HomeMy WebLinkAbout13-87 Holiday Motel - BackfileCOUNTY of FREDERICK
Departments of Planning and Building
703/665-5650
June 18, 1987
Holiday Motel
ATTN: Mary Ann Chadwell
Route 1, Box 615
Middletown, Virginia 22645
RE: Conditional Use -Permit #013-87 of Holiday Motel
Dear Ms. Chadwell:
This letter is to confirm the Frederick County Board of Supervisors' action at
their meeting of June 10, 1987:
Approval of Conditional Use Permit #013-87 of Holiday Motel for an off -premise
motel sign, to be located at the northeast intersection of U.S. 11 and 627, north
of Middletown, in the Opequon Magisterial District, with the following
conditions:
1. This is a one-year permit to be reviewed and renewed annually by the staff,
Planning Commission, and the Board of Supervisors.
2. If the use, occupancy, or ownership of the property changes, this conditional
use permit will expire and a new conditional use permit will be required.
3. The sign shall be maintained in good repair.
If you have any questions regarding your conditional use permit, please do not
hesitate to call this office.
Sincerely,
Robert W. Watkins
Director
RWW/dkg
cc: Eston 0. Rudolph, Jr., Commissioner of Revenue
George B. Whitacre, Circuit Court Clerk
9 Court Souare - P.O. Box 601 - Winchester, Virginia '22601
1758
M E M O R A N D U M
TO:
, ATTN:
COUNTY of FREDERICK
Departments of Planning and Building
703/ 5650
Inspections Department , ATTN: Mr. Kenneth L. Coffelt
Planning and Zoning Department , ATTN: Mr. Stephen M. Gyurisin
FROM: Robert W. Watkins, Director DATE: May 4, 1987
7
SUBJECT: Review Comments On: X Conditional Use Permit Site Plan
Subdivision Rezoning
We are reviewing the enclosed request by Holiday Motel ,
or their representative, Mary Ann Chadwell 869-3533
Will you please review the attached and return your comments to me as soon as
possible.
----------------------------------------------------------------------------------
THIS SPACE SHOULD BE USED FOR REVIEW COMMENTS: J .
tl— Aoplw
ca 1
4
Signature e� Date �/7/ 7
9 Court Saliare - P.O. Box 601 - Winchester, Virginia - 22601
APPLICATION FOR CONDITIONAL USE PERMIT
IN THE
COUNTY OF FREDERICK, VIRGINIA
Conditional Use Permit No. Submittal Deadline is
Application Date For the Meeting of
Fee Paid
1. The applicant is the owner other (check one)
OWNER: Q,t7i, OCCUPANT: (i other than caner)
2. NAME: /: NAME:
ADDRESS: p � ADDRESS"
IZA 9TELEPHONE: Vim, . -2
&�
TELEPHONE: 7f73_ � - 22Rh _
3. The property
is locate at (please ive exact directions)
$ u.S. I (
4. The property fronts state route &,Z 7 and consists of Goo
acres. (Please be exact)
5. The property is owned by 1, as evidenced by
deed from _ ( %na4- 2'C" 19 -1) recoleded in d,6ed book no. �, 3 y
on page g , registry of the County of
1
PROPERTY I'DENTIFTCATION N0. (P.2eaae .P.i.d.t~21-di.g.it J)l•y/oc,-Ann Q.,ry,� o ONO
6. This property is designated as parcel no. on tax map no.
in the Magisterial District.
7. The type of use proposed is /hn9'ELSIGn/
8. It is proposed that the following additions/improvements to
existing buildings will be constructed.
9. It is proposed that the following buildings will be constructed:
10. The following are all of the individuals, firms, or corporations
owning property adjacent to both sides and rear and in front of
(across street from) the property. (Use additional pages if
necessary). These people will be notified by mail of this
application. (PLEASE LIST COMPLETE 21-DIGIT NUMBER
NAME
1.
4 R, Ca o-
Address:
So
E
Property
ID#:
o - -O O -o
Ed ress :
/l S/ 5 �i u-�- awe_
Prop r y
ID#:
3.
