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Home My WebLink About05-95 Roy M White - Back Creek - Backfiledrderool LOC. Flap 5'-/5 -'is ardtrcd Qdj S'-1.5 `qS _ - mo / ad j+ _512q 4- &Jal f ax u jc, � . sl�q Cot a Wokv CUP TRACKING SHEET To be completed by /�Frederick Co. Staff only.) # CUP ool��r4 - `-5 Owner/Applicant Application Date -5 14 ',-�.5 Fee Paid yes initials: Sign Deposit yes Sign return date: Submittal Cut -Off Date P/C Mtg. date: BOS Mtg. date: .S/1l VDOT _5 is Inspections Fire Marshal Health Dept. AGENCY REVIEW COMMENTS Airport Authority City of Winchester Co Sanitation Authority PLANNING COMMISSION RECOMMENDATIONS OF (I'71"'LP (date) APPROVAL (WITH CONDITIONS) yes no DENIAL Signet( ,Secretary Date j { %' BOARD OF SUPERVISORS PUBLIC HEARING ACTION (date) APPROVAL Signed - - ,County Adm. aDENIAL Date (� E I � i31 � eve 4 6 "Wr- 7�a� 0aWV4-s 5 �aaf °� have nj� I_Aer +6 (,UDym, Q 5)qrdaf)e- �/�� l�` � `ii 9 5 I1! Q 7"iC t /vOpt, r �r� Gave_ �� ?�,ka, �1ag�a5 �3os �� . C�aa� Nollow_��1�(, icy_ I -A Loc. C*C. RECEIPT N2 024506 AMOUNT DUE AMOUNT PAID $ ` Zvi BALANCE DUE PAID BY CASH CHECK OTHER FREDERICK COUNTY DEPT. OF PLANNING AND DEVELOPMENT P.O. BOX 601, 9 NORTH LOUDON ST. WINCHESTER, VIRGINIA 22601 DATE 1 RECEIVED FROM � } ADDRESS THE SUM OF J U L� �+ ll^X2� i�--�1 F ,L.pOL LARS $ FOR V C" S I Br r)C DAY -TIMERS RE ORDER No. J2221 — Printed in USA COUNTY of FREDERICK Department of Planning and Development 703/665-5651 FAX 703/ 678-0682 July 17, 1995 Mr. Roy M. White 815 Pennsylvania Avenue Winchester, Virginia 22601 RE: CUP_#005-95 OF ROY M. WHITE; P.I.N. 52-A-140 Dear Mr. White: This letter is to confirm action taken by the. Frederick County Board of Supervisors at their meeting of July 12, 1995. Your Conditional Use Permit, for a cottage occupation for woodworking and furniture production, has been approved by the Board of Supervisors with the following conditions: 1. All review agency comments shall be complied with at all times. 2. No outside storage is permitted unless screened in accordance with the Frederick County Zoning Ordinance. 3. All work shall be, accomplished inside of the completely enclosed building. 4. Prevent any dust or noise pollution from emanating into the neighborhood. 5. Hours of operation shall be limited to between 6:00 AM and 10:00 PM. 107 North Kent Street P.O. Box 601 Winchester, VA 22601 Winchester, VA 22604 Page 2 Mr. Roy M. White July 17, 1995 If you have any questions regarding your Conditional Use Permit please feel free to call this office. Sincerely, W. Wayne Miller Zoning Administrator WWM/dc cc: Ellen Murphy, Commissioner of Revenue Lord Fair y '- Eiivir®riYr iital 11Iea th District 107 N. Kent St. P. O. Box 2056 Winchester, Virginia 22604 (540) 722-3480 FAX (540) 722-3479 Counties of: Clarke, Frederick, Page, Shenandoah, Warren, and City of Winchester April 20, 1999 RE: Conditional Use Amendment Tax Map # 52-A 140 Christoper M. Mohn, Planner II Frederick County Planning and Deveopment 107 North Kent St. Winchester, VA 22601 This office has received a verbal request from Mr. Michael Daugherty to operate a 1 employee business at the structure located on Tax Map # 52-A-140 in coordination with the existing use as described in the health department conditional use comments dated 4- 28-95. The property is presently used as a residence as well as a business location for Mr. Roy White. Mr. Daugherty has stated that the present residential occupancy of the dwelling is 2 occupants. Mr. White operates a 1 employee business at the same location. The Health Department has no objection to the request except for the following condition: The residential occupancy and employee occupancy must not increase -in the future, regardless of who has ownership of the property. Should the property be transferred to a new owner, and the residential occupancy increases, the businesses at this location must cease operation. If you have any questions, please call. Sincerely, Karl E. Evans Environmental Health Supervisor