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Home My WebLink About10-92 Lewis A Boyer - Shawnee - Backfileh ... ' • ` ... ... .. R�,+ •� .... . tiffs. CUP TRACKING SHEET (To be completed by Frederick Co. Staff only.) CUP # 010-92 Owner/Applicant T,Pwjs A. Boyer - Boyer Landscaping Application Date July 8, 1992 Fee Paid yes initials: de - Sign Deposit yes Sign return date: Submittal Cut -Off Date 111137' 1Q, 19_92 P/C Mtg. date: Aug. 8, 1992 BOS Mtg. date: Sept. 9, 1992 AGENCY REVIEW COMMENTS g VDOT V Airport Authority x Inspections-' City of Winchester x Fire Marshal g Co Sanitation Authority -- Health Dept.v PLANNING COMMISSION RECOMMENDATIONS OF I� '(date) EEr APPROVAL (WITH CONDITIONS) yes no DENIAL Signed `-Secretary Date, BOARD OF SUPERVISORS PUBLIC HEARING ACTION �� Z �I`soZ [2rAPPROVAL (date) Signed J � P- '` , County Adm. DENIAL Date RECEIPT NZ 02341 65 AMOUNT DUE $ AMOU ID $ 1b0.�� BALANCE DUE $ PAID Br ^ CASH 1 C7� `� ��" ryO CHECK Fl OTHER FRLUEi%:t,'. . !.. PLANNING AND DEVELOPMENT P.O. BOX 601, 9 COURT SQUARE WINCHESTER, VIRGINIA 2.2601 �i--1 DATE RECEIVED FIR ADDRESS OG 02 THE SUM OF DAY -TIMERS RE -ORDER No. 3221 — PriMSO in USA COUNTY of FREDERICK y% Department of Planning and Development �� 703 / 665-5651 Fax 703 / 678-0682 MEMORANDUM TO: Finance Department FROM: Denice Cather, Clerk Typist SUBJECT: Return Of Sign Deposit DATE: November 4, 1992 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: Boyer Landscape P.O. Box 787 Stephens City, Virginia 22655 Please contact me if you have any questions. 9 North Loudoun Street P.O. Box 601 Winchester, VA 22601 Winchester, VA 22604 COUNTY of FREDERICK Department of Planning and Development 703 / 665-5651 Fax 703 / 678-0682 September 11, 1992 Lewis A. Boyer P.O. Box 787 Stephens City, Virginia 22655 Dear Mr. Boyer: This letter is to confirm action taken by the Frederick County Board of Supervisors at their meeting of September 9, 1992. Your conditional use permit, #010-92, was approved for a. landscaping business. This property is located on Route 277 East, in the Shawnee District and is identified as GPIN 860000A0001590. The following conditions have been placed -upon your permit: 1. Any change in use shall require a new conditional use permit. 2. No more than one sign will be allowed and it shall be limited to eight square feet. 3. No structures shall be expanded to contain the use unless a revised Conditional Use Permit is obtained. 4. All review agency comments must be addressed, including the submittal of an engineered site plan. A site plan is to be submitted within 30 days of meeting. 5. Adequate parking shall be provided for employees, customers and delivery vehicles (per Article III, section 3-3 of the Zoning Ordinance). 6. Business must move from current location on Route 647 to approved location within 60 days of Board of Supervisors approval. If you have any questions, please feel free to call this office. 9 North Loudoun Street P.O. Box 601 Winchester, VA 22601 Winchester, VA 22604 a Page -2- Boyer Ltr. Sept. 11, 1992 If you have any questions, please feel free to call this office. Sincer-'- S W. W Zoning Administrator WWM/slk cc: Esten Rudolph, Commissioner of Revenue C. William Orndoff, Treasurer Sandi Jett, Business License Technician Q • 0 P/C Review Date: 08/05/92 BOS Review Date: 09/09/92 CONDITIONAL USE PERMIT #010-92 Lewis A. Boyer, II Landscaping Business LOCATION: Route 277 east, fourth house on the left after the intersection of 277 and 636 MAGISTERIAL DISTRICT: Shawnee PROPERTY ID NUMBER 86.00OOA0001590 PROPERTY ZONING & PRESENT USE: Zoned RA (Rural Areas), land use - residential ADJOINING PROPERTY ZONING & PRESENT USE: Zoned RA (Rural