Ginn
Address:
Property
ID#
/ R - O -
A Oo - 000Y-N - O oe3o
4•
Address:
�/ 7 / 7
Property
ID#:
-
-- - 003 3 -o
Page Two
Conditional Use Permit
NAME.
5.
Address:
Property
ID#:
6.
Address:
Property
ID#:
7.
Address:
Property
ID#:
8.
Address:
Property
ID#:
9.
Address:
Property
ID#:
10.
Address:
Property
ID#:
9. Additional comments, if any
I (we), the undersigned, do hereby respectfully agree to comply
with any conditions required by the Board of Supervisors of the
County of Virginia, and authorize the County to go upon the
property for the purpose ofmaking site inspections.
/ D�f
Signature of Owner: X iv
Signature of Applicant:
Complete Mailing Address: /// lz-Y�
/12rX�C f D znM
Telephone Number: 763—
For Office Use Only .
PLANNING COMMISSION PUBLIC HEARING RECOMMENDATION OF (date)
aApproval a Denial SECRETARY (signed)
BOARD OF SUPERVISORS PUBLIC HEARING ACTION OF (date)
Approval F-1 Denial COUNTY ADMIN. (signed)
Page Three
Conditional Use Permit
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.
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COUNTY of FREDERICK
M �
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Department of Planning and Development
REQUEST FOR COMMENTS John T.P. Horne - Planning Director
,µU,,,, Stephen M. Gyurisin - Deputy Director
1758 703/662-4532
TO: Mr. William H. Bushman Local Office:
Resident Engineer
VA. Dept. of Highways & Transportation Commerce Street
P.O. Box 278 Winchester, VA. 22601
Edinburg, Virginia 22824-0278 (703) 662-8876
(703) 984-4133
FROM: Robert W. Watkins, Director of Planning DATE:
SUBJECT: Review Comments for Conditional Use Permit Rezoning
Subdivision Site Plan
t
Please review this request for a
"located at
Proposed building and improvements:
This comment sheet must be returned to the Frederick County Department
of Planning and Development, or the applicant, by
for the meeting of
�;-?rn-;ter ('nmmani-c• � . .
-VT D- Signature:/Date: ��3�e�%
Applicant's Name:
Address:
"Phone Number:
NOTICE TO APPLICANT: It is your responsibility to contact the
Virginia Department of Highways & Transportation for comments on
your project and to return all comments as part of your applica-
tion before or on the submittal deadline date.
9 C'nnrt Cnnnre - P Cl. Rnx C41 - WinrbPctPr Viroinin
COUNTY of FREDERICK
Departments of Planning and Building
703/6e55-5650
May 20, 1987
TO THE APPLICANT(s) and/or ADJOINING PROPERTY OWNER(s)
The Application Of: Holiday Motel
Conditional Use Permit For: a motel sign
This conditional use permit request will be considered by the Frederick County
Planning Commission at their meeting of June 3, 1987, at 7:30 p.m., in the Board
of Supervisors' Meeting Room, the Old Frederick County Court House, 9 Court
Square, Winchester, Virginia.
.Any interested parties having questions or wishing to speak, may attend this
meeting.
Sincerely,
Robert W. Watkins
Director
RWW/rsa
9 Court Square - P.O. Box 601 - Winchester, Virginia - 22601
This is to certify that the attached correspondence was mailed to the following on
May 20, 1987 from the Department of Planning and Development, Frederick County,
;;hrginia:
JCOOLEY: A. REESE ET ALS
ROUTE 1'SOV-6C6
'MIDDLET0WN, VA.
j
22645
ISIMPSON; JOSEPH.H.
& B. ANN,
11515.FOUR PENNY: LANE
'FAIRFAX STATION, VA
22039
IL NOSEY? ELDON R.
4& GRETCHEN Z.
FP. 0. BOX-1247
�NOKOMiS, FL.
33555
—
IFRALL DEVELOPERS,'INC.
