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HomeMy WebLinkAbout01-07 Ralph Combs Jr - Approved - Backfilel% 4 BOARD OF ZONING APPEALS Variance Request Tracking Sheet Date: b File opened 4 ® Reference Manual updated/number assigned a o" D-base updated �� U7 one..B&W-location map requested from GIS e •�� 416c 7- 4,6w Two sets of labels requested from Data Processing J)A3 1 (9File given to Renee' to update Application Action Summary MEETING DATE: FINAL ACTION: CLOSE OUT FILE: d G ® Approval (or denial) letter mailed to applicant/copy made for file a File stamped "approved", "denied" or "withdrawn" a 4 Reference Manual updated a l 0 D-base updated ale given to Renee' for final update to Application Action Summary U:\Bev\Common\Tracking sheets\BZA Tracking.bza Revised 05/25/01 CHARGE. CARD FORM Name �o�.( �� C� nti �-jS � 0U Phone a �� Company Name .Address ' � C �S4e r (0.(3 City, State, Zip Code 1 Card T�pe Exp. Date 1 Q Card# Signature D l LI 9 Lb � Please Accept payinent for the following fee(s) by credit card as noted below. W) Item Booklets & Maps Description Proffers V►bodside Estates II Saratoga Meadows Valley Mill Estates Briarwood Estates 11- IX Sign Deposit Applications Your I°asnc� Zoning & Subdivision Ordinance Sale of Amendments (Zoning/Subdivision ord.) Sale of GIS Material 1.94% card user fee A bhugecmrdform.wpd Bud et Amount Code PCOl $ 1013H $ IOBQ. $ IOCC $ IOCN $ 109.5 $ 5 0 ' ZA.SP. $ PCO2 $ q O O U PCO2 $ 10 DL $ Subtotal $ + Total ' S� 4. 9 'MUo 6ERICK Department of Planning and Development 540/ 665-5651 FAX: 540/ 665-6395 February 21, 2007 Ralph Combs, Jr. 20 E. Piccadilly St. Winchester, VA 22601 RE: VARIANCE REQUEST #01-07 Dear Mr. Combs: This letter is to confirm that the above -referenced application was approved by the Board of Zoning Appeals at their meeting on February 20, 2007. The request on parcel bearing Property Identification Number 54N-2-2-32 was for a 15 foot front yard variance, resulting in a 20 foot front yard setback. The property is located at 100 Fortress Drive in the Star Fort Subdivision in the Stonewall Magisterial District. If you have any questions regarding this action, please feel free to call this office. Sincerely, Mark R. Cheran Zoning Administrator MRC/bad cc: Jane Anderson, Real Estate John Trenary, Inspections 107 North Kent Street, Suite 202 • Winchester, Virginia 22601-5000 0 FILE COPY 0 M11 Finance Department COUNTY of FREDERICK Department of Planning and Development 540/665-5651 FAX: 540/ 665-6395 MEMORANDUM FROM: Pam Deeter, Office Assistant II SUBJECT: Return Of Sign Deposit DATE: February 23, 2007 The amount of $50.00 was deposited in line item #3-010-019110-0008 for Ralph Combs named below had a deposit for one sign for a Variance #01-07. Mr. Combs 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: RSA/pd aa3-C7 Ralph Combs Jr. 311 Hunting Ridge Rd Winchester, VA 22603 107 North Kent Street, Suite 202 • Winchester, Virginia 22601-5000 `7W CHARGE CARD FORM Name _ 1 I -JP L 1 A- CCU ,-w hS Phone I a o) g Q 0 0 Company Name Address W (IC k-jz-54e City, State, Zip Code Card Type �� 5�_ 101 (O 54 Exp. Date Card # Signature Please Accept payment for the following feels) by mrdit card as noted below- () Item Budget Amount Code Booklets & Maps PCD1 $ Description Proffers Rbodside Estates II IOBH $ Saratoga Meadows 1 OBQ $ Valley MR1 Estates l OCC $ Briarwood Estates II - IX 1 OCN $ Sign Deposit 1095 $ 50. 