Areas), land use - vacant PROPOSED USE: Relocation of an existing landscape contracting business REVIEW EVALUATIONS: Virginia Department of Transportation: No objection to conditional use permit for this property. However, existing private entrance is inadequate for proposed use. Prior to operation of the business, a commercial entrance must be constructed to our minimum standards to allow for safe egress/ingress on the property. Any work performed on the state's right-of-way must be covered under a Land Use Permit. The permit is issued by this office and requires an Inspection Fee and Surety Bond Coverage. Fire Marshal: Access to all buildings shall comply with BOCA Building Code and Frederick County Fire Protection Ordinance. Applicant must comply with Sara Title III requirements for storage of pesticides. Any areas open to the public shall be maintained in compliance with the VA State Fire Prevention Code at all times. Burning of debris on -site without proper permits is prohibited. 0 a Page 2 Boyer CUP Inspections Department: Building shall comply with the Virginia Uniform Statewide Building Code and Section 303, USE Group B, (Business) of the BOCA National Building Code/1990. Other codes that apply are title 28 Code of Federal Regulations, Part 36 Nondiscrimination of the basis of Disability by Public Accommodation and in Commercial Facilities. Permit required shall be a change of use on existing building. Health Dept.: Health Dept. has no objection to landscape business provided no more that two employees on -site during working hours and no more that three other employees working mostly off -site. No approval of house for full-time residents is indicated here. Sanitation Authority: No comments. Planning Department: This Conditional Use Permit application is for an existing landscape business that was unknowingly operating illegally in the Residential Performance district. The piece of Rural Area ground that the applicant is proposing to move to is suitable for a landscaping business. An existing house will serve as the office. Equipment and nursery items will be kept at the rear of the property which is buffered somewhat by distance and existing vegetation. Approval of this permit will not significantly alter the established pattern of land use in this area, since Swift Transportation is nearby, as well as a lawn mower sales and repair business. However, the staff is uncomfortable with the prospect of having this Conditional Use Permit approved without a site plan on file to mirror what is actually being developed on site. STAFF RECOMMENDATIONS FOR AUGUST 5, 1992: Approval with the following conditions: 1) Any change in use will require a new Conditional Use Permit. 2 ) No more than one sign will be allowed and it shall be limited to eight square feet. 3 ) No structures shall be expanded to contain the use unless a revised Conditional Use Permit is obtained. 4) All review agency comments must be addressed, including the submittal of an engineered site plan. 5) Adequate parking shall be provided for employees, customers and delivery vehicles (per Article III, section 0 0 Page 3 Boyer CUP 3-3 of the Zoning Ordinance). PLANNING COMMISSION RECOMMENDATIONS OF AUGUST 5, 1992: Approved with the conditions listed below: (Absent - J. Marker and.R. Carper, Abstaining - J. Golladay and B. Wilson) 1) Any change in use will require a new Conditional Use Permit. 2 ) No more than one sign will be allowed and it shall be limited to eight.square feet. 3 ) No structures shall be expanded to contain the use unless a revised Conditional Use Permit is obtained. 4) All review agency comments must be addressed, including the submittal of an engineered site plan. Site Plan to be submitted within 30 days of meeting. 