310 SOUTH.fIAIN ST.
iMT AIRY, MD
21771
U C Lda.t.�0-�
rKk LL
1 LLtL i, (e(5
[ndALtum, VA =Ads
Robert W. Watkins, Director
Frederick County Dept. of Planning
STATE OF VIRGINIA
COUNTY OF FREDERI
I, 44�, a Notary Public in and for the state and
county aforesaid, do hereby certify that Robert W. Watkins, Director for the
Department of Planning and Development, whose name is signed to the foregoing,
dated _AQ` , te) has personally appeared before me and
acknowledged the same in my state and county foresaid.
Given under my hand this Q% day of , 1987.
My commission expires on qme( u CmA6 )qq f .
hu�lzg,
NOTARY PUBL C
'r'
COUNTY of FREDERICK
Departments of Planning and Building
V1015
703/65f 5650
May 27, 1987
TO THE APPLICANT(s) and/or ADJOINING PROPERTY OWNER(s)
The Application Of: Holiday Motel
Conditional Use Permit For: a motel sign
This conditional use permit request will be considered by the Frederick County
Board of Supervisors at their meeting of June 10, 1987, at 7:15 p.m., in the Board
of Supervisors' Meeting Room, the Old Frederick County Court House, 9 Court
Square, Winchester, Virginia.
Any interested parties having questions or wishing to speak, may attend this
meeting.
Sincerely,
Robert W. Watkins
Director
RWW/rsa
9 Court Square - P.O. Box 601
Winchester, Virginia
22601
;! This is to certify that the attached correspondence was mailed to the following on
May 27, 1987 from the Department of Planning and Development, Frederick County,
Virginia:
-
(COOLEY, A. REESE ET.ALS
1
ROUTE 1,
VA.
22645
IMIDDLETOWN,
r
�
�SIMPSON,�JOSEPH.H.
I
l�
8. ANN
� 11515 FOUR PENNY LANE
—14
. STATTON, VA
�FAIRFAX
22039
--- --.---
--- - ---
(LINDSEY, ELOON R. -- --
l
GRETCHEN Z.,
�NOKOMIS,.
P. 0. C30X 1247.
,/
FL.
33555
(FRALL DEVELOPERS, INC.
f310
SOUTH MAIN ST.
(
MT. ' AIRY? .MD
21772
fo-LLtt-
i'}'i,t`d&- L-ttJluxj 11�4 oZ 45
Robert W. Watkins, Director
Frederick County Dept. of Planning
STATE OF VIRGINIA
COUNTY OF FREDERICK
I, , a Notary Public in and for the state and
county aforesaid, do hereby certify that Robert W. Watkins, Director for the
Department of Planning and Development, whose name is signed to the foregoing,
dated has personally appeared before me and
acknowledged the same in my state and county foresaid.
Given under my hand this day of , 1987•
My commission expires on ____•
NOTARY PUBLIC
91000-A00-0000-0000-0102-0
COOLEY, A. REESE ET ALS
MIDDLETOWN
61.15
A2
AG
87,500
17U9600
ROUTE 1
MIDDLETO'WN, VA.
22645
9100C-A00-0000-0000-0102-0
COOLEY, A. REESE ET ALS
MIDDLETOWN
61.15
A2
AG
37,50U
17U,800
ROUTE 1
MIDDLETO'WN, VA.
22645
91000-ADO-0000-0000-0103-0
SIMPSON, JOSEPH H.
VALLEY PIKE
1.00
A2
RS
25,000
9U,400
& B. ANN
LOT 103
11515 FOUR PENNY LANE
FAIRFAX STATION, VA
22039
91BOO-AOO-0000-0000-0034-0
LINDSEY, ELDON R.
MIDDLETOWN
5.91
LC
A,i
86,70U
E GRETCHEN Z.
P. 0. BOX 1247
NOKOMIS, FL.
33555
i
91300-A70-0000-0000-0033-0
FRALL 'DEVELOPERS, INC.
