HomeMy WebLinkAbout14-05 Paul Huber Right & Left - Shawnee - Backfile4
BOARD OF ZONING APPEALS
Variance Request Tracking Sheet
Date:
ZS' File opened
7 L Reference Manual updated/number assigned
D-base updated
K COL0/�
2. �oe 15PW location map requested from GIS
— kA� .. L( S , 7Z ✓h 2 e-
Two sets of labels requested from Data Processing
° - D File given to Renee' to update Application Action Summary
MEETING DATE: FINAL ACTION: APPROvEn
CLOSE OUT FILE:
0 — Approval (or denial) letter mailed to applicant/copy made for file
5 File stamped "approved", "denied" or "withdrawn"
Reference Manual updated
5 �V10 D-base updated
5.1$' D5, File given to Renee' for final update to Application Action Summary
U'\Bev\Common\Tracking sheas\BZA Tracking bza
Revised 05/25/01
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8291
DATE NO.
RECEIVED FROM
ADDRESS_
DOLLARS $
FOR
AMT. OF
=IC"A
BY
ACCOUNTAMT
PAIOBALANCEIDUE
� �. FORM 46808
Frederick County Department of
Planning & Development
107 North Kent Street, Suite 202
Winchester, VA 22601-5000
540-665-5651
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Department of Planning and Development
540/665-5651
FAX: 540/ 665-6395
May 18, 2005
Mr. Paul Huber
Classic Contractors, Inc.
623 Sycamore Rd.
Harpers Ferry, WV 25425
RE: VARIANCE REQUEST #14-05
Dear Mr. Huber:
This letter is to confirm that the above -referenced application was approved by the Board of
Zoning Appeals at their meeting on May 17, 2005. Your request on parcel bearing Property
Identification Number 64D-4-5 was for a 39 foot right yard variance and a 39 foot left yard
variance. The property is located on the eastern side of Front Royal Pike (Route 522)
approximately 0.1 miles south of the intersection of Front Royal Pike and Vine Lane (Route
850), in the Shawnee Magisterial District.
If you have any questions regarding this action, please feel free to call this office.
Sincerely,
Mark R. Cher�an
Zoning and Subdivision Administrator
MRC/bad
cc: Jane Anderson, Real Estate
Mr. and Mrs. Elwood Fox, 1231 Front Royal Pike, Winchester, VA 22602
107 North Kent Street, Suite 202 • Winchester, Virginia 22601-5000
i
fi
COUNTY of FREDERICK
Department of Planning and Development
5401665-5651
FAX: 5401665-6395
MEMORANDUM
TO: Finance Department
FROM: Pam Deeter, Office Assistant II
SUBJECT: Return Of Sign Deposit
DATE: May 25, 2005
The amount of $50.00 was deposited in line item #3-010-019110-0008 for the company named
below. Paul Huber had a deposit for one sign for a Variance Request #14-05 for Classic
Contracts Inc. The company has returned the sign and is therefore entitled to the return of the
deposit. You may pay this through the regular bill cycle.
Please send a check in the amount of $50.00 to:
Classic Contractors Inc.
623 Sycamore Rd
Harpers Ferry, WV 25425
RSA/pd
" 5fa5lV2
107 North Kent Street, Suite 202 • Winchester, Virginia 22601-5000
Real Estate
Sanitary District
Street Light
Dog tags go on sale
Second Half Taxes Due
Personal Property
Real Estate
Sanitary District
Street Light
ttes as billed by the Commissioner of the
►ffice.
Mailing Address
Frederick County Treasurer
P.O. Box 225
Winchester, VA 22604-0225
(540) 665-5607
E-mail Address
BOrndoff@co.frederick.va.us
x Information & Online Payments
W W.CO.FPEDERICK. VA.US
Treasurer's Office Hours
ty through Friday 8:30 am to 5:00 pm
trs may be offered during peak times, watch
for details in local media.