5) Adequate parking shall be provided for employees, customers and delivery vehicles, (per Article III, section 3-3 of the Zoning Ordinance). u S 7-- ,/Lt s I/ E- c u-4t5kt7- G ®c A-71W 4 `7 1-�.�i�a J t� G. O CA-7-/ & / Submittal Deadline 7-/07& P/C Meeting BOS Meeting - -� APPLICATION FOR CONDITIONAL USE PERMIT FREDERICK COUNTY, VIRGINIA 1. Applicant (The applicant if the owner xx other) NAME: Lewis A. Boyer II ADDRESS • . POB 787 Stephens City, VA 22655 TELEPHONE 703-869-7424 2_. Please list all owners, occupants, or.parties in interest of the property: Lewis A. Boyer II Art Fulton 3. The property is located at: (please give exact directions) Route 277 East; Fourth house on left after intersection of 277 & 636 4. The property has a road frontage of 106 feet and a depth of 741 feet and consists of 3.2 acres. (Please be exact) 5. The property is owned by � Fulton as evidenced by deed from recorded (previous owner) in deed book no.396 on page 535 registry of the County of Frederick. .21 14-Digit Property Identification No. Magisterial District Shawnee Current Zoning RA 7. Adjoining Property: USE North private East private South private. West private 86A159 ZONING RA RA RA RA I page -2- CUP Application August, 1990 8. The type "of use proposed is (consult with the Planning Dept. before completing) Relocation of existing landscaping contracting business. 9. It is -proposed that ,the following buildings will be constructed: NONE 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 sought to be permitted. (Continue on back if necessary.) These people will be notified by mail of this application: (PLEASE LIST COMPLETE 14-DIGIT NUMBER.) ON Arthur H. Fulton Address POB 99 Stephens City, VA 22655 Property ID# 861156 Richard P." Glynn Address POB 301 Stephens City, VA 22655 Property ID# 86A158 " Betty G. Smoot Address Route 1, Box 332 Stephens City, VA 22655 Property ID# 86A159B Paul G. Strosnider Address route 1 Box L-65 Stephens City, VA 22655 Property ID# 86A159D Paul G. Strosnider Address 6053 West Street Stephens City, VA 22655_ Property ID# 86A159C Bradford & Rhonda Cornwell Address pOB 171 Toms Brook VA 22660 Property ID# 86A160 � tml Robert R.-Carlson Address Route 1 Box 119 White Post VA 22663 Property ID# 86A187 Address Property ID# Address Property ID# Address Property ID# Address Property ID# Address Property ID# Address Property ID# Address Property ID# Address Property ID# Address Property ID# Address Property ID# Address Property ID# page -3- CUP Application August, 1990 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. bock 393 Pta 535 ACrtGV I. NIGN06.1bo Al LAND 0 vipv.L in 9i:Dnic:. COL•r!'P:, SCT. I, Y'•' 7 r. :Jal o: u.•cP was prodxoa So raa on Iha —22-C%�y of . 19 7_.. at //'_id /-)./�. ccdlSJa:,, o' tiu100 annaw,l was i :4L:1::.,�1 lJ rJCOrd. Taw nj I ul and p" if a :.o s:,b:v. .�i✓J G'c`G• �V X� Clark. 0 0 page -4- C UTP Al.,) p I Lcation August, 1990 ally- do!-Ac.).a3"a plAm.p. ". I vj and io!). the to all.vw T Lulder-st,zuld that thf.;� gig-n, lsst;ctl. 11-a me I;h.i... j.S -'.r-.--,lYA'0j.