RECEIVED APR 2 2 1999 DEPT, OF PLANNING/DEVELOPMENT COUNTY c?f FREDERICK Department of Planning and Development 703/665-5651 FAX 703/ 678-0682 MEMORANDUM TO: Finance Department FROM: Karen A. Clark, Receptionist/Clerk II? ok/ SUBJECT: Return Of Sign Deposit DATE: July 14, 1995 The amount of $25.00 was deposited in line item #10-1911-08 for the person named below as a deposit for a sign. They have now returned the sign and are therefore entitled to the return of their deposit. Please send a check in the amount of $25.00 to: Mr. Roy M. White 815 Pennslyvania Avenue Winchester VA 22601 Please contact me if you have any questions. RSA/kac • 107 North Kent Street P.O. Box 601 Winchester, VA 22601 Winchester, VA 22604 r = REQUEST FOR CONDITIONAL USE PERMITS COMMENTS Frederick -Winchester Health Department Attn: Sanitation Engineer P.O. Box 2056 Winchester, Virginia 22604 (703) 722-3480 The Frederick -Winchester Health Department is located at the intersection of Smithfield Avenue and Brick Kiln Road, if you prefer to hand deliver this review form Applicants name, address and phone number: zzx Name of development and/or description of the request: Location: �^ Health Department Comments: Pete Mfg to lde LA,- J-ttuC./uhe tw!( be f se -rtDG.- A,IE i `��e•G� (Ind� �c`��l.�dy`Kcn� r2vsi- e s s e[�t Hai Aizu e.A-' a Nt; e on /� te-feye We e2i"e i7tPL/16r_ Q el S 6 r / j . e� A1-4 'w ed. r Held l/�h `Signature and Date: t �� ,� �•d�� (NOTICE TO HEALTH-DEPT. - PLEASE RETURN THIS FORM T/O�APPLZCANT.) T/1tS r� `10jedttcae— 11je_e JAot_t1te Sefttc.�vlleivP GUt'l/ Tu�ic�io�2 11 er 'I ta )/ NOTICE TO APPLICANT It is your responsibility to complete this form as accurd�tely asJ/ possible in order to assist the agency with their reviews Also, please attach a copy of your application form, location map aKaq,a1l J other pertinent information. (0 NI._ �� 1'kAiJtV►�r� CD 0 M P/C Review Date: 06/07/95 BOS Review Date: 07/12/95 CONDITIONAL USE PERMIT #005-95 ROY M. WHITE COTTAGE OCCUPATION WOODWORKING/MAKING FURNITURE LOCATION: This property is located at the corner of Round Hill Road (Rt. 803) and Cather Lane (Route 711). The address is 995 Round Hill Road. (Previously Joe Bayliss Grocery) MAGISTERIAL DISTRICT: Back Creek PROPERTY ID NUMBER: 52-A-140 PROPERTY ZONING & PRESENT USE: Zoned RA (Rural Areas); Land Use - Residential ADJOINING PROPERTY ZONING & PRESENT USE: Zoned RA (Rural Areas); Land Use - residential and agricultural PROPOSED USE: Cottage Occupation for woodworking and furniture production. REVIEW EVALUATIONS: Virginia Department of Transportation: No objection to a conditional use permit for this property. However, prior to operation of business the existing entrance should be overlaid with a minimum 1.5 Type SM-2A asphalt concrete to ensure safe egress and ingress. A permit must be secured prior to placement of the asphalt. Should use of the property expand in the future beyond what is indicated in the application, the entrance may have to be upgraded to minimum commercial design standards. Inspections Department: Building shall comply with Virginia Uniform Statewide Building Code and Section 306, Use Group F (Factory & Industrial) of the BOCA National Building Code 1993. Other codes that apply are Title 24 Code C I] Page 2 White CUP #005-95 of Federal Regulation, Part 36 Nondiscrimination on the Basis of Disability by Public Accommodations and in Commercial Facilities. NOTE: Change of use permit is required and building shall not be used until inspected for code compliance and new certificate of use and occupancy. Fire Marshal: Applicant must comply with applicable sections of the Virginia State Fire Prevention Code when storing any flammable finishing materials. Health Department: Per Mr. White, the structure will be used for his 3 bedroom residence and the woodworking business with himself being the only employee. There is a three -bedroom permit on file; therefore, we are giving approval, if there is no increase in water usage and a suitable water supply