MIDDLETOWN
.67
LC
R5
10,00u
29,300
310 SOUTH MAIN ST.
MT. AIRY, MD
21771
•
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GANO, TIMOTHY ALVIN
•
H-C-2 BOX 445
WHITACRE, VA.
22625
!
•
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GANO, TIMOTHY ALVIN
H-C-2 BOX 445
WHITACRE, VA.
22625
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•
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GANO, TIMOTHY ALVIN
•
H-C-2 BOX 445
WHITACRE, VA.
22625
i
GANO, TIMOTHY ALVIN
i
H-C-2 BOX 445
WHITACRE, VA.
22625
i
GANO, TIMOTHY ALVIN
i
H-C-2 BOX 445
WHITACRE, VA.
22625
•
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NO NAME ON,/.
FILE/,
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•
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COOLEY, A.
REESE
ET ALS
ROUTE 1
MIDDLETOWN,
VA.
22645
•
•
COOLEY, A.
REESE
ET ALS
ROUTE 1
MIDDLETOWN,
VA.
22645
•
•
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COOLEY, A.
REESE
ET ALS
ROUTE 1
MIDDLETOWN,
VA.
22645
i
COOLEY, A.
REESE
ET ALS
•
ROUTE 1
MIDDLETOWN,
VA.
22645
•
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CONDITIONAL USE PERMIT #013-87
Holiday Motel
Motel Sign
LOCATION: At the northeast intersection of U.S. 11 and 627, north of Middletown
MAGISTERIAL DISTRICT: Opequon
ADJACENT LAND USE AND ZONING: Residential uses in Middletown and Agricultural and
Residential uses, zoned A-2 (Agricultural General)
PROPOSED USE AND IMPROVEMENTS: Off -premise motel sign
REVIEW EVALUATIONS:
Virginia Dept. of Highways and Transportation - Permit can be issued to
applicant to erect "Trailblazer" type sign provided it is off our
right-of-way and not visible from I-81. Technician will contact Ms. Chadwell
in near future regarding permit forms.
Inspections Department - Must be designed and constructed according to
applicable codes.
Planning and Zoning - No objection. The proposal is for a 4' x 8'
directional sign. The attached sketch shows that the sign will not be in the
VDH&T right-of-way. It will not be visible from Interstate 81.
STAFF RECOMMENDATIONS: Approval, with the following conditions:
1. This is a one-year permit to be reviewed and renewed annually by the staff,
the Planning Commission, and the Board of Supervisors.
2. If the use, occupancy, or ownership of the property changes, this conditional
use permit shall expire and a new conditional use permit will be required.
3. The sign shall be maintained in good repair.
PLANNING COMMISSION RECOMMENDATIONS: Unanimous approval with the following
conditions:
1. This is a one-year permit to be reviewed and renewed annually by the staff,
Planning Commission, and the Board of Supervisors.
2. If the use, occupancy, or ownership of the property changes, this conditional
use permit shall expire and a new conditional use permit will be required.
3. The sign shall be maintained in good repair.
APPLICATION FOR CONDITIONAL USE PERMIT
IN THE
COUNTY OF FREDERICK, VIRGINIA
Conditional Use Permit No. Q/3-8
Application Date p f3?
Fee Paid
Submittal Deadline is
For the Meeting of
1. The applicant is the owner
other it (check one)
OWNER: GL,
2. NAME: !��
OCCUPANT: (iU
'
ther than owner)
_
NAME : i
ADDRESS •
.
�C-
g p_h
ADDRESS•
o `
, � (0
5' �-r . �C o :
1�l _ D Co s '
TE EPHONE : 7�3
_ �� _ z 2 g
(, TELEPH NE
3. The property
is locate at
( lease give exact
directions) ,
g q's , I
4. The property fronts state route (off 7 and consists of (no o
acres. (Please be exact)
5. The property is owned byC,/', -�, as evidenced by
deed from (�y/ , -,C,,� I9,�� reco ded in Q�book no. -2, 3 ,
on page Zg. , registry of the County of
PROPERTY TDENTIFICATTON N0. `(F'Le"e 2uS ' 2:1:cd- it
6. This property is designated as parcel no. on tax map no.
in the Magisterial District.