'LE LICENSE REGISTRATION
to statement and figures hereon are true, full and-
est of my knowledge and belief.
or Business Yes N T A X R E C E I P T Ticket #: 0 0 0 0 4 9 4 0 0011
rLCK COUNTY
,LLIAM ORNDOFF, JR
BOX 225
INCHESTER VA 22604-0225
SIGN DEPOSITS PLANNING
Date
4/26/2005
Register:
CAL/CA
Trans. #:
02435
Dept #
1095
Acct#
Previous
Balance
$
50.00
Principal Being Paid
$
50.00
Penalty
$
.00
Interest
$
.00
Amount Paid $ 50.00
*Balance Due $ .00
Cash 6.80
Pd by PALNNING & DEVELOPMENT Check 6950.00 # VARIOUS
BALANCE M7, @w—'Inr ' nnlA N I ��cF,RF.�T TNRj1 TIAP. n> MAT A o 11) t\t\V-.
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VARIANCE APPLICATION #14-05
Paul Huber
Staff Report for the Board of Zoning Appeals
Prepared: May 6, 2005
Staff Contact: Mark R. Cheran, Zoning Administrator
This report is prepared by the Frederick County Planning Staff to provide information to the Board
of Zoning Appeals to assist them in making a decision on this request. It may also be useful to
others interested in this zoning matter.
BOARD OF ZONING APPEALS HEARING DATE:
May 17, 2005 - Action Pending T -p-R
LOCATION: On the eastern side of Front Royal Pike (Route 522) approximately 0.1 miles south of
the intersection of Front Royal Pike and Vine Lane (Route 850)
MAGISTERIAL DISTRICT: Shawnee
PROPERTY ID NUMBER(S): 64D-4-5
PROPERTY ZONING & USE: Zoned: RA (Rural Areas District
Land Use: Vacant
ADJOINING PROPERTY ZONING & USE:
North: RA Use: Vacant
South: RA Use: Residential
East: RA Use: Residential
West: B-2 Use: Business
VARIANCE REQUESTED: The applicant is requesting a 39 foot right yard variance and a 39
foot left yard variance.
REASON FOR VARIANCE: Current setbacks render the lot unbuildable. Lot created prior to
current setbacks for RA district.
0 •
Variance Request #14-05, Paul Huber
May 6, 2005
Page 2
STAFF COMMENTS: This property was created in1959, prior to Frederick County adopting
performance zoning, as noted by the deed and plats included in your agenda. Frederick County
adopted performance zoning in1967; the historical zoning map shows this property was zoned A-2
(Agricultural General) in1967. The property setback lines at the adoption of the zoning ordinance
were 35' front and 15'sides. Frederick County amended its Code in 1989 to change the rural zoning
districts to the current RA (Rural Areas) zoning district. The current setbacks for property in the RA
zoning district abutting lots with residential use are: 60'front, 50'rear and sides.
STAFF CONCLUSIONS FOR THE May 17, 2005 MEETING: The Code of Virginia, Section
15.2-2309(2), states that no variance shall be authorized by the Board unless it finds that a) strict
application of the Ordinance would produce an undue hardship; b) that such hardship is not shared
generally by other properties in the same zoning district and the same vicinity; and, c) that the
authorization of such variance will not be of substantial detriment to adjacent property, and that the
character of the district will not be changed by the granting of the variance.
The applicant is seeking a variance of thirty-nine (39) feet on the sides of this property. Should this
variance be granted, the building setbacks for this property would be: 75' front; I l'sides; and
50'rear. (See plat) It appears that this variance meets the intent of the Code of Virginia, Section
15.2-2309 (2), this request for a thirty-nine (39) foot variance from the current setbacks of the RA
zoning district may be justified.