is obtained. Planning Department: This request can be considered as a cottage occupation since the applicant intends to live in the structure where he wants to conduct the woodworking and furniture making business. This structure was previously used as a combination residence and country store. Since this location is a considerable distance from any other residence, it does not appear that it would have any significant impact on the neighborhood if properly controlled. The Health Department comment that they are "giving approval if there is no increase in water usage and a suitable water supply is obtained" needs to be addressed. Applicant advises that the Health Department approved a new well site and that he intends to have a new well drilled so that he has an adequate and reliable water supply. This location has high visibility along Round Hill Road and it is important that materials associated with this business not be allowed in an outside storage area. STAFF RECOMMENDATION FOR JUNE 7, 1995: Approval with the following conditions: All review agency comments shall be complied with at all times. 2. No open outside storage is permitted unless screened in accordance with the Frederick County Zoning Ordinance. 3. All work shall be accomplished inside of the completely enclosed building. 4. Prevent any dust or noise pollution from emanating into the neighborhood. 0 0 Page 3 White CUP #005-95 SUMMARY OF TUNE 7 1995 PLANNING COMMISSION ACTION: The Commission questioned whether the underground gas tanks that existed on this site were still there. It was determined that these tanks had been removed and the monitoring agency requirements had been complied with. An adjoining neighbor spoke in opposition to the request by asking that the hours of operation be limited so that he could be guaranteed "a good night's sleep". The Commission recommended that a condition of the permit be added limiting the hours of operation from 6:00 AM to 10:00 PM. This was acceptable to the applicant and the adjoining neighbor. There was no other opposition and the Commission unanimously recommends approval with the following conditions: 1. All review agency comments shall be complied with at all times. 2. No outside storage is permitted unless screened in accordance with the Frederick County Zoning Ordinance. 3. All work shall be accomplished inside of the completely enclosed building. 4. Prevent any dust or noise pollution from emanating into the neighborhood. 5. Hours of operation shall be limited to between 6:00 AM and 10:00 PM. *NOTE* (Mr. Ours and Mr. Romine were absent.) 24e 15 B C 43- 14 4C 25 17 210 16 22 �6 17 i ➢�I ill ---Sherwood Lone WESTERN B 2g7 OUNDHILL 122 � ��p � GO 261 A 29B 296 oa See 300 ° c 12 3D yy 124C �o 124D 124 124B 2 pts. 261 Roy M. White PIN: 52—A-140 CUP #005-95 Submittal Deadline P/C Meeting BOS Meeting APPLICATION FOR CONDITIONAL USE PERMIT FREDERICK COUNTY, VIRGINIA n WHO WWI 1wil 6 �(�cn(te 1. Applicant (The applicant if the owner other) NAME: R0 i r\ , �\ � P,- ADDRESS: CIS' -Pe ti0S,, 0 Je- W'�4-tom 01 TELEPHONE 2k - Sd71.-3 (� � 2. Please list all owners, occupants, or parties in interest of the property: 3. The property is located at: (please give exact directions and include the route num1ber of your road or \street) 19 � �00-SD \AI`\�-R& CZ� $o-�) 4. The property has a road frontage of -�\feet and a depth of )►- I S feet and consists of , 7 acres. (Please be exact) 5. The property is owned by as evidenced by deed from recorded ; (previous owner) in deed -book no. o on page 1 -) 9, as recorded in the records of the Clerk of the Circuit Court, County of Frederick. 6. 14-Digit Property Identification No. S� ooco (A ocoo j►fO Magisterial District �l Rik C�ee1� Current Zoning a A 7. Adjoining Property: USE NorthS;J East Southz;�,,�s� Wests.Yta�-;�L ZONING IRA "R A Z A MAY 1906 RECMVLM- PAO • • 8. The type of use proposed is before completing) (consult with the Planning Dept. :)O<A �% N e'q 9. It is proposed that the following buildings will be constructed: j,�`�. 