-'--t#3fA "IRIS—; be p'-'-;:.Icad L*r.,(froll.,C. sew..'n -")'3 days pvior to the ht;--a.r.tn a all,3 rw-'. I so I., r.) be. ur"t"Ll after A: the 'Uto&rd of Sapervisors. Raub lik; heiaring. Signature of Applican't" Si(piature. of Owner Add-ress Owners I TiAephone No. -z'O.0 • • 26. h I. MOW Al I =0 W-4 M' UP e� o s r � � 0 0 I August 26, 1992 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: LEWIS A. BOYER, II CONDITIONAL USE PERMIT #010-92: To relocated an existing landscaping, contracting business. This property is located just past the intersection of Route 277 and Route 636, in the Shawnee District, and is identified as GPIN 860000A0001590. This conditional use permit will be considered by the Frederick County Board of Supervisors at their meeting of September 9, 1992 at 7:15 p.m., in the board room of the old Frederick County Courthouse, Winchester, Virginia. Any interested parties having questions or wishing to speak may attend this meeting. D e iller d nistrator WWM/slk 9 North Loudoun Street P.O. Box 601 Winchester, VA 22601 Winchester, VA 22604 This is to certify that ' e attached correspondence was . led to the following on 0 from twepartment - '04, of Planning and Devolpment, Frederick Conty, Virginia: 1P f ILewis A. Boyer II ]:P.0. Box 787 IS 13 C'ITTY, VA. City in 22655 36 X)1::'C)R"0 UN "0 V1.1y 1.4 X.,11OX 1,C)MIS ROYAl"... 2 2 e RT. vxx4 Fh C) X'.'i C) >11 99 01"UTY, VA GI YNIN, I:.,. c), CTTY VA 2 '2 c-ury, vf-'. FAL)l STIEFIFIENS CITTY, VA., a *Izi IL K.01 %or A /- W. Wayne- : Frederick if, ZoniAg Administrator ty 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 W. Wayne Miller, Zoning Administrator 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 thisO day of My commission expires on J 0 0 COUNTY of FREDERICK Department of Planning and Development 703/665-5651 FAX 703/678-0682 July 22, 1992 TO THE APPLICANTS) AND/OR ADJOINING PROPERTY OWNER(S) The Application of: LEWIS A. BOYER, II CONDITIONAL USE PERMIT #010-92: To relocated an existing landscaping contracting business. This property is located just past the intersection of Route 277 and Route 636, in the Shawnee District, and is identified as GPIN 860000A0001590. This conditional use permit will be considered by the Frederick County Planning Commission at, their meeting of August 5, 1992 at 7:30 p.m., in the board room of the old Frederick County Courthouse, Winchester, Virginia. Any interested parties having questions or wishing to speak, may attend this meeting. Sincerely W. Way Miller Zoning Administrator WWM/slk THE COURTHOUSE COMMONS 9 N. Loudoun Street - P.O. Box 601 - Winchester, Virginia - 22601 This is to certify tha e attached correspondence was sled to the following on July 22, 1992from t'tT� Department of Planning and Dev opment, Frederick County, Virginia: - - - -- i -- {:?'�.? l.a{.),t :9.19" Ivy. '.:3 X-m:):< 5.:>:i.#;3 I WFI:I:'T'lEi:'t:10113•Y'•, 1.{n^ t:'I••'{.)1,!'r t'ti{.7°f!`ll.... VA i :.'.`.:?FYFI,:S.... _ #i)tf} Oil�Lewi,,s A. Boyer, II 1'"Lli.,.'T{:7i 4, ^•11:1 r'1..11.1ft: i t.. :I INCI., MXX q•q;. I P.O. Box 787 E',(t:::I;:'I'•II:::Nf #:r CITTYI V11 Stephens City, Virginia 22655 F, . C) X: 0", Z-50 t. 0:1:'1'Y, 4lrl C;XTY, VA., is 6 P.*-;9A� #i3'T'Y:{:)£:M11D!iiR, F'N.11... {l� r IVY' h J. xtd(:)r'y.". I.......,:};;°i #ii'Y'liia'I lGi:fid#E3 t;:C'Y'Y, VA ' gfi4);`1i:'3 {411ii:#:`r•T #'�"r'f41i::lii:'T' V t . P41ixw .'i112<15 Yill i... W. Wayne Mille , Zoning Administrator Frederick Cou y Dept. of Planning STATE OF VIRGINIA COUNTY OF FREDERICK 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 �� 40 , has personally appeared before me and acknow e/dgee the same in my state and county foresaid. Given under my hand this 1`� day of My commission expires one 61 NOT49Y PUBLIC 1` • le S Submittal Deadline P/C Meeting BOS Meeting APPLICATION FOR CONDITIONAL USE PERMIT FREDERICK COUNTY, VIRGINIA 1. Applicant (The applicant if the owner xx other) NAME: Lewis A. Boyer II ADDRESS • POB 787 Stephens City, VA 22655 TELEPHONE 703-869-7424 2. Please list all owners, occupants, or parties in interest of the property: Lewis A. Boyer II Art Fulton 3. The property is located, at: (please give exact directions) Route 277 East; Fourth house on left after intersection of 277 & 636 4. The property has a road frontage of 106 feet and a depth of 741 feet and consists of 3.2 acres. (Please be exact) 5. The property is owned by t Fulton as evidenced by deed from recorded (previous owner) in deed book no.396 on page 535 registry of the County of Frederick. 