64 A 23A 64D 4 3
WILISCH, ROBIN CASEY H & TURESSA K
FOX, ELWOOD
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MARK D & ARLENE
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Map Features
Variance # 14
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Pageiof5 APPLICATION FOR VARIANCE APR 2
IN THE
COUNTY OF FREDERICK, VIRGINIA Tv
T
-OFFICE USE ONLY
Variance Application No. -0 4 Submittal Deadline �z
Submittal Date ZZ 05" For the meeting of o
Q
Fee Paid initials: ��
Sign Deposit e Sign Return Dater _
MUST BE TYPED OR FILLED OUT IN INR - PLEASE PRINT
1. The applicant is the owner _ other X (Check one)
2. APPLICAN/T- ,(ud�,r/ ,%_ _ OCCUPANT: (if different)
NAME: 4`x-�7
ClR lG I644'�a , _T-nC. NAME:
aA
ADDRESS �J ,SSA Y'C IADDRES S :
25-IzS
TELEPHONE: 3b7 - �j�S O`�$S� TELEPHONE:
3. The property is located at (give exact directions and include
State Route numbers):
A C - arc �7Cf e v�S ; c� _ � 4S !�e-a Sz z
i rsec ry.. froy 01fir- fre),
4. The property has a road frontage of Q,0 feet and a depth
of _Z50.0 feet and consists of Q, �� acres. (please be
exact)
5. The property is owned by �wpuc' N�Sr. C& nW T reSSa &
as evidenced by deed from recorded
(previou owner)
in deed book no_ %JZS on page 768 of the deed books
of the Clerk of the Court for Frederick County. Attach a copy
of the deed.
r�
0
w i '
Page 2 of 5
6_ Magisterial District: a,ut/Ye
7. 14-Digit Property Identification No.:
e_ The existing zoning of the property is:
9. The existing use of the property is: 1
10. Adjoining Property:
USE ZONING
North Ileez, /ZUQ of IM
Bast
South R6 i K_
West
11. Describe the variance sought in terms of distance and type. (For
example: "A 3.5' rear yard variance for an attached two car garage.")
A -w f vnr,'4 Y%cr- ouJ . 39' le-4
Oar"im-e- ;s 'uuo�+ Ur a- dwe -
12_ List specific reason(s) why the variance is being sought in terms of:
exceptional narrowness, shallowness, size or shape of property, or
exceptional topographic conditions or other extraordinary situation
or condition of property, or
the use or development of property immediately adjacent thereto
.�T Cufrr&t c k� render �qe. �ur la�Qbl� u
GcJQ.s Cr6�j 4r1mr 1�0
Co '-PA(Is +rL PA z.oA 2 ,
13. Additional comments, if any
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page 3 of 5
14. The following names and addresses are all of the individuals, firms, or corporations owning
property adjacent to the property for which the variance is being sought, including properties at the
sides, rear and in front of (across street from) the subject property. (Use additional pages if necessary.)
These people will be notifd by mail of this application:
NAME_ t1w do d // .S-. + _rule Ssa
Address_ 1 Z.31 Frei Y- qo ygI A Ae , tj I- At 4,s k,- , V4 Z zl o Z,
—T
Property ID# 6 YD — Y - 4
NAME Y1ll
Address 25 t D Pke k};t�i�e3� VA LZ66L
Property 1D4 ('/' 7 'D — q —
NAME Vert _lam
Address l57 Lttu/e%wood 6ryr_ it) �V4 LZ(oai
Property ID#
NAME YCIVA L C
Address lGoo t-zGo/
Property ID#
NAME
Address
Property lD#
NAME
Address
Property ID#
NAME
Address
Property ID#
NAME
Address
Property ID#
�q- 3-lql
0 0
Page 4 of 5
15. Provide a sketch of the property (you may use this page). Show proposed and/or existing structures on
the property, including measurements to all property lines and to the nearest structure(s) on adjoining
properties. Please include any other exhibits, drawings or photographs with this application.