10. The following are all of the individuals, firms, or corporations owning property adjacent to both sides, rear and in front of (also across street from) the property where requested use will be conducted. (Continue on back if necessary.) These people will be notified by mail of this application: (PLEASE LIST COMPLETE 14-DIGIT NUMBER.) NAME %-A?�, Address ) �'5 1�C4^��i Property ID# ;_ d'9C)0 Address Property ID# d o CO pV OC O L,� e� Address �� S: �•� ��s5 `�c� Property ID#;� Address Property ID# e p I7 a (OQ-0 Address Property ID# ---.- Address Property ID# //�� ► r , :, , \; �� MAY I 11. Please use this page for your sketch of the property. Show proposed and/or existing structures on the property, including measurements to all property lines. I.�Y6��Std 6us"f1eSj US¢ +0 14t, L -A c%Q'& za r, 0i uf+ �Q 2� 0 ra n I/Isk 99,, RECEIVE .' DEPT, OF MNNING D RMOPMtNt ,, • 12. Additional comments, if any: I (we), the undersigned, do hereby respectfully make application and petition the governing body of Frederick County, Virginia to allow the use described in this application. 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 first public hearing and maintained so as to be visible until after the Board of Supervisors' public hearing. Your application for a Conditional Use Permit authorizes any member of the Frederick County Planning Commission, Board of Supervisors or Planning and Development Department to inspect your property where the proposed use will be conducted. Signature of Applicant Signature of Owner Owners' Mailing Address Owners' Telephone No. 6 TO BE COMPLETED BY ZONING ADMINISTRATOR: USE CODE: RENEWAL DATE: Aaa V17 d �6.° MAY 1995 �Y)0 All R+C�l1a�r� T� 0 • REQUEST FOR C.U.P. COMMENTS Virginia Department of Transportation Attn: Resident Engineer P.O. Box 278 Edinburg, Virginia 22824-0278 (703) 984-4133 EDINEURG RE -SO K-C Y MAY 1995 El WH3 rJ JAC C IV�S ❑ 4T,'J�` EE RBC ^u KSH ❑ CDC ❑ RL VCZ Coss to The local office of the Transportation Department is located at 1550 Commerce St. in Winchester if you prefer to hand deliver this form. Applicant's name, address and phone number: Name of development and/or description of the request: 1 4J �^f��\ �•_'� ,_�,` .its o` � � `� ` i� F � j Location: Va. Dept. of Transportation Comments: No objection to a conditional use permit being issued for this Dropert Eowever, prior to operation of business the existing entrance should be _overlaid with a minimum 1.5 Type SM-2A asphalt concrete to ensure safe egress and ingress. A permit must be secured prior to placement of the asphalt. Should use of the property expand in the future beyond what is indicated in the application, the entrance may have to be upgraded to minimum commercial design standards. VDOT Signature and Date: /�.� 4�j�Y, •6 �i��S" (NOTICE TO RESIDENT ENGINEER*PLEASE RETURN MS FORM TO APPLICANT.) NOTICE TO APPLICANT It is your responsibility to complete this form as acc possible in order to assist the agency with their revi please attach three copies of your plans and/or applig,� ` - W0, :io orm. 'i'95 J ZCepED �E PMEN REQUEST FOR C.U.P. COMMENTS Virginia Department of Transportation Attn: Resident Engineer P.O. Box 278 Edinburg, Virginia 22824-0278 (703) 984-4133 RECEIVED EDINBURG RESIDENCY MAY 11 1995 ❑)IVtiB ❑ JAC ❑ WLS ❑ KDW [ RBC ❑ KSH ❑ KDC ❑ RLF D VCZ copkm to The local office of the Transportation Department is located at 1550 Commerce St. in Winchester if you prefer to hand deliver this form. Applicant's name, address and phone number: Name of development and/or description of the request: v-,N E+C�GQ t,_"c, Z1C �ts o �1 .3 S {� 4 4P S S Location: Va. Dept. of Transportation Comments: No objection to a conditional use permit being issued for this Dropert However, prior to operation of business the existing entrance should be overlaid with a minimum 1.5 Type SM-2A asphalt concrete to ensure safe egress and ingress. A permit must be secured prior to placement of the asphalt. Should use of the property expand