7. The type of use proposed is iv�i�TrL SiGn/
8. It is proposed that the following additions/improvements to
existing buildings will be constructed.
9. It is proposed that the following buildings will be constructed:
10. The following are all of the individuals, firms, or corporations
owning property adjacent to both sides and rear and in front of
(across street from) the property. (Use additional pages if
necessary). These people will be notified by mail of this
application. "(PLEASE.:, LIST COMPLETE 21-DIGIT NUMBER)
NAME
1•
Gt 2 + � �" d
r,-h�, Gam
A dress:
'1 %2 �o
Property
- pop • Aoo
ID# :
-- oc)o 0- OCat�n -- n / o :�>_ - c5
2.
Address:
Propbr y
ID# :
3. �� !�� ��
�
Address:
a cs'
.,-
. 33 s'SS
Property
ID#
4.
%/ •_ Or) -ACO - 00CX) 6 •c- - 0 (D - ct3
Aidderes
n %
Property
ID#:
- on -
s •- Qcoo - -no n - 0 0 3 3 -- o
r
Page Two
Conditional Use Permit
} NAME
5.
Address:
Property
ID#:
6.
Address:
Property
ID#:
7.
Address:
Property
ID#:
8.
Address:
Property
ID#:
9.
Address:
Property
ID#:
10.
Address:
Property
ID#:
9. Additional: comments, if any
I (we), the undersigned, do hereby respectfully agree to comply
with any conditions required by the Board of Supervisors of the
County of Virginia, and authorize the County to go upon the
property for the purpose of making site inspections.
x
Signature of Owner:
Signature of Applicant:
Complete Mailing Address: (,
Telephone Number: 763- (;, r 35'-33
For Office Use Only
PLANNING COMMISSION PUBLIC HEARING RECOMMENDATION OF (date) -,3.- a
IZ/Approval Denial "CRETARY (signed)
BOARD OF SUPERVISORS PUBLIC HEARING ACTION OF (date) /� �87
Approval Denial COUNTY ADMIN. (signed)
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OA-105A
Revised 2-1-96
COMMONWEALTH OF VIRGINIA
APPLICATION FOR OUTDOOR ADVERTISING PERMIT
To the DEPARTMENT OF HIGHWAYS 9 TRANSPORTATION Date March 11 1 9A7 19--r—
OUTDOOR ADVERTISING
Richmond, Virginia 23219
Application is hereby made IN TRIPLICATE (3) for a permit to erect and maintain an advertising sign as located and described
hereinafter, and in accordance with the provisions of the Outdoor Advertising Act (Sec. 33.1-351 through Sec. 33.1-381 of the
Code of Virginia [ 19501, as amended). Make check payable to Treasurer of Virginia.
North side �g-4 jc , sgWw% (North0S. W.
Location: Route No. �r�—, to �r� County, situated 1 �n fPF'r
A. R. Cooley
of , and on real property owned by O ey
(Route, County, G�ity or own limits, or other nearest location) Emory
with WRITTEN CONSENT as indicated below.
EVIDENCE OF CONSENT TO ERECT AND DISPLAY ADVERTISING STRUCTURE OR ADVERTISEMENT
(SEC. 33.1-361)
(Only Section I or II is to be filled out with this application)
Datedat Fred, —rick _'_-,ttnty, Virginia DateMArch L► 1987
Se c. I City sTate
Acknowledgement is hereby made by the undersigned owner or his authorized agent of the property on whi h it is proposed to
erect the sign described on this application, giving written consent to the ap 'can�rect d mainta' said advertising
signs.
(Owner)
WITNESS QA% A Q SIGNATURE
Lr(USE WHEN APPLICANT HAS LEASE ON FILE)
See 11 r Dated at
City State
The applic� EMIVE t�n evidence of the consent of the property owner, to erect the proposed sign at the loca-
tion described tiiits application.