rr-
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Special Limited Power of Attorney
' •c County of Frederick, Virginia
C�,�
Planning Office, County of Frederick, Virginia,107 North Kent Street, Winchester, Virginia 22601
Phone 540-665-5651
Facsimile 540-665-6395
Know All Men By These Presents: That I (We)
(Name) E I (Nfl n C4 3 T V v'C-5s e., r O >C (Phone) 00
(Address) 3 1 Ft-o tt- a C ( P 1`k E "n C f► F 4f (/A a� 6C Z
the owner(s) of all those tracts or parcels o and ("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. r ` ,�_ S" on Page An "S , and is described as
Parcel: Lot: 5 Block: Section: Subdivision: M e W\ r_) r I QJ e 1* � �
do hereby make, constitute and appoint: /,3eQ-/Tthn Lo'1-1
(Name) —Pat,
�1\ �� Q r
(Phone)
%a S 4CIS j�
(Addreccl 6a,3
�SaCAVKOrG 1\C`
(40,rI'3F_CS �eT1``i
WV r
To act as my true and lawful'ditorney-in-fact for and in my (our) name, place and stead w'i'PIl full power and authority
I (we) would have if acting personally to file planning applications for my (our) above described Property, including:
0 u. ..ning (I -a-eindift ,.+'ter)
r a eemiey
C 'on
(�C4Vebt-�or VAr;A*c��r�,.BZ14
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 r scinded or modified.
In witness thereof, I (we) have hereto set my (our) hand and seal this °*day of �, 200 -,
Signature(s) �" f �� `17 Ot1�
State of Virginia, it Icounty of� , To -wit:
��u bo,o ►'/ • Go/C
I JE A N N E AL, 46p,225 yvRGO�C
a Notary Public in and for the jurisdiction aforesaid, certify thatt the p perssoo ns) who
signed to the foregoing instrument and who is (are) known to me, personally appeared before me and has
acknowledged the same before me in the jurisdiction aforesaid this ° day of *r;�l , 200,5 .
�-� My Commission Expires:
NodZy Public
Page 5 of 5
AGREEMENT
VARIANCE # 'D Jr
I (we), the undersigned, do hereby respectfully make application, and petition the Frederick
County Board of Zoning Appeals (BZA) to grant a variance to the terms of the Frederick County
Zoning Ordinance as described herein. I agree to comply with any conditions for the variance required
by the BZA.
I authorize the members of the BZA and Frederick County officials to go upon the property for
site inspection purposes.
I understand that the sign issued to me when this application is submitted must be placed at the
front property line at least seven (7) days prior to the BZA public hearing and maintained so as to be
visible from the road or right-of-way until the hearing.
I hereby certify that all of the statements and information contained herein are, to the best of my
knowledge, true.
SIGNATURE OF APPLICANT DATE
SIGNATURE OF OWNER
(if other than applicant)
i�
dl�JL2�4-a-d DATE r'� C}
-OFFICE USE ONLY-
BZA PUBLIC HEARING OF 5 / 7 A ACTION:
- DATE-
�V-' APPROVAL SIGNED�.1 L
BZA CHAI
DENIAL DATE: �' 0I ®S
_ _: _ R " 3 - E; :ix , ,. U RECCW NORTH — DB 425 PG 768
A
Pa
WAILK VALVL
FRONT ROYAL PIKE N US RTE 522
80' R/W
GRAPHIC SCALE
40 0 20 40 80
NOTES:' 1 inch = 40 ft.
1. THIS PLAT IS ONLY FOR THE PURPOSE OF SHOWING COMPLIANCE WITH SETBACK AND SIDEYARD DISTANCES FOR THE DWELLINGS AS DIMENSIONED
HEREON.
2. EASEMENTS OTHER THAN SHOWN MAY EXIST.
3. ALL EXISTING UNDERGROUND UTILITIES SHALL BE PHYSICALLY LOCATED BY THE CONTRACTOR PRIOR TO THE BEGINNING OF CONSTRUCTION.
4. BUILDING DIMENSIONS SHOWN WERE TAKEN FROM PLAN FURNISHED BY BUILDER/DEVELOPER.
UTILITY & DRAINAGE EASEMENT ALONG ALL PROPERTY LINES.