00 Applications ZASP $ �U Zoning & Subdivision Ordinance PCO2 Sale of Amendments (Zoning/Subdivision ord.) PCD2 $ Sale of GIS Material 10 DL $ Subtotal 1.941 card user fee + t-�� Total $ � S� . •�� Ile gal ' ,played Jicegse , due ►e e :s Due • of the .mmissioner tress 225 Z2604 -0225 5601 dd� va.us -edcrick. & Online Pa mend A•US )ERICK.V Office Y[ovrs to j:00 Pm lay 8:30 am Watch e eyed during ak tin'+=s in local media. GISTRATION ----___. _ SE reon are trufull and e. ICK COUNTY _- he nd figures eanNOdbelief. ORNDOFF, >wledg 1 LL IAM - Yes BOX 225 JR Date 1/19/2UU7 ss _� Register: JKH/LK WINCHESTER VA Trans. 22604-0225 Dept # #: 35868 ` 1095 SIGN DEPOSITS PLANNING Act# Previous Balance $ 50.00 Principal Being Paid $ 50.00 PLANNING Penalty $ Interest $ •00 Convenience Fee $ .00 Amount Paid $ .00 50.00 *Balance Due $ .00 Pd by COMBS, RALPH BALANCE DUE INCLUDES H JR Cr Cd 458.73 # ************ PENALTY/INTEREST THRU THE MONTH 1/20 07 0 • VARIANCE APPLICATION #01-07 RALPH COMBS Staff Report for the Board of Zoning Appeals Prepared: February 5, 2007 Staff Contact: Lauren E. Krempa, Zoning Inspector 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: February 20, 2007 - Action Pending LOCATION: 100 Fortress Drive in the Star Fort Subdivision MAGISTERIAL DISTRICT: Stonewall PROPERTY ID NUMBER: 54N-2-2-32 PROPERTY ZONING & USE: Zoned: Residential Performance (RP) Land Use: Residential ADJOINING PROPERTY ZONING & USE: North: RP (Residential Performance) South: B2 (Business General) East: RP (Residential Performance) West: RP (Residential Performance) Use: Residential Single Family Dwellings Use: Hill Crest Nursing Home Use: Residential Single Family Dwellings Use: Residential Single Family Dwellings VARIANCE REQUESTED: The applicant is requesting a 15 foot front yard variance, which would result in a 20 foot front yard setback line for the construction of a wheelchair ramp. REASON FOR VARIANCE: The lot is triangular with a very small building restriction line due to wide drainage easements, sanitary sewer easement and 50 foot zoning district buffer category «A » 0 9 Variance #01-07 — Ralph Combs February 5, 2007 Page 2 STAFF COMMENTS: Frederick County adopted zoning in 1967. The Frederick County historical zoning map shows this property was zoned R2 (residential general). The property setback lines at the adoption of the zoning ordinance were 35 feet for the front, 10 feet for the side yards, and 35 feet to the rear. Frederick County amended its Ordinance in 1989 to change the R2 zoning districts to the current RP Zoning District, making the current setbacks for the property: 3 5 feet to the front, 25 feet to the rear, and 10 feet to both sides. Staff has worked with the property owner and builder of the wheelchair ramp to discuss any alternative building options prior to the application for this variance, none of which are able to meet the building code requirements from the Americans with Disabilities Act. Therefore, based on the shape of this property, and the small buildable area due to various buffers and easements on the property, the applicant is seeking a 15 foot front yard variance resulting in a new front yard setback of 20 feet. This request is generated by the need for a wheelchair ramp to provide access for a resident of the property. All other property setback lines will remain unchanged. STAFF CONCLUSIONS FOR THE FEBRUARY 20, 2007 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 