in the future beyond what is indicated in the application, the entrance may have to be upgraded to minimum commercial design standards. VDOT Signature and Date: (NOTICE TO RESIDENT ENGINEER*PLEASE RETURN /-j S FORM TO APPLICANT.) NOTICE TO APPLICANT It is your responsibility to complete this form as accurately asTA possible in order to assist the agency with their revie`� Also, please attach three copies of your plans and/or application n.98 ,-4 j RECCIV E0 Aft sEvE REQUEST FOR CONDITIONAL USE PERMIT COMMENTS Frederick County Inspections Department Attn: Building Official P.O. Box 601 Winchester, Virginia 22604 (703) 665-5650 The Frederick County Inspections Department is located at 107 North Kent Street, 4th Floor of the County Administration Building in Winchester, if you prefer to hand deliver this review. Applicant's name, address and phone number: Name of development and/or description of the request: q -> IN e, �X L 'i 1i`% cD c!'4 Location: Inspection Department Comments: Building shall comply with Virginia Uniform Statewide Building Code and Section 306, Use Group F (Factory & Industrial) of the BOCA National Building Code/1993. Other codes that apply are title 24 Code of Federal Regulation, Part 36 Nondiscrimination on the Basis of Disability by Public Accommodations awn in Commercial Facilities. NOTE: Change of use permit is required and building shall not be used until inspected for code comp is e n rti icat o u e occupancy Code Administrator Signature & Date: 5' JQ is issued. (NOTICE TO INSPECTIONS DEPT.*PLEASE RffrifRN TIft8 FORM y16 AP L CANT.) NOTICE TO APPLICANT It is your responsibility to complete this form as accurately as possible in order to assist the agency with their review. Also ,,1 please attach a copy of your application form, location map ari 8� other pertinent information. �• h MAY 1 ^gs DEPT. l!F FtAMNIN� AAr° COUNTY OF FREDERICK, VIRGINIA FIRE'MARSHAL'S OFFICE LAND DEVELOPMENT COMMENTS Control No. 0427952396 Date Received 042795 Date Reviewed 051595 Applicant Name Roy M. White Address 815 Pennsylvania Avenue Winchester, VA 22601 Project Name White's Woodworking Phone No. 703-877-3132 Type of Application C.U.P. Current Zoning RA 1st Due Fire Co. 15 1st Due Rescue Co. 15 Election District Back Creek RECOMMENDATIONS Automatic Sprinkler System X Residential Sprinkler System Automatic Fire Alarm System X Other Emergency Vehicle Access; Adequate X Inadequate Not Identified Fire Lanes Required; Yes No X Comments Roadway/Aisleway Widths; Adequate X Inadequate Not.Identified Special Hazards Noted; Yes No X Comments - Continued - Hydrant Locations; Adequate Inadequate Siamese Connection Location; Approved Not Approved Not Identified X Not Identified X Additional Comments: Applicant must comply with applicable sections of the Virginia State Fire Prevention Code when storing any flammable finishing materials. Rev' w T.5 hr. Douglas A. Kiracofe Fire Marshal rm rr% f-rl 3E rT,l i-k- -Y. OUNTY of FREDERICK — - - — --- - - - --- Department of Planning and Development 703/665-5651 FAX TRANSMITTAL PAGE FAX 703/678-0682 C DATE: 5-18-95 TRANSMITTAL TIME: PLEASE DELIVER PAGES) EMIEDIATELY To.; -- NAME: ROY WHITE COMPANY: CITY, STATE: FAX NUMBER: 877-3132 RE: FIRE MARSHAL COMMENTS ON CUP TOTAL NUMBER OF PAGES INCLUDING THIS COVER PAGE: MESSAGE: FROM: DENICE R. CATHER TITLE: ISECRETARY II FREDERICK COUNTY PLANNING DEPARTMENT PHONE: (703) 665-5651 FAX NUMBER: (703) 678-0682 3 107 North Kent Street P.O. Box 601 Winchester, VA 22601 Winchester, VA 22604 Ll June 28, 1995 COUNTY of FREDERICK Department of Planning and Development 703/665-5651 FAX 703/678-0682 TO THE APPLICANT(S) AND /OR ADJOINING PROPERTY OWNER(S) The Application of: ROY M. WHITE Conditional Use Permit . #005-95: Mr. White is applying for a conditional use permit for a cottage occupation for woodworking and furniture production. This property is located at 995 Round Hill Road (Rt. 803), in the Back Creek District and identified with PIN 52-A-140. This conditional use permit application