ID 6890
BUILDER APPROVAL
BUILDING SITE PLAN
LOT s
MEMORIAL HEIGHTS _
BEEKMANN L 0 TS INITIALS DATE
SHAWNEE MAGISTERIAL DISTRICT
FREDERICK COUNTY, VIRGINIA
MARCH 22, 2005
AMW
MARSH & LEGGE WINCHESTER, VTR N60 NORTH IIASTREET 222601
Land Surveyors, P.L.C. PH FAX �540) 667-0469
0 0
REM NORTH — DB 425 PG 768
R 3 = =F;;.x R.
FRONT ROYAL PIKE N US RTE 522
80' R/W
GRAPHIC SCALE
40 0 20 40 80
9
NOTES:' 1 inch = 40 ft.
1. THIS PLAT IS ONLY FOR THE PURPOSE OF SHOWING COMPLIANCE WITH SETBACK AND SIDEYARD DISTANCES FOR THE DWELLINGS AS DIMENSIONED
HEREON.
2. EASEMENTS OTHER THAN SHOWN MAY EXIST.
3. ALL EXISTING UNDERGROUND UTILITIES SHALL BE PHYSICALLY LOCATED BY THE CONTRACTOR PRIOR TO THE BEGINNING OF CONSTRUCTION.
4. BUILDING DIMENSIONS SHOWN WERE TAKEN FROM PLAN FURNISHED BY BUILDER/DEVELOPER.
UTILITY & DRAINAGE EASEMENT ALONG ALL PROPERTY LINES.
BUILDER APPRO VAL
BUILDING SITE PLAN
LOT 5
MEMORIAL HEIGHTS
BEEKMANN L 0 TS INITIALS DATE
SHAWNEE MAGISTERIAL DISTRICT
FREDERICK COUNTY, VIRGINIA
MARCH 22, 2005
ID 6890 AMW
TREET
MARSH & LEGGE WINCHE TER, VIRGINIAS222601
Land Surveyors, P.L. C. PHONEFAX �540) 667-0469
t
4F
' *ANIEL • L. KREMER , ET UX
0: •• DEED
ELWOOD H. FOX, SR., ET UX
....._._.__..-�-�--k-�=T-;.-�;--��-x--x-�•aF-at-aF.mac.�.�.�a��_�.�.�:��-�,.�:_:.....-.. ,�._....._..__:.,....__.� ...:._
• e��K �25' F�cE 768
THIS DEED made and date this 12th day of March, 1974, by and between
Daniel L. Kremer and Dorothy C. Kremer, his wife, parties of the first part,
and Elwood H. Fox, Sr., and Tufessa K. Fox, his wife, parties of the second
part.
WITNESSETH: That for and in consideration of the sum of Ten Dollars
($10.00) cash in hand paid, and other good and valuable consideration, the
(receipt of all of which is hereby acknowledged, the said parties of the first
part do hereby grant, sell, and convey, with general warranty of title, unto
the parties of the second part, as tenants by the entirety, with common law
right of survivorship, all of that certain lot or parcel of land, together
with all rights, privileges and appurtenances thereto belonging, lying and
being situate along the Eastern side of Virginia - U. S. Highway No.,522, about
five miles South of Winchester, in Shawnee District, Frederick County, Virginia
fronting on said highway a distance of 90 feet, and extending back Eastward
between parallel lines a distance of 250 feet, and being the same land identi-
fied as Lot No. 5 on the Plat of Memorial Heights, Beekmann Lots, which is of
record in the Clerk's Office of the Circuit Court of Frederick County, Virginia
in Deed Book No. 259, page 95, and further being the same land that was con-
veyed to the said Daniel L. Kremer by Robert W. Wilt, et ux, by deed bearing
'date of January 6th, 1964, and of record in the aforesaid Clerk's Office in
Deed Book No. 304, page 216. A reference to said records, and to the reference
therein contained, is here made for a further and more particular description
of said land.