MAR 6 W SIGNATURE
The above sub{ Ltd %W&,9fV*n to before me this day of
UiViS;GN
My Commission expires
Notary Public
DESCRIPTION: Size: Length 8 ft.; Width 4 ft.; AREA 32 square ft.
This sign has
19 —
1 facts. Advertises
Holiday Motel FEES:** Inspection $ 15.00
FOR USE IN ZONED COUNTIES:
Zoning Classification Date
Approved 19
Zoning Administrator
County
County
Inspected by
Date
Permit $ 1r i�U
Holiday Motel Middletown, Va. 22645
Rt , 1 BQYW 615 Name o o r Firm
(Owner)
Signed: (114111111110
Address:R • 1 Box 615, Middletown, Va.
22645
Phone 703 869 3533
(FOR OFFICE USE ONLY)
Route M. P. Application No. _ Permit No.
This Permit Issued by Order of the Env. Qual. Engineer
Per Coordinator
Operations & Maintenance Section
Date
**See reverse side. Fees must be submitted with application. cA et -# 97
NOTE: Read conditions on reverse side.
INSPECTION FEES
PERMIT FEES
t
Interstate Highways
Federal -aid Primary Highways
Other Highways
$30.00 Size (Sq. Ft.)
$30.00 0 - 32
$15.00 33 - 74
75 - 424
425 - 624
Each Face
$ 1.00
$ 2.50
$12.00
$16.00
MAKE CHECK PAYABLE TO TREASURER OF VIRGINIA 625 - Up - Plus $10.00 for each additional 200 square feet
PRIOR TO SUBMITTING APPLICATION FOR PERMIT, PLACE TEMPORARY STAKES AT THE EXACT LOCATION WHERE
YOU PROPOSE TO ERECT THE SIGN.
NOTE: Permits will not be extended or renewed in cases where the permittee has not exercised the privilege of
erecting such advertising structure or displayed such advertisement during the period for which the permit was
issued. Permits issued after December fifteenth will cover the following calendar year.
SIZE OF SIGN - The area shall be measured (inclusive of any border and trim but excluding ornamental base or
apron supports and other structural members) by the smallest square, rectangle, triangle, circle or combination
thereof which will encompass the entire advertisement.
A
Area= A x A x0.79
Area = A x A x 0.4 + 8 x C
�_B
A C
Area= A x A xO.79+0xC
—T
B
=D—
L— T
C
Area= 0.5 x AxB+DxC
Sketch of Sign
SPACING OF STRUCTURES - Interstate Highways and Freeways on the Federal -aid Primary System
No two structures shall be spaced less than 500 feet apart.
At the intersection of any Interstate Highway and any other highway, no structure shall be
permitted within 500 feet from any point of ingress to or egress from the Interstate Highway.
Federal -Aid Primary Highways
No two structures shall be spaced less than 300 feet apart.
For the purpose of these regulations an unzoned commercial or industrial area shall be defined as a parcel or
parcels of land on which there is located one or more permanent structures devoted to a business of industrial
activity or on which a commercial or industrial activity is actually conducted, whether or not a permanent structure
is located thereon, and the area extending outward 500 feet from and beyond the edge of such activity. Each side
of the highway will be considered separate in applying this definition.
INSPECTION FEES
PERMIT FEES
interstate Highways
Federal -aid Primary Highways
Other Highways
$30.00 Size (Sq. Ft.)
$30.00 0 - 32
$15.00 33 - 74
75 - 424
425 - 624
Each Face
$ 1.00
$ 2.50
$12.00
$16.00
MAKE CHECK PAYABLE TO TREASURER OF VIRGINIA 625 - Up - Plus $10.00 for each additional 200 square feet
PRIOR TO SUBMITTING APPLICATION FOR PERMIT, PLACE TEMPORARY STAKES AT THE EXACT LOCATION WHERE
YOU PROPOSE TO ERECT THE SIGN.
NOTE: Permits will not be extended or renewed in cases where the permittee has not exercised the privilege of
erecting such advertising structure or displayed such advertisement during the period for which the permit was
issued. Permits issued after December fifteenth will cover the following calendar year.