6. 14-Digit Property Identification No. ' aftl*- 9 Magisterial District Shawnee Current Zoning RA 7. Adjoining Property: USE ZONING North private RA East private RA South private RA West private RA V a 100 WIP �V page -2- CUP Application August, 1990 8. The type of use proposed is (consult with the Planning Dept. before completing) Relocation of existing landscaping contracting business. 9. It is -proposed that the following buildings will be constructed: NONE 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 sought to be permitted. (Continue on back if necessary.) These people will be notified by mail of this application: (PLEASE LIST COMPLETE 14-DIGIT NUMBER.) NAME Arthur. H. Fulton Address POB 99 Stephens City, VA 22655 ,8xt 1p Property ID#(o p " Richard P. Glynn Address POB 301 Stephens City, VA 22655 Property ID#10 /Sg Betty G. Smoot Address Route 1, Box 332 Stephens City, VA 22655 Property ID# g( --/� Paul G. Strosnider Address route l,Box L-65 Stephens City, VA 22655 Property ID# 8645� Paul G. Strosnider Address 6053 West Street Stephens City, VA 22655_ Property ID#(�-A-/� Bradford & Rhonda Cornwell Address POB 171 Toms Brook VA 22660 Property ID# Is NAME Robert R. Carlson AddressRoute 1 Box 119 White Post VA 22663 Property ID# �' 4 Address Property ID# Address Property ID# Address Property ID# Address Property ID# Address Property ID# Address Property ID# Address Property ID# Address Property ID# Address Property ID# Address Property ID# Address Property ID# UH �� C��TY OF FREDERICK, VIRGINI�� FIRE MARSHAL'S OFFICE LAND DEVELOPMENT COMMENTS Control No. 0626920511 Date Received 060992 Date Reviewed 062692 Applicant Name Lewis A. Boyer II Address P. O. Box 787 Stephens City, VA 22655 Project Name Boyer Landscaping Phone No. 703-869-7424 Type of Application C.U.P. 1st Due Fire Co. 11 Election District Opequon Current Zoning 1st Due Rescue Co. 11 RECOMMENDATIONS Automatic Sprinkler System X Residential Sprinkler System Automatic Fire Alarm System X Other Emergency Vehicle Access; Adequate Inadequate Not Identified X Fire Lanes Required; Yes X No Comments: In accordance with Frederick County Chapter 10. Roadway/Aisleway Widths; Adequate Inadequate Special Hazards Noted; Yes _ Comments: Not Identified X No X LjH �� Hydrant Locations; Adequate Inadequate Not Identified X Siamese Connection Location; Approved Not Approved Not Identified X Additional Comments: 1) Access to all buildings shall comply. with B.O.C.A. Building Code and Frederick County Fire Protection Ordinances. 2) Applicant must comply with Sara Title III requirements for storage of pesticides. 3) Any areas open to the public shall be maintained in compliance with the Virginia State Fire Prevention Code at all times. 4) Burning of debris on site without proper permits is prohibited. Review Time .5 hrDouglas A. iracofe Fire Marshal REQUEST FOR C.U.P. COMMENTS Virginia Department of Transportation Attn: Resident Engineer P.O. Box 278 Edinburg, Virginia 22824-0278 (703) 984-4133 r DINBURG RESIDENCY . JUN 8 -Is Clj.41 �7 s1J "C E'31 F d uD Ej �� DtN f it The local office of the Transportation Department is locates) at 1550 Commerce St. in Winchester if you prefer to hand deliver this form. Applicant's name, address and phone number: - Lewis A. Romer Ir Q08 -1?1 Si-e-pher,s ciiN A 2-y s-s 8 co9 — 742 4 Name of development and/or description of the request: NIA P"il Aquesi- -'ar es4"1�'sh; N Qn ° Pk: (S rN'1 G (G 110 CCQpL- L��n�,-a. Location: PU 2-77 E t=a,,titi hoc%e esr Ie," aAt-✓ e* Z71 4 43& r►A:wsec.