It is expressly stipulated that said land is conveyed subject to all
of the restrictive conditions and covenants contained in the Deed of Dedication
to said Memorial Heights, Beekmann Lots, which is of record in the aforesaid
Clerk's Office in Deed Book No. 259, page 93, together with any and all other
applicable, or legally enforceable, restrictions and easements, if any, of
record affecting same.
Except as noted above the aforesaid grantors covenant that they have
the right to convey the said land to the aforesaid grantees that the said
grantees shall have quiet possession of the said land, free from all encum-
brances; that they have done no act to encumber the said land; and that they
will execute such further assurances of the said land as may be requisite.
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• •- AIMAQIRP t!T COMMON COt>t'ICq.,
N tAMi. AAtAM9 11 CITY OF J"lWSTE � %%. AM tt, Ioit1.
M
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COUNTY of FREDERICK
Department of Planning and Development
5401665-5651
FAX: 540/ 665-6395
NOTIFICATION OF PUBLIC HEARING
May 3, 2005
TO: THE APPLICANT(S) AND/OR ADJOINING PROPERTY OWNER(S)
RE: VARIANCE REQUEST #14-05 OF PAUL HUBER
On behalf of the Frederick County Board of Zoning Appeals, you are hereby notified of a public
hearing being held on Tuesday, May 17, 2005, at 3:25 p.m., in the Board Room of the Frederick
County Administration Building at 107 N. Kent Street, Winchester, Virginia. This is a public
hearing to consider the following application:
Variance Request #14-05 of Paul Huber, for a 39 foot right yard variance and a 39 foot left yard
variance. This property is located on the eastern side of Front Royal Pike (Route 522) approximately
0.1 miles south of the intersection of Front Royal Pike and Vine Lane (Route 850), and is identified
with Property Identification Number 64D-4-5 in the Shawnee Magisterial District.
Any interested parties having questions or wishing to speak may attend this hearing. A copy of the
application will be available for review at the Handley Library or the Bowman Library the week of
the hearing, or at the Department of Planning and Development located at 107 North Kent Street in
Winchester, Virginia.
Sincerely,
ark R. Cheran
Zoning and Subdivision Administrator
MRC/bad
107 North Kent Street, Suite 202 • Winchester, Virginia 22601-5000
Y- This is to ce ify that the attached correspondence was mailed to the following on
, p :5' from the Department of Planning and Development, Frederick
County, Virgi 'a:
----- 64D - 4— 5-
FOX, ELWOOD H SR & TURESSA K
1231 FRONT ROYAL PIKE
WINCHESTER, VA 22602.4425
Paul Huber, Classic Contractors, Inc.
623 Sycamore Rd
Harpers Ferry, WV 25425
D
i
- -
640 - 4- - 6-
BRAITHWAITE, WILLIAM E
I 1257 FRONT ROYAL PIKE
WINCHESTER, VA 22602.4425
I. - --- - - 64 • A- - 36-
�
BEEKMAN, EVERT JR.
j 157 LAURELWOOD OR
WINCHESTER, VA. 22602-4436
64 -3- . A-1
JUCAPA,LC
1600 AMHERST ST
WINCHESTER, VA 22601-2805
Mark R. Cheran
Zoning & Subdivision Administrator
Frederick County Planning Dept.
STATE OF VIRGINIA
COUNTY OF FREDERIC
a Notary Public in and for the State and County
aforesaid, do h eby certify that Mark . Cheran, Zoning & Subdivision Administrator, for the
Depar4en of Planning and ueveiopmeni, wnose name is signeu w uic iurcguiug, uaMu
has personally appeared before me and acknowledged the same in my
State 6cYCounty aforesaid.
Given under my hand this day of
My commission expires on
y61C• TO:BARBARA-DATA PROCESSING
P'qu-L- .(�� �%L • FROM: Bev -Plannin9 Dept.
t.