15 foot front yard variance for the construction of a wheelchair ramp for a resident of the property requiring the ramp in order to access the home. Should this variance be granted, the building setbacks for this property would change to 20 feet in the front, and remain 25 feet in the rear, and 10 feet on both sides. It appears that this variance meets the intent of the Code of Virginia, Section 15.2-2309 (2). This request from the current setbacks of the RP zoning district may be justified in order to enable the construction of the wheelchair ramp. 44 $a —1vo, JJ HFHkF q � 41 e f00 gQ o 4?4ac 604 b 5'4 ! ^ , 0fq r% .Zr do. Q $c 47 c4RPFR f?ac�04q 41 Aoz'H :0.13ac 1p4 SJq Rich; 0 f?q H may$ 4f?aC,14? p �� q "r? RP 0 zonini Am AW V V U h � q1S o 9S h • BEVERLY ' 53 5 $_' r 0 ae: P Oa� s 0� 51 0a5 ? J�Q114— 19T Shenandoah Valley Community Residences, Inc. IIIII,54N•2.2-32 / Ic HILLCREST NURSING HOME 54 A 1A .0 4.12 ac. Q N yy o h� y U b o B2 HARDISON zoning 54 A 1E 2.23 ac. 5gNA22"ELSQ2B 0ac. 54,V FF4 4R 0aC??S Sop �kU Oec, 7 $4* �S 0? / 2 eo�21vzz 54N � yc. O y y co m as o� o Z � " GARAY 54N 248 62 0 ac. -41 1%,100 vc�yA9�p ss SqN DUN4eN 0ac 6f SQN �R`� 0ac.e 60 S4N eFq\\ 4 Oao 6 $9 Frederick County, VA Variance VAR#01 -07 Application Ralph Combs Parcel ID. I 54N-2-2.32 Location in the County Map Features D Lakes/Ponds Zoning — Streams B7 (Business, Neighborhood District) ' ° Buildings B2 (Business, General District) Streets B3 (Business, Industrial Transition District) Primary � EM (E)dractive Manufacturing District) �.. Secondary • HE (Higher Education District) '�.. Tertiary 40 Mt (Industrial, Light District) . Application M2 (Industrial, General District) • MH1 (Mobile Home Community District) 40 MS (Medical Support District) 0- R4 (Residential, Planned Community District) 40 R5 (Residential Recreational Community District) RAZ (Rural Area Zone) RP (Residential Performance District) Location in Surrounding Area 0-i 0 25 50 10pseetIn 0 $34 BEVER&D, 53 5 S TTgjN .S" � P Q °fat 1pg R � Oac A 53A q FR 41 10% v 63 44 o g fit?ac1p4A / 41y lac g3 00 J 5� 3 q 4 11acg? ♦N, �A "I v� O yq® S3q SnNF� m 0 O1 gac, gs 1 gaq HILLCREST NURSING HOME 54 A 1A yf1A60Uf �� c226 _ yup,, aae � i �RK gO��Nv11 • �0aci121 �Npa �y a� y ca Shenandoah Valley mu4N.2-2-32es,Inc. o� o 54N-2.2.32 \ Z f y N N HARDISONn�p 54 A 1E 2.23 ac. S GAR4y 54N 24B 62 0 ac. Dot,,, S4N 24B 61 lac. 54N R4Q fR gac. 60 '14, BFgI 0 gdces9 / r�Ca�Cr�cr� Vpunzy, VA Variance VAR # 01 - 07 Application Ralph Combs Parcel ID. 54N-2.2.32 Location in the County Map Features 0 Lakes/Ponds Long Range Land Use +- Streams Rural Community Center ®' Buildings Residential Streets Business 4 Primary ygr Industrial v Secondary Institutional '�. Tertiary Recreation - Application Historic CD Zed -Use ' ° Planned Unit Development Location in Surrounding Area c� 0 • 0 • APPLICATION FOR VARIANCE IN THE COUNTY OF FREDERICK, VIRGINIA ke y3111-OFFICE USE ONLY - Variance Application No. �o % — 07 Submittal Deadline: Submittal Date: 1 For the meeting of c: r Fee Paid: initials: Sign Deposit 4§5_ MUST BE TYPED OR FILLED OUT IN INK - PLEASE PRINT 1. The applicant is the owner X other . (Check one) 2. APPLICANT: OCCUPANT: (if different) 3 4. NAME: Ralph H. Combs, Jr. NAME: Executive Director, Shenandoah Valley Community Residences, Inc. ADDRESS 20 E. Piccadilly St. ADDRESS: Winchester VA 22601-4869 TELEPHONE: 5 4 0- 7 2 2 -4 