HomeMy WebLinkAbout03-24 ApplicationComprehensive Plan Amendment Initiation Request Form
Project Name:Love Church Stephens City
The undersigned,being all of the owner(s),contract purchasers,or the respective duly authorized agent
thereof,do hereby petition to change the Comprehensive Plan as shown on the accompanying plans,
maps,and graphics which are made part of this application,as follows:
PIN From:To:Acres
75 A 87C 29.51
Total Acreage:29.51
Location the property is located at (give stree t address(es)if assigned or otherwise exact location based
on nearest road and distance from nearest intersection,using road names and route numbers):
199 Agape Way,Stephens City VA 22655
Provide the following information for all applicable parties,provide additional pages if necessary:
Owner of Property Authorized Agent(s)
Name:Love Church f/k/a The Life Church DC Name:Johanna Devon *
Mailing Address:14370 Lee Hwy 5722 Turner RoadMailingAddress:.
Gainesville VA 20155City/State/Zip:Broad Run,VA 20137City/State/Zip:_
Phone:703.330.0881 703-606-7504Phone:
.shawn@welovechurch.com Emaii.johanna@dhrbrokerage.comEmail:
Contract Purchaser/Lessee Engineer
Name:Name:_
Mailing Address:_Mailing Address:_
City/State/Zip:_City/State/Zip:_
Phone:Phone:_
Email:Email:
*Check the box next to the contact to which correspondence should be sent.
Proposed Comprehensive Plan Map Amendment Request
Provide the following information:
Completed and signed CPPA Initiation Request Form.
Justification of proposed CPPA:Describe why the change to the Comprehensive Plan is
being proposed and include relevant Comprehensive Plan analysis.
Existing Characteristics Analysis.Describe,using text and maps as necessary,the existing
zoning,Comprehensive Plan designations,and/or approved uses and densities along with
other characteristics of properties that are within:
O 1/4 mile from the parcel(s)perimeter if the parcel is less than 20 acres in size
1/2 mile if 21 -100 acres in size
1 mile if more than 100 acres in size
Trip Generation Analysis that includes a comparison of anticipated maximum trips from the
current use to the proposed use.
Special Power of Attorney Affidavit for each owner (if applicable).
One hard copy of the application package.
Digital copy containing all plans,maps,text,and/or graphics in PDF format.
Non-Refundable Application Review Fee of $3,000 (payable to the Frederick County
Treasurer).
Existing Comprehensive Plan land use classification(s):.Institutional
Proposed Comprehensive Plan land use classification(s)and respective areas:Residential
Existing zoning and land use of the subject parcel(s):_RA Church
What use/zoning will be requested if the amendment is approved?RP -High Density Residential 6 u/a
Signatures:
(we),the undersigned,have read the application,understand its intent,and do hereby respectfullymakeapplicationto
Comprehensive Plan.
and petition the Frederick County Board of Supervisors to amend the
Frederick
Furthermore,have the power to authorize and hereby grant permission to
County officials and other authorized government agents on official business to enter thepropertyasnecessarytoprocessthisapplication.
(we)hereby certify that this application and its accompanying materials are true and accurate to the
best of my (our)knowledge.
Signed this 24th day of May
Signature of Owner/Applicant
Signed this day of
Signature of Owner/Applicant
Signed this day of
Signature of Owner/Applicant
If anyone other than the owner is signing,a Power of Attorney must be attached.