-{ion Va. Dept. of Transportation Comments: No objection to a conditional use permit for this property. However, existing private entrance is inadequate for propo ise_ Prior o operation of the bus`iness,,a commercial entrance must be constructed to our minimum standards to allow for safe egress/ingress of the property. Any work performed on the state's Right of Way must -be covered under a Land Use Permit. The permit is issued by this office and requires an Inspection Fee and Surety Bond coverage VDOT Signature and Date: (NOTICE TO RESIDENT ENGINEER* 9Z ICANT.) NOTICE TO APPLICANT It is your -responsibility to complete this form as accurately as possible in order to assist the ag with their review. -Also, please attach three copies of you plans and/or application form. 0 RECEIVED EDINBIURc- 3 t E; 0 i(Dtrd • �i C-SA.n g6 Q 4 v C", ' ► REQUEST FOR C.U.P. COMMENTS CTI �. Frederick -Winchester Health Department", �. Attn: Sanitation Engineer P.O. Box 2056��, Winchester, Virginia 22601 (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 Applicant's name, address and phone number: -74Z,� Name of development and/or description of the request: Location: W.R. .. .� i • .,. • 11 Hle'alt.�h4 Department Comments: IV, 3, J tty- T, U r.e S Y fY10 L) wtc �c d k,, v� c JUL � � — � il,G � A � /", v Health Signature and Date: (NOTICE TO HEALTH DEPT. - PLEASE R URN THIS FORM TO APPLICANT.) 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, please attach a copy of your plans and/or application form. r REQUEST FOR C.U.P. COMMENTS Frederick County Inspections Department Attn: Building Official P.O. Box 601 Winchester, Virginia 22601 (703) 665-5650 The Frederick County Inspections Department is located at 9 North Loudoun St., 2nd Floor of the Hammon Building in Winchester, if you prefer to hand deliver this review. Applicant's name, address and phone number: - L.ew t s A • Re yam. r p0 b `!. Q7 .Sit4htej _ CjAj V 4 Z 24 S'S Name of development and/or description of the request: Location: - 9+ 2-'71 G ht)use- on If-4 a-44e Ir,4-esec,",, a4- 277' 4,3� Inspection Department Comments: Building shall comply with the Virginia Uniform Statewide Building Code and Section 303, Use Group B (Business) of the BOCA National Building Code:1990. Other codes that apply are title 28 Code of Federal Regulation, Part 36 Nondiscrimination on the Basis of Disability by Public Accommodations and in Commercial Facilities. Permit required shall be change of se on existing ,building. n /� n Code Administrator Signature & Date: (NOTICE TO INSPECTIONS DEPT.*PLEASE MtJIZN TMIX FORM TO APPLICANT.)/ 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, please attach a copy of your plans and/or application form. REQUEST FOR C.U.P. COMMENTS Frederick County Sanitation Authority Attn: Engineer Director P.O. Box 618 Winchester, Virginia 22601 (703) 665-5690 The Frederick County Sanitation Authority is located on the 2nd floor of the old Frederick Co. Courthouse in Winchester, if you prefer to hand deliver this review. Applicant's name, address and phone number: Lew cs A - Ecgc,, Poe '78'7 15� hens Ct�j iln zz4 SS" Name of development and/or description of the request: Alues-/- -A /e lU cyce. & P-sla-64 sib Location: 061--U 7-T7 Eas+ P;&-4h house an 141 d4t-Y in�Wsezbbn 6f 0797 (3/ Sanitation Authority Comments: /YO Co �1►/y�ltrs% Sanitation Authority Signature & Date: ,0 A4i� cAPIA (NOTICE TO -SANITATION AUTHORITY * RN THIS FORM TO APPLICANT. 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, please attach two copies of your plans and/or application form. 70C