9 0 0 TELEPHONE: The property is located at (give exact directions and include State Route numbers): 100 Fortress Drive, 22603, in the Star Fort Subdivision, north of Winchester on 522 N. Turn right onto Lauck Drive (State route 832), then right onto Fortress Drive. First house on the right. The property has a road frontage of 227 feet and a depth of 186.17 feet and consists of 0.49901 acres (please be exact). at maximum, to a minimum of 0 Page 5 of 9 5. The property is owned by Shenandoah_ valley, Community, Residences as evidenced by deed from Dan Ryan Blars. , inc. recorded (previous owner) in deed instrument no. 040014691 on page of the deed books of the Clerk of the Court for Frederick County. Please attach a copy of the recorded deed. 6. Magisterial District: Stonewall 7. Property Identification No.: E7 Y JN — 2 — 2 ?�, 2 8. The existing zoning of the property is: i 1 9. The existing use of the property is: Sl C& VA 10. Adjoining Property: North fieuth West ZONING RP 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 15' front yard variance for the construction of a wheelchair ramp for an individual with intellectual, developmental, and physical disabilities living in the home. 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 The lot is triangular witha very small building restriction line due to wide drainage easements, sanitary sewer easement, and 50' zoning district buffer category "A". Page 6 of 9 13. Additional comments, if any: None at this time. 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 notified by mail of this application: NAME VVU v � Address Property ID # 51-I - & - pc "� �GLV 1 Y) I-' 5-Y it' j Address Z y-,Oc�e ' ck Property ID # 5 -t - /� n u 6L� � ACC � I C,r Address Property ID p' q N - 2- PO'U,I S1 r Address 4� C_ Property ID # j o,,v Ij m H ' VA03J'e'f Address Property ID # - -- INO)CLY-A Ct-"W 1 d k�I Address 0 oy-ATCS5 Property ID # FA N Address Property ID # Address Property ID # Page 7 of 9 • • 15. Provide a sketch of the properly (you may use this page or attach engineer's drawing). Show proposed and/or existing structures on the properly, 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. See Attached Sketch of Property. Page 8 of 9 AGREEMENT VARIANCE # 6 ( "r 0 '? (Number to be assigned by the Planning Dept.) 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 (71 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. OF APPLICANT DATE 1 1 1 `O -1 SIG ATURE OF OWNER l- . C� DATE (if other than applicant) -OFFICE USE ONLY- BZA PUBLIC HEARING OF A-), b A 2 ACTION: - DA E- V APPROVAL SIGNED. -"�- 13ZA CHAIRMAN DENIAL DATE: Page 9 of 9 0 /v ZVIS cjJ� d Ob� \ e P \ lipEXlSj1NG WAiER� 1vY 1 5 � e "• ���� 1 '-�O ,( t1� b ^ \�` \ / O\ oe �y RN` ca Ell �• � e �h \ \ \ 1 (1 1M1 h o - �O`�a��''� G� �Xl1��� ry 6 6'q1� Mi Se lblb 115 •N% \ / �— 25' DRAIN— E EASEMEmq EX. 15' GAS\ESMT ui \ ��- V DB 854 PG 1LI78� w \ \ \ \\ \ \ \ \ oG V l »o — — — — — N 45'27'55' W 311.;o \' G' O '� 5 0'� G•C �O �G 10 5� G aJlc� Q COUNTY of FREDERICK Department of Planning and Development 540/665-5651 FAX: 540/665-6395 NOTIFICATION OF PUBLIC HEARING February 6, 2007 TO: THE APPLICANTS) AND/OR ADJOINING PROPERTY OWNER(S) RE: VARIANCE REQUEST #01-07 OF RALPH COMBS On behalf of the Frederick County Board of Zoning Appeals, you are hereby notified of a public hearing being held on Tuesday, February 20, 2007, 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 #01-07 of Ralph Combs for a 15 foot front yard variance, resulting in a front yard setback of 20 feet, for the construction of a handicap accessible ramp. This property is located at 100 Fortress Drive in the Star Fort Subdivision, and is identified with Property Identification Number 54N-2-2-32 in the Stonewall Magisterial District. Any interested parties may attend this hearing. A copy of the application will be available for review at the Handley Library and the Bowman Library the week of the meeting, or at the Department of Planning and Development located at 107 North Kent Street in Winchester, Virginia. Zoning Inspector LEK/bad 107 North Kent Street, Suite 202 • Winchester, Virginia 22601-5000 This is to cei�ify that the attached correspondence was mailed to the following on c9_/(Q /a `7 from the Department of Planning and Development, Frederick County, Virginia: - - - - - -- - 53 -5- 1- 54N - 2- 2. 32- HOOVER, BARBARA H SHENANDOAH VALLEY COMMUNITY 1045 FOREMAN LN RESIDENCES, INC �� WINCHESTER, VA 22603.8678 20 E PICCADILLY ST t7 WINCHESTER, VA 22601-4869 54N - 2- 2- 22- 54 - A- - 1-A BOTTINY, RICHARD & JULIA F HILLCREST NURSING HOME, INC. 110 LAUCK DR 105 FORTRESS DR WINCHESTER, VA. 22603.4282 WINCHESTER, VA 22603.4286 54 -A- - 1- SMITH, CARLIN L ELLIOTT, LESTER A PO BOX 2834 WINCHESTER, VA 22604 54N - 2- 2- 33- GLASS, RANDY A & JENNIFER M 1Q2 FORTRESS DR WINCHESTER, VA 22603-4285 54N - 1- 1- 21- SIRK, PAUL ANTHONY & TAMMY S 168 L/'UCK DR WINCHESTER, VA 22603.4218 STATE OF VIRGINIA COUNTY OF FREDERICK I i Va'urenE. K:6npa, Z nin 'Inspector Frederick County Planning Dept. I, , �, a Notary Public in and for the State and County aforesaid, do loeby certify that LaurebtE. Krempa, Zoning Inspector for the De artment of Planning and Development, whose name is signed to the foregoing, dated �7 , has personally appeared before me and aclaiowledged the same in my State/and County aforesaid. Given under my hand this day of My commission expires on� �� d 1 G NOTARY P BLIC 4t 01 '0-7 61ZI),B S TO:BARBARA_pATA PROCESSING FROM:BEV - Planning Dept" Please print sets of lab � H N by 13. Additional comments, if any: None at this time. 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 notified by mail of this application: (,. Address Property ID # GJ L-� - I�- - � `1,t , GL V I 1 1'1 L' Y 1 Il Address Property ID # �j j� -1A av( Il � cir 5 o Y� �k V Address Property ID# (� N- 2 r 2- Pow, I Address Property ID # Cj N - _ - 21 ✓ ba Address /®yy',��,, Property ID # - — ✓ cha YA CI- Ak� I Ib Address IOFD t OY+Vn Property ID # FA N - 2 - 2 - . Address Property ID # Address Property ID # ........................... Page 7 of 9 V, k:, .:#- d/-©% PIA-J. a�a� 0 0 TO:BARBARA-pATA pROCE55ING FROM:BEy _planning Dept. Please print ' sets of la by HAN 13. Additional comments, if any: None at this time: 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 notified by mail of this application: Ph 17-VLTJ -15 � v c, v Address Property ID y # 5 - - cCL- V l j j1 L - 5 Y1 ith Address 32 Property ID 11 �� - to - i n� I T� Address U 26�- SS Property ID # N - 2 '- 2 _ `` Sj Address Property ID # O 1/ fi 6aJ�f Address % y3J / -0,el--, �✓ � Property ID # b it Y\ Address Property ID # 5L4 N- Address Property ID # Address Property ID # // / C----. Page 7 of 9 Tax Map No. 54N-2-2-32 THIS DEED made and dated this 25t" day of June, 2004, by and between DAN RYAN BUILDERS, INC., a Maryland Corporation, hereinafter referred to as o Grantor and SHENANDOAH VALLEY COMMUNITY RESIDENCES, INC., a Virginia ON Corporation, hereinafter referred to as Grantee. 