_
,p 6 Please print sets of labels by
reeescas THANKSII
14. The following names and addresses are all of the individuals, firms, or corporations owning
property adjacent to the property for which the variance is being sought, including properties at the
sides, rear and in front of (across street from) the subject pinperty. (Use additional pages if necessary.)
These people will be notifd by mail of this application:
J NAME Clw a Sr. + Tine S.sO K. F&c
Address 17,31 Fra.tY' e)A/ Ake. tijijt4Qkrr,m zz6oZ,
Property ID# lc. `f� 5(- 4(
NAME
roll a
%rQi
; �e
Address
12-57 FrbKfo
P1.6 VA F-Z6aL
Property 1D# / _VD - Iq - 9 ✓1
NAME rt 8
Address 157 Lqutelwood .Bt,Vr-. 0% esier,V4 zz(-Oi
Property ID# y fi - J b
_✓ NAME JUCAPA L C
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Address
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-------------
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page 3 of 5
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TO:BARBARA-DATA PROCESSING
FROM: Bev -Planning Dept.
Please print sets of labels by
THANKS![
14. The following names and addresses are all of the individuals, firms, or corpom-ations owning
property adjacent to the property for which the variance is being sought, including properties at the
sides, rear and in front of (across street from) the subject property. (Use additional pages if necessary.)
These people will be notifd by mail of this application:
NAME Clw oa d
Address 1 �3/ Fret f o yt.l Ake- . tAJ i ZiQ�, Ili-.�
Property ID#
NAME WI / -a
Address 25 D 10160 0i IrJe3kr- VA, LZ6 6L
Property ID#
✓NAME
Address 157 L4utt %wooai "Or, Vz,� G.%%t es ,Ig V,4 LZ 6Oz-
Property ID# � 5f A — 3 r
NAME JUC6PA L L
Address boo AA.Ae.,s +tit/k es VA t-Zboi
Property ID# 3 _1q /
NAME
Address
Property ID#
NAME
Address
Property ID#
NAME
Address
Property ID#
NAME
Address
Property ID#
N
DEPT. OF GEOGRAPHIC INFORMATION SYSTEMS
FREDERICK COUNTY, VIRGINIA
W
S
E
REQUESTING AGENT:
Departnent, Agency, or Company: -
Mailing and/or Billing Address:
Telephone:
E-mail Address:
GIS, MAPPING, GRAPHICS
WORKREQUEST
DATE RECEIVED: h .5 O
ESTRYIATED COST OF PROJECT:
TED COMPLETION DATE:
FAX:
]DES"CRIl? TON =OF RE T3EST... - ..zlte additi nal infOliD iDn on -back of re uest
Q Cw_._)- L_�_�_.._
w
DIGITAL:
SIZES:
COLOR: .
PAPER: FAX: E-MAIL: -- -
BLACK/WHITE: . NUMBER OF COPIES:
STAFF MEMBER
COMPLETION DATE:
MATERIALS:
DATE OF PICK-UP/DELIVERY:
AMOUNT DUE:
'AMOUNT BILLED:
METHOD OF PAYNIENT:
HOURS REQUIRED:
AMOUNT PAID:
CHECK NO.#
Frederick County GIS, 107 North Kent Street, Winchester, VA 22601, (540)665-5651)
Document Approval Form
PLEASE REVIEW THE ATTACHED DOCUMENT. IF THIS DOCUMENT MEETS YOUR
APPROVAL PLEASE INITIAL AND PROVIDE THE DATE AND TIME OF YOUR
APPROVAL.
IF THIS DOCUMENT DOES NOT MEET YOUR APPROVAL PLEASE PROVIDE
COMMENTS AS TO WHAT YOU WOULD LME TO HAVE COMPLETED.
INITIALS DATE & TIME
Candice
David
Mark
Susan
Eric
��,.. \ N
COMMENTS: 5�4
Col,-,et�,► n ca • e � -
Received by Clerical Staff (Date & Time):