SIZE OF SIGN - The area shall be measured (inclusive of any border and trim but excluding ornamental base or
apron supports and other structural members) by the smallest square, rectangle, triangle, circle or combination
thereof which will encompass the entire advertisement.
A
Area = A x A x 0.7 9
Area= A x A x 0.4 + B xC
�B
A C
Area= A x A x 0.79 +8 xC
B
I -A -•I I
C
D
Area=0.5xAx8+DxC
Sketch of Sign
SPACING OF STRUCTURES - Interstate Highways and Freeways on the Federal -aid Primary System
No two structures shall be spaced less than 500 feet apart.
At the intersection of any Interstate Highway and any other highway, no structure shall be
permitted within 500 feet from any point of ingress to or egress from the Interstate Highway.
Federal -Aid Primary Highways
No two structures shall be spaced less than 300 feet apart.
For the purpose of these regulations an unzoned commercial or industrial area shall be defined as a parcel or
parcels of land on which there is located one or more permanent structures devoted to a business of industrial
activity or on which a commercial or industrial activity is actually conducted, whether or not a permanent structure
is located thereon, and the area extending outward 500 feet from and beyond the edge of such activity. Each side
of the highway will be considered separate in applying this definition.
oA-105A
' COMMONWEALTH OF VIRGINIA Revved 2-1-86
APPLICATION FOR OUTDOOR ADVERTISING PERMIT
To the DEPARTMENT OF HIGHWAYS & TRANSPORTATION Date March 4. 1987 19—
OUTDOOR ADVERTISING
Richmond, Virginia 23219
Application is hereby made IN TRIPLICATE (3) for a permit to erect and maintain an advertising sign as located and described
hereinafter, and in accordance with the provisions of the Outdoor Advertising Act (Sec. 33.1-351 through Sec. 33.1-381 of the
Code of Virginia [ 195% st::finesdJ6Make check payable to Treasurer of Virginia.
Location: R"Yte No. 627 , in Frederi:ek County, situated160 feet wAdws (Northe)S. W.
A. R. Cooley
of ti _ 11 , and on real property owned by Emory Cooley
(Route, County, City or Town limits, or other nearest location)
with WRITTEN CONSENT as indicated below.
EVIDENCE OF CONSENT TO ERECT AND DISPLAY ADVERTISING STRUCTURE OR ADVERTISEMENT
(SEC. 33.1-361)
(Only Section I or II is to be filled out with this application)
Dated at Frederick County, Virginia Dam March 4 1987
Se c . I City State
Acknowledgement is hereby made by the undersigned owner or his authorized agent of the property on which it is proposed to
erect the sign described on this application, giving written consent to the applicant to erect and maintai said advertising
signs.
(Owner)
WITNESS P __PL(dr7L SIGNATURE,
(USE WHEN APPLICANT HAS LEASE ON FILE)
Sec. II Dated at
City State
The appli n _M �.1e i en evidence of the consent of the property owner, to erect the proposed sign at the loca-
tion described in this application.
MAR 61987 SIGNATURE
The above subWA Se8.�, jid-1 i;horn to before me this day of
My, Commission expires Notary Public
DESCRIPTION: Size: Length 8 ft.; Width 4 ft.; AREA 32 square ft.
This sign has
19
1 faces. Advertises Holiday Motel FEES:** Inspection S 5.00
FOR USE IN ZONED COUNTIES:
Zoning Classification Date
Approved 19
Zoning Administrator
County
Permit S 1.00
Holiday Motel Middletown, Va. 22645
Rt , 1 B 615 Name o to. r Firm
(Owner)
Signed 166.4 A 10(�
Address:RT. 1 Box 615, Middletown, Va.
22645
Phone 703 869 3533
(FOR OFFICE USE ONLY)
County Route M. P. Application No. _ Permit No.
inspected by
Date
This Permit Issued by Order of the Env. Qual. Engineer
Per Coordinator
Operations & Maintenance Section
Date