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 which is 0 Whereby acknowledged, the Grantor does hereby grant, bargain, sell, and convey, with a� b UGeneral Warranty and English Covenants of Title, unto the Grantee, in fee simple, the 0 following described tract of land located in the County of Frederick, Virginia (the o "Property"): N N i w 0 N 0 All that certain lot or parcel of land, together with all improvements thereon and appurtenances thereunto belonging, lying and being situate in the Stonewall Magisterial District of Frederick County, Virginia, and more particularly described as Lot 32, Starfort, Section II, as the same appears on the plat of survey drawn by P. Duane Brown, Land Surveyor, dated May 5, 1998, attached to the Deed of Dedication dated October 1, 1998, of starfort, Section II, of record in the Clerk's Office of the Circuit Court of Frederick County, Virginia, in Deed Book 921 at Page 589; AND BEING the same property conveyed to Dan Ryan. Builders, Inc., a Maryland Corporation, by deed dated .iuly 31, 2002, from Seldon, Inc., a Virginia Corporation, et als., said deed is of record in the aforesaid Clerk's Office as Instrument #020012916. Reference is here made to the aforesaid instruments and the attachments and the references therein contained for a further and more particular description of the property hereby conveyed. This conveyance is made subject to all duly recorded and enforceable restrictions, easements and rights of way. 0 WITNESS the following signature and seal: DAN RYAN BUILDERS, INC. BY: (SEAL) STATE OF MARYLANP-. C ITY/COUNTY OF _1'A �-, C To -wit: The foregoing instrument was acknowledged before me this day of Arp4l, 2004 by Ciil'd &,Idfo as k_'�a6tdetlk of Dan Ryan Builders, Inc., a Maryland Corporation. My Commission expires. r1,%1i, sr` G � C Notary Public DONINA J. KENDALL � 0 PY PL.G y FRE��C C'M �Ay Commission Expires 1.i0v. Deed prepared by: THOMAS M. DICKINSON, JR., ESQUIRE THOMAS M. DICKINSON, JR., P.C. 102-2 SOUTH KENT STREET WINCHESTER, VIRGINIA 22601 (540) 667-1095 VIP 0'T,'RA: !7REL�F.:R _7 dt ,r_cp Ca 'le. 0- Yl Was I PC!,-1"!ted to rcct),..d.,,r _' %Cj � e.c- 11-�102 of 'd 58 Pllid,ff assessable 'ap 11 51<o��F or- IL--- �—t , STAg2 'Fo7T - :5'E€r10 . �W c VA �D� i t 1NL � GJv �• hP EX15S�NG `p1AjER �� �0.AAA � m � CA LGJ� SEWER Q�GQ •G�Q� I �� � 1 titi1A • F G\' ` . \\\� 6�� ��Q� W \ 6255. 5 \ \ d0 a -k yh �`\ 1 _ �j9 air p �� x Om \ / / Ab \ 1 \ \ ` \ —1 — \ 25 \RAINA E EASEMEM4\ I To / 11h 15' GA\ ESMT �� �- J �'i��EX-- DB 854 PG 1t178 V , N 452755 W G • O� P.�4.�C,G��G,�� N DEPT. OF GEOGRAPHIC INFORII"IATION SYS] FREDERICK COUNTY, VTRGPOA L h4 W E GIS, MAPPING, GRAPHICS WORKREQUEST DATE RECEIVED: 1 a-,) 0 REQUESTED COMPLETION DATE:_ REQUESTING AGENT: Department, Agency, or Company: - Mailing andlor Billing Address: Telephone: E-mail Address: ESTIMATED COST OF PROJECT: FAX: DESCRIPTION OF REQUEST: (Write addition4linfozmalion-conback.of._re�quest) ___�_.. x4z-p I P/N I°IAJ b�-SqN DIGITAL: PAPER FAX: SIZES: COLOR: BLACKfWIUTE: NUMBER OF COPIES: STAFF MEMBER COMPLETION DATE: MATERIALS: DATE OF PICK-UP/DELIVERY: AMOUNT DUE: AMOUNT BILLED: METHOD OF PAYN ENT: AMOUNT PAID: CHECK NO.# Frederick County GIS, 107 North Kent Street, Winchester, VA 22601, (540)665-5651)