will be considered by the Frederick County Board of Supervisors at their meeting of July ' 12, 1995, at 7:15 p.m., at the Indian Hollow Elementary School, 1548 North Hayfield Road, Winchester, Virginia. This will be a public hearing and all interested parties wishing to attend may do so. Since W. V Zoning Administrator WWM/dre 107 North Kent Street P.O. Box 601 Winchester, VA 22601 Winchester, VA 22604 This is to certify t1m the attached correspondence waAmmailed to the following on JUNE 28, 1995 froe Department of Planning and lopment, Frederick County, Virginia: t A 4 "r INGI» E:Y:, iw. 4- WINC HE S TER., •`VA: I. DRIVER, =WARRE:N".�L.... ,.:JR.. tl„:DUISE W:KNC.HE:8TER, "'VA.. .602- -- ,A{ -4t}04 F'iO JNDHIL.iL.. ;=RU WINCiHEBIiER, 22602- j L«..�A!.RRI;Cy.:CK:�,1 WIL L'IAt�Sd;�"EtlfiCENE,.. A:. 4 Gr..Nr.VIEV,E a. :El. ifAL..3 raga .'sINGHASS WINC:F!1eq�1'E R, VAS yj SHO]EIE,-JEFV'E'R80N ' 2 A 22791 zMA RT3:rN,91F4UFZG..- p3:KE: ' WINC:HESTER, �.VA . •fib( c: ' .nJ�,4' n. ~'.�VwT.'" ... - - -w: Wayne'Miller, Zo ing A mi istrator Frederick County D qp t. of Planning STATE OF VIRGINIA COUNTY OF FREDERICK I, RENEE' S. ARLOTTA , a Notary Public in and for the state and county aforesaid, do hereby certify that W. Wayne Miller, Zoning Administrator for the Department of Planning and Development, whose name is signed to the foregoing, dated JUNE 28, 1995 , has personally appeared before me and acknowledged the same in my state and county foresaid. Given under my hand this 28 day of JUNE )1995 My commission expires on AUGUST 31, 1995 0 0 May 22, 1995 COUNTY of FREDERICK Department of Planning and Development 703/665-5651 FAX 703/678-0682 TO THE APPLICANTS) AND /OR ADJOINING PROPERTY OWNER(S) The Application of: ROY M. WHITE Conditional Use Permit #005-95: Mr. White is applying for a conditional use permit for a cottage occupation for woodworking and furniture production. This property is located at 995 Round Hill Road (Rt. 803), in the Back Creek District and identified with PIN 52-A-140. This conditional use permit application will be considered by the Frederick County Planning Commission at their meeting of June 7, 1995, at 7:00 p.m., in the Board Room of the Old Frederick County Courthouse, Winchester, Virginia. This will be a public hearing and all interested parties wishing to attend may do so. Sincerely, c W. Wayne filler Zoning Administrator ,1� 107 North Kent Street P.O. Box 601 Winchester, VA 22601 Winchester, VA 22604 This is to certify th t the attached correspondence wa mailed to the following on MAY 24, 1995 froe Department of Planning and Wlopment, Frederick County, Virginia: �.Ci 4C13t 2760 WINC'HEC3TTER4 CIA :22,604-" 52 fDR:EvE.--, 'WARREt4 °L„.w JR,. <& fL OUX�3�. � 52 SUIT, ..C:HARL:r.8 A.. JR.. WXNC:I_IEE3'rMR, ;.: 2602— 'C52 -- - A 1124 _. L:ARRIC K., •,�W.'XLL 1AM. EUGF;NE, GENEVXEVE .',fie. 'El* AL S b54 SINGHASS RD .W1NCHE9T.E:R., VA ! =22e 03— E WINCHES11ERv. VA N. ayne Miller, Zonin A ministrator Frederick Count/ ount Dept. of Planning STATE OF VIRGINIA COUNTY OF FREDERICK I, RENEE' S. ARLOTTA , a Notary Public in and, for the state and county aforesaid, do hereby certify that W. Wayne Miller, Zoning Administrator for �. the Department of Planning and Development, whose name is•. -signed to the foregoing, dated MAY 24, 1995 , has personally appeared before me and acknowledged the same in my state and county foresaid. Given under my hand this 24 day of MAY ,1995 . My commission expires on AUGUST 31, 1995 NOT4Y PUBLIC ! 0 �\ G.I.S. WORK ORDER X, c Department of Planning & Development / GIS 9 North Loudoun Street °` u Winchester, VA 22601 )-r'--J 703-665-5651 The following information needs to be supplied to request production of mapping or graphics from the Planning Department. n DATE ` 5 DEPARTMENT- P /4 ! q CONTACT: hm I ce DESCRIPTION OF PROJECT: PHONE: REQUESTED COMPLETION DATE: 5:-C3 ! U — For Planning Department Use — -2 Materials g Supplies: Keep in Storage? Yes No ` Public Use Fee Total Time Spent on Project: Comments: