Adjoining Property Use(s)
f) Adjoining Property Identification Number(s)
g) Magisterial District(s)
Standard
Original
C), 06-3 F}cres
S - A — IC,
Minor �(
Revised
V, f�
C'anVi`'e S
r'c�r\Y ��P�ce S{oi`e
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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:/9 S^
7
0 •
20�5
Special Limited Po`ver of Attorney
.� County of Frederick, Virginia
planning Office, County of Frederick, Virginia, 107 North Kent Street, Winchester, Virginia 22601
Phone540-665-5651
Facsimile 540-665-6395
Know All Men By These Presents: That I (We)
(Name)y O I4-j �� (Phone) <2 (0,C:
(Address) I e'� � -5 r�.s2----�-Y R-��-p
the owner(s) of all those tracts or parcels of land ("Property") conveyed to me (us), by deed recorded in the Clerk's
Office of the Circuit Court of the County of Frederick, Virginia, by
Instrument No. _T�9 on Page Z
Parcel: Lot: Block: Section:
do hereby make, constitute and appoint:
and is described as
Subdivision:
(Name) Q vAalZA, > 5 �►2O t_G (Phone) SRO -��l -Z +()o
(Address) I70 1 �-c- i ,g•/� _'2.I*—D Eu.sz 2f-
�4 Zz' l01
To act as Illy 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:
G Rezoning (Including proffers)
G Conditional Use hermits
G Master Development r']an (Preliminary and Final)
G Subdivision
G 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
In witness thereof, j/(,
Signature(s)
)one year from the day it is signed, or until it is otherwise rescinded or modified.
ve hereto set my (our) hand and seal this 5✓-}a+2�- - day of uI-, 200
V
e
of Virginia, City/County of —b 11 AI L i e (LP C , To -wit:
I, , a Notary Public in and for the jurisdiction aforesaid, certify that the person(s) who
signed to the fo -egoing instrument and who is (arc) '111-nown to me, personally appeared before me and has
acknowledged the same before me in the jurisdiction aforesaid this day of 'fa`-, 200.5 . /
J011. D/ %Y) , P[ d My Commission Expires: � 3 /- -2 O
Notary Public
•
0
Request For Site Plan Comments
Department of Planning and Development
Mail to: Hand deliver to:
Department of Planning and Development 107 N. Kent Street
Attn: County Planner North Building, 2"d Floor
107 North 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: Q vocl es Ve I �-o I e uA, , t n c .
Address: 1-701 Fall Hd( ()ye-nue-Su'k)-e goo
RedebCk<b9C4.VA
Phone Number: ,740 - 3t,1 - q&8
Name of development and/or description of the request: 6r-eeowcoci 6fc,(e(l�
Location of property: I` 9 3 S en S e1, y (k
W,c'Ch1," ` ey- " \j N ��W I
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
15
Date approved
RECEIVED FROM S,
ADDRESS �U
■
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AMT. OF
CASH
ACCOUNT
I
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AMT.PAIO
W _
CHECK
BADUECE
I
ORDER
BYy QP
LLARSS�L�C� 5
Document Approval Form APR -_
2005
PLEASE REVIEW THE ATTACHED DOCUMENT. IF THIS DOCUMENT MEETS YOUR
APPROVAL PLEASE MTIAL AND PROVIDE THE DATE AND TRvIE OF YOUR 10- 2vaVh-
APPROVAL.
IF THIS -DOCUMENT DOES NOT MEET YOUR APPROVAL PLEASE PROVIDE
COMMENTS AS TO WHAT YO U WO ULD LIKE TO HA VE COMPLETED.
D\ ITIALS DATE & TIME
Candice
David
Mark
Susan
Eric
COMMENTS: LOZ
Received by Clerical Staff (Date & Time):